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UNESCO HIV and Health Education Clearinghouse

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  1. The precocious period: the impact of early menarche on schooling in India

    Improvements in childhood nutrition increase schooling and economic returns in later life in a virtuous cycle. However, better nutrition also leads to an earlier onset of menstruation (menarche). In socio-cultural contexts where menarche adversely affects educational attainments, early menarche can thus break the virtuous cycle of girls’ human development. This paper focuses on one such context, India, and uses the Young Lives Longitudinal Study to show that starting menses before age twelve causes a 13% decrease in school enrollment rate. …

  2. Adaptation in practice: lessons from teenage pregnancy programmes in Sierra Leone

    This brief discusses initial learning emerging from the Adaptive approaches to reducing teenage pregnancy in Sierra Leone action research project. The project is accompanying three international NGOs - Concern, International Rescue Committee (IRC), and Save the Children - as they trial adaptive approaches to addressing teenage pregnancy in Sierra Leone. Key messages: 1) Partners under this action research project are trialling alternative approaches to preventing teenage pregnancy, focusing on social norms change. …

  3. The effects of adolescent childbearing on literacy and numeracy in Bangladesh, Malawi, and Zambia

    Global investments in girls’ education have been motivated, in part, by an expectation that more-educated women will have smaller and healthier families. However, in many low- and middle-income countries, the timing of school dropout and first birth coincide, resulting in a rapid transition from the role of student to the role of mother for adolescent girls. Despite growing interest in the effects of pregnancy on levels of school dropout, researchers have largely overlooked the potential effect of adolescent childbearing on literacy and numeracy. …

  4. We've got the power: women, adolescent girls and the HIV response

    This publication marks the 25th anniversary of the Beijing Declaration and Platform for Action, the most comprehensive and progressive global policy road map for fulfilling the human rights of women and girls and achieving gender equality. Progress has been made in key areas, the report shows, however, that many of the promises made to improve the lives of women and girls around the world have not been kept. It points out how the HIV epidemic holds a mirror up to these inequalities and injustices, and how the gaps in rights and services for women and girls are exacerbating the epidemic. …

  5. 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. …

  6. Girls' empowerment through Education and Health (ASPIRE) Activity: final report, December 17, 2014-December 16, 2018

    USAID/Malawi launched the Girls’ Empowerment through Education and Health (ASPIRE) Activity in December 2014, beginning a bold cross-sector investment to improve the achievement of girls in upper primary and secondary school in Malawi. USAID’s investment in ASPIRE recognized that for girls’ to achieve academic success, they must enter and stay in school, be learning and safe while in school, and be healthy and supported by their community at all times. Output 1: Reading skills for girls in upper primary school improved. …

  7. Zero discrimination against women and girls: fact sheet

    On Zero Discrimination Day and as part of the global movement for equality for women and girls, UNAIDS is highlighting seven areas where discrimination against women and girls persists, raising awareness and calling for change: 1) Equal participation in political life; 2) Human rights and laws that empower; 3) Economic justice - equal pay for equal work; 4) End gender-based violence; 5) Access to health care without stigma or barriers, including bodily autonomy and sexual and reproductive health and rights; 6) Equal and free access to primary and secondary education; 7) Climate justice.

  8. Violence against adolescent girls: trends and lessons for East Africa

    This report seeks to explore the unique experience of adolescent girls by examining the types of gender-based violence affecting this group as well as drivers of this violence, within the frame of high levels of gender inequality in South Sudan. Data for this study was collected as part of the research program of the What Works to Prevent Violence Against Women and Girls (‘What Works’) Consortium funded by the government of the United Kingdom (UK)’s Department for International Development (DfID). …

  9. Violence against adolescent girls: trends and lessons for East Africa; policy brief

    This brief highlights research that examines the unique experience of adolescent girls by specifically exploring the types of gender-based violence and the drivers of this violence affecting this group within the context of South Sudan, where women and girls experience high levels of gender inequality and subordination. Key findings from this mixed-methods research can inform policymakers, UN agencies and donors as they identify and support programs that will effectively prevent and respond to violence against adolescent girls in conflict and humanitarian settings.

  10. Curriculum on adolescent-friendly health services and health voucher mechanisms: facilitator's training manual

    The Adolescent Girls Empowerment Program (AGEP) in rural and urban Zambia aims to build social, health, and economic assets of adolescent girls. A safe spaces component is at the core of AGEP. Girls groups, under the guidance of a female mentor from the same community, provide a safe and supportive learning environment. The meetings are critical in building social assets for vulnerable girls - including friendships, self-esteem, trusting relationships with adults, and social support. …

  11. Let's talk early and unintended pregnancy!

    This booklet is aimed at helping adolescents better understand important issues in their life related to early and unintended pregnancy (EUP) – including puberty, contraception, sexually transmitted infections (STIs), and relationships. The booklet starts by exploring the journey from childhood to adulthood. In this section, the changes that happen in males and females during puberty are described. Next, pregnancy in general is explained. Following this, EUP specifically is detailed, including causes, consequences, and prevention. …

  12. 25 years after Cairo: accelerating Africa's promise; fast-tracking progress in achieving good sexual reproductive health and rights outcomes and achievement of Sustainable Development Goals

    This issue of the African Development Perspectives addresses sexual and reproductive health and rights (SRHR) in Africa, with the backdrop of the International Conference on Population and Development (ICPD) Programme of Action (PoA), signed by 179 governments twenty-five years ago, in 1994, in Cairo, Egypt, and the Nairobi Summit in November 2019, where delegates will converge to reaffirm the commitments to accelerate the promises made at the 1994 Conference. …

  13. Adolescent Girls Empowerment Program (AGEP): sexual and gender-based violence; brief, March 2018

    Acceptability and experience of sexual and gender-based violence is alarmingly high among adolescent girls in Zambia. Even more striking is the very young age from which notions of violence are ingrained and experience with violence begins. This brief summarizes the Adolescent Girls Empowerment Program (AGEP) evaluation which demonstrated that in the Zambian context, a program focused on changing norms among girls themselves is not enough to impact attitudes toward and experience of violence. …

  14. Nutrition education curriculum for the Adolescent Girls Empowerment Program (AGEP)

    The Adolescent Girls Empowerment Program (AGEP) in rural and urban Zambia aims to build social, health, and economic assets of adolescent girls. A safe spaces component is at the core of AGEP. Girls groups, under the guidance of a female mentor from the same community, provide a safe and supportive learning environment. The meetings are critical in building social assets for vulnerable girls - including friendships, self-esteem, trusting relationships with adults, and social support. …

  15. 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. …

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