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UNESCO HIV and Health Education Clearinghouse

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  1. A time for global action: addressing girls’ menstrual hygiene management needs in schools

    Summary Points: There is an absence of guidance, facilities, and materials for schoolgirls to manage their menstruation in low- and middle-income countries (LMICs). Formative evidence has raised awareness that poor menstrual hygiene management (MHM) contributes to inequity, increasing exposure to transactional sex to obtain sanitary items, with some evidence of an effect on school indicators and with repercussions for sexual, reproductive, and general health throughout the life course. …

  2. Improving young people’s health and wellbeing through a school health research network: reflections on school–researcher engagement at the national level

    The School Health Research Network is a policy–practice–research partnership established in Wales in 2013. The network aims to: provide health and well-being data for national, regional and local stakeholders, including schools; co-produce school-based health improvement research for Wales; and build capacity for evidence-informed practice in the school health community. …

  3. The effects of school-based condom availability programs (CAPs) on condom acquisition, use and sexual behavior: a systematic review

    We conducted a systematic review to assess the impact of school-based condom availability programs (CAPs) on condom acquisition, use and sexual behavior. We searched PubMed to identify English-language studies evaluating school-based CAPs that reported process (i.e. number of condoms distributed or used) and sexual behavior measures. We identified nine studies that met our inclusion criteria, with the majority conducted in the United States of America. We judged most studies to have medium risk of bias. …

  4. Determining preferences related to HIV counselling and testing services among high school learners in KwaZulu-Natal: a discrete choice experiment

    A key strategy of the South African national response to HIV is the scale-up of HIV counselling and testing (HCT) in the 15–49 years age group. The integrated school health policy aims to guide the roll out of youth-friendly health services including the provision of HCT in schools. Using a discrete choice experiment to examine preferences regarding the attributes of HCT service packages, this study identifies barriers to and facilitators of HCT among high school learners. …

  5. Systematic review of the role of external contributors in school substance use education

    Purpose: A literature review was conducted to evaluate the effectiveness of external contributors (anyone other than a teacher at the school) in delivering school‐based drug, alcohol and tobacco education (substance use education) programmes. Design/methodology/approach: The review focused upon literature published from 1990 onwards in English. Published reports were identified via electronic searches, supplemented by hand searching of relevant journals. Relevant organisations and individuals were contacted to identify low circulation, difficult to acquire (grey) literature. …

  6. Evidence-based practice in school substance use prevention: fidelity of implementation under real-world conditions

    Fidelity of program implementation under real-world conditions is a critical issue in the dissemination of evidence-based school substance use prevention curricula. Program effects are diminished when programs are implemented with poor fidelity. The authors assessed five domains of fidelity—adherence, exposure (dosage), quality of delivery, participant responsiveness and program differentiation (lack of contamination from other programs)—in a subset of respondents (N = 342) from a national random sample of public schools with middle school grades (N = 1721). …

  7. Global overview of school health services: data from 102 countries

    Objective: The objective of this paper was to produce a global inventory of school health services and describe characteristics such as target group, providers, staffing level, services, settings, and organizational challenges. Methods: The literature in PubMed and other sources were reviewed using an explicit methodology. Results: School health services exist in at least 102 countries. Usually services are provided within school premises (97 countries), by dedicated school health personnel (59 countries). …

  8. 'Fit for school' – a school-based water, sanitation and hygiene programme to improve child health: results from a longitudinal study in Cambodia, Indonesia and Lao PDR

    The Fit for School (FIT) programme integrates school health and Water, Sanitation and Hygiene interventions, which are implemented by the Ministries of Education in four Southeast Asian countries. This paper describes the findings of a Health Outcome Study, which aimed to assess the two-year effect of the FIT programme on the parasitological, weight, and oral health status of children attending schools implementing the programme in Cambodia, Indonesia and Lao PDR.

  9. What is best practice in sex and relationship education? A synthesis of evidence, including stakeholders’ views

    Sex and relationship education (SRE) is regarded as vital to improving young people's sexual health, but a third of schools in England lacks good SRE and government guidance is outdated. The authors aimed to identify what makes SRE programmes effective, acceptable, sustainable and capable of faithful implementation. […] They identified key features of effective and acceptable SRE. Their best practice criteria can be used to evaluate existing programmes, contribute to the development of new programmes and inform consultations around statutory SRE.

  10. A systematic review: costing and financing of Water, Sanitation, and Hygiene (WASH) in schools

    Despite the success of recent efforts to increase access to improved water, sanitation, and hygiene (WASH) globally, approximately one-third of schools around the world still lack adequate WASH services. A lack of WASH in schools can lead to the spread of preventable disease and increase school absences, especially among women. Inadequate financing and budgeting has been named as a key barrier for integrating successful and sustainable WASH programs into school settings. …

  11. The evolution of school health and nutrition in the education sector 2000-2015 in sub-Saharan Africa

    The objective of the study is to document the progression of school health and nutrition and its integration within the education sector in sub-Saharan Africa between 2000 and 2015. It analyses the education sector plans (ESPs) in terms of the Focusing Resources on Effective School Health (FRESH) framework and the World Bank Systems Approach for Better Education Results (SABER) School Health survey from a set of countries in sub-Saharan Africa. …

  12. Impact of the provision of school lunch on attendance in remote rural Jamaican primary schools

    This study examined the attendance patterns by region of schools which participated in School Feeding Programmes (SFPs) in poor, remote rural areas of Jamaica and determined wether there was a significant difference in attendance over a 10 year period between children who took different lunch types. The study revealed peaks and troughs in the average annual attendance by region, but found no significant difference in attendance by lunch type. …

  13. A road map for school health promotion, a model for cognitive-oriented school health policy making and implementing policies for schools

    Background: School health promotion programs implemented in different countries have experienced varying degrees of success. Their success rate depends on various factors such as adaptation with the local charactristics of communities. Objectives: This paper aims to provide an experimental model for school health policy making in a large group of non-governmental schools in Iran. Materials and Methods: To institutionalize school health policies, appropriate organizational structure was established at the headquarters. …

  14. School feeding and girls’ enrollment: the effects of alternative implementation modalities in low-income settings in sub-Saharan Africa

    BACKGROUND: School feeding interventions are implemented in nearly every country in the world, with the potential to support the education, health and nutrition of school children. In terms of impact on school participation, there is little evidence to show that different school feeding modalities have different effect sizes. OBJECTIVE: To examine the influence of different school feeding modalities on primary school enrollment, particularly for girls, in 32 countries across sub-Saharan Africa. …

  15. Essential conditions for the implementation of comprehensive school health to achieve changes in school culture and improvements in health behaviours of students

    Background: Comprehensive School Health (CSH) is an internationally recognized framework that holistically addresses school health by transforming the school culture. It has been shown to be effective in enhancing health behaviours among students while also improving educational outcomes. Despite this effectiveness, there is a need to focus on how CSH is implemented. …

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