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UNESCO HIV and Health Education Clearinghouse

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  1. State of world population 2018: the power of choice: reproductive rights and the demographic transition

    The global trend towards smaller families is a reflection of people making reproductive choices to have as few or as many children as they want, when they want. When people lack choice, it can have a long-term impact on fertility rates, often making them higher or lower than what most people desire.

  2. 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. …

  3. Reproductive Health Survey Russia 2011: executive summary

    Specific objectives of the RURHS11 were: to assess current levels and trends in fertility, abortion, contraception, and various other reproductive health indicators; to enable policy makers, program managers, and researchers to evaluate existing reproductive health programs and develop new strategies; to study factors that affect fertility, contraceptive use, and maternal and infant health, such as geographic and sociodemographic factors, breastfeeding patterns, use of induced abortion, and availability of family planning services; to identify characteristics of women at increased risk of uni …

  4. Unintended pregnancies in Kenya: a country profile

    The report draws on data from four Kenya Demographic and Health Surveys (KDHS) (1993, 1998, 2003 and 2008/09), the Kenya AIDS Indicator Survey (KAIS) (2007), the Kenya Service Provision Assessment (KSPA) (2004 and 2010) and the Kenya National Survey for Persons with Disabilities (KNSPWD) (2008). Levels of key family planning and reproductive health indicators are set out, as well as fertility-and abortion indicators in Kenya. An equity lens was used, which differentiates these indicators by age, marital status, region, education and wealth. …

  5. Charting the future: empowering girls to prevent early pregnancy

    This report begins with a situation analysis of adolescent pregnancy (Section 2), highlighting where today’s adolescents live and where their fertility levels are highest, as well as looking at the drivers of their fertility rates. Section 3 provides a more detailed discussion of the multiple barriers that girls face in controlling their fertility. Section 4 presents our conclusions about the main drivers of adolescent pregnancy and introduces our policy and programming recommendations, which can be found in Section 5. …

  6. Teenage pregnancy in South Africa: With a specific focus on school-going learners

    The purpose of the study was to document, review and critically analyse literature on teenage pregnancy with a focus on school-going adolescents. The specific objectives were as follows: To review existing literature and conduct statistical analyses to establish the prevalence and determinants of teenage pregnancy; To assess the individual, familial and educative impact of teenage pregnancy; To identify and assess the impact of interventions for teenage pregnancy; and To propose a conceptual framework for research and interventions to prevent and mitigate the impact of teen pregnancy. …

  7. Adolescent Fertility in Low-and Middle-Income Countries: Effects and Solutions

    Adolescent fertility in low- and middle-income countries presents a severe impediment to development and can lead to school dropout, lost productivity, and the intergenerational transmission of poverty. However, there is debate about whether adolescent pregnancy is a problem in and of itself or merely symptomatic of deeper, ingrained disadvantage. To inform policy choices and create a revised research agenda for population and development, this paper aggregates recent quantitative evidence on the socioeconomic consequences of and methods to reduce of teenage pregnancy in the developing world. …

  8. Trends in marriage and early childbearing in developing countries

    The report presents the findings of an international comparative analysis of age at marriage and age at first birth, marital instability, informal unions, and teenage reproductive behaviour, with emphasis on trends over the past decade. For some trend analyses, this review is limited to countries where DHS surveys were conducted between 1990 and 2002.

  9. Completing the demographic transition in developing countries

    This paper reviews the status of the demographic transition worldwide, discusses factors associated with fertility decline, and highlights challenges associated with completing the transition in developing countries. It is intended to help policymakers both here and abroad to better understand the need for continued efforts to reduce fertility and population growth rates, even in the wake of the HIV/AIDS epidemic.

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