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UNESCO HIV and Health Education Clearinghouse

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  1. De-stigmatizing teenage motherhood: towards achievement of universal basic education in Kenya

    Teenage motherhood is a situation in which a girl in teenage years, that is, 13-19 years is a mother or has a child. Globally, a third of teenage mothers live in India whereas the least affected country by teenage motherhood in the world is Japan. In Africa, it is estimated that approximately 5.5 million girls between 15-19 years are mothers .Of these 62% live in Sub Saharan Africa. In Kenya, 13,000 girls leave school every year due to teenage pregnancy. …

  2. Coping with unintended pregnancies: Narratives from adolescents in Nairobi’s slums

    The health and other risks associated with early pregnancy and sexual activity raise urgent need for appropriate interventions and programs to address adolescent reproductive behaviors. It is important to understand the circumstances surrounding, and factors associated with unintended pregnancies among young people, the challenges that limit their ability to protect their sexual and reproductive health, and how they deal with the outcomes of unintended pregnancy. …

  3. I want to study with all my heart: Unpacking reasons for girls' school drop-out in West Nile, Uganda

    From 2013 to 2014 ICRW and the Forum for African Women Educationalists Uganda (FAWEU) partnered to answer several questions about girls’ education in two districts in the West Nile sub-region of Northwestern Uganda: What percentage of adolescent girls (14-18) have dropped out of school? How much of girls’ drop-out could be explained by pregnancy? To what extent are gendered social norms and the effects of conflict influencing pregnancy and drop-out? …

  4. Teenage pregnancy in South Africa: With a specific focus on school-going learners

    The purpose of the study was to document, review and critically analyse literature on teenage pregnancy with a focus on school-going adolescents. The specific objectives were as follows: To review existing literature and conduct statistical analyses to establish the prevalence and determinants of teenage pregnancy; To assess the individual, familial and educative impact of teenage pregnancy; To identify and assess the impact of interventions for teenage pregnancy; and To propose a conceptual framework for research and interventions to prevent and mitigate the impact of teen pregnancy. …

  5. Unintended pregnancy and abortion in Uganda

    Unintended pregnancy is common in Uganda, leading to high levels of unplanned births, unsafe abortions, and maternal injury and death. Because most pregnancies that end in abortion are unwanted, nearly all ill health and mortality resulting from unsafe abortion is preventable. This report summarizes evidence on the context and consequences of unintended pregnancy and unsafe abortion in Uganda, points out gaps in knowledge, and highlights steps that can be taken to reduce levels of unintended pregnancy and unsafe abortion, and, in turn, the high level of maternal mortality.

  6. Books and babies. Pregnancy and young parents in schools

    Being pregnant and a young parent in South African schools is not easy. Books and Babies examines why this is the case. Drawing on both quantitative and qualitative research conducted in secondary schools in Durban and Cape Town, the book explores how teachers and principals respond to the presence of pregnant learners and young parents in school, and surveys the attitudes of fellow learners towards them. …

  7. 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. …

  8. Education, HIV, and early fertility: experimental evidence from Kenya

    We provide experimental evidence on the relationships between education, HIV/AIDS education, risky behavior and early fertility in Kenya. We exploit randomly assigned variation in the cost of schooling and in exposure to the national HIV/AIDS prevention curriculum for a cohort of over 19,000 adolescents in Western Kenya, originally aged 13.5 on average. We collected data on the schooling, marriage, and fertility out-comes of these students over 7 years, and tested them for HIV and Herpes (HSV2) after 7 years. …

  9. A review of teenage pregnancy in South Africa – experiences of schooling, and knowledge and access to sexual and reproductive health services

    Approximately 30% of teenagers in South Africa report ‘ever having been pregnant’, the majority, unplanned. While this number has decreased over the past few decades, it is still unacceptably high. The figure is for all teenagers. (13-19 years old), but motherhood for an 18 or 19 year old has very different implications than for a young teenager, one aged 15, for example. Therefore this report tries, where possible, to be mindful of differing experiences of pregnancy and motherhood across the teen years. …

  10. Human capital consequences of teenage childbearing in South Africa

    Women in South Africa have had fewer children on average since the 1970s, but the rate of teenage childbearing in South Africa has remained the same. Large numbers of young mothers are a cause for social concern in South Africa and other countries because of the adverse impact of teenage childbearing on the education and health of teen mothers and their children. …

  11. Protecting the next generation in sub-saharan Africa: learning from adolescents to prevent HIV and unintended pregnancy

    This report presents key findings from nationally representative surveys conducted in 2004 among 12-19-year-olds in four African countries-Burkina Faso, Ghana, Malawi and Uganda-with the goal of guiding programs, policies and investments aimed at improving adolescent sexual and reproductive health. It is based on research conducted as part of a multiyear project, called Protecting the Next Generation: Understanding HIV Risk Among Youth. …

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