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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. Education sector response to early and unintended pregnancy: a review of country experiences in sub-Saharan Africa

    In Sub-Saharan Africa (SSA), early and unintended pregnancy leads to a colossal loss of educational opportunities for girls: A high proportion of pregnancies among adolescent girls aged 15-19 years in the region are unintended, and nearly all adolescent girls who have ever been pregnant are out of school in most SSA countries. Existing studies that show associations between early/unintended pregnancy and school dropout lead to critical questions about how the education sector is responding to the issue in SSA. …

  3. A survey on re-entry of pregnant girls in primary and secondary schools in Uganda: survey briefing

    The main objective of the Survey on Re-Entry of Pregnant Girls in Primary and Secondary Schools in Uganda (2011) is to collect evidence and articulate policy options to address the re-integration of pregnant girls and child mothers in school in Uganda. …

  4. We want to learn about good love: findings from a qualitative study assessing the links between comprehensive sexuality education and violence against women and girls

    Comprehensive sexuality education (CSE) – including learning about relationships, gender and gender-based violence (GBV), sex, sexuality, and sexual and reproductive health and rights (SRHR) – can empower young people to make informed, autonomous decisions regarding their current and future relationships. CSE may also influence a positive shift in social norms which underpin violence against women and girls (VAWG), such as harmful notions of masculinity, and rigid gender roles and stereotypes – both in schools and the wider community. …

  5. Kigali Declaration: Moving from aspiration to action to prevent and eliminate child, early and forced marriage in the Commonwealth

    This document is the Commonwealth Charter adopted by National Human Rights Institutions and members of the Commonwealth Forum of National Human Rights Institutions (CFNHRI) attending a working session on the imperative to prevent and eliminate child, early and forced marriage, on 5-6 May 2015 in Kigali, Rwanda.

  6. Teenage, married and out of school. Effects of early marriage and childbirth on school dropout

    In this paper, we tackle the question of causality between early marriage and school dropout, using data from the Demographic and Health Surveys (DHS) from nine Southern and Eastern African countries. By comparing school participation patterns of girls who were married before or during the school year in question to those were never married, we are able to establish a sequence of events and therefore, a more solid foundation for treating marriage as a cause of school dropout. In short, the first research question for this paper is as follows: Research Question 1. …

  7. Study on menstrual management in Uganda

    This pilot research study on the impact of menstrual hygiene on girls in school is primarily aimed at the Ministry of Education and Sports and the National Sanitation Working Group. Within the context of Uganda, the results of this study will be used to provide evidence-based advocacy on the role of upper primary girls, from the ages of 13-18, whom have started menstruating, with a specific emphasis placed on the issues and challenges that they face at school. …

  8. Adolescent sexual and reproductive health programs in humanitarian settings: an in-depth look at family planning services

    This report summarizes findings and recommendations of a year-long exercise undertaken by the Women’s Refugee Commission and Save the Children - in partnership with the United Nations High Commissioner for Refugees (UNHCR) and the United Nations Population Fund (UNFPA) to map existing adolescent sexual and reproductive health programs and document good practices. The work was accomplished through a practitioner survey and humanitarian funding analyses; key informant interviews; and collection of good practice case studies.

  9. Women's empowerment and choice of contraceptive methods in selected African countries

    Few studies have examined the different dimensions of women's empowerment and contraceptive use in African countries. Data for this study came from the latest round of Demographic and Health Surveys conducted between 2006 and 2008 in Namibia, Zambia, Ghana and Uganda. Responses from married or cohabiting women ages 15–49 were analyzed for six dimensions of empowerment and the current use of female-only methods or couple methods. Bivariate and multivariate multinomial regressions were used to identify associations between the empowerment dimensions and method use. …

  10. They arrested me for loving a schoolgirl: ethnography, HIV, and a feminist assessment of the age of consent law as a gender-based structural intervention in Uganda

    In 1990 women's rights activists in Uganda successfully lobbied to amend the Defilement Law, raising the age of sexual consent for adolescent females from fourteen to eighteen years old and increasing the maximum sentence to death by hanging. The amendment can be considered a macro-level intervention designed to address the social and health inequalities affecting young women and girls, particularly their disproportionately high rate of HIV as compared to their male counterparts. …

  11. Individual and community-level tolerance of spouse abuse and the association with the circumstances of first sex among youth from six sub-Saharan African countries

    Youth who engage in early and premarital sex are at risk of HIV and sexually transmitted infections. Most prevention programs ignore the mediating influence of the threat and experience of violence on these outcomes. Using nationally representative data from Lesotho, Malawi, Zimbabwe, Kenya, Tanzania, and Uganda, the autors used multivariate analyses to examine the association between individual- and community-level tolerance of spouse abuse on the age and circumstances of sexual debut among female youth. The youth sample sizes ranged from a high of 5007 in Malawi to a low of 3050 in Lesotho. …

  12. Self-reported sexual behaviour among adolescent girls in Uganda: reliability of data debated

    The objective of this study was to compare self-reported information about sexual behavior in a research interview to information retrieved during a clinical consultation. Social workers interviewed 595 sexually experienced women below 20 years about genital symptoms and sexual behavior. A midwife interviewed and examined the women and took vaginal samples for gonorrhea and chlamydia. Four questions were embedded in both the social workers' interviews and among the midwife's questions. …

  13. From talk to action: review of women, girls, and gender equality in NSPs in Southern and Eastern Africa

    From Talk to Action: Review of Women, Girls, and Gender Equality in National Strategic Plans on HIV and AIDS in Southern and Eastern Africa identifies: Evidence-informed priorities for addressing women, girls, and gender equality through National Strategic Plans on HIV and AIDS; Existing policy and programmatic gaps within National Strategic Plans on HIV and AIDS; Sample interventions and strategies for addressing women, girls, and gender equality within National Strategic Plans on HIV and AIDS. …

  14. Moving Beyond Gender as Usual

    Gender inequalities drive the HIV epidemic, increase the burdens of the disease on women and girls, and hinder the effectiveness of the fight against HIV and AIDS. In this analysis, CGD's HIV/AIDS Monitor argues that despite well-meaning global strategies and policies, the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), the Global Fund to Fight AIDS, Tuberculosis and Malaria, and the World Bank's Africa Multi-Country AIDS Program have not yet been able to turn them into systematic programming that addresses the needs of women and girls. …

  15. Gender equality, HIV, and AIDS: a challenge for the education sector

    The book shows that while gender inequalities in society generally, and particularly within the education sector, are driving aspects of the HIV epidemic, educational settings can be empowering and bring about change. It examines different expectations of what HIV education programmes and education settings can do to transform unequal gender relations and protect young people against HIV and AIDS and contribute to care for those affected and infected. …

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