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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. 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. …

  3. HIV/AIDS and teacher absenteeism: implications for attainment of quality education in Uganda

    This powerpoint presents a qualitative study carried out in the districts of Bushenyi (rural without civil conflict), Katakwi (rural and affected by armed conflict) and Kampala (urban). It looks at the nature and magnitude of teachers’ absenteeism and the extent to which HIV/AIDS has escalated it and assesses the impact of HIV/AIDS-based teachers’ absenteeism on the attainment of the quality of education. The study also proposes functional solutions to address the causes and effects of teachers absenteeism with specific emphasis on HIV/AIDS-based absenteeism.

  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. Menstruation and the cycle of poverty: a cluster quasi-randomised control trial of sanitary pad and puberty education provision in Uganda

    Background: Poor menstrual knowledge and access to sanitary products have been proposed as barriers to menstrual health and school attendance. In response, interventions targeting these needs have seen increasing implementation in public and private sectors. However, there has been limited assessment of their effectiveness. …

  6. Learning from experience: good practices from 45 years of school feeding

    The UN World Food Programme has 45 years of experience in school feeding. This analysis, Learning from Experience, has harvested existing knowledge on the topic, drawing from 134 evaluations, case studies, an ongoing consultation process and operational experience.

  7. How reliable are reports of early adolescent reproductive and sexual health events in demographic and health surveys?

    CONTEXT: Age at sexual debut, age at first marriage or first union and age at first birth are among the most widely used indicators of health and well-being for female adolescents. However, the accuracy of estimates for these indicators, particularly for younger adolescents, is poorly understood. METHODS: For each of nine countries in Africa and Latin America, Demographic and Health Survey (DHS) data from two surveys conducted five years apart were used to examine women’s reports of age at sexual debut, marriage or first union, and first birth. …

  8. 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.

  9. A voucher for health: enabling young people in Uganda to access quality sexual and reproductive health services

    Young people in Uganda have significant unmet sexual and reproductive health (SRH) needs. This is particularly the case for young people from key populations. The prevalence of HIV among sex workers of all ages is between 35% and 37%, five times higher than the general population. Sex workers also face other serious sexual and reproductive health and rights (SRHR) issues, including high rates of unintended pregnancies and sexually transmitted infections (STIs). The situation for young lesbian, gay, bisexual, transgender and intersex people is also difficult. …

  10. Education sector response to early and unintended pregnancy: a review of country experiences in sub-Saharan Africa

    In Sub-Saharan Africa (SSA), early and unintended pregnancy leads to a colossal loss of educational opportunities for girls: A high proportion of pregnancies among adolescent girls aged 15-19 years in the region are unintended, and nearly all adolescent girls who have ever been pregnant are out of school in most SSA countries. Existing studies that show associations between early/unintended pregnancy and school dropout lead to critical questions about how the education sector is responding to the issue in SSA. …

  11. We want to learn about good love: findings from a qualitative study assessing the links between comprehensive sexuality education and violence against women and girls

    Comprehensive sexuality education (CSE) – including learning about relationships, gender and gender-based violence (GBV), sex, sexuality, and sexual and reproductive health and rights (SRHR) – can empower young people to make informed, autonomous decisions regarding their current and future relationships. CSE may also influence a positive shift in social norms which underpin violence against women and girls (VAWG), such as harmful notions of masculinity, and rigid gender roles and stereotypes – both in schools and the wider community. …

  12. 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. …

  13. A comparative analysis of national HIV policies in six African countries with generalized epidemics

    Objective: To compare national human immunodeficiency virus (HIV) policies influencing access to HIV testing and treatment services in six sub-Saharan African countries. Methods: We reviewed HIV policies as part of a multi-country study on adult mortality in sub-Saharan Africa. A policy extraction tool was developed and used to review national HIV policy documents and guidelines published in Kenya, Malawi, South Africa, Uganda, the United Republic of Tanzania and Zimbabwe between 2003 and 2013. Key informant interviews helped to fill gaps in findings. …

  14. 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?

  15. Feminist Formations

    Articles from this issue : Girls’ schooling, gender equity, and the global education and development agenda: conceptual disconnections, political struggles, and the difficulties of practice, Situating empowerment for millennial schoolgirls in Gujarat, India and Shaanxi, China, engendering agency: the differentiated impact of educational initiatives in Zambia and India, History transformed?: Gender in World War II narratives in U.S. …

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