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UNESCO HIV and Health Education Clearinghouse

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  1. What is best practice in sex and relationship education? A synthesis of evidence, including stakeholders’ views

    Sex and relationship education (SRE) is regarded as vital to improving young people's sexual health, but a third of schools in England lacks good SRE and government guidance is outdated. The authors aimed to identify what makes SRE programmes effective, acceptable, sustainable and capable of faithful implementation. […] They identified key features of effective and acceptable SRE. Their best practice criteria can be used to evaluate existing programmes, contribute to the development of new programmes and inform consultations around statutory SRE.

  2. Adolescent friendly health corners (AFHCS) in selected government health facilities in Bangladesh: an early qualitative assessment. Research report

    With high rates of early marriage, especially among girls, a significant proportion of adolescents in Bangladesh need sexual and reproductive health services (SRH), including contraceptive information and services. Married women, including married adolescents, currently have access to these services through public sector. Unmarried adolescents do not have access to SRH information and services through public sector facilities. …

  3. Best practices for adolescent- and youth-friendly HIV Services: a compendium of selected projects in PEPFAR-supported countries

    The goal of this compendium is to answer critical questions that move forward USAID’s mission of supporting (a) the adoption of evidence-based practices in adolescent- and youth-friendly HIV care and services to help at-risk adolescents (ages 10–19 years) and youth (ages 15–24 years) stay HIV-free, and (b) the provision of comprehensive packages of HIV prevention, care, treatment, and retention services to adolescents and youth living with HIV in order to promote their successful transition to adulthood.

  4. Guidelines on best practices for adolescent- and youth-friendly HIV services: an examination of 13 projects in PEPFAR-supported countries

    Adolescents (ages 10–19) and youth (ages 15–24) bear a disproportionate share of the HIV burden, especially in sub-Saharan Africa. However, little is known about what projects are doing to make their interventions adolescent- and youth-friendly and what interventions are effective for changing HIV-related outcomes for these age groups. Program managers and policymakers have little rigorous evidence on how best to invest resources to achieve 90-90-90 targets among adolescents and young people. Recognizing this evidence gap, MEASURE Evaluation—funded by the U.S. …

  5. Strengthening comprehensive sexuality education for young people in school settings in Zambia: a review and documentation of the scale-up process

    This report documents progress on implementation of a Swedish International Development Cooperation Agency (Sida)-funded UNESCO project that aims to strengthen sexuality education programmes for young people in school settings in Zambia. The project was conceptualized in line with the country’s thematic focus on broader economic and social development and is expected to reach all 9,000 government schools, 1,749,664 learners representing 100% of grades 5 to 12 learners, 40,000 in-service teachers, and 20,000 preservice teachers. …

  6. Review of policies, strategies and laws related to child marriage, adolescent health, education and employment in five countries in West Africa

    Adolescent health and development are key foundations for a country's economic development and political stability. The outcomes of adolescent health are closely linked with future adult development, infant and child mortality, maternal morbidity and mortality, and even long-term economic development.

  7. Fulfil! Guidance document for the implementation of young people's sexual rights

    This guide addresses the critical opportunities to implement young people’s sexual rights in a global context and provides specific guidance for policy makers, health providers and educators.

  8. The sexual and reproductive health and rights of young people in India: a review of the situation

    This paper synthesises the evidence on sexual and reproductive health situation of young people in India, sheds light on those sub-populations of young people who are most vulnerable to adverse sexual and reproductive outcomes, and assesses the barriers that compromise the sexual and reproductive health and rights of young people at the individual and family levels, as well as at the programme delivery level.

  9. We demand more! A sexuality education advocacy handbook for young people

    The aim of this guide is to encourage young people to stand up for their right to high-quality education on their sexual and reproductive health, and to support young people to lead advocacy efforts to improve CSE. While it is mostly aimed at young people and youth-led and youth-serving organisations, it will also be useful to other organisations, volunteers and activists who want to begin or strengthen advocacy around improving sexuality education.

  10. 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. …

  11. Building the foundations for sustainable development: a case for global investment in the capabilities of adolescents

    Investment in the capabilities of the world's 1·2 billion adolescents is vital to the UN's Sustainable Development Agenda. The study examined investments in countries of low income, lower-middle income, and upper-middle income covering the majority of these adolescents globally to derive estimates of investment returns given existing knowledge. Investments in health and education will not only transform the lives of adolescents in resource-poor settings, but will also generate high economic and social returns. These returns were robust to substantial variation in assumptions. …

  12. Systematic review and meta-analysis: prevalence of alcohol use among young people in eastern Africa

    The study’s objective is the systematic review and meta-analysis of published studies of alcohol use among young people (age 15–24 years) in eastern Africa to estimate prevalence of alcohol use and determine the extent of use of standardised screening questionnaires in alcohol studies. Based on the review results, the authors draw the conclusion that alcohol use and problem drinking were common among diverse groups of young people in eastern Africa, indicating the urgent need for alcohol-focused interventions in this population. …

  13. Adolescent sexual and reproductive health: an evidence gap map

    This report presents the findings of an evidence gap map that assesses the evidence available on the effects of adolescent sexual and reproductive health (ASRH) programming in low- and middle-income countries. It documents the methods used to create the map and examines evidence clusters and gaps identified in it. While there is considerable amount of impact evaluation evidence, it addresses only some of the priority questions within this broad topic. The greatest prevalence of evidence is on sexual health education and other instruction within and outside of the classroom. …

  14. Understanding teenage fertility, cohabitation, and marriage: the case of Peru

    This paper intends to contribute to the economic literature that investigates the origins of teenage pregnancy and early marriage/co habitation in Peru and to improve understanding of the risk factors of one important gender-related issue that has historically provoked asymmetric costs for boys and girls. …

  15. Searching for the second R in sexual and reproductive health and … rights

    Sexual and reproductive health and rights have gained prominence in the HIV response. The role of sexual and reproductive health in underpinning a successful approach to HIV prevention, treatment, care, and services has increasingly been recognized. However, the “second R,” referring to sexual and reproductive rights, is often neglected. This leads to policies and programs which both fail to uphold and fulfill these rights and which fail to meet the needs of those most affected by HIV by neglecting to take account of the human right-based barriers and challenges they face. …

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