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UNESCO HIV and Health Education Clearinghouse

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  1. CSE scale-up in practice. Case studies from Eastern and Southern Africa

    The report documents the process of scaling up comprehensive sexuality education and the status of sexuality education in East and Southern Africa.

  2. Mainstreaming youth-friendly sexual and reproductive health services in the public sector in Mozambique and Tanzania

    Young people have the right to live healthy sexual and reproductive lives. Yet, adolescents and youth (those between the ages of 10 and 24) often face social, cultural, economic, and structural barriers to accessing sexual and reproductive health information and services at a time when they need these services the most, making them vulnerable to poor health outcomes. Emerging global guidance suggests that, to reach youth in a sustainable and scalable way, youth-friendly services must be mainstreamed in the community and health systems. …

  3. Experimental evaluation of school-based HIV programs in sub-Saharan Africa

    School-based adolescent health education programs represent a durable strategy in reducing the spread of HIV because they can leverage pre-existing social and organizational structures to reach large fractions of students at critical life stages. Many evaluations of school-based HIV programs draw on multilevel study designs that assign schools to treatment conditions or assign students to treatment conditions within blocks defined by school membership. …

  4. To flush or not to flush: Monitoring and evaluating the primary school sanitary facilities against Ministries' benchmark standards in Southern and Eastern African countries

    Sustainable access to basic sanitation in school is well featured in the Education for All (EFA) goals and Millennium Development Goal (MDG). The United Nations General Assembly of 2010 declared access to sanitation as a human right (United Nations, 2010) in association with the MDG #7, with a particular target to “halve the proportion of people without sustainable access to safe drinking water and basic sanitation” by 2015

  5. Between tradition and modernity: girls’ talk about sexual relationships and violence in Kenya, Ghana and Mozambique

    This paper interrogates the influence of a tradition-modernity dichotomy on perspectives and practices on sexual violence and sexual relationships involving girls in three districts of Kenya, Ghana and Mozambique. Through deploying an analytical framework of positioning within multiple discursive sites, the authors argue that although the dichotomy misrepresents the complexity of contemporary communities, it is nonetheless deployed by girls, educational initiatives and researchers in their reflections on girls’ sexual practices and sexual violence. …

  6. Engaging school personnel in making schools safe for girls in Botswana, Malawi, and Mozambique

    Girls are vulnerable to HIV in part because the social systems in which they live have failed to protect them. This study evaluates a program aimed at making schools safe for girl learners in order to reduce girls’ vulnerability to HIV in Botswana, Malawi, and Mozambique. In addition to an extensive process evaluation with school personnel program participants, program facilitators, and community members, a cross-sectional post-intervention survey was conducted among adolescent girls in the three countries. The total sample size was 1249 adolescent girls (ages 11–18). …

  7. Comprehensive sexuality education in teacher training in Eastern and Southern Africa

    This report is a consolidated summary and analysis of the status of comprehensive sexuality education for teacher training in 21 countries in the East and Southern Africa region.

  8. Assessing school climate towards sustainable learning for all in Sub-Saharan Africa: Perspectives from unstable health to school-related gender-based violence (SRGBV)

    The objective of the current study is to explore the use of Rasch scaling technique to construct a Perceived School Disorder Index (PSDI) in order to see if there are ‘stages’ of evolution in a school climate. More specifically, the research questions for the current study are: Which items constitute the PSDI in Sub-Saharan African countries? What profile of behavioural problems are likely to emerge at different stages of the school climate? What were boys’ and girls’ learning outcomes at each stage of the school climate?

  9. Violence in primary schools in Southern and Eastern Africa: Some evidence from SACMEQ

    Special attention was given to the issues related to school violence in the studies conducted by a consortium known as Southern and Eastern Africa Consortium for Monitoring Educational Quality (SACMEQ). These issues were included in the form of research questions which sought information on pupils’ and teachers’ behavioural problems at the primary school level. This paper addresses the following three research questions: (1) What were the changes in the perceived occurrence of school violence in SACMEQ school systems between 2000 and 2007? …

  10. 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. …

  11. Learning about HIV/AIDS in schools: does a gender-equality approach make a difference?

    Is HIV education based on the principles of gender equality possible in practice? If so, can it make a difference to gender relations in a society? This chapter considers these questions through reflection on two gender-based HIV education interventions in South Africa and Mozambique, which took place between 2001 and 2003.

  12. Care and support for teaching and learning initiative: regional scoping study report

    Care and Support for Teaching and Learning (CSTL) is a SADC initiative, which aims to assist SADC Member States to mainstream care and support into their education systems and ensure that schools in the SADC region become inclusive centres of learning, care and support where every learner, especially the most vulnerable, can learn. One of the CSTL initiative’s strategic objectives is to increase learning and knowledge of care and support strategies across the region. …

  13. Getting to zero: HIV in eastern and southern Africa

    This report provides an overview of the HIV epidemics in eastern and southern Africa and of the region’s response and progress towards meeting the 2011 Political Declaration targets, while identifying noteworthy achievements and challenges. The report draws on the most recently available data from the Global AIDS Response Reporting System, national HIV estimation exercises, data gathered and generated by UNAIDS, its co-sponsors and national partners, and the many recent studies and surveys that have been conducted in the region. …

  14. Are there any disparities between girls and boys in the response of the education sector to HIV and AIDS? Assessment of educational HIV/AIDS prevention programmes applied by SACMEQ III countries

    This paper aims to assess whether the goals of the in-school programmes on prevention of HIV and AIDS that are taught in primary schools of 15 national ministries of education in Southern and Eastern Africa have been reached equitably between boys and girls by the end of primary education. One feature of most of these ministries is that they are in countries that are the hardest hit by a general HIV epidemic. More specifically, the paper aims to analyse schoolboys’ and schoolgirls’ general knowledge about HIV and AIDS. …

  15. Abordagem sócio-cultural em saúde sexual e reproductiva: iniciativa piloto nos distritos de Zavala a Mossuril

    Com o objectivo de apoiar o Governo de Moçambique no seu trabalho sobre o papel da cultura na promoção do desenvolvimento económico e humano do país, o Programa Conjunto do Fundo para o Alcance dos Objectivos de Desenvolvimento do Milénio (F-ODM) para o Fortalecimento das Indústrias Culturais e Criativas e Políticas Inclusivas em Moçambique, e o Programa Conjunto “One UN” do HIV&SIDA criaram o Projecto piloto de Saúde Sexual e Reprodutiva (SSR) nos distritos focais de Ilha de Moçambique, Mossuril (ambos na Província de Nampula) e Zavala (Província de Inhambane), visando usar uma “abordagem sóc …

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