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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. 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. …

  3. Adolescent women’s need for and use of sexual and reproductive health services in developing countries

    With this report, the authors aim to provide an up-to-date and comprehensive overview of the use of sexual and reproductive health services by adolescent women aged 15–19 in the developing world. Using reliable nationally representative surveys in 70 countries, the report presents 30 indicators that cover a wide range of topics related to the sexual and reproductive health of adolescent women. Chapter 2 outlines the methods and data sources used for this report. Chapter 3 focuses on marriage, sexual activity and contraception. …

  4. 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. …

  5. 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. …

  6. 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. …

  7. 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. …

  8. HIV epidemic in Estonia: analysis of strategic information. Case study

    This publication describes an in-depth retrospective secondary data analysis, using triangulation principles, that was conducted to analyse the course of the HIV/AIDS epidemic in Estonia, describe the interventions implemented and provide guidance and input for priority setting. The researchers also highlighted main data gaps and made recommendations to improve surveillance and interventions. …

  9. 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. …

  10. The Right to Contraceptive Information and Services for Women and Adolescents

    This briefing paper examines the rights of women and adolescents to access contraceptive information and services. It provides practical guidance for activists, scholars, UN agencies, nongovernmental organizations, governments, and other actors working in the area of sexual and reproductive health to integrate human rights into programs and policies. …

  11. HIV and violence against women in Belize

    The overall objective of this study was to explore the potential intersections between two forms of violence against women (VAW) - partner violence and non-partner violence - among users of VAW and HIV services and to document their experiences, knowledge and perceptions on HIV and violence. The information was collected using a standardized questionnaire in each participant country in order to collect and compare data in a multi-country analysis. In Belize seventy-four (74) women were interviewed, 32 users of HIV services and 42 users of VAW services countrywide during 2007. …

  12. La sexualité et la grossesse de la femme confrontée au VIH/sida

    À partir du constat des bénéfices associés à la thérapie antirétrovirale - amélioration des conditions de vie de personnes séropositives, augmentation de leur espérance de vie, etc. - et du fait que la personne séropositive peut désormais envisager la grossesse, l'article indique la nécessité de la prise en charge de ce souhait de fonder une famille par les équipes soignante, tout en soulignant l'importance de la minimisation maximale du risque de contamination et les avantages de la procréation médicalement assistée.

  13. 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. …

  14. These days virginity is just a feeling: heterosexuality and change in young urban Vietnamese men

    This paper argues that young Vietnamese men's beliefs around women's changing sexual identities and habits generate some anxiety around their own heterosexual abilities, while contributing to growing doubts around 'traditional' masculine advantage within sexual relations. It explores this notion in regard to eight Vietnamese men aged 18-30 years, interviewed over 13 months of fieldwork in Hanoi, Vietnam. …

  15. Nunca pensé que esto me podía pasar a mí: VIH/sida y género en el Ecuador

    Este trabajo de investigación fue motivado por la preocupación que ha generado la creciente infección de VIH/SIDA entre las mujeres, principalmente "amas de casa" del Ecuador. La hipótesis de partida fue que esta realidad tiene directa relación con los patrones culturales de género existentes en el país, los cuales hacen más vulnerable a ese grupo poblacional. Para la investigación se realizaron entrevistas semi-estructuradas con 11 mujeres y 10 hombres viviendo con VIH/SIDA de las ciudades de Quito y Guayaquil. …

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