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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. 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). …

  3. 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. …

  4. 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.

  5. 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).

  6. 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. …

  7. 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.

  8. Reproductive health survey Russia 2011: executive summary

    The RURHS11 household survey was based on in-person, face-to-face interviews with women of reproductive age (15–44 years) in their homes. The survey was designed to collect information from a representative sample of approximately 10,000 women of reproductive age throughout the Russian Federation. …

  9. Policy outcome and challenges of sexual and reproductive health and rights in Ghana: what is the role of parliament?

    While considerable progress has been made in the development of policies, legislations and outcome, significant gaps in ensuring universal access to reproductive health and rights still remain. The inconsistency in the Children's Act which stipulates the marriage age at 18 and the Criminal Code which also specifies the legal age of consent regarding sex at age 16 may be a reflection of the increasing numbers of early pregnancies, infant and child mortalities, and high prevalence of HIV among girls and women among others. …

  10. Sexual and reproductive health services and peer education at Mnambithi TVET College: a rapid assessment

    This study essentially aimed to establish if there is a peer education programme at Mnambithi TVET College focusing on SRH and HIV prevention and whether the services rendered are adolescent and youth friendly. It therefore investigated the status of these two factors, identified gaps and proposed solutions. The report begins with a brief discussion of what the study was about, how it was conceptualised and what it aimed to achieve. It then provides a background of what adolescent and youth friendly services and peer education are highlighting the relevance of this study. …

  11. Situational analysis on the status of sexual and reproductive health of students and gender-based violence in technical and vocational colleges in Malawi

    UNESCO commissioned a study to conduct a situational analysis on the status of sexual and reproductive health (SRH) of students and gender-based violence (GBV) in technical and vocational colleges (TVCs) in Malawi operating under the Technical, Entrepreneurship and Vocational (TEVET) system. The methodology comprised of a desk review, survey, key informant interviews, and focus group discussions. …

  12. Parents’ and teachers’ views on sexual health education and screening for sexually transmitted infections among in-school adolescent girls in Kenya: a qualitative study

    Background: To successfully develop and implement school-based sexual health interventions for adolescent girls, such as screening for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis, it is important to understand parents’ and teachers’ attitudes towards sexual health education and acceptability of sexually transmitted infection (STI) screening interventions. Methods: In this qualitative study, we approached parents and teachers from three high schools to participate in in-depth interviews (IDIs) and focus-group discussions (FGDs). …

  13. Teoría del cambio de las iniciativas de educacion integral de la sexualidad

    En la actualidad, niñas, niños, adolescentes y jóvenes enfrentan múltiples desafíos para lograr definir y realizar proyectos de vida significativos y disfrutar de bienestar. En América Latina y El Caribe, muchos de los retos que se enfrentan en la niñez y adolescencia tienen que ver, por una parte, con la sexualidad, un aspecto de la identidad que experimenta múltiples cambios en este período, por otra, con las desventajas que generan las normas sociales de género inequitativas a las que están expuestas las personas a lo largo de la vida. …

  14. The Sexual and reproductive health needs of very young adolescents aged 10–14 in developing countries: what does the evidence show?

    This report draws on analyses of national survey data and literature review results to provide an overview of the evidence on key aspects of sexual and reproductive health among very young adolescents aged 10–14 living in developing regions.

  15. Learners’ perspectives on the provision of condoms in South African public schools

    A stubborn health challenge for learners in South African public schools concerns sexual and reproductive health and rights (SRHR). In 2015, the Department of Basic Education (DBE) proposed the provision of condoms and SRHR-services to learners in schools. This study aimed to contribute to the finalisation and implementation of DBE’s policy by exploring learners’ perspectives on the provision of condoms and SRHR-services in schools. …

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