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UNESCO HIV and Health Education Clearinghouse

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  1. Adolescent and youth sexual and reproductive health and rights services: Key elements for implementation and scaling up in West and Central Africa

    This regional report entitled “Adolescent and Youth Sexual and Reproductive Health and Rights Services - Key elements for implementation and scaling up in West and Central Africa” is complementary to the previous regional report on Comprehensive Sexuality Education (CSE) and documents, through concrete examples from four West African countries (Benin, Côte d’Ivoire, Senegal and Togo), highlighting promising practices, lessons learnt, and proposing key recommendations to be shared with all countries in the region.

  2. Gaps in global monitoring and evaluation of adolescent and youth reproductive health

    Adolescents and youth are a key population for reproductive health (RH) interventions, because young people suffer disproportionately from negative RH outcomes, including acquisition of HIV and other sexually transmitted infections; unintended, unwanted, or mistimed pregnancy; unsafe abortion; and gender-based violence. Effective monitoring and evaluation (M&E) of RH interventions designed for adolescents and youth is essential to determine their success and impact and show where improvement is needed. …

  3. Using podcasts to deliver youth-friendly information about sexual and reproductive health and rights in Burundi

    We live in a digital age where, for many of us, all the information we need is just a click away. In Burundi, as in the rest of the world, young people are often the most active users of information communication technology (ICT). Frontline AIDS saw an opportunity to use ICT to provide adolescents with both SRHR information and safe spaces to engage with their peers and experts. Whilst ‘ICT for health’ is a frequent topic among HIV and SRHR organisations in Burundi, using ICT to improve access to youth-friendly and comprehensive HIV and SRHR information was something new.

  4. Sexual and reproductive health services and peer education at Mnambithi TVET College: a rapid assessment

    This study essentially aimed to establish if there is a peer education programme at Mnambithi TVET College focusing on SRH and HIV prevention and whether the services rendered are adolescent and youth friendly. It therefore investigated the status of these two factors, identified gaps and proposed solutions. The report begins with a brief discussion of what the study was about, how it was conceptualised and what it aimed to achieve. It then provides a background of what adolescent and youth friendly services and peer education are highlighting the relevance of this study. …

  5. Ensuring youth’s right to participation and promotion of youth leadership in the development of sexual and reproductive health policies and programs

    The purpose of this article was to reflect on the concepts of adolescence and youth, summarize models and frameworks developed to conceptualize youth participation, and assess research that has attempted to evaluate the implementation and impact of youth participation in the field of sexual and reproductive health and rights (SRHR).The authors searched and critically reviewed relevant published reports and “gray literature” from the period 2000–2013. …

  6. Mainstreaming youth-friendly sexual and reproductive health services in the public sector in Mozambique and Tanzania

    Young people have the right to live healthy sexual and reproductive lives. Yet, adolescents and youth (those between the ages of 10 and 24) often face social, cultural, economic, and structural barriers to accessing sexual and reproductive health information and services at a time when they need these services the most, making them vulnerable to poor health outcomes. Emerging global guidance suggests that, to reach youth in a sustainable and scalable way, youth-friendly services must be mainstreamed in the community and health systems. …

  7. Adolescent friendly health corners (AFHCS) in selected government health facilities in Bangladesh: an early qualitative assessment. Research report

    With high rates of early marriage, especially among girls, a significant proportion of adolescents in Bangladesh need sexual and reproductive health services (SRH), including contraceptive information and services. Married women, including married adolescents, currently have access to these services through public sector. Unmarried adolescents do not have access to SRH information and services through public sector facilities. …

  8. 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.

  9. Adolescent sexual and reproductive health: scoping the impact of programming in low- and middle-income countries

    Adolescence (10-19 years old) is a critical period in life, during which people undergo extensive biological, psychological and social changes. During this time, sexual and reproductive health can pose serious challenges for adolescents and programming needs to be effective in addressing this important health area. This scoping paper assesses the state of evidence around adolescent sexual and reproductive health (ASRH), exploring the supply of and demand for evidence on the impact of ASRH programming in low- and middle-income countries. …

  10. The demographic dividend in Africa relies on investments in the reproductive health and rights of adolescents and youth: policy brief

    A demographic dividend can occur during a window of opportunity created by reductions in child mortality and a demographic shift to fewer dependent people relative to working-age individuals. The full realization of the sexual and reproductive health and rights (SRHR) of adolescents and youth (ages 10 to 24) can facilitate gains in their health, well-being, and educational attainment. …

  11. 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. …

  12. Adolescent and youth sexual and reproductive health-evidence-based interventions in Kenya

    In 2011, the Division of Reproductive Health (DRH) in collaboration with FHI 360 undertook a review of adolescent and youth reproductive health programs in the country that included a desk review, mapping of youth serving organizations (YSOs), and interviews with stakeholders from the YSOs and development partners. …

  13. A voucher for health: enabling young people in Uganda to access quality sexual and reproductive health services

    Young people in Uganda have significant unmet sexual and reproductive health (SRH) needs. This is particularly the case for young people from key populations. The prevalence of HIV among sex workers of all ages is between 35% and 37%, five times higher than the general population. Sex workers also face other serious sexual and reproductive health and rights (SRHR) issues, including high rates of unintended pregnancies and sexually transmitted infections (STIs). The situation for young lesbian, gay, bisexual, transgender and intersex people is also difficult. …

  14. Empowering each other: young people who sell sex in Ethiopia

    Sex workers are amongst those most affected by HIV and sexual and reproductive health and rights (SRHR) issues in Ethiopia. Stigma and discrimination towards sex workers affects their ability to access SRHR information, education and services. In 2014, the Link Up project in Ethiopia implemented a model of peer education and outreach to empower young people who sell sex (aged 15 – 24 years) and increase their access to HIV and SRHR services. The Link Up project seeks to improve the sexual and reproductive health and rights of young people most affected by HIV. …

  15. What does not work in adolescent sexual and reproductive health: a review of evidence on interventions commonly accepted as best practices

    Youth centers, peer education, and one-off public meetings have generally been ineffective in facilitating young people's access to sexual and reproductive health (SRH) services, changing their behaviors, or influencing social norms around adolescent SRH. Approaches that have been found to be effective when well implemented, such as comprehensive sexuality education and youth-friendly services, have tended to flounder as they have considerable implementation requirements that are seldom met. …

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