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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. 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. …

  3. West African youth initiative: Outcome of a reproductive health education program

    Purpose: To describe the implementation and evaluation of an adolescent reproductive health peer education program in West Africa. The program, known as the West African Youth Initiative (WAYI), was developed to improve knowledge of sexuality and reproductive health, and promote safer sex behaviors and contraceptive use among sexually active adolescents in Nigeria and Ghana. …

  4. Psychosocial processes and sexual initiation among Ghanaian youth

    This study modeled primary abstinence and age at first sex in a cross-sectional sample of Ghanaian youth ages 17 to 22 years. The aim was to examine how reproductive knowledge and social cognitive factors jointly affect the choice to initiate sex. Among males, the authors found that reproductive knowledge is negatively associated with abstinence. Its negative association, however, is moderated by the extent of adult support a respondent receives. Among females, reproductive knowledge is positively associated with abstinence. …

  5. Adolescent Sexual and Reproductive Health Behaviour in Dodowa, Ghana

    This report presents findings from a study of sexual and reproductive health status of inschool and out-of-school adolescents in Dodowa, Ghana, carried out in 2001. The research aim was to help design a program to address adolescents' unmet needs and promote safer behaviours. The research design used both qualitative and quantitative methods, including focus group discussions, PLA techniques and surveys. Students of Junior and Senior Secondary Schools, out-of-school adolescents, teachers, parents and community opinion leaders were included in the study.

  6. Associations between premarital sex and leaving school in four Sub-Saharan African countries

    This study is an article extracted from "Studies in Family Planning", special issue on "Adolescent sexual and reproductive health in Sub-Saharan Africa", published in December 2008. As formal schooling spreads within sub-Saharan Africa, a growing proportion of adolescents remain enrolled in school when they "come of age". As a consequence more and more adolescents have to negotiate sexual maturation and sexual initiation in a different context than from that of counterparts in prior generations. …

  7. Levels and spread of HIV seroprevalence and associated factors: evidence from national household surveys

    This report summarizes HIV prevalence and the associations between HIV serostatus and key characteristics and behaviors of adult women and men in 22 developing countries, primarily in sub- Saharan Africa. Data come from Demographic and Health Surveys (DHS) and AIDS Indicator Surveys (AIS) conducted between 2001 and 2006. In most of these surveys, nationally representative samples of women age 15-49 and men age 15-59 were tested for HIV. …

  8. Protecting the next generation in Ghana. New evidence on adolescent sexual and reproductive health needs

    This report presents key findings from a new body ofresearch that highlights the unmet sexual and reproductive health needs of 12-19-year-olds in Ghana. The results point to specific areas in which interventions for improving adolescent sexual and reproductive health might be targeted, and suggest that increased and sustained investment in sexual and reproductive health care for adolescents may provide enormous returns. …

  9. Why good reproductive health is critical to the well-being of youth [fact sheet]

    The fact sheet first explains why good reproductive health for young people is important and then presents a situation of the reproductive lives of young people today. Lastly, the paper recounts what the international community has agreed to do to support the reproductive health of young people.

  10. You, your life, your dreams : a book for adolescents

    The book was written for adolescents aged 14 to 19, to help them cope with challenges and decisions they may face during the transition period from childhood to adulthood. The book presents factual information about the changes that occur during this time of life, and about a range of other issues such as: how to stay physically and emotionally healthy, how to avoid sexually transmitted infections and unwanted pregnancy, how to handle pressure to have sex, and how to avoid drug and alcohol abuse. …

  11. Peer approach in adolescent reproductive health education: some lessons learned

    This package is one of a series of repackaged products aimed at alerting users on highly valuable educational resources that exist in the field of adolescent reproductive sexual health. It focuses on the impact of peer education in promoting necessary changes among adolescents in attitudes and behaviour with regard to reproductive and sexual health and is targeted at teachers, trainers, curriculum developers and school administrators. …

  12. Lessons learnt: the peer education approach in promoting youth sexual and reproductive health

    The overall purpose of this study is to describe and highlight some of the work that IPPF is doing with young people in the field of sexual and reproductive health. …

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