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UNESCO HIV and Health Education Clearinghouse

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  1. Between tradition and modernity: girls’ talk about sexual relationships and violence in Kenya, Ghana and Mozambique

    This paper interrogates the influence of a tradition-modernity dichotomy on perspectives and practices on sexual violence and sexual relationships involving girls in three districts of Kenya, Ghana and Mozambique. Through deploying an analytical framework of positioning within multiple discursive sites, the authors argue that although the dichotomy misrepresents the complexity of contemporary communities, it is nonetheless deployed by girls, educational initiatives and researchers in their reflections on girls’ sexual practices and sexual violence. …

  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. 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. 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. …

  7. 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. …

  8. 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. …

  9. Questions of intimacy: rethinking population education

    The book examines key areas in population field in relation to education. Sexuality, reproductive rights and health, violence, fertility, ageing, gender relations and AIDS education are some of the themes explored in the book.

  10. 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. …

  11. Gender and the HIV epidemic: adolescent sexuality, gender and the HIV epidemic

    This document highlights factors which increase the risk of HIV infection for young people and concludes with a number of principles for success for future work to prevent HIV infection among young people in developing countries.

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