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UNESCO HIV and Health Education Clearinghouse

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  1. Kenya adolescent reproductive health and development policy: Implementation assessment report

    The Adolescent Reproductive Health and Development (ARHD) Policy is a foundation for initiatives in Kenya that integrate reproductive health and development concerns for adolescents and youth into the national development process, and enhance their participation in that process. Given the increase in the number of stakeholders and programs focused on ARHD in Kenya over the last decade, and with two years before the end of the ARHD Policy timeframe, stakeholders in Kenya recognized the need to assess implementation of the policy. …

  2. Reaching out to teen mothers in Malawi

    Save the Children began working in Malawi in 1983, and in the southern Mangochi district in 1993. Among its earliest concerns in Mangochi was adolescent reproductive and sexual health. In 1999, SC launched Nchanda ni Nchanda (Youth to Youth), a five-year program that used an array of approaches to improve the reproductive and sexual health of people aged 10 to 25. …

  3. Unintended pregnancies among young women living in urban slums: Evidence from a prospective study in Nairobi City, Kenya

    Background: Despite the significant proportion of young people residing in slum communities, little attention has been paid to the sexual and reproductive health (SRH) challenges they face during their transition to adulthood within this harsh environment. Little is known about the extent to which living in extreme environments, like slums, impact SRH outcomes, especially during this key developmental period. …

  4. A review of interventions addressing structural drivers of adolescents' sexual and reproductive health vulnerability in sub-Saharan Africa: implications for sexual health programming

    Background: Young people particularly women are at increased risk of undesirable sexual and reproductive health (SRH) outcomes. Structural factors have been reported as driving some of these risks. Although several interventions have targeted some of the structural drivers for adolescent’s SRH risk, little has been done to consolidate such work. This would provide a platform for coordinated efforts towards adolescent’s SRH. …

  5. Eastern and Southern Africa commitment: One year in review - 2013-2014

    In December 2013, ministers of education and health from twenty ESA countries affirmed and endorsed their joint commitment to deliver comprehensive sexuality education (CSE) and sexual and reproductive health (SRH) services for young people. The ESA Commitment document was developed based on a Regional Report, “Young People Today: Time to Act Now” which reviewed the trends and status of sexual and reproductive health and HIV among adolescents and young people in the ESA Region including comprehensive sexuality education and service needs. …

  6. 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. …

  7. HIV/AIDS vulnerabilities, discrimination, and service accessibility among Africa’s youth: Insights from a multi-country study

    Africa’s young people aged 15–24 are disproportionately affected by HIV and AIDS. The impact of the epidemic on young people calls for close attention to the youth dimensions of the epidemic. To inform the development of more effective policies for targeting youth and meeting their needs, the Population Council and partners conducted a study of HIV risk-taking and health-seeking behaviors among young people in Egypt, Kenya, Nigeria, Senegal, South Africa, and Uganda. …

  8. HIV prevention in Southern Africa for young people with a focus on young women and girls in Botswana

    This review focuses on the major factors that drive HIV infection and explores interventions that have demonstrated effectiveness, as well as illustrating important learnings for programme development. Findings inform understanding of sex and sexuality in relation to HIV risk and the potentials for interventions in the Botswana context.

  9. The Malawi Gender Equality Act - A teaching guide: For primary and secondary schools in Malawi

    This booklet is an educational resource to assist teachers in Malawi, to discuss and explore with your learners the new Gender Equality Act (GEA) 2013 written by the Government of Malawi. The emphasis of the GEA is on improving the lives of girls and women. However it is important that you include all learners, boys and girls, in the work you do in the classroom when exploring the GEA. This resource highlights key areas within the Act that are relevant to young people and should be seen as a positive step to benefit Malawian society as a whole. …

  10. A pocket guide of youth friendly services for service providers in Botswana

    This guide seeks to assist health workers and other service providers to strengthen ASRH services to be provided and offered to young persons both male and females regardless of their status or background. It will assist health workers and other service providers to strengthen ASRH services provided to young people.

  11. Behavioral determinants of urban youth sexual and reproductive health. A secondary analysis of DHS data for Benin and Madagascar

    Youth aged 15-24 represent a growing and heterogeneous proportion of the world’s population. Investing in young people’s health and wellbeing is critical to promoting growth and development, not only for individuals but also for communities and nations. The majority of today’s youth are living in urban areas.In an urban or city environment, opportunities for jobs, education, better housing and health care are often more widely available than in rural areas. But these benefits are usually unevenly distributed and urban poor have limited or no access to many urban amenities. …

  12. Opportunities for technology-based HIV prevention programming among high school students in Cape Town, South Africa

    One in three new cases of HIV in South Africa is among adolescents. Given that adolescents are particularly affected, scalable, and cost-effective prevention programs are urgently needed. This study aims to identify opportunities to integrate technology into youth HIV prevention efforts. In 2012, 1107 8th–11th graders completed a paper-and-pencil survey. Respondents were enrolled in one of three public high schools in Langa, a lower income community in Cape Town, South Africa. Eighty-nine percent of respondents have used text messaging (SMS) and 86% have gone online. …

  13. Rwandan young people's perceptions on sexuality and relationships: Results from a qualitative study using the ‘mailbox technique’

    This study aimed to gain more insight into young Rwandans' perceptions on sex and relationships, which is essential for formulating effective sexual and reproductive health (SRH) promotion interventions. Using a 'mailbox technique', this paper studies the spontaneous thoughts of Rwandan young people on sexuality. Mailboxes were installed in five secondary schools in the Bugesera district and students were invited to write about their ideas, secrets, wishes, desires and fears on sexuality and relationships. Of the 186 letters collected, 154 addressed SRH topics. …

  14. Exploring the opinions of parents and teachers about young people receiving puberty and sex education in rural Kenya: a qualitative study

    In Kenya, one of the most significant public health concerns is the spread of HIV. Additionally, 13,000 girls drop out of school every year due to pregnancy. Although the Kenyan Ministry of Education and other independent organisations have tried to implement various means of developing puberty and sexual health education for young people, the situation is not improving. Aims: To explore the opinions of teachers and parents in rural Kenya about delivering puberty and sex education and to identify their perceptions of barriers to young people accessing this education. …

  15. Maisha Bora: A peer education manual on reproductive health, STI, HIV and AIDS focussed on strengthening values, reforming attitudes, imparting knowledge and developing life skills

    This manual has various sections aimed at: Providing information about Reproductive Health, STI, HIV and AIDS, in a youth-friendly experiential way; Helping young people explore their values and understand themselves, their sexuality and reproductive health; Enabling peers to acquire skills and reform their attitudes in a way that will influence them to make healthier, safer life choices as well as encourage positive behaviour change; Providing information for youth > 15, sexually active youth and married youth about the correct and consistent use of condoms that are coupled with information a …

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