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UNESCO HIV and Health Education Clearinghouse

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  1. Why teach sexuality education in school ? Teacher discretion in implementing comprehensive sexuality education in rural Zambia

    Reproductive health problems such as HIV, unwanted pregnancy and unsafe abortion among adolescents are closely linked to insufficient knowledge about sexuality and reproduction and lack of access to contraceptives. Supported by international agencies, Zambia has introduced an ambitious nation-wide program for comprehensive sexuality education (CSE) to be implemented into ordinary school activities by teachers. The curriculum is firmly based in a discourse of sexual and reproductive rights, not commonly found in the public debate on sexuality in Zambia. …

  2. Aligning policy and legal frameworks for supporting smallholder farming through public food procurement. The case of home-grown school feeding programmes

    Through the Purchase from Africans for Africa programme (PAA Africa), the FAO has been engaging in providing technical support to African Governments for building adapted and operational public food procurement methods from smallholder farmers for school feeding. …

  3. Adolescent schoolgirls’ experiences of menstrual cups and pads in rural western Kenya: a qualitative study

    Poor menstrual hygiene management (MHM) among schoolgirls in low income countries affects girls' dignity, self-esteem, and schooling. Hygienic, effective, and sustainable menstrual products are required. A randomized controlled feasibility study was conducted among 14-16-year-old girls, in 30 primary schools in rural western Kenya, to examine acceptability, use, and safety of menstrual cups or sanitary pads. Focus group discussions (FGDs) were conducted to evaluate girls' perceptions and experiences six months after product introduction. …

  4. The effect of a conditional cash transfer on HIV incidence in young women in rural South Africa (HPTN 068): a phase 3, randomised controlled trial

    Cash transfers have been proposed as an intervention to reduce HIV-infection risk for young women in sub-Saharan Africa. However, scarce evidence is available about their effect on reducing HIV acquisition. The authors aimed to assess the effect of a conditional cash transfer on HIV incidence among young women in rural South Africa. Based on their research findings, the authors draw the conclusion that cash transfers conditional on school attendance did not reduce HIV incidence in young women. School attendance significantly reduced risk of HIV acquisition, irrespective of study group. …

  5. Caught in culture? Cultural transformation through HIV/AIDS prevention education in Zambia

    The study explores the role and contribution of education in developing a localized and relevant HIV/AIDS prevention strategy through a multi-voiced approach, involving the educational institutions, as well as the traditional leaders, community-members, including parents. The study comprised all public schools in one Zambian province from 2002-2008. The study explores, among other factors, the role of traditional culture in mitigating and exacerbating the spread of the disease. …

  6. Sexuality education in rural Lesotho schools: challenges and possibilities

    The aim of this paper is to present and discuss some of the obstacles to effective sexuality education in rural Lesotho schools and offer some suggestions that could facilitate positive change in the current status of sexuality education. The call for education as a ‘vaccine’ against new HIV infections places teachers at the forefront of the fight against the pandemic, and thus it is imperative to understand how they experience teaching about sexuality. …

  7. Menstrual hygiene management (Waterlines: Journal issue)

    This issue of the journal Waterlines looks at experiences of menstrual hygiene management in schools in a number of countries.

  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. The girl with her period is the one to hang her head. Reflections on menstrual management among schoolgirls in rural Kenya

    Background. The onset of menstruation is a landmark event in the life of a young woman. Yet the complications and challenges that can accompany such an event have been understudied, specifically in resource-poor settings. As interventions aim to improve female attendance in schools, it is important to explore how menstruation is perceived and navigated by girls in the school setting. This research conveys rural Kenyan schoolgirls' perceptions and practices related to menstruation. Methods. Data were collected at six rural schools in the Nyanza Province of Western Kenya. …

  10. We keep it secret so no one should know - A qualitative study to explore young schoolgirls attitudes and experiences with menstruation in rural western Kenya

    Background: Keeping girls in school offers them protection against early marriage, teen pregnancy, and sexual harms, and enhances social and economic equity. Studies report menstruation exacerbates school-drop out and poor attendance, although evidence is sparse. This study qualitatively examines the menstrual experiences of young adolescent schoolgirls. Methods and Findings: The study was conducted in Siaya County in rural western Kenya. A sample of 120 girls aged 14–16 years took part in 11 focus group discussions, which were analysed thematically. …

  11. The provision of a health promoting environment for HIV/AIDS education: the case of Namibian senior secondary schools

    HIV/AIDS programmes in schools ultimately intend to decrease high risk sexual behaviour. One factor facilitating this outcome is a strong health promoting environment in the school. This paper reports a study surveying the health promoting environments supporting HIV/AIDS education in Namibian senior secondary schools. It develops a two dimensional model for classifying the strength of a school’s health promoting environment. The findings show that schools have different strengths of health promoting environments linked more to their size than to a rural or urban location. …

  12. Indigenous knowledge in the context of sexual and reproductive health and rights amongst the Tsonga/Shangaan speaking people in a rural community of Limpopo Province: A social work perspective

    Indigenous communities seek and achieve empowerment and self-determination through the preservation, protection and revitalisation of their indigenous knowledge which have been eroded by colonization, western culture and more recently by globalization. Indigenous knowledge systems refer to the unique, traditional, local knowledge existing within a particular environment and developed around the specific conditions of people indigenous to a particular geographical area. …

  13. Menstruation and school absenteeism: Evidence from rural Malawi

    The provision of toilets and menstrual supplies appears to be a promising strategy to promote adolescent girls' school attendance and performance in less developed countries. In this article, we use the first round of the Malawi Schooling and Adolescent Survey (MSAS) to examine the individual- and school-level factors associated with menstruation-related school absenteeism. …

  14. Parent-child communication about sexual and reproductive health in rural Tanzania: Implications for young people's sexual health interventions

    Background: Many programmes on young people and HIV/AIDS prevention have focused on the in-school and channeled sexual and reproductive health messages through schools with limited activities for the young people's families. The assumption has been that parents in African families do not talk about sexual and reproductive health (SRH) with their children. These approach has had limited success because of failure to factor in the young person's family context, and the influence of parents. …

  15. HIV prevention for rural youth in Nigeria: Background overview

    The negative impact of the HIV/AIDS epidemic has been a major challenge to sub-Saharan Africa. Although the rate of new HIV infections in sub-continent has decreased, the total number of people living with HIV continues to rise. Most of the people infected with HIV/AIDS in sub-Saharan Africa are within the age bracket of 15 to 35 years. It has been estimated that about 80% of the infected group are aged 20-29 years. …

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