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UNESCO HIV and Health Education Clearinghouse

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  1. Sexual and reproductive health and rights for the next decades: What's been achieved? What lies ahead?

    This Global Public Health Special Issue ‘SRHR for the next decades: What's been achieved? What lies ahead?’ assesses progress 20 years after the 1994 International Conference on Population and Development (ICPD), which established the sexual and reproductive health and rights framework for population and health policy (United Nations [UN], 1995). …

  2. Adolescence: building solid foundations for lifelong flourishing

    Adolescence is a decisive age for girls and boys around the world. What they experience during their teenage years shapes the direction of their lives and that of their families. Investments in adolescents’ education and health are life-time investments that are likely to have positive effects on behaviours and lifestyles during their entire life course. For many young people the mere onset of puberty that occurs during adolescence marks a time of heightened vulnerability. …

  3. Peer-based education and the integration of HIV and sexual and reproductive health services for young people in Vietnam: Evidence from a project evaluation

    Introduction: This paper reports changes in behavioral outcomes related to the use of HIV testing service of a project that employed peer-based education strategies and integration of HIV voluntary counseling and testing (VCT) and Sexual and Reproductive Health (SRH) services targeting young people aged 15–24 across 5 provinces in Vietnam. Methods: A pre-test/post-test, non-experimental evaluation design was used. …

  4. Association between availability and quality of health services in schools and reproductive health outcomes among students: a multilevel observational study

    Objectives. The authors determined the association between availability and quality of school health services and reproductive health outcomes among sexually active students. Methods. The authors used a 2-stage random sampling cluster design to collect nationally representative data from 9107 students from 96 New Zealand high schools. Students self-reported whether they were sexually active, how often they used condoms or contraception, and their involvement in pregnancy. …

  5. Sexual/gender minorities in Thailand: Identities, challenges, and voluntary-sector counseling

    This article has 3 objectives: (a) to chart current Thai sexual/gender-minority terminology and identities, (b) to identify challenges in the lives of sexual/gender minorities in Thailand, and (c) to evaluate how both identities and challenges are reflected in voluntary-sector counseling. The author summarizes terminology and issues from existing Thai and foreign studies and reports the results of a qualitative inquiry into the state of counseling in 3 Thai nongovernmental organizations. …

  6. First sexual intercourse and subsequent regret in three developing countries

    The authors analyzed the reasons behind first sex, cases of regret, and the association between reasons and regret. They provided a questionnaire to 8,495 high school students ages 14–18 years residing in the Philippines, El Salvador, and Peru. Sexually active participants were asked what circumstances led them to become involved in their first sexual relationship. They also were asked whether they regretted having already had sexual relationships. …

  7. Dating and sex among emerging adults in Nepal

    Social and cultural changes in Nepal, including better communication facilities and transport, more urbanization and a rising age at which people marry, have created more opportunities for young people for “dating.” This qualitative study explores whether the existence of dating cultures influences young people’s sexual behavior in Nepal. Focus group discussions with a total of 75 participants and 31 in-depth individual interviews were conducted among young people in Nepal. Most urban and rural young people liked the dating culture. …

  8. Customary adolescent sexual practices among the Akha of northern Lao PDR: considerations for public health

    Based on interviews and focus group discussions conducted in northern Laos, this study explores Akha understandings of customary first pre-pubertal sex acts, a thonh thong (‘break through vagina’ [BV]) for girls and yaha heu (‘open foreskin’ [OF]) for boys, which are thought to enable the maturing of bodies into adulthood. The study also examines the practice of a thor ta yang (‘Welcome Guest’) in which sexually initiated girls have sex with male visitors to Akha villages. The study found that many young women experience BV as painful and traumatic. …

  9. Assessing young unmarried men's access to reproductive health information and services in rural India

    The authors conducted a cross-sectional study using both qualitative and quantitative methods. Participants included 38 unmarried rural men in four focus-group discussions and a representative sample of 316 similarly profiled men, ages 17-22 years. Information was collected via survey on the men's socioeconomic characteristics; awareness, knowledge, and perceptions of family planning; attitudes toward future contraceptive use; intra-family communication; knowledge about STIs/HIV/AIDS; and access and use of condoms. …

  10. Getting research into policy and practice. Experiences from sexual and reproductive health, HIV and AIDS

    Insights is a thematic overview of recent policy-relevant research findings on international development. This issue contents the following articles: Getting research into policy and practice. Experiences from sexual and reproductive health, HIV and AIDS; Investing in the future. …

  11. Exploring the socioeconomic dimension of adolescent reproductive health: a multicountry analysis

    Published by the Alan Guttmacher Institute (AGI), this article focuses on socio-economic factors influencing reproductive health needs and service use among young women in 12 developing countries. Findings showed that, in most countries, young women from the poorest households were more likely than those from the richest to be married and have at least one child by the age of 18, and to lack financial independence. …

  12. Mass media exposure among urban youth in Nepal

    This article presents data on both lifetime and daily exposure to specific mass media sources among Ne pal’s urban youth. It also presents in formation on preferred radio stations and television channels; the role of the mass media in disseminating messages about social and health is sues; the mass media as a source of in formation on contraceptive methods, HIV/AIDS and puberty; and their role as a source of sex education for boys and girls. Finally, it ex amines the factors that influence urban youths’ exposure to the mass media in Nepal.

  13. Induced abortions among adolescent women in rural Maharashtra, India

    The paper presents a result of the study undertaken among both married and unmarried rural Maharashtra (India) adolescents who had undergone in the same geographic area. The study aimed to explore their access to services, decision-making on determinants of provider choice and extent of morbidity experienced.

  14. Edutainment for development and sexual health

    This issue of Sexual Health Exchange published by SAFAIDS and the Royal Institute (KIT) is devoted to edutainment for development and sexual health. The term "edutainment" combines the ideas of education and entertainment by using the performing art as a vehicle of change and education. The issue features several edutainment programmes in Asia and Africa that use drama, theatre, puppetry, music, edu-clowns, street plays as a vehicle of change and education.

  15. Reproductive health-seeking by married adolescent girls in Maharashtra, India

    In India, most adolescent girls 15-19 years old are married. A study was conducted in 1995-97 in Ahmednagar district of Maharashtra, India to gain insight into whether and how their reproductive health needs are met, especially for gynaecological problems, family planning and perceived fertility problems. It included a survey among 302 married girls of this age, and in-depth interviews with 74 girls, 37 husbands and 53 mothers-in-law. Girls were treated quickly for illnesses interfering with domestic work and were expected to conceive in the first year of marriage. …

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