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UNESCO HIV and Health Education Clearinghouse

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  1. Situational analysis on the status of the sexual and reproductive health of students in tertiary institutions in the SADC region

    It is a hardy perennial of the university environment that normative consensus around large global issues such as sexual and reproductive health and rights (SRHR) is easier to secure than the programmatic requisites. Thus, in principle, tertiary education students are included in international SRHR-related declarations and domestic policies pertaining to the education and health sectors; in practice, there is often a lack of programmatic and policy attention at institutional level, as well as a marked knowledge gap over the status of student’s sexual and reproductive health (SRH) needs.

  2. State of world population 2018: the power of choice: reproductive rights and the demographic transition

    The global trend towards smaller families is a reflection of people making reproductive choices to have as few or as many children as they want, when they want. When people lack choice, it can have a long-term impact on fertility rates, often making them higher or lower than what most people desire.

  3. Status of sexual and reproductive health and rights in Zambia: contraception and family planning, preventing unsafe abortion and accessing postabortion care, and maternal health

    This policy brief is Part 1 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).

  4. Policy outcome and challenges of sexual and reproductive health and rights in Ghana: what is the role of parliament?

    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. …

  5. Sexual and reproductive health services and peer education at Mnambithi TVET College: a rapid assessment

    This study essentially aimed to establish if there is a peer education programme at Mnambithi TVET College focusing on SRH and HIV prevention and whether the services rendered are adolescent and youth friendly. It therefore investigated the status of these two factors, identified gaps and proposed solutions. The report begins with a brief discussion of what the study was about, how it was conceptualised and what it aimed to achieve. It then provides a background of what adolescent and youth friendly services and peer education are highlighting the relevance of this study. …

  6. Situational analysis on the status of sexual and reproductive health of students and gender-based violence in technical and vocational colleges in Malawi

    UNESCO commissioned a study to conduct a situational analysis on the status of sexual and reproductive health (SRH) of students and gender-based violence (GBV) in technical and vocational colleges (TVCs) in Malawi operating under the Technical, Entrepreneurship and Vocational (TEVET) system. The methodology comprised of a desk review, survey, key informant interviews, and focus group discussions. …

  7. Parents’ and teachers’ views on sexual health education and screening for sexually transmitted infections among in-school adolescent girls in Kenya: a qualitative study

    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). …

  8. Investigating risky sexual behaviours among youth in the context of the HIV epidemic in Mbeya region, Tanzania

    Mitigating HIV and AIDS among youth has been a major policy agenda both internationally and nationally, within Tanzania. Two concerns associated with mitigation efforts are increasing sexual activity at young ages and a burgeoning population of out-of-school youth whom poverty, lack of supervision, and unemployment seem to push into alternative life patterns that present risks to their health. This situation poses a serious challenge for Tanzania, where half the population is categorised as young.

  9. Increasing investments in the sexual and reproductive health and wellbeing of adolescents and young people in Ghana

    Young people in every society constitute both the current and potential human capital of a nation’s development. In order to ensure that young people have a fulfilling sexual and reproductive life, appropriate investments must be made in their health and socio-economic well-being.

  10. Les déterminants socioculturels et communautaires des grossesses non désirées et des avortements. Rapport final

    C’est dans le cadre de son intervention en faveur de la promotion des DSSR des jeunes en République Démocratique du Congo que MdM a commandité cette étude dont l’objectif global est d’analyser les barrières à l’utilisation des contraceptifs chez les jeunes de 15-24 ans et les déterminants des grossesses non désirés et des avortements clandestins particulièrement chez ces jeunes filles et en général chez les femmes en âge de procréer.

  11. 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. …

  12. Learners’ perspectives on the provision of condoms in South African public schools

    A stubborn health challenge for learners in South African public schools concerns sexual and reproductive health and rights (SRHR). In 2015, the Department of Basic Education (DBE) proposed the provision of condoms and SRHR-services to learners in schools. This study aimed to contribute to the finalisation and implementation of DBE’s policy by exploring learners’ perspectives on the provision of condoms and SRHR-services in schools. …

  13. The demographic dividend in Africa relies on investments in the reproductive health and rights of adolescents and youth: policy brief

    A demographic dividend can occur during a window of opportunity created by reductions in child mortality and a demographic shift to fewer dependent people relative to working-age individuals. The full realization of the sexual and reproductive health and rights (SRHR) of adolescents and youth (ages 10 to 24) can facilitate gains in their health, well-being, and educational attainment. …

  14. Generating evidence to meet the sexual and reproductive health needs of students at Kenyatta University and beyond

    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. …

  15. The adolescent experience in-depth: using data to identify and reach the most vulnerable young people: Tanzania 2009-2012

    This report presents a secondary data analysis and triangulation of the Tanzania Demographic and Health Survey (DHS) 2010, the Tanzania HIV and Malaria Indicator Survey (THMIS) 2011-12, and the Violence Against Children in Tanzania Survey (VACS) 2009. Its objectives are to analyse approximately 40 key indicators related to knowledge, attitudes, behaviours and outcomes (e.g. …

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