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UNESCO HIV and Health Education Clearinghouse

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  1. How reliable are reports of early adolescent reproductive and sexual health events in demographic and health surveys?

    CONTEXT: Age at sexual debut, age at first marriage or first union and age at first birth are among the most widely used indicators of health and well-being for female adolescents. However, the accuracy of estimates for these indicators, particularly for younger adolescents, is poorly understood. METHODS: For each of nine countries in Africa and Latin America, Demographic and Health Survey (DHS) data from two surveys conducted five years apart were used to examine women’s reports of age at sexual debut, marriage or first union, and first birth. …

  2. Promoting sexual and reproductive health among adolescents in southern and eastern Africa (PREPARE): project design and conceptual framework

    Background: Young people in sub-Saharan Africa are affected by the HIV pandemic to a greater extent than young people elsewhere and effective HIV-preventive intervention programmes are urgently needed. The present article presents the rationale behind an EU-funded research project (PREPARE) examining effects of community-based (school delivered) interventions conducted in four sites in sub-Saharan Africa. One intervention focuses on changing beliefs and cognitions related to sexual practices (Mankweng, Limpopo, South Africa). …

  3. Mixed method evaluation of a passive mHealth sexual information texting service in Uganda

    The authors evaluate the impact of a health information intervention implemented through mobile phones, using a clustered randomized control trial augmented by qualitative interviews. The intervention aimed to improve sexual health knowledge and shift individuals towards safer sexual behavior by providing reliable information about sexual health. The novel technology designed by Google and Grameen Technology Center provided automated searches of an advice database on topics requested by users via SMS. It was offered by MTN Uganda at no cost to users.

  4. Policy and institutional frameworks: mainstreaming adolescent reproductive health (ARH) and gender in HIV/AIDS programs: examples from Ethiopia and Uganda

    This document is divided into six parts (Part I-VI). Part I covers (a) the study background including objectives, methodologies and activities; and (b) an overview of the HIV situation among young people and adolescents in the Africa region. Part II and III present key findings from Ethiopia and Uganda, including a review of policies and the institutional environment in both countries in regards to gender, youth, ARH and HIV/AIDS. Part IV includes key findings of six country assessments of youth issues in the Multi-Sector Programs on HIV/AIDS of the World Bank. …

  5. 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. …

  6. 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. …

  7. Abstinence and delayed sexual initiation

    Promoting abstinence is an important strategy that can help delay sexual activity, but complementary messages are needed for those who are sexually active.

  8. Adolescents, social support and help-seeking behavior : an international literature review and program consultation with recommendations for action

    The document is part of WHO project to identify and define evidence-based strategies for influencing adolescent help-seeking and identify research questions and activities to promote improved help-seeking behaviour by adolescents. The document presents the findings from an international review on the topic; results of programme consultation with 35 adolescent health programmes; results of six key informant interviews; and recommendations for action, including brief outline for developing a set of guidelines for the rapid assessment of social supports to promote the help-seeking of adolescents.

  9. You, your life, your dreams : a book for adolescents

    The book was written for adolescents aged 14 to 19, to help them cope with challenges and decisions they may face during the transition period from childhood to adulthood. The book presents factual information about the changes that occur during this time of life, and about a range of other issues such as: how to stay physically and emotionally healthy, how to avoid sexually transmitted infections and unwanted pregnancy, how to handle pressure to have sex, and how to avoid drug and alcohol abuse. …

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