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Adolescent and youth reproductive health (AYRH) outcomes are influenced by factors beyond individual control. Increasingly, interventions are seeking to influence community-level normative change to support healthy AYRH behaviors. While evidence is growing of the effectiveness of AYRH interventions that include normative change components, understanding on how to achieve scale-up and wider impact of these programs remains limited. …
The study reviews the laws, policies and related frameworks in 23 countries in East and Southern Africa (ESA) that create either impediments to, or an enabling environment for, adolescent sexual and reproductive health and rights. The assessment resulted in the development of a harmonized regional legal framework, which translates international and regional legal provisions into useful strategies. It gives recommendations based on applicable core legal values and principles gleaned from a range of conventions, charters, political commitments, guidelines and declarations. …
This policy brief is Part 2 of a three-part series entitled “Status of Sexual and Reproductive Health and Rights in Zambia,” reporting on progress, gaps, and existing challenges in SRH&R related to achieving Sustainable Development Goals (SDGs).
This paper provides evidence of the potential beneficial effects of CSE on attitudes, knowledge, and behaviors regarding sexual and reproductive health among adolescents. In addition, it identifies areas that should be strengthened to increase the positive impact of CSE.
UNESCO in partnership with Ministry of Education and with financial support from the Government of the Republic of Azerbaijan, community and Civil society organizations implemented a two year Health Literacy and Behaviour Change practices among Adolescent Girls pilot project from September 2014-September 2017 in 41 schools. Health literacy materials were evaluated and approved by Kenya Institute of Curriculum Development (K.I.C.D.) for use in other informal settlements. This teachers' guide explains how other materials approved by K.I.C.D. can be used in the classroom.
UNFPA’s flagship programme, Safeguard Young People (SYP), uses innovative approaches to achieve better sexual and reproductive health outcomes for adolescents and young people at national scale, making it the first of its kind in Southern Africa. Three years since it was launched, the evidence shows that the programme has changed the lives of many young people. …
While considerable progress has been made in the development of policies, legislations and outcome, significant gaps in ensuring universal access to reproductive health and rights still remain. The inconsistency in the Children's Act which stipulates the marriage age at 18 and the Criminal Code which also specifies the legal age of consent regarding sex at age 16 may be a reflection of the increasing numbers of early pregnancies, infant and child mortalities, and high prevalence of HIV among girls and women among others. …
Background: To successfully develop and implement school-based sexual health interventions for adolescent girls, such as screening for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis, it is important to understand parents’ and teachers’ attitudes towards sexual health education and acceptability of sexually transmitted infection (STI) screening interventions. Methods: In this qualitative study, we approached parents and teachers from three high schools to participate in in-depth interviews (IDIs) and focus-group discussions (FGDs). …
This research brief describes two evidence-generation efforts undertaken by the Evidence to Action Project (E2A), of which IntraHealth is a partner, and Kenyatta University, along with support from Pathfinder International, Kenya, from 2015-2016. The first evidence-generation effort involved an assessment of select KU service delivery statistics, and the second was a qualitative research study on the sexual and reproductive health (SRH) needs, attitudes, preferences, and behaviors of KU students. …
This report presents the findings of an evidence gap map that assesses the evidence available on the effects of adolescent sexual and reproductive health (ASRH) programming in low- and middle-income countries. It documents the methods used to create the map and examines evidence clusters and gaps identified in it. While there is considerable amount of impact evaluation evidence, it addresses only some of the priority questions within this broad topic. The greatest prevalence of evidence is on sexual health education and other instruction within and outside of the classroom. …
This handbook gives a detailed insight into the initiative in Ohangwena, which provides an example which can be expanded and improved upon in Namibia, and in the other 22 ESA countries.
West and Central Africa (WCA) is the region of the world with the largest percentage of young people and the highest gender disparity in education.
This call for action was formulated by the Ministers of Education, Health, Gender, and Youth and senior government officials, gathered in Durban, South Africa, on 18 July 2016 for the Eastern and Southern Africa (ESA) Ministerial Commitment Progress Meeting in order to commit themselves to step up efforts to ensure adolescents’ and young people’s access to good quality CSE and youth-friendly SRH services in the ESA region, and to work in partnership with young people, parents, civil society, and community and religious leaders to achieve the goals set out in the 2013 ESA Commitment.
This guide forms part of a toolkit on 'Engaging Communities in Comprehensive Sexuality Education'. It lists common communication barriers which prevent service providers from providing sexual and reproductive health services to young people as well as suggestions to help service providers overcome those barriers and support young people effectively.
Youth centers, peer education, and one-off public meetings have generally been ineffective in facilitating young people's access to sexual and reproductive health (SRH) services, changing their behaviors, or influencing social norms around adolescent SRH. Approaches that have been found to be effective when well implemented, such as comprehensive sexuality education and youth-friendly services, have tended to flounder as they have considerable implementation requirements that are seldom met. …
