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UNESCO HIV and Health Education Clearinghouse

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  1. Teenage pregnancy prevention framework: supporting young people to prevent unplanned pregnancy and develop healthy relationships

    The international evidence is clear. Building the knowledge, skills, resilience and aspirations of young people, and providing easy access to welcoming services, helps them to delay sex until they are ready to enjoy healthy, consensual relationships and to use contraception to prevent unplanned pregnancy. …

  2. Desarrollo humano en República Dominicana: el embarazo en adolescentes: un desafío multidimensional para generar oportunidades en el ciclo de vida

    Teenage pregnancy in the Dominican Republic is a complex problem and of high concern to the national agenda. Available data indicate that 22% of women between 12-19 years have been pregnant. This rate is 34% higher than the average for Latin America and the Caribbean. Teenage pregnancy is concentrated in specific areas of the country – the southern provinces and central Cibao - as well as among poorer people. The fact that the indicator (adolescent fertility rate) has shown little variation in the last three decades makes the picture complex. …

  3. Understanding teenage fertility, cohabitation, and marriage: the case of Peru

    This paper intends to contribute to the economic literature that investigates the origins of teenage pregnancy and early marriage/co habitation in Peru and to improve understanding of the risk factors of one important gender-related issue that has historically provoked asymmetric costs for boys and girls. …

  4. Early and unintended pregnancy: recommendations for the education sector

    Available evidence supports a clear and compelling role for the education sector in preventing early and unintended pregnancy and ensuring the right to education for pregnant and parenting girls.

  5. Interventions to prevent unintended and repeat pregnancy among young people in low- and middle-income countries: a systematic review of the published and gray literature

    Adolescent pregnancy, particularly unintended pregnancy, can have lasting social, economic, and health outcomes. The objective of this review is to identify high-quality interventions and evaluations to decrease unintended and repeat pregnancy among young people in low- and middle-income countries. PubMed, Embase, PsycInfo, Cinahl Plus, Popline, and the Cochrane Databases were searched for all languages for articles published through November 2015. Gray literature was searched by hand. Reference tracing was utilized, as well as unpacking systematic reviews. …

  6. Unintended pregnancies in Kenya: a country profile

    The report draws on data from four Kenya Demographic and Health Surveys (KDHS) (1993, 1998, 2003 and 2008/09), the Kenya AIDS Indicator Survey (KAIS) (2007), the Kenya Service Provision Assessment (KSPA) (2004 and 2010) and the Kenya National Survey for Persons with Disabilities (KNSPWD) (2008). Levels of key family planning and reproductive health indicators are set out, as well as fertility-and abortion indicators in Kenya. An equity lens was used, which differentiates these indicators by age, marital status, region, education and wealth. …

  7. Análisis legislativo comparado sobre embarazo adolescente matrimonio temprano

    El presente documento tiene por objetivo principal el realizar un estudio comparado sobre la situación actual de la legislación en relación a la prevención del embarazo adolescente y el matrimonio temprano en la región de América Latina y El Caribe, que destaque la legislación existente y su nivel de adecuación en comparación a los estándares de derechos humanos en la materia.

  8. Co-designing the teenage pregnancy and young parent strategy

    In response to the recommendations from the Scottish Parliament’s Health and Sport Committee’s Inquiry into Teenage Pregnancy in 2013, the Scottish Government committed to producing a Teenage Pregnancy and Young Parents Strategy. …

  9. Reaching out to teen mothers in Malawi

    Save the Children began working in Malawi in 1983, and in the southern Mangochi district in 1993. Among its earliest concerns in Mangochi was adolescent reproductive and sexual health. In 1999, SC launched Nchanda ni Nchanda (Youth to Youth), a five-year program that used an array of approaches to improve the reproductive and sexual health of people aged 10 to 25. …

  10. International interagency meeting: current evidence, lessons learned and best practices in adolescent pregnancy prevention in Latin America and the Caribbean. Final report

    The objectives of this meeting were: to present the current situation of adolescent pregnancy and its major risk factors in the LAC region; to discuss current evidence, lessons learned and best practices regarding adolescent pregnancy prevention and the access and utilization of SRH services by adolescents in the LAC region; to agree on key evidence-based interventions to be implemented at the local, national, and regional level in order to prevent adolescent pregnancy in the LAC region; to disseminate and share current evidence, lessons learned, best practices, tools and instruments develope …

  11. 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. …

  12. 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. …

  13. Adolescent pregnancy and associated factors in South African youth

    Background: Adolescent pregnancy, occurring in girls aged 10–19 years, remains a serious health and social problem worldwide, and has been associated with numerous risk factors evident in the young people’s family, peer, school, and neighbourhood contexts. Objective: To assess the prevalence of adolescent pregnancy and associated factors in the South African context, as part of a population-based household survey that formed part of an evaluation of the impact of loveLife, South Africa’s national HIV prevention campaign for young people. …

  14. Multi-city assessment of lifetime pregnancy involvement among street youth, Ukraine

    The authors conducted an assessment to describe the prevalence of and risk factors associated with lifetime pregnancy involvement (LPI) among street youth from three Ukrainian cities. They used modified time-location sampling to conduct a cross-sectional assessment in Odesa, Kyiv, and Donetsk that included citywide mapping of 91 public locations frequented by street youth, random selection of 74 sites, and interviewing of all eligible and consenting street youth ages 15-24 years found at sampled sites (n = 929). …

  15. Trends in marriage and early childbearing in developing countries

    The report presents the findings of an international comparative analysis of age at marriage and age at first birth, marital instability, informal unions, and teenage reproductive behaviour, with emphasis on trends over the past decade. For some trend analyses, this review is limited to countries where DHS surveys were conducted between 1990 and 2002.

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