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UNESCO HIV and Health Education Clearinghouse

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  1. Proposing a conceptual framework to address social norms that influence adolescent sexual and reproductive health

    With 1.8 billion young people aged 10-24 years in the world today, the cohort of adolescents and youth is the largest in history. Concurrently, millions of adolescents are confronting sexual and reproductive health (SRH) challenges, including high rates of unmet need for contraception, unintended pregnancy, and clandestine and unsafe abortion. Social norms or shared understandings of how oneself and others should behave can alleviate or exacerbate these challenges. …

  2. National sexual reproductive policy

    This document represents the first National Sexual and Reproductive Health Policy. The goal of the Sexual and Reproductive Health Policy is to find appropriate solution to the current fragmentation of reproductive health activities and improve the limited impact of existing programs in reducing sexual and reproductive ill health while improving reproductive health and well-being for the PNG population. …

  3. 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. …

  4. 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.

  5. Situational analysis on the status of sexual and reproductive health of students and gender-based violence in technical and vocational colleges in Malawi

    UNESCO commissioned a study to conduct a situational analysis on the status of sexual and reproductive health (SRH) of students and gender-based violence (GBV) in technical and vocational colleges (TVCs) in Malawi operating under the Technical, Entrepreneurship and Vocational (TEVET) system. The methodology comprised of a desk review, survey, key informant interviews, and focus group discussions. …

  6. 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.

  7. Investigating risky sexual behaviours among youth in the context of the HIV epidemic in Mbeya region, Tanzania

    Mitigating HIV and AIDS among youth has been a major policy agenda both internationally and nationally, within Tanzania. Two concerns associated with mitigation efforts are increasing sexual activity at young ages and a burgeoning population of out-of-school youth whom poverty, lack of supervision, and unemployment seem to push into alternative life patterns that present risks to their health. This situation poses a serious challenge for Tanzania, where half the population is categorised as young.

  8. Learners’ perspectives on the provision of condoms in South African public schools

    A stubborn health challenge for learners in South African public schools concerns sexual and reproductive health and rights (SRHR). In 2015, the Department of Basic Education (DBE) proposed the provision of condoms and SRHR-services to learners in schools. This study aimed to contribute to the finalisation and implementation of DBE’s policy by exploring learners’ perspectives on the provision of condoms and SRHR-services in schools. …

  9. 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.

  10. Generating evidence to meet the sexual and reproductive health needs of students at Kenyatta University and beyond

    This research brief describes two evidence-generation efforts undertaken by the Evidence to Action Project (E2A), of which IntraHealth is a partner, and Kenyatta University, along with support from Pathfinder International, Kenya, from 2015-2016. The first evidence-generation effort involved an assessment of select KU service delivery statistics, and the second was a qualitative research study on the sexual and reproductive health (SRH) needs, attitudes, preferences, and behaviors of KU students. …

  11. The adolescent experience in-depth: using data to identify and reach the most vulnerable young people: Tanzania 2009-2012

    This report presents a secondary data analysis and triangulation of the Tanzania Demographic and Health Survey (DHS) 2010, the Tanzania HIV and Malaria Indicator Survey (THMIS) 2011-12, and the Violence Against Children in Tanzania Survey (VACS) 2009. Its objectives are to analyse approximately 40 key indicators related to knowledge, attitudes, behaviours and outcomes (e.g. …

  12. Sexual and reproductive health of adolescents and youth in Cambodia: analysis of 2000-2014 Cambodia Demographic and Health survey data

    This report presents findings from a secondary analysis of four waves of the Cambodia Demographic and Health Surveys, 2000 to 2014, with support from the United Nations Population Fund (UNFPA) and Australian in Cambodia. One aim of this report was to describe the current state of the sexual and reproductive health of adolescents and youth in Cambodia and this was achieved through the analysis of data on young women aged 15-24 years from the four Cambodian Demographic and Health Surveys (CDHS) conducted in 2000, 2005, 2010 and 2014. …

  13. 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. …

  14. 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. …

  15. Urban adolescent SRH SBCC implementation kit

    This tool helps develop programs for urban adolescents on sexual and reproductive health and behavior change. It is divided into four parts: Part 1 provides the background and information on how to use the I-Kit. Part 2 includes the seven essential elements of program planning and interactive worksheets. Part 3 provides strategies to address program implementation challenges. Part 4 encourages to share what has been learned. Then, additional resources are provided for further information. The Help section includes acronyms, glossary, icon key, and references.

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