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UNESCO HIV and Health Education Clearinghouse

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  1. Adaptation in practice: lessons from teenage pregnancy programmes in Sierra Leone

    Sierra Leone has one of the highest rates of teenage pregnancy in the world. Several recent research studies have generated evidence as to why. Drivers of this problem include lack of information, knowledge and skills among girls, their sexual partners and their families; weak institutions and services, such as health, education, social work and justice; poverty and girls’ limited access to assets; widespread sexual violence and exploitation, for which there is both social and legal impunity; and engrained social and gender norms that make girls vulnerable to early sex and pregnancy. …

  2. Scaling-up normative change interventions for adolescent and youth reproductive health: an examination of the evidence

    Adolescent and youth reproductive health (AYRH) outcomes are influenced by factors beyond individual control. Increasingly, interventions are seeking to influence community-level normative change to support healthy AYRH behaviors. While evidence is growing of the effectiveness of AYRH interventions that include normative change components, understanding on how to achieve scale-up and wider impact of these programs remains limited. …

  3. From ideas to action: addressing barriers to comprehensive sexuality education in the classroom

    Evidence for the positive outcomes of comprehensive sexuality education (CSE) on adolescent sexual and reproductive health (ASRH) is well documented.

  4. I felt like the world was falling down on me. Adolescent girls’ sexual and reproductive health and rights in the Dominican Republic

    Adolescent girls in the Dominican Republic are being denied their sexual and reproductive rights, including access to safe abortion. “I Felt Like the World Was Falling Down on Me” documents how authorities have stalled the rollout of a long-awaited sexuality education program, leaving hundreds of thousands of adolescent girls and boys without scientifically accurate information about their health. The country has the highest teen pregnancy rate in Latin America and the Caribbean, according to the Pan American Health Organization (PAHO). …

  5. Seeing the invisible: sexuality-related knowledge, attitudes and behaviour of children and youth with disabilities in China

    The Convention on the Rights of Persons with Disabilities (CRPD) clearly states the need to protect and promote Sexual and Reproductive Health and Rights (SRHR) of persons with disabilities and to provide quality and free or affordable access to SRH information and services.

  6. Women’s sexual and reproductive health and rights in Europe

    Despite considerable progress, women in Europe continue to face widespread denials and infringements of their sexual and reproductive health and rights. Laws, policies and practices still curtail and undermine women’s sexual and reproductive health, autonomy, dignity, and decision-making and pervasive gender inequality continues to have profound effects on their sexual and reproductive health and rights. Moreover, in recent years, resurgent threats to these rights have emerged jeopardising longstanding commitments to gender equality and women’s rights. …

  7. Situational analysis on the status of the sexual and reproductive health of students in tertiary institutions in the SADC region

    It is a hardy perennial of the university environment that normative consensus around large global issues such as sexual and reproductive health and rights (SRHR) is easier to secure than the programmatic requisites. Thus, in principle, tertiary education students are included in international SRHR-related declarations and domestic policies pertaining to the education and health sectors; in practice, there is often a lack of programmatic and policy attention at institutional level, as well as a marked knowledge gap over the status of student’s sexual and reproductive health (SRH) needs.

  8. Implementation of sexuality education in middle schools in China

    China boasts one of the largest adolescent populations in the world, with 165 million in total (United Nations, 2017). In recent decades, Chinese adolescents have reached sexual maturity at increasingly early ages, and more and more young people in China are open to premarital sex while at the same time they generally lack sexual and reproductive health knowledge and awareness of safe sex. …

  9. Status of sexual and reproductive health and rights in Zambia: comprehensive sexuality education and adolescents sexual and reproductive health

    This policy brief is Part 2 of a three-part series entitled “Status of Sexual and Reproductive Health and Rights in Zambia,” reporting on progress, gaps, and existing challenges in SRH&R related to achieving Sustainable Development Goals (SDGs).

  10. Marital and fertility decision-making. The lived experiences of adolescents and young married couples in Andhra Pradesh and Telangana, India

    This report presents findings from a qualitative sub-study exploring adolescent girls and young couples’ experiences of marital and fertility decision-making in two southern Indian states (Andhra Pradesh and Telangana). Andhra Pradesh and Telangana are among the top states reporting high adolescent fertility: 12 and 11 per cent of young women age 15-19 in Andhra Pradesh and Telangana, respectively, were already mothers or pregnant when surveyed in 2015/16. …

  11. "It's not normal": sexual exploitation, harassment and abuse in secondary schools in Senegal

    “It’s not normal” documents how female students are exposed to sexual exploitation, harassment, and abuse in middle and upper secondary schools. Based on interviews and focus group discussions with more than 160 girls and young women, the report documents cases of teachers who abuse their position of authority by sexually harassing girls and engage in sexual relations with them, promising students money, good grades, food, or items such as mobile phones and new clothes. …

  12. Coming of age in the classroom: religious and cultural barriers to comprehensive sexuality education

    This paper elucidates evidence which underscores anxieties and panic about sexuality and sexual behaviour of young people influenced by movements advancing a distinct religious identity, and the implications for advocacy on advancing Sexual and Reproductive Health and Rights (SRHR). Synthesised in this document is evidence from two countries - Bangladesh and India - on Comprehensive Sexuality Education (CSE), an area of controversy (to varying degree) in both countries. Evidence from each country stem from national studies on the influence of religion on CSE, and are qualitative in nature. …

  13. Case study for effective implementation of the integrated school health programme (ISHP): baseline study at Nzululwazi high school and surrounding community

    The Student Partnership Worldwide (SPW) South Africa Trust in partnership with the United Nations Population Fund (UNFPA) leads the Safe Guard Young People (SYP) Programme in three districts in the Eastern Cape. The goal of the SYP programme is to contribute towards the improvement of the Sexual Reproductive Health and Rights (SRHR) status of young people aged 10 – 24, with a special focus on HIV prevention. The Nzululwazi Senior Secondary School forms a special focus of this programme. …

  14. 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. …

  15. Sexual and reproductive health outcomes are positively associated with comprehensive sexual education exposure in Mexican high-school students

    This paper provides evidence of the potential beneficial effects of CSE on attitudes, knowledge, and behaviors regarding sexual and reproductive health among adolescents. In addition, it identifies areas that should be strengthened to increase the positive impact of CSE.

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