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UNESCO HIV and Health Education Clearinghouse

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  1. From ideas to action: addressing barriers to comprehensive sexuality education in the classroom

    Evidence for the positive outcomes of comprehensive sexuality education (CSE) on adolescent sexual and reproductive health (ASRH) is well documented.

  2. Measuring the quality of sexuality education implementation at the school level in low- and middle-income countries

    Comprehensive sexuality education (CSE) is a key component of efforts to improve sexual and reproductive outcomes for young people. While many governments have established policies and curricula for CSE, there are no quantitative measures of the quality of their implementation in schools. This article describes the construction of a school-level index to measure CSE implementation quality using data from Peru, Guatemala, Kenya and Ghana for validation. …

  3. Towards comprehensive sexuality education: a comparative analysis of the policy environment surrounding school-based sexuality education in Ghana, Peru, Kenya and Guatemala

    The successful implementation of comprehensive sexuality education (CSE) programmes in schools depends on the development and implementation of strong policy in support of CSE. This paper offers a comparative analysis of the policy environment governing school-based CSE in four low- and middle-income countries at different stages of programme implementation: Ghana, Peru, Kenya and Guatemala. …

  4. Challenges to implementing national comprehensive sexuality education curricula in low- and middle-income countries: case studies of Ghana, Kenya, Peru and Guatemala

    School-based comprehensive sexuality education (CSE) can help adolescents achieve their full potential and realize their sexual and reproductive health and rights. This is particularly pressing in low- and middle-income countries (LMICs), where high rates of unintended pregnancy and STIs among adolescents can limit countries’ ability to capitalize on the demographic dividend. While many LMICs have developed CSE curricula, their full implementation is often hindered by challenges around program planning and roll-out at the national and local level. …

  5. 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. …

  6. 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. …

  7. 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. …

  8. 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.

  9. Guatemalan school food environment: impact on schoolchildren's risk of both undernutrition and overweight/obesity

    Guatemala suffers the double burden of malnutrition with high rates of stunting alongside increasing childhood overweight/obesity. This study examines the school food environment (SFE) at low-income Guatemalan elementary schools and discusses its potential impact on undernutrition and overweight/obesity. From July through October 2013, direct observations, in-depth interviews with school principals (n = 4) and food kiosk vendors (n = 4, 2 interviews each) and also focus groups (FGs) with children (n = 48, 8 FGs) were conducted. …

  10. Addressing early marriage and adolescent pregnancy as a barrier to gender parity and equality in education

    Despite progress in expanding access to education for girls globally, important barriers remain. Girls’ success in school – and after leaving school – is determined in part by characteristics of and factors in her household and community. Many policies and programs are based on an assumption that continued progress toward gender equality in education is hampered by early marriage and adolescent pregnancy. While education and age at marriage (and pregnancy) are positively correlated in many settings, evidence of a causal relationship is more limited. …

  11. E-discussion - Young people and HIV

    E-discussion questions included: 1.What do you see as the challenges for young people in accessing services such as HIV testing and how can we overcome this? 2.Given that CAFOD’s HIV prevention approach is to give ‘full and accurate information on all forms on the effectiveness and limitations of all means of reducing the risks of HIV infection’ – what challenges does this lead to when working with young people? What HIV prevention work have you or partners done with young people? 3.Where is the best place for young people to access information on HIV and AIDS? …

  12. Declaration of the consultation of the Americas 2012 Ministers of Education: "A new culture of health in the school context"

    This meeting brought together the Ministers of Education and other health and education experts from fifteen Latin American and Caribbean countries to exchange experiences and successful practices that address four priority areas: obesity, lack of physical activity, substance abuse, and sexual and reproductive health.

  13. Programs to address child marriage: Framing the problem

    Child marriage violates girls’ human rights and adversely affects their health and well-being. While age at marriage is increasing in most regions of the developing world, early marriage persists for large populations. Worldwide, it is estimated that more than one out of three women aged 20–24 were married before age 18, and one out of seven were married before age 15. There is great variation in child marriage practices across and within regions and between ethnic and religious groups. Eradicating child marriage has long been on the agenda of the United Nations and of individual countries. …

  14. U.S. Global Health Policy. The Women, Girls, and Gender Equality Principle of the U.S. Global Health Initiative (GHI): Assessment of the GHI Plus Country Strategies

    President Obama announced the U.S. Global Health Initiative (GHI) in May 2009 as a step in developing a comprehensive, global health government strategy. One of its seven central tenets relates to "women, girls and gender equality." Eight GHI Plus countries (those in which the US rolls out health programs selected for accelerated implementation of GHI). This report assesses how this GHI requirements for strategies and 10 Key Elements of Implementation were integrated into GHI Plus country strategies. …

  15. Guatemala country case study: child rights

    Guatemala has a legal basis for the protection of children and young people and ratified the United Nations Convention on the Rights of the Child in 1990, which was domesticated in 2003 with the passage of the Law on the Integral Protection of Children and Adolescence. This study asks what factors and conditions have generated positive results of Norwegian and Swedish assistance to promote child rights in Guatemala. The evaluation is concerned with specifying strategies and interventions that function well, as well as with identifying gaps and failures in existing policy and practice.

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