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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. 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. …

  3. What does not work in adolescent sexual and reproductive health: a review of evidence on interventions commonly accepted as best practices

    Youth centers, peer education, and one-off public meetings have generally been ineffective in facilitating young people's access to sexual and reproductive health (SRH) services, changing their behaviors, or influencing social norms around adolescent SRH. Approaches that have been found to be effective when well implemented, such as comprehensive sexuality education and youth-friendly services, have tended to flounder as they have considerable implementation requirements that are seldom met. …

  4. West African youth initiative: Outcome of a reproductive health education program

    Purpose: To describe the implementation and evaluation of an adolescent reproductive health peer education program in West Africa. The program, known as the West African Youth Initiative (WAYI), was developed to improve knowledge of sexuality and reproductive health, and promote safer sex behaviors and contraceptive use among sexually active adolescents in Nigeria and Ghana. …

  5. Impact of a School-based Peer Sexual Health Intervention on Normative Beliefs, Risk Perceptions, and Sexual Behavior of Zambian Adolescents

    To determine whether adolescents’ normative beliefs about abstinence and condoms, their personal risk perception, and safer sex practices changed after the implementation of a peer sexual health education intervention implemented in Zambian secondary schools.

  6. Intersexuality and sexual rights in southern Brazil

    This paper reports of the socio‐medical management of intersexuality in a teaching hospital in southern Brazil. Findings reveal that the ‘search for sex’ in the body treats sex as a medical‐diagnostic category constructed during decision‐making negotiations. In the course of the various bodily ‘regulations’ and ‘corrections’ imposed, the insufficiency of a model in which categories are based around a sexual dichotomy is revealed. …

  7. Multifaceted Adolescent Reproductive Health Education Strategies in Panama

    Reproductive health education relates directly to six of the United Nations Millennium Development Goals, including that of combating HIV/AIDS. The need for high-impact adolescent sexual and preoductive health care programs has become a primary concern for global health organizations. Regarding HIV/AIDS prevalence, Panama is at a critical point in which the situation can either drastically improve or deteriorate depending on how it is addressed. …

  8. Psychosocial processes and sexual initiation among Ghanaian youth

    This study modeled primary abstinence and age at first sex in a cross-sectional sample of Ghanaian youth ages 17 to 22 years. The aim was to examine how reproductive knowledge and social cognitive factors jointly affect the choice to initiate sex. Among males, the authors found that reproductive knowledge is negatively associated with abstinence. Its negative association, however, is moderated by the extent of adult support a respondent receives. Among females, reproductive knowledge is positively associated with abstinence. …

  9. 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. …

  10. Prevalence and correlates of sexual risk behaviors among Jamaican adolescents

    Despite high levels of sexual activity and risk behaviors among Jamaican youth, few population-based studies have examined their prevalence or correlates. The prevalence of three sexual risk behaviors was assessed using data from the 2008-2009 Jamaican Reproductive Health Survey on a subsample of adolescents aged 15-19 who neither were in a union nor had a child. Factors associated with the risk behaviors were examined separately for females and males, using bivariate analysis and multivariate logistic regression. …

  11. Social outcome expectations regarding delayed sexual debut among adolescents in Mankweng, South Africa

    Aims: To describe outcome expectations related to delayed sexual transition, to examine the dimensionality and internal consistency of such expectations, and to examine variations in social outcome expectations across subgroups defined by demographic variables, indicators of socioeconomic status and predictors related to school and educational ambitions. Methods: Data stem from a survey among school students (grades 8-12) in Mankweng, Limpopo, South Africa (n=5,697). …

  12. Delaying sexual debut amongst out-of-school youth in rural southwest Uganda

    This paper focuses on sexual debut among out-of-school youth in Masaka District, Uganda; factors influencing its timing; and assistance young people feel they need to delay sexual initiation. Data were drawn from a needs assessment using applied anthropological techniques with young people ages 13-19 years. Parents, guardians, and community leaders were also consulted. All participants felt that young people begin their sexual lives too early. Young men feel under pressure from friends and older men to prove their masculinity. …

  13. Young People's Sexual and Reproductive Health in the Middle East and North Africa

    This article brief highlights some of the study's findings and recommendations about the concerns and needs of young people, along with other research results from the region.

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