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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

    This brief discusses initial learning emerging from the Adaptive approaches to reducing teenage pregnancy in Sierra Leone action research project. The project is accompanying three international NGOs - Concern, International Rescue Committee (IRC), and Save the Children - as they trial adaptive approaches to addressing teenage pregnancy in Sierra Leone. Key messages: 1) Partners under this action research project are trialling alternative approaches to preventing teenage pregnancy, focusing on social norms change. …

  2. 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. …

  3. 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. …

  4. A sexual and reproductive health peer education programme for girls in grades 7 to 9. Mentor’s manual

    This sexual and reproductive health (SRH) peer education programme was developed as part of the Department of Basic Education’s (DBE) Leveraging Partnerships to Achieve the Goals of South Africa’s HIV & AIDS and STI National Strategic Plan 2012–16, otherwise known as Keeping Girls in School. The aim of this component of the programme is to shift social norms and change sexual behaviour by reinforcing and supporting the SRH messages received via the curriculum in order to increase retention and reduce the risk of HIV infection and teenage pregnancy.

  5. Education, HIV, and early fertility: experimental evidence from Kenya

    A seven-year randomized evaluation suggests education subsidies reduce adolescent girls’ dropout, pregnancy, and marriage but not sexually transmitted infection (STI). The government’s HIV curriculum, which stresses abstinence until marriage, does not reduce pregnancy or STI. Both programs combined reduce STI more, but cut dropout and pregnancy less, than education subsidies alone. …

  6. 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.

  7. Cash transfers: magic bullet or fundamental ingredient?

    Comment on a study published in The Lancet Global Health by Audrey Pettifor and colleagues on cash transfers, school attendance and the reduction of HIV risk behaviours in adolescent girls.

  8. 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. …

  9. Factors associated with teenage pregnancy in South Asia: a systematic review

    Background: South Asia has a large proportion of young people in the world and teenage pregnancy has emerged as one of the major public health problem among them. The objective of this study is to systematically review to identify the risk factors associated with teenage pregnancy in South Asian countries. Methods: We systematically searched MEDLINE, EMBASE and CINAHL database (1996 to April 2007) and web-based information. Inclusion criteria were the English-language papers available in the UK and describing teenage pregnancy in South Asia. …

  10. Risk for coerced sex among female youth in Ghana: Roles of family context, school enrollment and relationship experience

    CONTEXT: A better understanding is needed of the variables that may influence the risk of experiencing coerced sex among adolescent females in Sub-Saharan Africa. METHODS: Data were collected from 700 female respondents who were interviewed in 2010 and 2012 waves of a longitudinal study of behavioral risk for HIV infection among youth aged 13–14 or 18–19 and living in two towns in southeastern Ghana. …

  11. HIV prevention in Southern Africa for young people with a focus on young women and girls in Botswana

    This review focuses on the major factors that drive HIV infection and explores interventions that have demonstrated effectiveness, as well as illustrating important learnings for programme development. Findings inform understanding of sex and sexuality in relation to HIV risk and the potentials for interventions in the Botswana context.

  12. Addressing the intergenerational transmission of gender-based violence: Focus on educational settings

    Gender-based violence (GBV) is increasingly recognized as a hindrance to economic and social development, in addition to violating the human rights of those experiencing it. Therefore, preventing the perpetration of GBV has ramifications beyond simply ending violence. Gender-based violence is violence perpetrated based on a person’s gender, and reflective of gender inequalities. Patriarchal social norms exist to varying degrees in almost every part of the world, often placing men and boys in dominant positions over women and girls. …

  13. Preventing sexual violence and HIV in children

    BACKGROUND: Evidence linking violence against women and HIV has grown, including on the cycle of violence and the links between violence against children and women. To create an effective response to the HIV epidemic, it is key to prevent sexual violence against children and intimate partner violence (IPV) against adolescent girls. …

  14. Addressing cross-generational sex: A desk review of research and programs

    Current interest in cross-generational sex is largely due to the feminization of the HIV and AIDS epidemic. Young women 15-24 years of age in sub-Saharan Africa are three times more likely to be infected with HIV than young men of the same age, four times more likely in Zambia, and a staggering five times more likely in Zimbabwe. But, in fact, ministries of education and others have had curricula and materials addressing the “sugar daddy” phenomenon for many years. …

  15. Education, HIV, and early fertility: experimental evidence from Kenya

    We provide experimental evidence on the relationships between education, HIV/AIDS education, risky behavior and early fertility in Kenya. We exploit randomly assigned variation in the cost of schooling and in exposure to the national HIV/AIDS prevention curriculum for a cohort of over 19,000 adolescents in Western Kenya, originally aged 13.5 on average. We collected data on the schooling, marriage, and fertility out-comes of these students over 7 years, and tested them for HIV and Herpes (HSV2) after 7 years. …

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