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UNESCO HIV and Health Education Clearinghouse

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  1. Harmonizing the legal environment for adolescent sexual and reproductive health and rights: A review of 23 countries in East and Southern Africa

    The study reviews the laws, policies and related frameworks in 23 countries in East and Southern Africa (ESA) that create either impediments to, or an enabling environment for, adolescent sexual and reproductive health and rights. The assessment resulted in the development of a harmonized regional legal framework, which translates international and regional legal provisions into useful strategies. It gives recommendations based on applicable core legal values and principles gleaned from a range of conventions, charters, political commitments, guidelines and declarations. …

  2. Youth-friendly HIV prevention and SRHR programmes and services at post-schooling institutions: a review of the literature

    The objective of this literature review was to provide a background to the current context relating to the provision of comprehensive and integrated youth-friendly SRHR and HIV prevention services to students at post-schooling institutions in South Africa and in the Eastern Cape. …

  3. A systematic review of the role of school-based healthcare in adolescent sexual, reproductive, and mental health

    Background: Accessible sexual, reproductive, and mental healthcare services are crucial for adolescent health and wellbeing. It has been reported that school-based healthcare (SBHC) has the potential to improve the availability of services particularly for young people who are normally underserved. Locating health services in schools has the potential to reduce transport costs, increase accessibility and provide links between schools and communities. Methods: A systematic review of the literature was undertaken. …

  4. The Sexual and reproductive health needs of very young adolescents aged 10–14 in developing countries: what does the evidence show?

    This report draws on analyses of national survey data and literature review results to provide an overview of the evidence on key aspects of sexual and reproductive health among very young adolescents aged 10–14 living in developing regions.

  5. Strengthening education in West and Central Africa by improving learners’ sexual and reproductive health

    West and Central Africa (WCA) is the region of the world with the largest percentage of young people and the highest gender disparity in education.

  6. Interventions to prevent sexually transmitted infections, including HIV, among young people in low- and middle-income countries: a systematic review of the published and gray literature

    Sexually transmitted infections (STIs), including HIV, are prevalent among adolescents and can have lasting adverse health consequences. The objective of this review is to identify high-quality interventions and evaluations to decrease STI transmission and related risky behaviors among young people in low- and middle-income countries. PubMed, Embase, PsycInfo, Cinahl Plus, Popline, and the Cochrane Databases were searched without language limitations for articles published through November 2015. Gray literature was searched by hand. …

  7. Investing when it counts: reviewing the evidence and charting a course of research and action for very young adolescents

    Early adolescence, age 10 to 14, is a pivotal moment in the lives of young girls and boys around the world. It is period of rapid development where important health and social knowledge is gained, lifelong behaviors are established, beliefs and attitudes are shaped, and the foundation is built for adulthood. This period offers a window of opportunity for program interventions to help shape the life trajectories of boys and girls and to improve the future physical and economic health and well-being of entire communities. …

  8. Sexual and reproductive health of young people in Asia and the Pacific: a review of issues, policies and programmes

    The aim of the review was to describe the current status of young people’s SRH and policy and programme responses in the Asia and Pacific regions to support evidence informed policy, programming and advocacy. …

  9. Educating girls: Creating a foundation for positive sexual and reproductive health behaviors

    Investments that promote keeping girls in school, particularly in secondary school, have far-reaching and long-term health and development benefits for individuals, families, and communities. The purpose of this brief is to describe the relationship of girls’ education on family planning and reproductive health and behaviors; highlight evidence-based practices that increase girls’ enrollment, retention, and participation in school; and provide recommendations for how the health sector can support keeping girls in school.

  10. Community-academic partnerships in HIV-related research: a systematic literature review of theory and practice

    Introduction: Community involvement in HIV research has increased over recent years, enhancing community-academic partnerships. Several terms have been used to describe community participation in research. Clarification is needed to determine whether these terms are synonymous or actually describe different research processes. In addition, it remains unclear if the role that communities play in the actual research process follows the recommendations given in theoretical frameworks of community-academia research. …

  11. Young people and the law in Asia and the Pacific: A review of laws and policies affecting young people's access to sexual and reproductive health and HIV services

    To date, there has been no systematic review of how laws and policies govern young people's access to sexual and reproductive health and HIV information and services, and the ability of service providers to ensure these services are available and accessible to young people. This review aims to do so for the Asia-Pacific region. It assesses criminal laws, laws in relation to age, laws on health and HIV, law enforcement practices, and national policies related to HIV, SRH and youth. …

  12. Linking sexual and reproductive health and HIV interventions: a systematic review

    Background: The international community agrees that the Millennium Development Goals will not be achieved without ensuring universal access to both sexual and reproductive health (SRH) services and HIV/AIDS prevention, treatment, care and support. Recently, there has been increasing awareness and discussion of the possible benefits of linkages between SRH and HIV programmes at the policy, systems and service delivery levels. However, the evidence for the efficacy of these linkages has not been systematically assessed. …

  13. Status report adolescents and young people in sub-Saharan Africa: Opportunities and challenges

    Nearly half of the world's population, some 3 billion people, is under the age of 25. As the largest generation ever of young people, investments in their health and well-being are crucial so they can make a positive transition into adulthood and fully contribute to the economic and social development of their families, communities and nations. But in order to develop strategies and mobilize financial resources to support adolescent and youth development, decisionmakers need reliable, up-to-date demographic, health, education and socioeconomic data about young people. …

  14. Desk review of programmes for most at risk young people in six Pacific countries - Cook Islands, FSM, Marshall Islands, Tonga, Tuvalu and Samoa

    Across the Pacific region, youth population between 10-25 years of age represents about 56% of the pacific population of 9.5 million, with 37% under the age of 14 years. The region’s median age is 21 years. UNICEF, UNFPA and SPC jointly support 10 countries across the Pacific to deliver programs targeting the sexual and reproductive health needs of young people. A 2007 Review of the Adolescent Health and Development (AHD) Program recommended specifically targeting vulnerable, marginalized and most at risk groups of young people. …

  15. The sexual behaviour of adolescents in sub-Saharan Africa: patterns and trends from national surveys

    Objectives: To describe the sexual and reproductive behaviour of adolescents in sub-Saharan Africa, particularly 15- to 19-year-olds. Methods: Using DHS/AIS data (2000–2010), nine indicators of adolescent behaviour and one of adult attitudes towards condom education for adolescents were described for 24 countries. Indicators were disaggregated by gender, urban/rural residency and educational status, and time trends were described. Results: Up to 25% of 15- to 19-year-olds reported sex before age 15; this proportion shrank over time in many countries. …

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