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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. Education and risky sex in Africa: Unraveling the link between women’s education and reproductive health behaviors in Kenya

    Much research attention has been devoted to understanding the relationship between education and riskier sex-related behaviors and HIV/AIDS in sub-Saharan Africa. While in the early 1990s researchers found that increases in education were associated with a higher incidence of HIV/AIDS, this relationship appears to have reversed and better educated people, especially women, appear less likely to engage in riskier sex-related behaviors and have a lower incidence rate of HIV/AIDS. …

  3. Economic status, education and risky sexual behavior for urban Botswana women

    This study investigated the relationship between economic status, education and risky sexual behavior for urban Botswana women. The data used are a nationally representative sample from the Botswana AIDS Impact Survey conducted in 2004. An un-weighted sample of 2215 women aged 15-49, who have had sexual intercourse was considered for analysis. Both bivariate and multivariate analyses are used to gain insights into the potential linkages between economic status, education and risky sexual behavior. …

  4. Impact of HIV/AIDS education programmes on sexual behaviour of female students in Nigerian schools: Policy implications for scientific and technolgical development

    This study investigated the impact of HIV/AIDS education programmes on sexual behaviors of female students in senior secondary schools in Rivers State of Nigeria. The population for the study comprised of all senior secondary schools female students in Nigeria, which was divided into urban and rural schools. The sample size was 200 female students obtained by using stratified random sampling technique. …

  5. I did it for him, not for me: an exploratory study of factors influencing sexual debut among female university students in Durban, South Africa

    The authors used qualitative interviews to explore influences on first sexual intercourse among 10 young women who had sexual debut within a year of enrolling in the university. University culture of sexual permissiveness and pressure from sexually experienced friends and male partners were the main factors influencing sexual debut. Ambivalence and a range of coercive behaviors characterized first sex. Participants were unprepared for sex and lacked power in deciding the timing and circumstances of first sex, which resulted in physical and emotional pain and regret. …

  6. Gender and sexuality: emerging perspectives from the heterosexual epidemic in South Africa and implications for HIV risk and prevention

    Research shows that gender power inequity in relationships and intimate partner violence places women at enhanced risk of HIV infection. Men who have been violent towards their partners are more likely to have HIV. Men's behaviours show a clustering of violent and risky sexual practices, suggesting important connections. This paper draws on Raewyn Connell's notion of hegemonic masculinity and reflections on emphasized femininities to argue that these sexual, and male violent, practices are rooted in and flow from cultural ideals of gender identities. …

  7. Intimate partner violence, relationship power inequity, and incidence of HIV infection in young women in South Africa: a cohort study

    Cross-sectional studies have shown that intimate partner violence and gender inequity in relationships are associated with increased prevalence of HIV in women. Yet temporal sequence and causality have been questioned, and few HIV prevention programmes address these issues. The article assessed whether intimate partner violence and relationship power inequity increase risk of incident HIV infection in South African women. …

  8. Sexual and Reproductive Health Needs of Women and Adolescent Girls living with HIV. Research Report on Qualitative Findings from Brazil, Ethiopia and the Ukraine

    Sexual and Reproductive Health Needs of Women and Adolescent Girls living with HIV. Research Report on Qualitative Findings from Brazil, Ethiopia and the Ukraine is a document developed by EngenderHealth with the support of UNFPA. This research identified some interesting trends across the three countries and some issues unique to each setting that need to be considered in strategic planning efforts to improve HIV-positive women's and adolescent girl's access and utilization of sexual and reproductive health services. …

  9. Trends in the burden of orphans and vulnerable children in Zimbabwe: evidence from national household surveys, 1994-2006

    This study assesses trends in the prevalence and status of orphans and vulnerable children (OVC) based on data from 2005-06, 1999, and 1994 Zimbabwe Demographic and Health Surveys (ZDHS). The study examines four categories of OVC - orphans, fostered children, children in households with no adults age 18-59, and children in households with chronic illness or recent death due to chronic illness. …

  10. The short-term impacts of a schooling conditional cash transfer program on the sexual behaviour of young women

    Recent evidence suggests that conditional cash transfer programs for schooling are effective in raising school enrollment and attendance. However, there is also reason to believe that such programs can affect other outcomes, such as the sexual behavior of their young beneficiaries. Zomba Cash Transfer Program is a randomized, ongoing conditional cash transfer intervention targeting young women in Malawi that provides incentives (in the form of school fees and cash transfers) to current schoolgirls and recent dropouts to stay in or return to school. …

  11. Gender and risk of HIV in Ghana and Uganda

    Using Demographic and Health Survey (DHS) data for Ghana and Uganda, this study examines the gender differentials in perceptions of HIV risk in the two countries, which have been hit by the HIV epidemic in a different way, as in Ghana the epidemic has just started. It identifies factors associated with high or low risk of HIV infection by using logistic regression methodology. Principal findings include strong gender differentials in perceptions of risk, especially in Uganda; women felt at greater risk of HIV infection than men. …

  12. Women of the world: laws and policies affecting their reproductive lives Francophone Africa

    The publication provides a detailed review of national laws and policies affecting women in seven francophone African countries. One part of the country review focuses on the rights of special group: female minors and adolescents.

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