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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. 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. 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.

  4. 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.

  5. 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.

  6. Adolescent schoolgirls’ experiences of menstrual cups and pads in rural western Kenya: a qualitative study

    Poor menstrual hygiene management (MHM) among schoolgirls in low income countries affects girls' dignity, self-esteem, and schooling. Hygienic, effective, and sustainable menstrual products are required. A randomized controlled feasibility study was conducted among 14-16-year-old girls, in 30 primary schools in rural western Kenya, to examine acceptability, use, and safety of menstrual cups or sanitary pads. Focus group discussions (FGDs) were conducted to evaluate girls' perceptions and experiences six months after product introduction. …

  7. Pupil absenteeism, measurement, and menstruation: Evidence from Kenya

    Impact evaluations focused on school absenteeism commonly use school records of untested quality or expensive spot-check data. We use a large dataset on more than 30,000 unannounced random spot-checks for 6,000 female and male students across 30 schools in Western Kenya, with equivalent school record entries. First, we confirm that while absenteeism is common overall, pubescent girls miss more schooldays than boys because of high incidence of school transfers. …

  8. Situational analysis on the status of the sexual and reproductive health of students in tertiary institutions in the SADC region

    It is a hardy perennial of the university environment that normative consensus around large global issues such as sexual and reproductive health and rights (SRHR) is easier to secure than the programmatic requisites. Thus, in principle, tertiary education students are included in international SRHR-related declarations and domestic policies pertaining to the education and health sectors; in practice, there is often a lack of programmatic and policy attention at institutional level, as well as a marked knowledge gap over the status of student’s sexual and reproductive health (SRH) needs.

  9. State of world population 2018: the power of choice: reproductive rights and the demographic transition

    The global trend towards smaller families is a reflection of people making reproductive choices to have as few or as many children as they want, when they want. When people lack choice, it can have a long-term impact on fertility rates, often making them higher or lower than what most people desire.

  10. Status of sexual and reproductive health and rights in Zambia: comprehensive sexuality education and adolescents sexual and reproductive health

    This policy brief is Part 2 of a three-part series entitled “Status of Sexual and Reproductive Health and Rights in Zambia,” reporting on progress, gaps, and existing challenges in SRH&R related to achieving Sustainable Development Goals (SDGs).

  11. Status of sexual and reproductive health and rights in Zambia: contraception and family planning, preventing unsafe abortion and accessing postabortion care, and maternal health

    This policy brief is Part 1 of a three-part series entitled “Status of Sexual and Reproductive Health and Rights in Zambia,” reporting on progress, gaps, and existing challenges in SRH&R related to achieving Sustainable Development Goals (SDGs).

  12. "It's not normal": sexual exploitation, harassment and abuse in secondary schools in Senegal

    “It’s not normal” documents how female students are exposed to sexual exploitation, harassment, and abuse in middle and upper secondary schools. Based on interviews and focus group discussions with more than 160 girls and young women, the report documents cases of teachers who abuse their position of authority by sexually harassing girls and engage in sexual relations with them, promising students money, good grades, food, or items such as mobile phones and new clothes. …

  13. Case study for effective implementation of the integrated school health programme (ISHP): baseline study at Nzululwazi high school and surrounding community

    The Student Partnership Worldwide (SPW) South Africa Trust in partnership with the United Nations Population Fund (UNFPA) leads the Safe Guard Young People (SYP) Programme in three districts in the Eastern Cape. The goal of the SYP programme is to contribute towards the improvement of the Sexual Reproductive Health and Rights (SRHR) status of young people aged 10 – 24, with a special focus on HIV prevention. The Nzululwazi Senior Secondary School forms a special focus of this programme. …

  14. Challenges to implementing national comprehensive sexuality education curricula in low- and middle-income countries: case studies of Ghana, Kenya, Peru and Guatemala

    School-based comprehensive sexuality education (CSE) can help adolescents achieve their full potential and realize their sexual and reproductive health and rights. This is particularly pressing in low- and middle-income countries (LMICs), where high rates of unintended pregnancy and STIs among adolescents can limit countries’ ability to capitalize on the demographic dividend. While many LMICs have developed CSE curricula, their full implementation is often hindered by challenges around program planning and roll-out at the national and local level. …

  15. Menstruation and menstrual hygiene management in selected KwaZulu-Natal schools

    The focus of this study was on the impact of menstruation and menstrual hygiene management on girl learners in schools in the Province of KwaZulu-Natal, South Africa. Issues related to cultural practices, teachings about menstruation, access to sanitary supplies necessary during menstruation and to sanitation, as well as psychological trauma, particularly at menarche (the time of their first menstruation), were looked at. The study also attempted to capture the feelings and experiences of learners and their knowledge at menarche.

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