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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. Global school feeding sourcebook: lessons from fourteen countries

    This sourcebook documents and analyzes a range of government-led school meals programs to provide decision-makers and practitioners worldwide with the knowledge, evidence and good practice they need to strengthen their national school feeding efforts. The sourcebook includes a compilation of concise and comprehensive country case-studies. It highlights the trade-offs associated with alternative school feeding models and analyzes the overarching themes, trends and challenges which run across them.

  3. Confronting the reality: drug policy, young people who use drugs and a need for evidence-based interventions in Nigeria

    Nigeria, situated in West Africa with a population of about 178 million people, is the most populous African Nation. Over 60 per cent of this population are young people, hence the country can be described as youthful which is a crucial resource for growth and development. Like many West African countries, the country has a long history in being a trafficking route for illicit drugs from the major producing countries such as Latin America and Asia to the thriving European and North American market. …

  4. Can sexuality education advance gender equality and strengthen education overall? Learning from Nigeria’s family life and HIV education program

    The imperative to prepare the largest generation of young people in history for adulthood has driven a search for fresh approaches to educating adolescents about their bodies and sexuality. Recently, there have been calls among health experts and educators for a comprehensive, integrated approach to sexuality education that addresses not only health issues such as HIV and pregnancy, but also helps to achieve broader outcomes such as ensuring gender equality, increasing access to education for girls, and improving the quality of education overall. …

  5. HIV and sexual and reproductive health programming: innovative approaches to integrated service delivery

    This compendium has profiled and analysed 11 case studies on integrated service delivery in the context of EMTCT from 9 countries in sub-Saharan Africa. All of the examples demonstrate a general trend towards the implementation of integrated service delivery models supported by policy frameworks adopted in country and by service organizations at the facility level. These promising practices are by no means exhaustive or geographically representative. They do, however, contain valuable and practical vignettes of integrated service delivery in countries with generalized HIV epidemics. …

  6. The effectiveness of HIV/AIDS school-based sexual health education programmes in Nigeria: a systematic review

    HIV/AIDS is one of the most important public health challenges facing Nigeria today. Recent evidence has revealed that the adolescent population make up a large proportion of the 3.7% reported prevalence rate among Nigerians aged 15–49 years. School-based sexual health education has therefore become an important tool towards fighting this problem. This systematic review assesses the efficacy of these educational programmes and examines how future programmes and their evaluations can improve. …

  7. Preparing teachers to deliver gender-focused sexuality/HIV education: a case study from Nigeria

    Evidence shows that a focus on gender and power in sexuality/HIV education increases the likelihood of achieving positive sexual health outcomes, and international agencies have called for a shift to a gender-focused approach. However, questions remain about the implementation of such programmes, including how best to prepare teachers to deliver such curricula. In the development of the national school-based HIV prevention curriculum in Nigeria, several state governments partnered with feminist (or like-minded) non-governmental organisations to collaborate on teacher training. …

  8. Scaling up comprehensive sexuality education in Nigeria: from national policy to nationwide application

    Nigeria is one of few countries that reports having translated national policies on school-based comprehensive sexuality education (CSE) into near-nationwide implementation. We analysed data using the World Health Organization-ExpandNet framework, which provides a systematic structure for planning and managing the scaling up of health innovations. We examined how Nigeria's nationwide programme was designed and executed. Since 2002, Nigeria has developed a well thought through strategy to scale up CSE. …

  9. Sexual and reproductive health and rights for the next decades: What's been achieved? What lies ahead?

    This Global Public Health Special Issue ‘SRHR for the next decades: What's been achieved? What lies ahead?’ assesses progress 20 years after the 1994 International Conference on Population and Development (ICPD), which established the sexual and reproductive health and rights framework for population and health policy (United Nations [UN], 1995). …

  10. Connecting the private and the public: pregnancy, exclusion, and the expansion of schooling in Africa

    In a number of countries in Africa, young women who become pregnant are excluded from school. This article presents a critique of policy and practice in this area drawing partly on Diana Leonard's scholarship concerning the relational dynamic of gender, generation, social division, and household forms. Much of the policy prescription of large global organisations concerned with the expansion of secondary schooling in Africa does not sufficiently take account of the connection between the gender dynamics of the private and that of the public outlined in Leonard's work. …

  11. Unintended pregnancy and termination of studies among students in Anambra state, Nigeria: are secondary schools playing their part?

    This study evaluated efforts of secondary schools to prevent unintended pregnancy among students and their reactions to pregnant students before and after delivery. A cross-sectional survey of 46 teachers in three public and two private schools in Anambra state, Nigeria was carried out. Information was collected using self-administered questionnaire. Of all the teachers in the study, 87% reported unintended pregnancies among students in the previous 3 years. Expulsion (43%) and suspension (28%) were the most common reactions. …

  12. HIV/AIDS vulnerabilities, discrimination, and service accessibility among Africa’s youth: Insights from a multi-country study

    Africa’s young people aged 15–24 are disproportionately affected by HIV and AIDS. The impact of the epidemic on young people calls for close attention to the youth dimensions of the epidemic. To inform the development of more effective policies for targeting youth and meeting their needs, the Population Council and partners conducted a study of HIV risk-taking and health-seeking behaviors among young people in Egypt, Kenya, Nigeria, Senegal, South Africa, and Uganda. …

  13. Nigeria Demographic and Health Survey 2013

    This report summarises the findings of the 2013 Nigeria Demographic and Health Survey (NDHS), implemented by the National Population Commission (NPC). The 2013 NDHS is a national sample survey that provides up-to-date information on background characteristics of the respondents. …

  14. Comprehensive sexuality education: the challenges and opportunities of scaling-up

    This publication is part of an ongoing programme of work initiated by UNESCO in 2008 to provide technical guidance and implementation support for sexuality education programmes, as a platform for HIV prevention, treatment and care. It emphasizes the challenges and opportunities for scaling up comprehensive sexuality education in school settings. Building on indepth interviews with key informants involved in past and ongoing work on sexuality education, this publication provides conceptual and practical guidance on definitions and strategies for scaling-up. …

  15. Using Drama for School-Based Adolescent Sexuality Education in Zaria, Nigeria

    This paper describes the use of drama and participatory methods in a girls-only secondary school in Zaria, Nigeria, as a means of sexuality education, carried out by the Nigerian Popular Theatre Alliance and the Second Chance Organization of Nigeria. The issues addressed had to come from the students, to allow them to develop critical thinking and learn useful lessons. The topics that concerned the group of 15 girls who participated from the school included abortion, premarital sex and pregnancy, teacher–student relationships and lesbianism. …

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