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UNESCO HIV and Health Education Clearinghouse

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  1. Harmonizing the legal environment for adolescent sexual and reproductive health and rights: A review of 23 countries in East and Southern Africa

    The study reviews the laws, policies and related frameworks in 23 countries in East and Southern Africa (ESA) that create either impediments to, or an enabling environment for, adolescent sexual and reproductive health and rights. The assessment resulted in the development of a harmonized regional legal framework, which translates international and regional legal provisions into useful strategies. It gives recommendations based on applicable core legal values and principles gleaned from a range of conventions, charters, political commitments, guidelines and declarations. …

  2. Menstrual health management in East and Southern Africa: a review paper

    This review provides an overview of MHM policies and programmes in the ESA region, with a focus on education, school and community-based sexuality education, WASH, sexual and reproductive health, workplace support and humanitarian programming, as well as opening up the discussion regarding marginalized groups of women and girls such as disabled, prisoners and transgender men.

  3. Strengthening comprehensive sexuality education for young people in school settings in Zambia: a review and documentation of the scale-up process

    This report documents progress on implementation of a Swedish International Development Cooperation Agency (Sida)-funded UNESCO project that aims to strengthen sexuality education programmes for young people in school settings in Zambia. The project was conceptualized in line with the country’s thematic focus on broader economic and social development and is expected to reach all 9,000 government schools, 1,749,664 learners representing 100% of grades 5 to 12 learners, 40,000 in-service teachers, and 20,000 preservice teachers. …

  4. Strengthening education in West and Central Africa by improving learners’ sexual and reproductive health

    West and Central Africa (WCA) is the region of the world with the largest percentage of young people and the highest gender disparity in education.

  5. The role of schools in supporting HIV-affected children in sub-Saharan Africa: a systematic review

    Aim: To establish an overview of school-based interventions carried out to support the health and well-being of vulnerable children in Zimbabwe and similar socio-economic contexts in sub-Saharan Africa. Methods: A literature search was carried out in Web of Knowledge using combinations of the following search terms: support, intervention, school, child, Zimbabwe, sub-Saharan Africa, health, well-being, inclusion and enrolment. A total of 12 articles were identified as relevant to the research question and included in this review. …

  6. A survey on re-entry of pregnant girls in primary and secondary schools in Uganda: survey briefing

    The main objective of the Survey on Re-Entry of Pregnant Girls in Primary and Secondary Schools in Uganda (2011) is to collect evidence and articulate policy options to address the re-integration of pregnant girls and child mothers in school in Uganda. …

  7. Sexual and reproductive health and rights for the next decades: What's been achieved? What lies ahead?

    This Global Public Health Special Issue ‘SRHR for the next decades: What's been achieved? What lies ahead?’ assesses progress 20 years after the 1994 International Conference on Population and Development (ICPD), which established the sexual and reproductive health and rights framework for population and health policy (United Nations [UN], 1995). …

  8. A summary report on re-invigoration of education sector response to HIV and AIDS in the SADC region

    This brief summarizes the "Reinvigorating Education Sector (EDSEC) Responses to HIV and AIDS" in the SADC region commissioned by UNESCO/UNICEF/SADC Secretariat during the course of 2010. …

  9. Integration of HIV/AIDS studies into the comprehensive university undergraduate curriculum: a strategy to eliminate infection among students

    In South Africa, first year university students are vulnerable and at a high risk, of HIV infection the other group need immediate intervention because they might be sexually active and have established patterns of risky sexually behaviour. The number of students infected with HIV/ AIDS-related illness is increasing and this affects institution negatively. The purpose of this phenomenological study was to examine whether the integration of HIV/AIDS into the curriculum can reduce or minimise the infection rate among students. …

  10. Sexuality education: a ten-country review of school curricula in East and Southern Africa

    This collaborative regional curriculum scan, which was conducted in 2011, seeks to assess the content, quality, and delivery methods of sexuality education curricula in ten ESA countries and aims to ensure that the reviews help countries to develop curricula designed to not only increase comprehensive knowledge among young people, but to empower them to adopt protective behaviours, such as refusing unwanted sex, delaying sex, using condoms and testing for HIV. The ten countries included are Botswana, Kenya, Lesotho, Malawi, Namibia, South Africa, Swaziland, Uganda, Zambia and Zimbabwe.

  11. Effectiveness of HIV prevention for youth in sub-Saharan Africa: systematic review and meta-analysis of randomized and nonrandomized trials

    Objective: Systematically assess the effectiveness of HIV-prevention interventions in changing sexual behaviour of young people (10–25 years) in sub-Saharan Africa. Methods: Three online databases were searched using prespecified terms. Additional articles were identified on websites of international organizations and by searching bibliographies. Randomized and nonrandomized trials of interventions aiming to reduce risk behaviour were included as well as single-arm studies reporting effects of differential exposure to an intervention. …

  12. Nothing as practical as good theory? The theoretical basis of HIV prevention interventions for young people in sub-Saharan Africa: A systematic review

    This paper assesses the extent to which HIV prevention interventions for young people in sub-Saharan Africa are grounded in theory and if theory-based interventions are more effective. Three databases were searched for evaluation studies of HIV prevention interventions for youth. Additional articles were identified on websites of international organisations and through searching references. 34 interventions were included; 25 mentioned the use of theory. …

  13. Situation assessment of the HIV response among young people in Zambia

    The main objective of this situational assessment is to compile and synthesize existing recent information on HIV and young people together with the current AIDS response for young people in Zambia, including programmes, policies, and key partners, and to document gaps and challenges in the response. In this document young people refers to individuals aged 10 to 24 years. It analyzes existing strategic information on HIV and young people and identifies gaps in the evidence and in the current HIV response.

  14. Gender and Sexuality/HIV Education

    Sex/HIV education curricula have disparate effects for females and males. Review of 59 rigorous sex ed evaluations from the U.S. and developing countries. After omitting single sex programs, programs with no effect, and programs that changed only knowledge, 38 remained (25 U.S. and 13 developing country). A third of these failed to disaggregate results by gender, leaving 25. This article looks at why this is the case and how gender affects SRH outcomes.

  15. HIV prevention for South African youth: which interventions work? A systematic review of current evidence

    South Africa's HIV prevalence among 15-24 year olds is one of the highest in the world. This systematic review looks at the evidence for youth HIV prevention in the country since 2000 and critically assesses interventions across four domains: study design and outcomes; intervention design; thematic focus and HIV causal pathways; and intervention delivery. Eight interventions were included in the review, all similar regarding content and objectives, but with variouis thematic foci, causal pathways, theoretical bases, delivery methods, intensity and duration. …

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