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UNESCO HIV and Health Education Clearinghouse

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  1. Comprehensive sexuality education for out of school young people in East and Southern Africa

    The Regional Comprehensive Sexuality Education Resource Package for Out of School Young People was developed to age and developmentally relevant international standards as a comprehensive set of teaching and learning materials for flexible use in settings outside the formal classrooms of the education sector. Several countries of East and Southern Africa have adapted this regional set of materials for nationally endorsed implementation. …

  2. Generating evidence to meet the sexual and reproductive health needs of students at Kenyatta University and beyond

    This research brief describes two evidence-generation efforts undertaken by the Evidence to Action Project (E2A), of which IntraHealth is a partner, and Kenyatta University, along with support from Pathfinder International, Kenya, from 2015-2016. The first evidence-generation effort involved an assessment of select KU service delivery statistics, and the second was a qualitative research study on the sexual and reproductive health (SRH) needs, attitudes, preferences, and behaviors of KU students. …

  3. Unintended pregnancies among young women living in urban slums: Evidence from a prospective study in Nairobi City, Kenya

    Background: Despite the significant proportion of young people residing in slum communities, little attention has been paid to the sexual and reproductive health (SRH) challenges they face during their transition to adulthood within this harsh environment. Little is known about the extent to which living in extreme environments, like slums, impact SRH outcomes, especially during this key developmental period. …

  4. Coping with unintended pregnancies: Narratives from adolescents in Nairobi’s slums

    The health and other risks associated with early pregnancy and sexual activity raise urgent need for appropriate interventions and programs to address adolescent reproductive behaviors. It is important to understand the circumstances surrounding, and factors associated with unintended pregnancies among young people, the challenges that limit their ability to protect their sexual and reproductive health, and how they deal with the outcomes of unintended pregnancy. …

  5. Status report on the sexual and reproductive health of adolescents living in urban slums in Kenya

    Young people face numerous health challenges during their transition to adulthood. These challenges include, among others, limited access to sexual and reproductive health (SRH) information and services. Unmet SRH needs among adolescents may contribute to sexually transmitted infections (STIs), including HIV, and unintended pregnancies. Adolescent pregnancies are associated with several adverse outcomes, such as miscarriage, unsafe abortion, obstructed labor, and other complications, which can result in long-term morbidity and even death. …

  6. Education and risky sex in Africa: Unraveling the link between women’s education and reproductive health behaviors in Kenya

    Much research attention has been devoted to understanding the relationship between education and riskier sex-related behaviors and HIV/AIDS in sub-Saharan Africa. While in the early 1990s researchers found that increases in education were associated with a higher incidence of HIV/AIDS, this relationship appears to have reversed and better educated people, especially women, appear less likely to engage in riskier sex-related behaviors and have a lower incidence rate of HIV/AIDS. …

  7. Adolescent reproductive health and development policy plan of action 2005-2015

    The 1994 International Conference on Population and Development (ICPD) endorsed the right of adolescents and young adults to obtain the highest levels of health care. In line with the ICPD recommendations, Kenya has put in place an Adolescent Reproductive Health and Development (ARH&D) Policy to enhance the implementation and coordination of programmes that address the reproductive health and development needs of young people in the country. …

  8. The Relationship History Calendar: Improving the Scope and Quality of Data on Youth Sexual Behavior

    Most survey data on sexual activities are obtained via face-to-face interviews, which are prone to misreporting of socially unacceptable behaviors. Demographers have developed various private response methods to minimize social desirability bias and improve the quality of reporting; however, these methods often limit the complexity of information collected. We designed a life history calendar - the Relationship History Calendar (RHC) - to increase the scope of data collected on sexual relationships and behavior while enhancing their quality. …

  9. Kenya national HIV and AIDS communication strategy for youth, 2007

    This Communication Strategy provides a broad framework that will guide communication on youth and HIV and AIDS in Kenya for the next three years. It intends to address needs and gaps in communication programming identified in the areas of knowledge, skills and self-efficacy, capacity, coordination, policy support and utilisation of services. These issues were identified through a situation analysis conducted at the beginning of developing this strategy, and from consultations with stakeholders implementing HIV and AIDS programmes among the youth.

  10. Advancing promising program and research/evaluation practices for evidence-based programs reaching very young adolescents: a review of the literature

    This paper reviews and describes research practices and program interventions addressing the sexual and reproductive health of very young adolescents (VYA) and identifies promising program components and research/evaluation practices. The paper is not exhaustive but serves as a tool for further discussion of what is needed in VYA programming and research

  11. Men are changing. Case study evidence on work with men and boys to promote gender equality and positive masculinities

    Men are changing. Case study evidence on work with men and boys to promote gender equality and positive masculinities is a document that aims to strengthen and broaden the evidence base on working with men and boys. It describes and analyzes 12 programmes from around the world that sought to alter the attitudes and behaviours of men in relation to sexuality, sexual and reproductive health, violence and relationships. …

  12. The contemporary management of growing up and sexual maturation: the role of the primary school in Kenya

    The purpose of this document is to portray an accurate picture of the challenges faced by pre-pubescent young people in Kenya as they enter into adulthood and to reveal the misconceptions and myths about growing up, as well as the negative impact of these myths on the educational needs of marginalized children. This book arises from the work carried out by the Quality Education for Social Transformation (QUEST) programme on basic competencies and information on growing up and sexual maturation (GUSM) in Kenya, Uganda and Zimbabwe in 2000. …

  13. A Guide for Talking with Young People about their Reproductive Health

    A Guide for Talking with Young People about their Reproductive Health, is a document elaborated by PATH (Program for Appropriate Technology in Health), USAID, and Population Council in 2005. It is part of the Kenya Adolescent Reproductive Health Project's (KARHP) Tuko Pamoja (We are Together) series. The document provides some key methods to introduce the important subject of reproductive health to adolescents. …

  14. Sexual behavior and STI/HIV status among adolescents in rural Malawi. An evaluation of the effect of interview mode on reporting

    This study is an article extracted from "Studies in family Planning", special issue on Adolescent Sexual and Reproductive Health in Sub-Saharan Africa, published in December 2008. The inconsistency between reported sexual behavior and HIV incidence has prompted some epidemiologists to question the conventional explanation for the African AIDS pandemic. This study represents one effort to investigate the reporting of premarital sex in rural southern Malawi. It summarizes the results from an interview-mode experiment conducted with unmarried young women aged 15-21. …

  15. Levels and spread of HIV seroprevalence and associated factors: evidence from national household surveys

    This report summarizes HIV prevalence and the associations between HIV serostatus and key characteristics and behaviors of adult women and men in 22 developing countries, primarily in sub- Saharan Africa. Data come from Demographic and Health Surveys (DHS) and AIDS Indicator Surveys (AIS) conducted between 2001 and 2006. In most of these surveys, nationally representative samples of women age 15-49 and men age 15-59 were tested for HIV. …

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