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UNESCO HIV and Health Education Clearinghouse

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  1. Comprehensive sexuality education for out of school young people in East and Southern Africa

    The Regional Comprehensive Sexuality Education Resource Package for Out of School Young People was developed to age and developmentally relevant international standards as a comprehensive set of teaching and learning materials for flexible use in settings outside the formal classrooms of the education sector. Several countries of East and Southern Africa have adapted this regional set of materials for nationally endorsed implementation. …

  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. Cross-generational and transactional sexual relations in Uganda: Income poverty as a risk factor for adolescents

    The phenomenon of cross-generational sex – defined as sexual relationships between an adolescent girl and a partner who is older, usually by 10 or more years – can be linked to many life-long consequences. …

  4. Promoting sexual and reproductive health among adolescents in southern and eastern Africa (PREPARE): project design and conceptual framework

    Background: Young people in sub-Saharan Africa are affected by the HIV pandemic to a greater extent than young people elsewhere and effective HIV-preventive intervention programmes are urgently needed. The present article presents the rationale behind an EU-funded research project (PREPARE) examining effects of community-based (school delivered) interventions conducted in four sites in sub-Saharan Africa. One intervention focuses on changing beliefs and cognitions related to sexual practices (Mankweng, Limpopo, South Africa). …

  5. I want to study with all my heart: Unpacking reasons for girls' school drop-out in West Nile, Uganda

    From 2013 to 2014 ICRW and the Forum for African Women Educationalists Uganda (FAWEU) partnered to answer several questions about girls’ education in two districts in the West Nile sub-region of Northwestern Uganda: What percentage of adolescent girls (14-18) have dropped out of school? How much of girls’ drop-out could be explained by pregnancy? To what extent are gendered social norms and the effects of conflict influencing pregnancy and drop-out? …

  6. Mixed method evaluation of a passive mHealth sexual information texting service in Uganda

    The authors evaluate the impact of a health information intervention implemented through mobile phones, using a clustered randomized control trial augmented by qualitative interviews. The intervention aimed to improve sexual health knowledge and shift individuals towards safer sexual behavior by providing reliable information about sexual health. The novel technology designed by Google and Grameen Technology Center provided automated searches of an advice database on topics requested by users via SMS. It was offered by MTN Uganda at no cost to users.

  7. Sexuality education: a ten-country review of school curricula in East and Southern Africa

    This collaborative regional curriculum scan, which was conducted in 2011, seeks to assess the content, quality, and delivery methods of sexuality education curricula in ten ESA countries and aims to ensure that the reviews help countries to develop curricula designed to not only increase comprehensive knowledge among young people, but to empower them to adopt protective behaviours, such as refusing unwanted sex, delaying sex, using condoms and testing for HIV. The ten countries included are Botswana, Kenya, Lesotho, Malawi, Namibia, South Africa, Swaziland, Uganda, Zambia and Zimbabwe.

  8. The World Starts With Me: using intervention mapping for the systematic adaptation and transfer of schoolbased sexuality education from Uganda to Indonesia

    Evidence-based health promotion programmes, including HIV/AIDS prevention and sexuality education programmes, are often transferred to other cultures, priority groups and implementation settings. Challenges in this process include the identification of retaining core elements that relate to the programme’s effectiveness while making changes that enhances acceptance in the new context and for the new priority group. This paper describes the use of a systematic approach to programme adaptation using a case study as an example. …

  9. HIV infection and sexual risk behaviour among youth who have experienced orphanhood: systematic review and meta-analysis

    Background: Previous research has suggested that orphaned children and adolescents might have elevated risk for HIV infection. We examined the state of evidence regarding the association between orphan status and HIV risk in studies of youth aged 24 years and younger. Methods: Using systematic review methodology, we identified 10 studies reporting data from 12 countries comparing orphaned and non-orphaned youth on HIV-related risk indicators, including HIV serostatus, other sexually transmitted infections, pregnancy and sexual behaviours. …

  10. Individual and community-level tolerance of spouse abuse and the association with the circumstances of first sex among youth from six sub-Saharan African countries

    Youth who engage in early and premarital sex are at risk of HIV and sexually transmitted infections. Most prevention programs ignore the mediating influence of the threat and experience of violence on these outcomes. Using nationally representative data from Lesotho, Malawi, Zimbabwe, Kenya, Tanzania, and Uganda, the autors used multivariate analyses to examine the association between individual- and community-level tolerance of spouse abuse on the age and circumstances of sexual debut among female youth. The youth sample sizes ranged from a high of 5007 in Malawi to a low of 3050 in Lesotho. …

  11. Self-reported sexual behaviour among adolescent girls in Uganda: reliability of data debated

    The objective of this study was to compare self-reported information about sexual behavior in a research interview to information retrieved during a clinical consultation. Social workers interviewed 595 sexually experienced women below 20 years about genital symptoms and sexual behavior. A midwife interviewed and examined the women and took vaginal samples for gonorrhea and chlamydia. Four questions were embedded in both the social workers' interviews and among the midwife's questions. …

  12. Exploratory study of the social contexts, practices and risks of men who sell sex in Southern and Eastern Africa

    The aim of the research presented in this report was to explore the social contexts, life experiences, vulnerabilities and sexual risks experienced by men who sell sex in Southern and Eastern Africa, with a focus on five countries; Kenya, Namibia, South Africa, Uganda and Zimbabwe (an in particular with research activities in the Kenya and Namibia). …

  13. Sexual, reproductive health needs and rights of young people with perinatally acquired HIV in Uganda

    The number of young people with perinatally acquired HIV is growing significantly. With antiretroviral drugs, children who get infected at birth with HIV have an opportunity to graduate into adolescence and adulthood. This achievement notwithstanding, new challenges have emerged in their care and support needs, the most dynamic being their sexual and reproductive health needs and rights (SRHR). …

  14. HIV/AIDS related knowledge and perceived risk associated with condom use among adolescents in Uganda

    While considerable attention has been paid to sexual behaviors among HIV high-risk populations in Africa, few studies have looked at the adolescent population. Using data from the 2004 National Survey of Adolescents in Uganda, logistic regression models were fitted to examine the odds that HIV/AIDS related knowledge and perceived risk of HIV infection are associated with condom use among adolescents. …

  15. Experience of sexual coercion and risky sexual behavior among Ugandan university students

    The aim of this study was to assess the association between the experience of sexual coercion and risky sexual behavior among university students of both sexes in Uganda. In 2005, 980 (80%) out of a total of 1,220 students enrolled in Mbarara University of Science and Technology in Uganda participated in a self-administered questionnaire covering sociodemographic and religious factors, social capital, mental health, alcohol use, and sexual behavior. A validated scale of six items was used to assess the experience of sexual coercion. …

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