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UNESCO HIV and Health Education Clearinghouse

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  1. Teenage pregnancy in Sierra Leone: priorities for a future research agenda

    This briefing paper summarises the state of current knowledge and programming on teenage pregnancy in Sierra Leone and identifies some key gaps. It goes on to propose a future research agenda on this issue that could be undertaken by SLRC and supported by Irish Aid under its new five-year strategy for Sierra Leone.

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

    Sierra Leone has one of the highest rates of teenage pregnancy in the world. Several recent research studies have generated evidence as to why. Drivers of this problem include lack of information, knowledge and skills among girls, their sexual partners and their families; weak institutions and services, such as health, education, social work and justice; poverty and girls’ limited access to assets; widespread sexual violence and exploitation, for which there is both social and legal impunity; and engrained social and gender norms that make girls vulnerable to early sex and pregnancy. …

  3. 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. …

  4. 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. …

  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. 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. …

  9. 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.

  10. 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. …

  11. 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.

  12. Comprehensive sexuality education: Evidence and promising practices in West and Central Africa

    This brochure documents the key elements for the implementation of Comprehensive Sexual Education (CSE). Using concrete examples from four countries in West Africa (Benin, Côte d’Ivoire, Senegal and Togo), the brochure documents promising practices, challenges and lessons learned, and makes key recommendations to be shared with all countries in the region.

  13. Harmonizing the legal environment for adolescent sexual and reproductive health and rights: A review of 23 countries in East and Southern Africa

    The study reviews the laws, policies and related frameworks in 23 countries in East and Southern Africa (ESA) that create either impediments to, or an enabling environment for, adolescent sexual and reproductive health and rights. The assessment resulted in the development of a harmonized regional legal framework, which translates international and regional legal provisions into useful strategies. It gives recommendations based on applicable core legal values and principles gleaned from a range of conventions, charters, political commitments, guidelines and declarations. …

  14. Child marriage in West and Central Africa at a glance

    Child marriage in West and Central Africa is one of the biggest challenges in the region and has enormous adverse effects on education, health, including sexual and reproductive health, and on the overall development of adolescents and youth. This brochure provides recent data and analysis of child marriage in the region.

  15. Why addressing child marriage and adolescent pregnancy is essential to achieving the demographic dividend in West and Central Africa: position paper

    This position paper presents several strong arguments about why it is imperative to address child marriage and adolescent pregnancy, if we want to succeed in harnessing the demographic dividend in West and Central Africa. It also provides recommendations on the key actions different stakeholder groups can take to make this a reality.

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