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UNESCO HIV and Health Education Clearinghouse

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  1. Trends of sexual and reproductive health behaviors among youth in the Philippines: further analysis of the 2008, 2013, and 2017 national demographic and health surveys

    This report examines the trends of sexual and reproductive health behavior over a 9-year period (2008-2017) in the Philippines. The analysis utilizes data from three nationally representative household surveys conducted by The Demographic and Health Surveys Program in 2008, 2013, and 2017. …

  2. Coming of age in the classroom: religious and cultural barriers to comprehensive sexuality education

    This paper elucidates evidence which underscores anxieties and panic about sexuality and sexual behaviour of young people influenced by movements advancing a distinct religious identity, and the implications for advocacy on advancing Sexual and Reproductive Health and Rights (SRHR). Synthesised in this document is evidence from two countries - Bangladesh and India - on Comprehensive Sexuality Education (CSE), an area of controversy (to varying degree) in both countries. Evidence from each country stem from national studies on the influence of religion on CSE, and are qualitative in nature. …

  3. 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.

  4. 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. …

  5. Gender inequality and HIV transmission: a global analysis

    Introduction: The HIV pandemic disproportionately impacts young women. Worldwide, young women aged 15–24 are infected with HIV at rates twice that of young men, and young women alone account for nearly a quarter of all new HIV infections. The incommensurate HIV incidence in young – often poor – women underscores how social and economic inequalities shape the HIV epidemic. Confluent social forces, including political and gender violence, poverty, racism, and sexism impede equal access to therapies and effective care, but most of all constrain the agency of women. …

  6. A review of generalist and specialist community health workers for delivering adolescent health services in sub-Saharan Africa

    The health of adolescents is increasingly seen as an important international priority because the world’s one point eight billion young people (aged 10 to 24 years) accounts for 15.5% of the global burden of disease and are disproportionately located in low- and middle-income countries (LMICs). Furthermore, an estimated 70% of premature adult deaths are attributable to unhealthy behaviors often initiated in adolescence (such as smoking, obesity, and physical inactivity). …

  7. If I buy the Kellogg’s then he should [buy] the milk: young women’s perspectives on relationship dynamics, gender power and HIV risk in Johannesburg, South Africa

    Ideals of masculinity and femininity may limit South African women's decision making power in relationships and increase their risk of HIV infection. The authors conducted 30 in-depth interviews with 18-24-year-old women in inner-city Johannesburg with the aim of understanding young women's expectations of intimate relationships with men, their perceptions of gender and power and how this influences HIV risk. …

  8. Marrying Too Young: End Child Marriage

    This report is a call to decision makers, parents, communities and to the world to end child marriage. It documents the current scope, prevalence and inequities associated with child marriage. This document argues that child marriage jeopardizes girls’ rights and stands in the way of girls living educated, healthy and productive lives. Furthemore, early marriage also excludes girls from fundamental decisions, such as the timing of marriage and choice of spouse. Not to mention that all of the effects of early marriage put girls more at risk of contracting HIV and other STIs. …

  9. Minding the gap in Alexandria: Talking to girls in schools about reproductive health

    Reproductive health (RH) is one of the cornerstones of an individual’s health and well-being, and an important component of a country’s human social development. Limited access to RH information among female adolescents can increase their vulnerability to health problems. Therefore, it is important to provide them with accurate and age-appropriate information. In the Middle East and North Africa, cultural norms dictate that girls should not be exposed to information about RH until they are married. …

  10. Adolescent Fertility in Low-and Middle-Income Countries: Effects and Solutions

    Adolescent fertility in low- and middle-income countries presents a severe impediment to development and can lead to school dropout, lost productivity, and the intergenerational transmission of poverty. However, there is debate about whether adolescent pregnancy is a problem in and of itself or merely symptomatic of deeper, ingrained disadvantage. To inform policy choices and create a revised research agenda for population and development, this paper aggregates recent quantitative evidence on the socioeconomic consequences of and methods to reduce of teenage pregnancy in the developing world. …

  11. Using participatory research and action to address the HIV-related vulnerabilities of adolescent girls in Tanzania

    Globally, girls and young women are more likely to be HIV positive than their male peers, due in large part to an array of gender inequalities that negatively impact their mental and physical well being. Protecting girls from this multi-dimensional risk requires first understanding how the girls experience vulnerability in their daily lives and developing solutions that are actionable within the community context. …

  12. Perceptions about sexual abstinence and knowledge of HIV/AIDS prevention among in-school adolescents in a western Nigerian city

    This descriptive, cross-sectional study conducted in Ibadan, South-West Nigeria, explored sexual abstinence practices of in-school adolescents, factors influencing or obstructing abstinence, and knowledge of HIV and AIDS. A multi-stage sampling technique was used to identify 420 respondents who completed a semi-structured questionnaire and participated in focus groups. Eight focus groups were held, with nine participants on average. Qualitative data were transcribed and manually summarized, while the quantitative data was analyzed using the Statistical Package for the Social Sciences. …

  13. Caregiving in the context of HIV/AIDS

    This discussion paper was developed by UNAIDS, UNIFEM and partners at the request of the United Nations Division for the Advancement of Women as a background document for the expert panel meeting on the equal sharing of responsibilities between women and men, including caregiving in the context of HIV and AIDS to be held in Geneva, Switzerland 6 - 9October 2008. …

  14. The short-term impacts of a schooling conditional cash transfer program on the sexual behaviour of young women

    Recent evidence suggests that conditional cash transfer programs for schooling are effective in raising school enrollment and attendance. However, there is also reason to believe that such programs can affect other outcomes, such as the sexual behavior of their young beneficiaries. Zomba Cash Transfer Program is a randomized, ongoing conditional cash transfer intervention targeting young women in Malawi that provides incentives (in the form of school fees and cash transfers) to current schoolgirls and recent dropouts to stay in or return to school. …

  15. AIDS 5 years since ICPD: emerging issues and challenges for women, young people and infants

    Since the International Conference on Population and Development (), the HIV/AIDS epidemic has worsened dramatically. Looking at what has transpired since the ICPD conference, this report discusses the particular vulnerability of women, children and young people to HIV and describes strategies that have been developed to meet their needs. It looks at work in-progress and future challenges. From lessons learned, it identifies successful approaches to HIV prevention.

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