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UNESCO HIV and Health Education Clearinghouse

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  1. Child marriage: a mapping of programmes and partners in twelve countries in East and Southern Africa

    This report presents the results of a mapping of programmes and partnerships that seek to prevent and mitigate the effects of child marriage in East and Southern Africa. The mapping focused on 12 countries in the region where the prevalence of child marriage is greater than 30 per cent: Comoros, Democratic Republic of the Congo, Eritrea, Ethiopia, Madagascar, Malawi, Mozambique, South Sudan, United Republic of Tanzania, Uganda, Zambia and Zimbabwe. …

  2. Education sector response to early and unintended pregnancy: a review of country experiences in sub-Saharan Africa

    In Sub-Saharan Africa (SSA), early and unintended pregnancy leads to a colossal loss of educational opportunities for girls: A high proportion of pregnancies among adolescent girls aged 15-19 years in the region are unintended, and nearly all adolescent girls who have ever been pregnant are out of school in most SSA countries. Existing studies that show associations between early/unintended pregnancy and school dropout lead to critical questions about how the education sector is responding to the issue in SSA. …

  3. Adolescent pregnancy and education trajectories in Malawi

    Education is a vital component of the preparation for adulthood, and is closely linked to transitions into marriage and parenting. Childbearing among adolescent girls in sub-Saharan Africa remains high, while primary school completion is far from universal. This paper uses longitudinal data from five rounds of the Malawi Schooling and Adolescent Study to investigate how becoming pregnant while attending school influences medium-term educational outcomes of young women. …

  4. 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. …

  5. HIV infection and sexual risk behaviour among youth who have experienced orphanhood: systematic review and meta-analysis

    Background: Previous research has suggested that orphaned children and adolescents might have elevated risk for HIV infection. We examined the state of evidence regarding the association between orphan status and HIV risk in studies of youth aged 24 years and younger. Methods: Using systematic review methodology, we identified 10 studies reporting data from 12 countries comparing orphaned and non-orphaned youth on HIV-related risk indicators, including HIV serostatus, other sexually transmitted infections, pregnancy and sexual behaviours. …

  6. Girls' schooling and the perceived threat of adolescent sexual activity in rural Malawi

    Despite its relative infrequency, pregnancy is perceived by parents in rural Malawi as a leading cause of school dropout among female students. This paper explores parents' beliefs about adolescent sexual activity and schoolgirl pregnancy and how these perceptions frame parents' aspirations and expectations about girls' schooling. In-depth interviews were collected in rural Malawi from 60 adults aged 25–50 who were the parent of at least one school-aged child. …

  7. Associations between premarital sex and leaving school in four Sub-Saharan African countries

    This study is an article extracted from "Studies in Family Planning", special issue on "Adolescent sexual and reproductive health in Sub-Saharan Africa", published in December 2008. As formal schooling spreads within sub-Saharan Africa, a growing proportion of adolescents remain enrolled in school when they "come of age". As a consequence more and more adolescents have to negotiate sexual maturation and sexual initiation in a different context than from that of counterparts in prior generations. …

  8. Levels and spread of HIV seroprevalence and associated factors: evidence from national household surveys

    This report summarizes HIV prevalence and the associations between HIV serostatus and key characteristics and behaviors of adult women and men in 22 developing countries, primarily in sub- Saharan Africa. Data come from Demographic and Health Surveys (DHS) and AIDS Indicator Surveys (AIS) conducted between 2001 and 2006. In most of these surveys, nationally representative samples of women age 15-49 and men age 15-59 were tested for HIV. …

  9. Protecting the next generation in Malawi. New evidence on adolescent sexual and reproductive health needs

    This report presents key findings from a new body of research that describes the sexual and reproductive health needs of Malawi's youth. The information was gathered from young Malawians themselves through focus group discussions, in-depth interviews and a nationally representative survey on sex, relationships, marriage, HIV/AIDS and pregnancy among young women and men aged 12-19. This report discusses in detail some of the challenges in and opportunities for improving the sexual and reproductive health of adolescents in Malawi. …

  10. Factors influencing access and retention in primary schooling for children and young people affected by HIV and AIDS: Case studies from rural Malawi

    This report presents findings from the second phase of the SOFIE research project. The research focuses on young people affected by HIV and AIDS and aims to improve their access to learning and increase retention through the use of ODFL strategies that complement and enrich conventional schooling.

  11. Protecting the next generation in sub-saharan Africa: learning from adolescents to prevent HIV and unintended pregnancy

    This report presents key findings from nationally representative surveys conducted in 2004 among 12-19-year-olds in four African countries-Burkina Faso, Ghana, Malawi and Uganda-with the goal of guiding programs, policies and investments aimed at improving adolescent sexual and reproductive health. It is based on research conducted as part of a multiyear project, called Protecting the Next Generation: Understanding HIV Risk Among Youth. …

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