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UNESCO HIV and Health Education Clearinghouse

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  1. Adaptation in practice: lessons from teenage pregnancy programmes in Sierra Leone

    Sierra Leone has one of the highest rates of teenage pregnancy in the world. Several recent research studies have generated evidence as to why. Drivers of this problem include lack of information, knowledge and skills among girls, their sexual partners and their families; weak institutions and services, such as health, education, social work and justice; poverty and girls’ limited access to assets; widespread sexual violence and exploitation, for which there is both social and legal impunity; and engrained social and gender norms that make girls vulnerable to early sex and pregnancy. …

  2. Gaps in global monitoring and evaluation of adolescent and youth reproductive health: Research Brief

    Adolescents and youth are a key population for reproductive health (RH) interventions, because young people suffer disproportionately from negative RH outcomes, including acquisition of HIV and other sexually transmitted infections; unintended, unwanted, or mistimed pregnancy; unsafe abortion; and gender-based violence. Effective monitoring and evaluation (M&E) of RH interventions designed for adolescents and youth is essential to determine their success and impact and show where improvement is needed. …

  3. Adolescent and youth sexual and reproductive health and rights services: Key elements for implementation and scaling up in West and Central Africa

    This regional report entitled “Adolescent and Youth Sexual and Reproductive Health and Rights Services - Key elements for implementation and scaling up in West and Central Africa” is complementary to the previous regional report on Comprehensive Sexuality Education (CSE) and documents, through concrete examples from four West African countries (Benin, Côte d’Ivoire, Senegal and Togo), highlighting promising practices, lessons learnt, and proposing key recommendations to be shared with all countries in the region.

  4. The precocious period: the impact of early menarche on schooling in India

    Improvements in childhood nutrition increase schooling and economic returns in later life in a virtuous cycle. However, better nutrition also leads to an earlier onset of menstruation (menarche). In socio-cultural contexts where menarche adversely affects educational attainments, early menarche can thus break the virtuous cycle of girls’ human development. This paper focuses on one such context, India, and uses the Young Lives Longitudinal Study to show that starting menses before age twelve causes a 13% decrease in school enrollment rate. …

  5. 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. …

  6. Does schooling protect sexual health? The association between three measures of education and STIs among adolescents in Malawi

    While multiple studies have documented shifting educational gradients in HIV prevalence, less attention has been given to the effect of school participation and academic skills on infection during adolescence. …

  7. Trends of sexual and reproductive health behaviors among youth in the Philippines: further analysis of the 2008, 2013, and 2017 national demographic and health surveys

    This report examines the trends of sexual and reproductive health behavior over a 9-year period (2008-2017) in the Philippines. The analysis utilizes data from three nationally representative household surveys conducted by The Demographic and Health Surveys Program in 2008, 2013, and 2017. …

  8. Gaps in global monitoring and evaluation of adolescent and youth reproductive health

    Adolescents and youth are a key population for reproductive health (RH) interventions, because young people suffer disproportionately from negative RH outcomes, including acquisition of HIV and other sexually transmitted infections; unintended, unwanted, or mistimed pregnancy; unsafe abortion; and gender-based violence. Effective monitoring and evaluation (M&E) of RH interventions designed for adolescents and youth is essential to determine their success and impact and show where improvement is needed. …

  9. Regional report: sexual and reproductive health laws and policies in selected Arab countries

    This report is an attempt to provide a bird’s eye view on the situation of legislative tools and frameworks in selected Arab countries with regard to key issues related to reproductive health. Legislative environment is an enabling factor that creates supportive space and mechanisms to effect systemic, societal and individual change. This regional analysis is a starting point that should be built on to develop in depth analyses on the national levels to identify gaps and propose bridging and corrective measures.

  10. Using podcasts to deliver youth-friendly information about sexual and reproductive health and rights in Burundi

    We live in a digital age where, for many of us, all the information we need is just a click away. In Burundi, as in the rest of the world, young people are often the most active users of information communication technology (ICT). Frontline AIDS saw an opportunity to use ICT to provide adolescents with both SRHR information and safe spaces to engage with their peers and experts. Whilst ‘ICT for health’ is a frequent topic among HIV and SRHR organisations in Burundi, using ICT to improve access to youth-friendly and comprehensive HIV and SRHR information was something new.

  11. Youth participation in HIV and sexual and reproductive health decision-making, policies, programmes: perspectives from the field

    The purpose of this article was to present the current state of evidence and experience of youth participation approaches in HIV and sexual and reproductive health decision-making, policies and programmes. By combining a literature review of evaluation evidence with in-depth interviews and a global survey targeting young people with the experience of participation, this study opens a new window into the support needs for meaningful youth participation globally. …

  12. From ideas to action: addressing barriers to comprehensive sexuality education in the classroom

    Evidence for the positive outcomes of comprehensive sexuality education (CSE) on adolescent sexual and reproductive health (ASRH) is well documented.

  13. 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). …

  14. Adolescent bodily integrity and freedom from violence in Ethiopia. A report on GAGE Ethiopia baseline findings

    The report on adolescent bodily integrity and freedom from violence is one of a series of short baseline reports focused on emerging mixed-methods findings from the Gender and Adolescence: Global Evidence (GAGE) longitudinal study baseline data collection. […] Drawing on a gender and capabilities framework, the report focuses on adolescents’ experiences and perceptions of age-, sexual and gender-based violence in Ethiopia, paying particular attention to gender and regional differences in risks and access to services as well as those between adolescents with disabilities and those without.

  15. Causal effects of education on sexual and reproductive health in low and middle-income countries: a systematic review and meta-analysis

    Despite strong theoretical grounding, important gaps in knowledge remain regarding the degree to which there is a causal relationship between education and sexual and reproductive health, as many claims have been made based on associations alone. Understanding the extent to which these relationships are causal is important both to inform investments in education and health, as well as to understand the mechanisms underlying these relationships. …

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