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UNESCO HIV and Health Education Clearinghouse

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  1. Adaptation in practice: lessons from teenage pregnancy programmes in Sierra Leone

    This brief discusses initial learning emerging from the Adaptive approaches to reducing teenage pregnancy in Sierra Leone action research project. The project is accompanying three international NGOs - Concern, International Rescue Committee (IRC), and Save the Children - as they trial adaptive approaches to addressing teenage pregnancy in Sierra Leone. Key messages: 1) Partners under this action research project are trialling alternative approaches to preventing teenage pregnancy, focusing on social norms change. …

  2. The effects of adolescent childbearing on literacy and numeracy in Bangladesh, Malawi, and Zambia

    Global investments in girls’ education have been motivated, in part, by an expectation that more-educated women will have smaller and healthier families. However, in many low- and middle-income countries, the timing of school dropout and first birth coincide, resulting in a rapid transition from the role of student to the role of mother for adolescent girls. Despite growing interest in the effects of pregnancy on levels of school dropout, researchers have largely overlooked the potential effect of adolescent childbearing on literacy and numeracy. …

  3. Trends of sexual and reproductive health behaviors among youth in the Philippines: further analysis of the 2008, 2013, and 2017 national demographic and health surveys

    This report examines the trends of sexual and reproductive health behavior over a 9-year period (2008-2017) in the Philippines. The analysis utilizes data from three nationally representative household surveys conducted by The Demographic and Health Surveys Program in 2008, 2013, and 2017. …

  4. Let's talk early and unintended pregnancy!

    This booklet is aimed at helping adolescents better understand important issues in their life related to early and unintended pregnancy (EUP) – including puberty, contraception, sexually transmitted infections (STIs), and relationships. The booklet starts by exploring the journey from childhood to adulthood. In this section, the changes that happen in males and females during puberty are described. Next, pregnancy in general is explained. Following this, EUP specifically is detailed, including causes, consequences, and prevention. …

  5. 25 years after Cairo: accelerating Africa's promise; fast-tracking progress in achieving good sexual reproductive health and rights outcomes and achievement of Sustainable Development Goals

    This issue of the African Development Perspectives addresses sexual and reproductive health and rights (SRHR) in Africa, with the backdrop of the International Conference on Population and Development (ICPD) Programme of Action (PoA), signed by 179 governments twenty-five years ago, in 1994, in Cairo, Egypt, and the Nairobi Summit in November 2019, where delegates will converge to reaffirm the commitments to accelerate the promises made at the 1994 Conference. …

  6. Nutrition education curriculum for the Adolescent Girls Empowerment Program (AGEP)

    The Adolescent Girls Empowerment Program (AGEP) in rural and urban Zambia aims to build social, health, and economic assets of adolescent girls. A safe spaces component is at the core of AGEP. Girls groups, under the guidance of a female mentor from the same community, provide a safe and supportive learning environment. The meetings are critical in building social assets for vulnerable girls - including friendships, self-esteem, trusting relationships with adults, and social support. …

  7. National strategy for the reduction of adolescent pregnancy and child marriage 2018-2022

    The National Strategy for the Reduction of Adolescent Pregnancy and Child Marriage (2018-2022) was developed to guide the prioritisation of all evidence-based adolescent pregnancy and child marriage reduction interventions in the country during this period.

  8. Effectiveness of a community based intervention to delay early marriage, early pregnancy and improve school retention among adolescents in India

    Child marriage is being increasingly recognized globally as a fundamental violation of human rights. Child marriages occur globally in varying degrees across countries and regions. South Asia alone accounted for almost half of the total number of child marriages that have occurred globally. Early marriage can lead to serious ramifications such as school drop-out, early pregnancy, maternal morbidity and mortality. …

  9. I felt like the world was falling down on me. Adolescent girls’ sexual and reproductive health and rights in the Dominican Republic

    Adolescent girls in the Dominican Republic are being denied their sexual and reproductive rights, including access to safe abortion. “I Felt Like the World Was Falling Down on Me” documents how authorities have stalled the rollout of a long-awaited sexuality education program, leaving hundreds of thousands of adolescent girls and boys without scientifically accurate information about their health. The country has the highest teen pregnancy rate in Latin America and the Caribbean, according to the Pan American Health Organization (PAHO). …

  10. Expanding the evidence base and networks for sexual violence response in East and Southern Africa: completion report for the period May 2014–February 2018

    The Population Council’s cooperation with Regional Team for Sexual and Reproductive Health and Rights (SRHR), and Embassy of Sweden, Lusaka (‘the Team’) on sexual and gender-based violence (SGBV) in East and Southern Africa has spanned over a decade, emerging in late 2006 in response to high levels of SGBV in the region, coupled with minimal understanding of how to respond to the issue in the low-resource settings that this region includes. …

  11. Facing the challenge of adolescent pregnancy in Zimbabwe

    This booklet presents the current status of adolescent pregnancy in Zimbabwe; explains the drivers and psycho-social, economic, development and health costs of adolescent pregnancy; offers recommendations for addressing adolescent pregnancy and leveraging demographic dividend in promoting socio-economic growth.

  12. Early marriage, pregnancy and girl child school dropout

    The aim of this review was to present the recent evidence on the impact of early marriage and/or pregnancy on the rates of girl child drop out. It also synthesises evidence that focus on laws, policies and practices that force pregnant girls or new mothers out of school. Although early marriage and pregnancy are often linked to school dropout, evidence proving a direct and causal link is limited. This is because early marriage and pregnancy can be both the cause and consequence of dropping out of school. …

  13. Women’s sexual and reproductive health and rights in Europe

    Despite considerable progress, women in Europe continue to face widespread denials and infringements of their sexual and reproductive health and rights. Laws, policies and practices still curtail and undermine women’s sexual and reproductive health, autonomy, dignity, and decision-making and pervasive gender inequality continues to have profound effects on their sexual and reproductive health and rights. Moreover, in recent years, resurgent threats to these rights have emerged jeopardising longstanding commitments to gender equality and women’s rights. …

  14. Women and HIV. A spotlight on adolescent girls and young women

    Gender discrimination and gender-based violence fuel the HIV epidemic. Gender norms in many cultures combined with taboos about sexuality have a huge impact on the ability of adolescent girls and young women to protect their health and prevent HIV, seek health services and make their own informed decisions about their sexual and reproductive health and lives.

  15. School-based relationships and sexuality education (RSE): lessons for policy and practice

    There is clear evidence that school-based sex education programmes can improve sexual health outcomes. Women who have experienced sex education in schools are less likely to have experienced rape, abortion or distress about sex. Many factors combine to affect health and sex education will not override the determinants of health in general. …

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