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UNESCO HIV and Health Education Clearinghouse

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  1. Evaluation of a school-based sexuality and HIV prevention activity in South Africa. Midline qualitative report

    With support from the United States Agency for International Development (USAID) and in partnership with the South African National Department of Basic Education (DBE), the MEASURE Evaluation project is conducting an impact evaluation of the implementation of scripted lesson plans (SLPs) and supporting activities that were developed to increase the rigor and uniformity of a life skills program for in-school youth. …

  2. Towards comprehensive sexuality education: a comparative analysis of the policy environment surrounding school-based sexuality education in Ghana, Peru, Kenya and Guatemala

    The successful implementation of comprehensive sexuality education (CSE) programmes in schools depends on the development and implementation of strong policy in support of CSE. This paper offers a comparative analysis of the policy environment governing school-based CSE in four low- and middle-income countries at different stages of programme implementation: Ghana, Peru, Kenya and Guatemala. …

  3. Challenges to implementing national comprehensive sexuality education curricula in low- and middle-income countries: case studies of Ghana, Kenya, Peru and Guatemala

    School-based comprehensive sexuality education (CSE) can help adolescents achieve their full potential and realize their sexual and reproductive health and rights. This is particularly pressing in low- and middle-income countries (LMICs), where high rates of unintended pregnancy and STIs among adolescents can limit countries’ ability to capitalize on the demographic dividend. While many LMICs have developed CSE curricula, their full implementation is often hindered by challenges around program planning and roll-out at the national and local level. …

  4. The need to prepare future teachers to understand and combat homophobia in schools

    Teacher training programmes that improve teachers' capacity and confidence to address homophobia in South African schools will engender non-homophobic school contexts. Currently, there is a dearth of educational research on future teachers' preparation for homophobic school contexts. …

  5. 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. …

  6. ‘You need to have some guts to teach’: teacher preparation and characteristics for the teaching of sexuality and HIV/AIDS education in South African schools

    Using in-depth interviews, the authors asked sexuality educators in South Africa about their own professional preparation and what they believed were necessary educator characteristics for teaching Sexuality Education. Their findings show that the teachers taught Sexuality Education without any appropriate qualification or preparation, but because they had a lighter teaching load and had room to take on more teaching hours. Nevertheless, they all mention that ‘not anybody can teach Sexuality Education’. …

  7. Sénégal: étude sur les grossesses precoces en milieu scolaire: rapport final

    Les grossesses précoces constituent une vive préoccupation dans beaucoup d’établissements scolaires au Sénégal en raison du nombre important de cas recensés chaque année. Toutefois, même si des études se sont penchées sur la fécondité des adolescentes et les pratiques sexuelles en milieu jeune, il n’existe pas des statistiques pour cerner de façon exhaustive l’ampleur du phénomène en milieu scolaire [...]. …

  8. 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.

  9. Scaling up comprehensive sexuality education in Nigeria: from national policy to nationwide application

    Nigeria is one of few countries that reports having translated national policies on school-based comprehensive sexuality education (CSE) into near-nationwide implementation. We analysed data using the World Health Organization-ExpandNet framework, which provides a systematic structure for planning and managing the scaling up of health innovations. We examined how Nigeria's nationwide programme was designed and executed. Since 2002, Nigeria has developed a well thought through strategy to scale up CSE. …

  10. Comprehensive sexuality education: the challenges and opportunities of scaling-up

    This publication is part of an ongoing programme of work initiated by UNESCO in 2008 to provide technical guidance and implementation support for sexuality education programmes, as a platform for HIV prevention, treatment and care. It emphasizes the challenges and opportunities for scaling up comprehensive sexuality education in school settings. Building on indepth interviews with key informants involved in past and ongoing work on sexuality education, this publication provides conceptual and practical guidance on definitions and strategies for scaling-up. …

  11. An HIV/AIDS knowledge scale for adolescents: item response theory analyses based on data from a study in South Africa and Tanzania

    A 14-item human immunodeficiency virus/acquired immunodeficiency syndrome knowledge scale was used among school students in 80 schools in 3 sites in Sub-Saharan Africa (Cape Town and Mankweng, South Africa, and Dar es Salaam, Tanzania). For each item, an incorrect or don't know response was coded as 0 and correct response as 1. Exploratory factor analyses based on polychoric correlations showed two separate factors for all sites. …

  12. Comprehensive sexuality education: the challenges and opportunities of scaling-up

    This report builds on a programme of work on sexuality education for young people initiated in 2008 by UNESCO. It is also informed by several other past and ongoing initiatives related to scaling up sexuality education, as well as drawing on case studies presented at the Bogota international consultation on sexuality education, convened by UNFPA in 2010. The report emphasizes the challenges for scaling-up in terms of integrating comprehensive sexuality education into the formal curricula of schools. …

  13. Impact of school-based HIV prevention program in post-conflict Liberia

    This paper presents findings of a feasibility study to adapt and evaluate the impact of an evidence-based HIV prevention intervention on sexual risk behaviors of in-school 6th grade youth in post-conflict Liberia (n = 812). The study used an attention-matched, group randomized controlled trial. Four matched pairs of elementary/middle schools in Monrovia, Liberia, were randomly assigned to either an adapted eight-module HIV prevention or a general health curriculum. Three- and nine-month impacts of the intervention on sexual risk behaviors and on mediating variables are presented. …

  14. Impact de la connaissance du VIH et SIDA sur le comportement sexuel chez les élèves dans deux établissements scolaires de Sikasso

    Cette étude descriptive, transversale, à passage unique a été menée pendant le mois de Décembre 2009 dans le collège Tieba Traoré et le lycée Monseigneur De Monclo de la commune urbaine de Sikasso. Le choix de Sikasso a été motivé par le fait qu'il est le chef lieu de la 3ème région administrative du Mali, frontalière avec le Burkina Faso, la Côte d'Ivoire et la Guinée ; ce qui fait de Sikasso, une ville cosmopolite où toutes les ethnies du pays et d'autres pays de la sous région se côtoient. …

  15. The application of Intervention Mapping in developing and implementing school-based sexuality and HIV/AIDS education in a developing country context: the case of Tanzania

    Effective sexuality and HIV/AIDS education programmes are needed to protect young people against HIV/AIDS and teenage pregnancy in Tanzania and other Sub-Saharan African countries. Using a theory- and evidence-based approach and adapting the programmes to local contexts, increases the effectiveness of these programmes. This paper describes and discusses the challenges and opportunities concerning the application of Intervention Mapping (IM) in the development and implementation of a sexuality and HIV/AIDS education programme targeting young people aged 12-14 in Tanzania. …

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