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UNESCO HIV and Health Education Clearinghouse

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  1. Reducing pregnancy among adolescents

    Across a range of programs, interventions that successfully changed the calculus of costs and benefits of unprotected sexual activity and childbirth delayed pregnancy among adolescents. Some programs directly altered costs and benefits while others shifted perceptions of them

  2. Interventions for preventing unintended pregnancies among adolescents (Review)

    Background: Unintended pregnancy among adolescents represents an important public health challenge in high-income countries, as well as middle and low-income countries. Numerous prevention strategies such as health education, skills-building and improving accessibility to contraceptives have been employed by countries across the world, in an effort to address this problem. However, there is uncertainty regarding the effects of these interventions, hence the need to review the evidence-base. …

  3. 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. …

  4. 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. …

  5. Education, HIV, and early fertility: experimental evidence from Kenya

    A seven-year randomized evaluation suggests education subsidies reduce adolescent girls’ dropout, pregnancy, and marriage but not sexually transmitted infection (STI). The government’s HIV curriculum, which stresses abstinence until marriage, does not reduce pregnancy or STI. Both programs combined reduce STI more, but cut dropout and pregnancy less, than education subsidies alone. …

  6. Assessing the effect of teenage pregnancy on achieving universal basic education in Ghana: a case study of Upper Denkyira West District

    The consequences of teenage pregnancy are gigantic and inimical to the wellbeing of adolescent population as well as development in the broad-spectrum. As a result, this study assessed the effect of teenage pregnancy on achieving universal basic education in Ghana: a case study of Upper Denkyira West District. The research design employed for this study was the mixed approach. Both qualitative and quantitative research methods were applied for the study. Purposive and snowball sampling techniques were applied in selecting respondents for the study and the sample size was 80. …

  7. A farewell to abstinence and fidelity? Comment

    Sex has regularly proven to be a polarising issue for the UN Member States, and the 2016 High-Level Meeting on Ending AIDS on June 8–10 was no exception. The Political Declaration adopted at the meeting addresses the sexual health needs of young people (15–24 years), including adolescents (11–19 years). 2000 new HIV infections occur among young people every day. HIV is the leading cause of death among adolescents in Africa, and the second-highest cause of death worldwide in this age group. …

  8. Detailed methodology for systematic reviews of interventions to improve the sexual and reproductive health of young people in low- and middle-income countries

    The goal of this project was to systematically review and compile evidence on interventions in low- and middle-income countries, which targeted three adverse health-related outcomes for young people (ages 10–24): (1) early pregnancy and repeat pregnancy; (2) child marriage; and (3) sexually transmitted infections including human immunodeficiency virus. The authors searched the gray and published literature to identify interventions and developed a scoring system to assess whether these interventions and their evaluations were of high quality. …

  9. Life orientation sexuality education in South Africa: Gendered norms, justice and transformation

    Research on sexual practices among young South Africans has proliferated in light of the national imperatives to challenge the spread of HIV/AIDS, gender-based violence and unwanted early pregnancies. It has been widely acknowledged that, in order to respond to these social problems, we need to understand the enmeshment of gender, class, age and other forms of social inequality, and how these are played out in ‘normal’ heterosexual relationships.

  10. Teenage childbearing and educational attainment in South Africa

    Teenage childbearing and attainment at school in South Africa are investigated using nationally-representative data from the National Income Dynamics Study. The analysis focuses on the outcomes by 2010 of a panel of 673 childless young women aged 15–18 in 2008. Girls who had their first birth by 2010 had 4.4 times the odds of leaving school and 2.2 times the odds of failing to matriculate, controlling for other factors. Girls from the highest-income households were unlikely, and girls who were behind at school relatively likely, to give birth. …

  11. It's good to teach them, but … they should also know when to apply it: parents’ views and attitudes towards Fiji's Family Life Education curriculum

    A Family Life Education (FLE) curriculum was introduced in Fiji schools in 2010 in response to concern about increasing teenage pregnancies and young people's vulnerability to sexually transmitted infections and other health and social problems. However, conservative and suspicious parental attitudes towards FLE have been an obstacle. The need for an educational programme for parents to complement the FLE curriculum taught in schools is now urgent. This study examines parents' views on the sex and sexuality component of the FLE curriculum. …

  12. Scaling up of life skills based education in Pakistan: a case study

    Young people between the ages of 10 and 19 make up 23% of Pakistan's population. In Pakistan, young people face many challenges in terms of sexual and reproductive health (SRH) issues. These include early marriage and pregnancy, low use of contraception, use of unsafe abortion, lack of relevant information and poor knowledge about bodily development including puberty and menstruation, sexuality, reproduction and HIV. …

  13. Minimum marriage age laws and the prevalence of child marriage and adolescent birth: evidence from Sub-Saharan Africa

    CONTEXT: The relationship of national laws that prohibit child marriage with the prevalence of child marriage and adolescent birth is not well understood. METHODS: Data from Demographic and Health Surveys and from the Child Marriage Database created by the MACHEquity program at McGill University were used to examine the relationship between laws that consistently set the age for marriage for girls at 18 or older and the prevalence of child marriage and teenage childbearing in 12 Sub-Saharan African countries. …

  14. Teenage pregnancy and parenting at school in contemporary South African contexts: deconstructing school narratives and understanding policy implementation

    South African national education policy is committed to promoting gender equality at school and to facilitating the successful completion of all young people’s schooling, including those who may become pregnant and parent while at school. However, the experience of being pregnant and parenting while being a learner is shaped by broader social and school-based responses to teenage pregnancy, parenting and female sexuality in general. …

  15. Rising school enrollment and declining HIV and pregnancy risk among adolescents in Rakai district, Uganda, 1994–2013

    Background: Poverty, family stability, and social policies influence the ability of adolescents to attend school. Likewise, being enrolled in school may shape an adolescent’s risk for HIV and pregnancy. We identified trends in school enrollment, factors predicting school enrollment (antecedents), and health risks associated with staying in or leaving school (consequences). Methods: Data from the Rakai Community Cohort Study (RCCS) were examined for adolescents 15–19 years (n = 21,735 person-rounds) from 1994 to 2013. …

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