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Poor menstrual hygiene management (MHM) among schoolgirls in low income countries affects girls' dignity, self-esteem, and schooling. Hygienic, effective, and sustainable menstrual products are required. A randomized controlled feasibility study was conducted among 14-16-year-old girls, in 30 primary schools in rural western Kenya, to examine acceptability, use, and safety of menstrual cups or sanitary pads. Focus group discussions (FGDs) were conducted to evaluate girls' perceptions and experiences six months after product introduction. …
Impact evaluations focused on school absenteeism commonly use school records of untested quality or expensive spot-check data. We use a large dataset on more than 30,000 unannounced random spot-checks for 6,000 female and male students across 30 schools in Western Kenya, with equivalent school record entries. First, we confirm that while absenteeism is common overall, pubescent girls miss more schooldays than boys because of high incidence of school transfers. …
This review provides an overview of MHM policies and programmes in the ESA region, with a focus on education, school and community-based sexuality education, WASH, sexual and reproductive health, workplace support and humanitarian programming, as well as opening up the discussion regarding marginalized groups of women and girls such as disabled, prisoners and transgender men.
The iCAN package aims to help address the challenges facing adolescents and young people living in the East and Southern Africa (ESA) region. It has been designed to support young people living with HIV (YPLHIV) and those who work with them, to help them understand their HIV positive status and empower them to plan their lives in ways that protect both their own health and that of others. The package can be used to complement existing materials focusing on sexual and reproductive health and HIV, and other youth-focused packages produced by partners working with YPLHIV. …
The Regional Comprehensive Sexuality Education Resource Package for Out of School Young People was developed to age and developmentally relevant international standards as a comprehensive set of teaching and learning materials for flexible use in settings outside the formal classrooms of the education sector. Several countries of East and Southern Africa have adapted this regional set of materials for nationally endorsed implementation. …
The successful implementation of comprehensive sexuality education (CSE) programmes in schools depends on the development and implementation of strong policy in support of CSE. This paper offers a comparative analysis of the policy environment governing school-based CSE in four low- and middle-income countries at different stages of programme implementation: Ghana, Peru, Kenya and Guatemala. …
These guidelines aim to inform the design and implementation of interventions with young key populations (YKP), 15-24 years, specifically young women who sell sex, young men who have sex with men, and young people who inject drugs. The guidelines aim to accelerate the HIV response to end new HIV infections among young key populations. …
The report demonstrates progress made on adolescent HIV programming in the Eastern and Southern African Region (ESAR) in a few short years. Qualitative in approach, the report explores how the impact of HIV on adolescents and young people was given visibility and focus as a result of the All In to end adolescent AIDS (All In) country assessments, which systematically reviewed and analyzed data, programmes and strategies currently responding to adolescent HIV.
School-based comprehensive sexuality education (CSE) can help adolescents achieve their full potential and realize their sexual and reproductive health and rights. This is particularly pressing in low- and middle-income countries (LMICs), where high rates of unintended pregnancy and STIs among adolescents can limit countries’ ability to capitalize on the demographic dividend. While many LMICs have developed CSE curricula, their full implementation is often hindered by challenges around program planning and roll-out at the national and local level. …
This paper demonstrates a comprehensive and thorough application of an education cost-effectiveness analysis. Two interventions implemented in Western Kenya aimed to reduce the incidence of HIV/AIDS contraction in middle school girls. The cost-effectiveness of each intervention is assessed, ex post facto, by combining the results of the two programs’ evaluations with their costs. As few education evaluations consider cost, this article highlights a sound and disciplined method to use when detailed cost information is both readily available and unavailable. …
This document outlines a strategy for the design and implementation of nutrition-sensitive school meals in Kenya. It is based on the commitment of the Government of Kenya to ensure that school children are well nourished and healthy and are able to learn and develop to their full potential. The national government commits to strengthening the National School Meals and Nutrition Programme. The government aims to ensure that all children in pre-primary and primary schools receive at least one nutritious meal per school day. …
UNESCO in partnership with Ministry of Education and with financial support from the Government of the Republic of Azerbaijan, community and Civil society organizations implemented a two year Health Literacy and Behaviour Change practices among Adolescent Girls pilot project from September 2014-September 2017 in 41 schools. Health literacy materials were evaluated and approved by Kenya Institute of Curriculum Development (K.I.C.D.) for use in other informal settlements. This is a story aimed at what we call ‘level 1’ (ages 10-12). …
UNESCO in partnership with Ministry of Education and with financial support from the Government of the Republic of Azerbaijan, community and Civil society organizations implemented a two year Health Literacy and Behaviour Change practices among Adolescent Girls pilot project from September 2014-September 2017 in 41 schools. Health literacy materials were evaluated and approved by Kenya Institute of Curriculum Development (K.I.C.D.) for use in other informal settlements. This teachers' guide explains how other materials approved by K.I.C.D. can be used in the classroom.
The radio script is a departure from the usual kind of radio lessons in the life-skills programme. Here in a panel discussion, a team of people, including four young people and a medical expert, are brought together to discuss the various issues that form the themes of this material. The script can be used at all three levels, although you will want to emphasise different aspects of it at each level. It focuses on drug abuse, alcohol abuse and the effects of peer pressure. …
UNESCO in partnership with Ministry of Education and with financial support from the Government of the Republic of Azerbaijan, community and Civil society organizations implemented a two year Health Literacy and Behaviour Change practices among Adolescent Girls pilot project from September 2014-September 2017 in 41 schools. Health literacy materials were evaluated and approved by Kenya Institute of Curriculum Development for use in other informal settlements. This is a one sheet brochure for an intended audience of girls approaching puberty.
