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UNESCO HIV and Health Education Clearinghouse

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  1. Case study for effective implementation of the integrated school health programme (ISHP): baseline study at Nzululwazi high school and surrounding community

    The Student Partnership Worldwide (SPW) South Africa Trust in partnership with the United Nations Population Fund (UNFPA) leads the Safe Guard Young People (SYP) Programme in three districts in the Eastern Cape. The goal of the SYP programme is to contribute towards the improvement of the Sexual Reproductive Health and Rights (SRHR) status of young people aged 10 – 24, with a special focus on HIV prevention. The Nzululwazi Senior Secondary School forms a special focus of this programme. …

  2. A sexual and reproductive health peer education programme for girls in grades 7 to 9. Mentor’s manual

    This sexual and reproductive health (SRH) peer education programme was developed as part of the Department of Basic Education’s (DBE) Leveraging Partnerships to Achieve the Goals of South Africa’s HIV & AIDS and STI National Strategic Plan 2012–16, otherwise known as Keeping Girls in School. The aim of this component of the programme is to shift social norms and change sexual behaviour by reinforcing and supporting the SRH messages received via the curriculum in order to increase retention and reduce the risk of HIV infection and teenage pregnancy.

  3. Learners’ perspectives on the provision of condoms in South African public schools

    A stubborn health challenge for learners in South African public schools concerns sexual and reproductive health and rights (SRHR). In 2015, the Department of Basic Education (DBE) proposed the provision of condoms and SRHR-services to learners in schools. This study aimed to contribute to the finalisation and implementation of DBE’s policy by exploring learners’ perspectives on the provision of condoms and SRHR-services in schools. …

  4. National adolescent sexual and reproductive health and rights framework strategy 2014 - 2019

    The National ASRH&R Framework Strategy on ASRH&R is based on a holistic review of the three lead documents (National Report on Factors Associated with Teenage Pregnancy in South Africa (2014), Background Resource Document on the State of ASRH&R in South Africa (2012), Report on Consultative Workshop with Stakeholders on ASRH&R (2012) discussed in section 5) which identified gaps and issues of ASRH&R that deserved further attention. …

  5. Sexual and reproductive health rights and information and communications technologies: A policy review and case study from South Africa

    This report examines the linkages between policies on, and implementation of, sexual and reproductive health rights (SRHR) and ICT in rural and peri-urban spaces in South Africa. South Africa is renowned for its legal provisions addressing SRHR yet also experiences barriers to adolescent sexual health. SRHR programming is politically complex and often ambivalent; as a result less contentious aspects which emphasise maternal health get prioritised. …

  6. Early adolescent pregnancy increases risk of incident HIV infection in the Eastern Cape, South Africa: a longitudinal study

    INTRODUCTION: Adolescents having unprotected heterosexual intercourse are at risk of HIV infection and unwanted pregnancy. However, there is little evidence to indicate whether pregnancy in early adolescence increases the risk of subsequent HIV infection. In this paper, we tested the hypothesis that adolescent pregnancy (aged 15 or younger) increases the risk of incident HIV infection in young South African women. …

  7. Teenage pregnancy in South Africa: With a specific focus on school-going learners

    The purpose of the study was to document, review and critically analyse literature on teenage pregnancy with a focus on school-going adolescents. The specific objectives were as follows: To review existing literature and conduct statistical analyses to establish the prevalence and determinants of teenage pregnancy; To assess the individual, familial and educative impact of teenage pregnancy; To identify and assess the impact of interventions for teenage pregnancy; and To propose a conceptual framework for research and interventions to prevent and mitigate the impact of teen pregnancy. …

  8. A review of teenage pregnancy in South Africa – experiences of schooling, and knowledge and access to sexual and reproductive health services

    Approximately 30% of teenagers in South Africa report ‘ever having been pregnant’, the majority, unplanned. While this number has decreased over the past few decades, it is still unacceptably high. The figure is for all teenagers. (13-19 years old), but motherhood for an 18 or 19 year old has very different implications than for a young teenager, one aged 15, for example. Therefore this report tries, where possible, to be mindful of differing experiences of pregnancy and motherhood across the teen years. …

  9. Access to safe abortion: building choices for women living with HIV and AIDS

    In many areas of the world where HIV prevalence is high, rates of unintended pregnancy and unsafe abortion have also been shown to be high. Of all pregnancies worldwide in 2008, 41% were reported as unintended or unplanned, and approximately 50% of these ended in abortion. …

  10. Human capital consequences of teenage childbearing in South Africa

    Women in South Africa have had fewer children on average since the 1970s, but the rate of teenage childbearing in South Africa has remained the same. Large numbers of young mothers are a cause for social concern in South Africa and other countries because of the adverse impact of teenage childbearing on the education and health of teen mothers and their children. …

  11. Guidelines for counselling youth on sexuality

    Nearly half of the people in the world are under the age of 25, with one in three people aged between 10 and 24 years. Youth are most at risk of HIV infection and other sexual health problems. These include unplanned pregnancy and sexually transmitted infections (STIs). The HIV pandemic has made us think about how and when to have sex in a way that is healthy for our partners and ourselves. This includes knowing how to say 'no' to sex when we do not want it. Many youth have a lot of knowledge about HIV prevention, but this knowledge is not always right. …

  12. Social marketing for adolescent sexual health: results of Operations Research Projects in Botswana, Cameroon, Guinea, and South Africa

    AIDS, other sexually transmitted infections, and unintended pregnancies have reached critical levels in sub-Saharan Africa, creating a need for innovative prevention programs for vulnerable groups. This report describes operations research projects in Botswana, Cameroon, Guinea, and South Africa that attempted to determine whether social marketing interventions improved adolescent understanding of sexual health issues and access to reproductive health products and services.

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