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UNESCO HIV and Health Education Clearinghouse

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  1. Global, regional, and subregional trends in unintended pregnancy and its outcomes from 1990 to 2014: estimates from a Bayesian hierarchical model

    Estimates of pregnancy incidence by intention status and outcome indicate how effectively women and couples are able to fulfil their childbearing aspirations, and can be used to monitor the impact of family-planning programmes. We estimate global, regional, and subregional pregnancy rates by intention status and outcome for 1990–2014.

  2. Early marriage and sexual and reproductive health vulnerabilities of young women: a synthesis of recent evidence from developing countries

    Purpose of review: To review current evidence on the links between early marriage and health-related outcomes for young women and their children. Recent findings: Every third young woman in the developing countries excluding China continues to marry as a child, that is before age 18. Recent studies reiterate the adverse health consequences of early marriage among young women and their children even after a host of confounding factors are controlled. …

  3. Teenage marriage, fertility, and well-being: panel evidence from India

    This paper uses a unique dataset from Andhra Pradesh, tracking a cohort of children who were born in 1994–95 from the ages of 8 to 19 years, to ask three key questions about teenage marriage and fertility in India. First, what predicts getting married during the teen years? Second, what predicts having given birth by 19? …

  4. Factors shaping trajectories to child and early marriage: evidence from Young Lives in India

    The 2011 Census in India reported that nearly 17 million children between the ages of 10 and 19 –6% of the age group – are married, with girls constituting the majority (76 per cent), although there has been a significant relative reduction in the marriage of girls under 14. The aim of this paper is to better understand the individual, household and community factors that explain the different pathways to marriage among Young Lives children, drawing upon both descriptive statistics from the household survey as well as in-depth qualitative research with the study children.

  5. Guías en salud sexual y reproductiva: manual para la atención a la mujer en el proceso de embarazo, parto y puerperio

    El objetivo de este manual es brindar herramientas a los equipos de salud, para la atención integral de la mujer durante el proceso del embarazo, trabajo de parto, parto y puerperio, y así garantizar los mejores resultados para su salud y la del recién nacido. A su vez, se incluyen referencias a prácticas habituales que no están recomendadas y deben ser abandonadas.

  6. Adolescent women’s need for and use of sexual and reproductive health services in developing countries

    With this report, the authors aim to provide an up-to-date and comprehensive overview of the use of sexual and reproductive health services by adolescent women aged 15–19 in the developing world. Using reliable nationally representative surveys in 70 countries, the report presents 30 indicators that cover a wide range of topics related to the sexual and reproductive health of adolescent women. Chapter 2 outlines the methods and data sources used for this report. Chapter 3 focuses on marriage, sexual activity and contraception. …

  7. Unintended pregnancies among young women living in urban slums: Evidence from a prospective study in Nairobi City, Kenya

    Background: Despite the significant proportion of young people residing in slum communities, little attention has been paid to the sexual and reproductive health (SRH) challenges they face during their transition to adulthood within this harsh environment. Little is known about the extent to which living in extreme environments, like slums, impact SRH outcomes, especially during this key developmental period. …

  8. 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. …

  9. Building a safe house on firm ground: key findings from a global values and preferences survey regarding the sexual and reproductive health and human rights of women living with HIV

    It is estimated that 50–55% of people living with HIV globally are women. In 2006, the World Health Organization (WHO) issued Sexual and reproductive health of women living with HIV/AIDS: Guidelines on care, treatment and support for women living with HIV and their children in resource-constrained settings. These guidelines focused on five key areas; sexual health, family planning, maternal and perinatal health, abortion, and sexually transmitted infections (STIs). …

  10. Adding it up: The costs and benefits of investing in sexual and reproductive health

    To help decision-makers evaluate the investments needed in developing countries, this report provides new estimates, for 2014, of the needs for and costs and benefits of sexual and reproductive health interventions in three key areas: Contraceptive services; Maternal, newborn and other pregnancy-related care; Selected services related to HIV and other STIs for women of reproductive age. …

  11. Guía para el manejo y seguimiento de la mujer embarazada positiva al VIH o con SIDA

    La presente guía de manejo y seguimiento de la mujer embarazada VIH positiva o con SIDA tiene como objetivo estandarizar el manejo durante el embarazo, parto, puerperio y recién nacido/a de madre VIH positiva, con el fin de disminuir la transmisión madre/hijo/a y a preservar la vida de la madre.

  12. Unintended pregnancy and abortion in Uganda

    Unintended pregnancy is common in Uganda, leading to high levels of unplanned births, unsafe abortions, and maternal injury and death. Because most pregnancies that end in abortion are unwanted, nearly all ill health and mortality resulting from unsafe abortion is preventable. This report summarizes evidence on the context and consequences of unintended pregnancy and unsafe abortion in Uganda, points out gaps in knowledge, and highlights steps that can be taken to reduce levels of unintended pregnancy and unsafe abortion, and, in turn, the high level of maternal mortality.

  13. Girls decide: Choices on sex and pregnancy

    This publication is part of a larger IPPF initiative called Girls Decide. The initiative aims to ensure that girls’ and young women’s sexuality and pregnancy-related issues are effectively addressed by leaders and service providers. Girls Decide: Choices on Sex and Pregnancy presents a selection of innovative projects that are examples of good practice, and offer great potential for poverty reduction, female empowerment and development. These projects can guide policy- and decision-makers, educators, service providers and community leaders in rethinking strategies for girls and young women

  14. Illusions of Care. Lack of Accountability for Reproductive Rights in Argentina

    This 52-page report documents the many obstacles women and girls face in getting the reproductive health care services to which they are entitled, such as contraception, voluntary sterilization procedures, and abortion after rape. The most common barriers to care include long delays in providing services, unnecessary referrals to other clinics, demands for spousal permission contrary to law, financial barriers, and in some cases outright denial of care.

  15. The effect of educational attainment and other factors on HIV risk in South African women: results from antenatal surveillance, 2000-2005

    Objectives: To assess the effect of educational attainment and other factors on the risk of HIV in pregnant South African women. Design: Repeated cross-sectional surveys. Methods: Pregnant women attending public antenatal clinics were tested for HIV annually between 2000 and 2005, and provided demographic information. Logistic regression models were applied separately to the data collected in each year, to identify factors associated with HIV infection. Data from all years were combined in a logistic regression model that tested for trends in HIV prevalence. …

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