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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. 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. …

  3. 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. …

  4. 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. …

  5. Young persons with disabilities: global study on ending gender-based violence, and realising sexual and reproductive health and rights

    This study contains new qualitative, global research and provides an analysis on the situation of young persons with disabilities concerning discrimination and gender-based violence, including the impact on their sexual and reproductive health and rights. It also provides an assessment of legal, policy and programming developments and specific good practices in service delivery as well as best-standard prevention and protection measures. …

  6. Coming of age in the classroom: religious and cultural barriers to comprehensive sexuality education

    This paper elucidates evidence which underscores anxieties and panic about sexuality and sexual behaviour of young people influenced by movements advancing a distinct religious identity, and the implications for advocacy on advancing Sexual and Reproductive Health and Rights (SRHR). Synthesised in this document is evidence from two countries - Bangladesh and India - on Comprehensive Sexuality Education (CSE), an area of controversy (to varying degree) in both countries. Evidence from each country stem from national studies on the influence of religion on CSE, and are qualitative in nature. …

  7. Beyond barriers: Recommendations for adolescent sexual and reproductive health policies and programs in Belize, Guatemala, and Honduras

    Beyond Barriers explores the adolescent sexual and reproductive health context in three Central American countries: Belize, Guatemala, and Honduras. The publication provides case studies of our work in each country, synthesizes the latest research regarding the barriers to providing young people with sexual and reproductive health information and services, and makes recommendations for addressing the barriers. …

  8. What do young people think about their school-based sex and relationship education? A qualitative synthesis of young people’s views and experiences

    Objectives: Although sex and relationship education (SRE) represents a key strand in policies to safeguard young people and improve their sexual health, it currently lacks statutory status, government guidance is outdated and a third of UK schools has poor-quality SRE. We aimed to investigate whether current provision meets young people's needs. Design: Synthesis of qualitative studies of young people's views of their school-based SRE. Setting: Eligible studies originated from the UK, Ireland, the USA, Australia, New Zealand, Canada, Japan, Iran, Brazil and Sweden. …

  9. Ensuring youth’s right to participation and promotion of youth leadership in the development of sexual and reproductive health policies and programs

    The purpose of this article was to reflect on the concepts of adolescence and youth, summarize models and frameworks developed to conceptualize youth participation, and assess research that has attempted to evaluate the implementation and impact of youth participation in the field of sexual and reproductive health and rights (SRHR).The authors searched and critically reviewed relevant published reports and “gray literature” from the period 2000–2013. …

  10. 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. …

  11. Sénégal : résumé du programme. Le Groupe pour l’Étude et l’Enseignement de la Population (GEEP) : une expérience sur la prévention du VIH/SIDA en milieu scolaire

    Au Sénégal, comme dans la plupart des sociétés Africaines, la sexualité a pendant longtemps été perçue comme un sujet tabou, pour des raisons d’ordre religieux et social ; elle n’était donc abordée ni en famille, ni à l’école car les adultes (parents ou enseignants) n’étaient nullement préparés à parler avec les jeunes des questions relatives à la Santé de Reproduction des adolescents et adolescentes.

  12. Strengthening comprehensive sexuality education for young people in school settings in Zambia: a review and documentation of the scale-up process

    This report documents progress on implementation of a Swedish International Development Cooperation Agency (Sida)-funded UNESCO project that aims to strengthen sexuality education programmes for young people in school settings in Zambia. The project was conceptualized in line with the country’s thematic focus on broader economic and social development and is expected to reach all 9,000 government schools, 1,749,664 learners representing 100% of grades 5 to 12 learners, 40,000 in-service teachers, and 20,000 preservice teachers. …

  13. The sexual and reproductive health and rights of young people in India: a review of the situation

    This paper synthesises the evidence on sexual and reproductive health situation of young people in India, sheds light on those sub-populations of young people who are most vulnerable to adverse sexual and reproductive outcomes, and assesses the barriers that compromise the sexual and reproductive health and rights of young people at the individual and family levels, as well as at the programme delivery level.

  14. Adolescent sexual and reproductive health: scoping the impact of programming in low- and middle-income countries

    Adolescence (10-19 years old) is a critical period in life, during which people undergo extensive biological, psychological and social changes. During this time, sexual and reproductive health can pose serious challenges for adolescents and programming needs to be effective in addressing this important health area. This scoping paper assesses the state of evidence around adolescent sexual and reproductive health (ASRH), exploring the supply of and demand for evidence on the impact of ASRH programming in low- and middle-income countries. …

  15. The demographic dividend in Africa relies on investments in the reproductive health and rights of adolescents and youth: policy brief

    A demographic dividend can occur during a window of opportunity created by reductions in child mortality and a demographic shift to fewer dependent people relative to working-age individuals. The full realization of the sexual and reproductive health and rights (SRHR) of adolescents and youth (ages 10 to 24) can facilitate gains in their health, well-being, and educational attainment. …

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