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Zambia is one of the twenty countries in the Eastern and Southern Africa (ESA) region that affirmed their joint commitment to deliver Comprehensive Sexuality Education (CSE) and Sexual Reproductive Health and Rights (SRHR) services for young people. There are a number of strategies and policies that support the Implementation of these commitments in Zambia. …
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. …
This report is the result of youth-led assessments and observations that were run in 21 schools around the country from June to September 2016 to note and subsequently share the beneficiaries’ perspectives at implementation level of the challenges and successes around East and South Africa comprehensive sexuality education (ESA-CSE) including their suggested solutions and recommendations for improvement. The schools assessed were government run schools (Public Schools), private, grant aided and community schools. …
Increasing children’s and young people’s knowledge on sexual and reproductive health and rights (SRHR) is seen as a critical component in reducing a large number of challenges in Eastern and Southern Africa (ESA), including HIV and AIDS, teenage marriage, and teenage pregnancy in particular. While access to education remains a challenge for many children in the region, the provision of comprehensive sexuality education (CSE) in school settings is considered an effective way to educate children and young people on SRHR. …
Family Life and HIV Education (FLHE) programme was introduced nationwide in Nigeria in 2003. Since then little is known about the patterns of its implementation across the states in the six geo-political zones in Nigeria. This study represents an attempt to fill this lacuna in the FLHE literature in Nigeria. Quantitative data was collected from the Federal Ministry of Education and the State Ministries of Education on all salient aspects of FLHE implementation. …
In December of 2013, Zambia and nineteen other countries in the East and Southern Africa (ESA) region affirmed and endorsed their joint commitment to deliver CSE and SRHR services for young people (the East and Southern Africa Commitment on CSE and SRH services for young people). Since then, in Zambia, CSE has been integrated in the curriculum, but there is no plan on realistic implementation to achieve its core objectives. Evidence is limited on what CSE and wider SRHR provision (information and access to services) is available to young people. …
Gaining the knowledge and skills necessary to make healthy choices about sexual behavior as adolescent learners transition to young adulthood is key to controlling the potentially devastating effects of the HIV/AIDS epidemic. …
On 7 December 2013, in Cape Town, South Africa, Ministers of Education and Health from 201 countries in Eastern and Southern Africa (ESA) agreed to work collaboratively towards a vision of young Africans who are global citizens of the future, who are educated, healthy, resilient, socially responsible, informed decision-makers, and have the capacity to contribute to their community, country, and region. They affirmed a commitment to the right to the highest possible level of health, education, non-discrimination, and well-being of current and future generations. …
Comprehending praxis is a critical step in developing interventions that can have a real-world impact on people's lives. In this paper, we reflect on the lessons learned in the development of a curriculum for young people living in informal settlements in eThekwini, who are exposed to numerous vulnerabilities, including HIV-related risks associated with precarious urban livelihoods. Behavioural interventions have not led to commensurate reductions in HIV incidence, and the impact of these approaches remains regulated by numerous contextual conditions affecting those participating. …
In December 2013, ministers of education and health from twenty ESA countries affirmed and endorsed their joint commitment to deliver comprehensive sexuality education (CSE) and sexual and reproductive health (SRH) services for young people. The ESA Commitment document was developed based on a Regional Report, “Young People Today: Time to Act Now” which reviewed the trends and status of sexual and reproductive health and HIV among adolescents and young people in the ESA Region including comprehensive sexuality education and service needs. …
This report examines the findings of an external assessment of the A+ programme, an innovative IPPF youth-led programme funded by Danida. The A+ programme was implemented by IPPF’s Member Associations in 16 countries across Sub-Saharan Africa, South Asia and Central America. Its overriding goal was to increase access to sexual and reproductive health services and comprehensive sexuality education for young people, and to promote their sexual and reproductive health and rights. …
This collaborative regional curriculum scan, which was conducted in 2011, seeks to assess the content, quality, and delivery methods of sexuality education curricula in ten ESA countries and aims to ensure that the reviews help countries to develop curricula designed to not only increase comprehensive knowledge among young people, but to empower them to adopt protective behaviours, such as refusing unwanted sex, delaying sex, using condoms and testing for HIV. The ten countries included are Botswana, Kenya, Lesotho, Malawi, Namibia, South Africa, Swaziland, Uganda, Zambia and Zimbabwe.
Evidence-based health promotion programmes, including HIV/AIDS prevention and sexuality education programmes, are often transferred to other cultures, priority groups and implementation settings. Challenges in this process include the identification of retaining core elements that relate to the programme’s effectiveness while making changes that enhances acceptance in the new context and for the new priority group. This paper describes the use of a systematic approach to programme adaptation using a case study as an example. …
The ability of specific behaviour-change interventions to reduce HIV infection in young people remains questionable. Since January 1999, an adolescent sexual and reproductive health (SRH) intervention has been implemented in ten randomly chosen intervention communities in rural Tanzania, within a community randomised trial (see below; NCT00248469). The intervention consisted of teacher-led, peer-assisted in-school education, youth-friendly health services, community activities, and youth condom promotion and distribution. …
Teaching sexual and HIV and AIDS education in schools has been the subject of debate and discussion for a while now southern Africa. The debates have mainly centred around three key issues – at what stage to introduce it, what kind of curricula is appropriate and who is qualified to provide such teaching. South Africa is one the few countries in the region that have made attempts to introduce sexual and HIV and AIDS education at the secondary school level. Although this has had benefits, it has not been without its challenges. …
