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UNESCO HIV and Health Education Clearinghouse

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  1. Abortion and unintended pregnancy in six Indian states: findings and implications for policies and programs

    This report summarizes 2015 state-level findings from a large-scale study of six Indian states titled Unintended Pregnancy and Abortion in India (UPAI). Focusing on Assam, Bihar, Gujarat, Madhya Pradesh, Uttar Pradesh and Tamil Nadu, the report estimates the incidence of abortions occurring in facility and nonfacility settings. …

  2. Zambia’s school re-entry policy for adolescent mothers: examining impacts beyond re-enrollment

    The persistently high rate of adolescent pregnancy, particularly among poor girls and in rural areas, is one of the reasons that universal secondary school completion remains elusive in Zambia. We used a mixed methods approach to explore how Zambia’s re-entry policy is related to young mothers’ outcomes beyond re-enrollment in school. We found that girls with knowledge of the policy were less likely to be forced out of school while pregnant and perceived less stigma after delivery. …

  3. "It's not normal": sexual exploitation, harassment and abuse in secondary schools in Senegal

    “It’s not normal” documents how female students are exposed to sexual exploitation, harassment, and abuse in middle and upper secondary schools. Based on interviews and focus group discussions with more than 160 girls and young women, the report documents cases of teachers who abuse their position of authority by sexually harassing girls and engage in sexual relations with them, promising students money, good grades, food, or items such as mobile phones and new clothes. …

  4. 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. …

  5. Women and HIV in the twenty-first century: how can we reach the UN 2030 goal?

    Women have always been part of the HIV/AIDS epidemic. As with other populations affected by HIV, for many years the only prevention strategy available was behavior change. Behavioral interventions for women were developed and evaluated, with some success. Because women did not control the use of male condoms, efficacious interventions needed to build skills for partner negotiation. …

  6. Integrating sexual and reproductive health in WASH

    For girls and women globally, access to safe water, sanitation, and hygiene (WASH) is critical for their sexual and reproductive health and for gender equality. Girls’ inability to manage their menstrual health, compromises their ability to complete their educations and navigate other aspects of their lives. Lack of access to clean water can have significant impacts on women’s and girls’ health, including their reproductive health, and contributes to maternal mortality and morbidity. …

  7. Survive, thrive, transform: global strategy for women’s, children’s and adolescents’ health (2016–2030). 2018 monitoring report: current status and strategic priorities

    The report sets out the status of women’s, children’s and adolescents’ health, and on health systems and social and environmental determinants. Regional dashboards on 16 key indicators highlight where progress is being made or lagging. There is progress overall, but not at the level required to achieve the 2030 goals. There are some areas where progress has stalled or is reversing, namely neonatal mortality, gender inequalities and health in humanitarian settings. …

  8. Break the barriers: girls' experiences of menstruation in the UK

    The UK is one of the richest countries in the world. But our latest report, Break the Barriers: Girls’ Experiences of Menstruation in the UK, reveals a culture of stigma and silence have turned periods into a hidden public health issue – putting girls' physical, sexual and mental health at risk. Across the UK and around the world, girls’ stories show that periods have been stigmatised for too long. …

  9. Growing up and changing : knowing about puberty for girls

    UNESCO in partnership with Ministry of Education and with financial support from the Government of the Republic of Azerbaijan, community and Civil society organizations implemented a two year Health Literacy and Behaviour Change practices among Adolescent Girls pilot project from September 2014-September 2017 in 41 schools. Health literacy materials were evaluated and approved by Kenya Institute of Curriculum Development for use in other informal settlements. This is a one sheet brochure for an intended audience of girls approaching puberty.

  10. Consolidated guideline on sexual and reproductive health and rights of women living with HIV

    The starting point for this guideline is the point at which a woman has learnt that she is living with HIV, and it therefore covers key issues for providing comprehensive sexual and reproductive health and rights-related services and support for women living with HIV. …

  11. Gender-transformative HIV programming: Identifying and meeting the needs of women and girls in all their diversity

    Evidence shows that HIV flourishes in conditions of inequality and lack of accountability. In many countries, HIV prevalence continues to rise among women, especially adolescent girls, young women and women from key populations. The relationship between gender and HIV is two-fold: while gender affects susceptibility to HIV and the impact of HIV, HIV also influences gender inequality and human rights more generally. …

  12. Early marriage and sexual and reproductive health vulnerabilities of young women: a synthesis of recent evidence from developing countries

    Purpose of review: To review current evidence on the links between early marriage and health-related outcomes for young women and their children. Recent findings: Every third young woman in the developing countries excluding China continues to marry as a child, that is before age 18. Recent studies reiterate the adverse health consequences of early marriage among young women and their children even after a host of confounding factors are controlled. …

  13. Interventions for preventing unintended, rapid repeat pregnancy among adolescents: A review of the evidence and lessons from high-quality evaluations

    In 2017, of the 22.5 million parenting adolescents (ages 15–19) in 60 countries, approximately 4.1 million gave birth to a second or higher-order child. Adolescent pregnancy in general, and rapid repeat pregnancies specifically, expose young mothers and their children to multiple health and socioeconomic risks. The purpose of this article is to review the impact of interventions designed to prevent unintended, rapid repeat pregnancies among adolescents, including those aimed at changing norms to postpone "intended" closely spaced pregnancies to promote healthy spacing.

  14. Reproductive Health Survey Russia 2011: executive summary

    Specific objectives of the RURHS11 were: to assess current levels and trends in fertility, abortion, contraception, and various other reproductive health indicators; to enable policy makers, program managers, and researchers to evaluate existing reproductive health programs and develop new strategies; to study factors that affect fertility, contraceptive use, and maternal and infant health, such as geographic and sociodemographic factors, breastfeeding patterns, use of induced abortion, and availability of family planning services; to identify characteristics of women at increased risk of uni …

  15. A sexual and reproductive health peer education programme for girls in grades 7 to 9. Mentor’s manual

    This sexual and reproductive health (SRH) peer education programme was developed as part of the Department of Basic Education’s (DBE) Leveraging Partnerships to Achieve the Goals of South Africa’s HIV & AIDS and STI National Strategic Plan 2012–16, otherwise known as Keeping Girls in School. The aim of this component of the programme is to shift social norms and change sexual behaviour by reinforcing and supporting the SRH messages received via the curriculum in order to increase retention and reduce the risk of HIV infection and teenage pregnancy.

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