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UNESCO HIV and Health Education Clearinghouse

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  1. State of the art diagnosis on comprehensive sexuality education: final report

    This report presents the results of fieldwork that was conducted for the UNFPA-commissioned project State of the Art Diagnosis on Comprehensive Sexuality Education (CSE) in Suriname. The Right to Comprehensive Sexuality Education (CSE) is inherent in various human rights agreements and political declarations, which establish the right of young people to education and information about sexuality, sexual and reproductive health and HIV. …

  2. Menarche and its implications for educational policy in Peru

    Indigenous girls in rural areas live in the most extreme poverty and make up the least educated groups in Peru. These girls face numerous constraints to obtaining an education. Enrollment rates are lower for girls in rural areas, and their grade repetition rates are higher than those for boys. Adolescence is particularly difficult, as girls face a number of risks during this time. Once they begin menstruation, completing their primary school education is a formidable challenge, and opportunities for advancing to secondary school are limited. …

  3. Meeting the sexual and reproductive health needs of key populations in Latin America and the Caribbean

    In recent years, Latin America and the Caribbean have seen progress in stemming the impact of HIV. Increased access to treatment, rapid testing technologies, coordinated prevention and education efforts, and the virtual elimination of mother-to-child transmission have helped reduce the overall HIV prevalence rate. While encouraging, this figure masks serious, localized epidemics. While HIV prevalence is generally low, prevalence among key affected populations—such as men who have sex with men, transgender women, and sex workers—is particularly high. …

  4. Beyond barriers: Recommendations for adolescent sexual and reproductive health policies and programs in Belize, Guatemala, and Honduras

    Beyond Barriers explores the adolescent sexual and reproductive health context in three Central American countries: Belize, Guatemala, and Honduras. The publication provides case studies of our work in each country, synthesizes the latest research regarding the barriers to providing young people with sexual and reproductive health information and services, and makes recommendations for addressing the barriers. …

  5. Systematic review of the role of external contributors in school substance use education

    Purpose: A literature review was conducted to evaluate the effectiveness of external contributors (anyone other than a teacher at the school) in delivering school‐based drug, alcohol and tobacco education (substance use education) programmes. Design/methodology/approach: The review focused upon literature published from 1990 onwards in English. Published reports were identified via electronic searches, supplemented by hand searching of relevant journals. Relevant organisations and individuals were contacted to identify low circulation, difficult to acquire (grey) literature. …

  6. Evidence-based practice in school substance use prevention: fidelity of implementation under real-world conditions

    Fidelity of program implementation under real-world conditions is a critical issue in the dissemination of evidence-based school substance use prevention curricula. Program effects are diminished when programs are implemented with poor fidelity. The authors assessed five domains of fidelity—adherence, exposure (dosage), quality of delivery, participant responsiveness and program differentiation (lack of contamination from other programs)—in a subset of respondents (N = 342) from a national random sample of public schools with middle school grades (N = 1721). …

  7. Short-term effects of a rights-based sexuality education curriculum for high-school students: a cluster-randomized trial

    An emerging model for sexuality education is the rights-based approach, which unifies discussions of sexuality, gender norms, and sexual rights to promote the healthy sexual development of adolescents. A rigorous evaluation of a rights-based intervention for a broad population of adolescents in the U.S. has not previously been published. This paper evaluates the immediate effects of the Sexuality Education Initiative (SEI) on hypothesized psychosocial determinants of sexual behavior.

  8. Implementing evidence-based substance use prevention curricula with fidelity: the role of teacher training

    It is widely recognized that teacher training affects the fidelity with which evidence-based substance use prevention curricula are implemented. This article presents the results of a 2005 survey of teachers from a nationally representative sample of 1721 public middle schools in the US (78.1% response rate).It measured fidelity along two dimensions (adherence and dose) and also assessed the number of hours, recency, and perceived effectiveness of teachers’ training, as well as the degree to which adherence was emphasized during training. …

  9. Integrating gender and rights into sexuality education: field reports on using It's All One

    International policy agreements, along with emerging evidence about factors influencing programme effectiveness, have led to calls for a shift in sexuality education toward an approach that places gender norms and human rights at its heart. Little documentation exists, however, about the degree to which this shift is actually taking place on the ground or what it entails. Field experiences in using new curriculum tools, such as It's All One, offer one lens onto these questions. To gain a sense of practitioners' experience with this tool, a two-part exercise was conducted. …

  10. Health and family life education grade 1 [-9] curriculum guide

    Health and Family Life Education (HFLE) was introduced into the curriculum of Primary Schools in 1998. The programme in schools was guided by the Health and Family Life Education Scope and Sequence for Grades 1-6, published in June, 1998. The programme achieved important successes. However, it has been argued that, given the challenges that children face in their daily lives, a more definitive “life skills” focus is required to help students manage the situations they encounter. In fact, advocates argue that a “life skills” approach should be adopted in the teaching of HFLE. …

  11. What do young people think about their school-based sex and relationship education? A qualitative synthesis of young people’s views and experiences

    Objectives: Although sex and relationship education (SRE) represents a key strand in policies to safeguard young people and improve their sexual health, it currently lacks statutory status, government guidance is outdated and a third of UK schools has poor-quality SRE. We aimed to investigate whether current provision meets young people's needs. Design: Synthesis of qualitative studies of young people's views of their school-based SRE. Setting: Eligible studies originated from the UK, Ireland, the USA, Australia, New Zealand, Canada, Japan, Iran, Brazil and Sweden. …

  12. Smart school meals. Nutrition-sensitive national programmes in Latin America and the Caribbean: a review of 16 countries

    School meals programmes have an important role to play in the fight against hunger and malnutrition. When appropriately designed, they have the potential to improve the diets and nutrition knowledge and practices of millions of schoolchildren and their communities. This publications sheds light on country practices and experience that can serve to inform nutrition-sensitive school meals programmes in other countries. …

  13. The impact of teachers’ modifications of an evidenced-based HIV prevention intervention on program outcomes

    The degree to which evidence-based program outcomes are affected by modifications is a significant concern in the implementation of interventions. The ongoing national implementation of an evidence-based HIV prevention program targeting grade six students in The Bahamas [Focus on Youth in The Caribbean (FOYC)] offers an opportunity to explore factors associated with teachers’ modification of FOYC lessons and to examine the impact of types and degrees of modifications on student outcomes. Data were collected in 2012 from 155 teachers and 3646 students in 77 government elementary schools. …

  14. Attention to menstrual hygiene management in schools: An analysis of education policy documents in low- and middle-income countries

    Recent decades have seen a push for gender parity in education in low resource countries. Attention is shifting to how school environments hinder the achievement of gender equality. One effort, primarily led by the water, sanitation and hygiene sector, includes a focus on the needs of menstruating girls.

  15. WASH in schools empowers girls’ education: Proceedings of the 5th Annual Virtual Conference on Menstrual Hygiene Management in Schools

    Capturing girls’ voices: Channelling girls’ recommendations into global and national level action. Globally, there are around 600 million adolescent girls. Adolescence is a pivotal transitional period that requires special attention to ensure progress for all girls, especially the most vulnerable, and poses a unique opportunity to break intergenerational cycles of poverty and to transform gender roles. The onset of puberty and menstruation can pose an additional barrier to a girl’s personal freedom, and can signal entry into a different role in their family and wider society. …

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