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UNESCO HIV and Health Education Clearinghouse

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  1. Keeping African girls in school with better sanitary care

    For young girls in developing countries, not knowing how to manage their periods can hinder access to education. Research from the School of Oriental and African Studies (SOAS), University of London demonstrates that in rural Uganda, providing free sanitary products and lessons about puberty to girls may increase their attendance at school.

  2. "It's not normal": sexual exploitation, harassment and abuse in secondary schools in Senegal

    “It’s not normal” documents how female students are exposed to sexual exploitation, harassment, and abuse in middle and upper secondary schools. Based on interviews and focus group discussions with more than 160 girls and young women, the report documents cases of teachers who abuse their position of authority by sexually harassing girls and engage in sexual relations with them, promising students money, good grades, food, or items such as mobile phones and new clothes. …

  3. Teenage pregnancy and school drop-out in South Africa: facts, figures and possible interventions

    This fact sheet is designed for educators, concerned community and parent organisations, as well as education officials. It provides facts and figures on teenage pregnancy in South Africa, and offers suggestions for reducing the number of girl learners who fall pregnant, and as well as suggestions for getting young mothers back into school. This fact sheet, the third in a series of five, is based on the HSRC’s 2009 Teenage Pregnancy Report and the Access to Education study, which was undertaken by Social Surveys and the Centre for Applied Legal Studies (CALS). …

  4. A time for global action: addressing girls’ menstrual hygiene management needs in schools

    Summary Points: There is an absence of guidance, facilities, and materials for schoolgirls to manage their menstruation in low- and middle-income countries (LMICs). Formative evidence has raised awareness that poor menstrual hygiene management (MHM) contributes to inequity, increasing exposure to transactional sex to obtain sanitary items, with some evidence of an effect on school indicators and with repercussions for sexual, reproductive, and general health throughout the life course. …

  5. Leave no girl behind in Africa: discrimination in education against pregnant girls and adolescent mothers

    This report provides information on the status of laws, policies, and practices that block or support pregnant or married girls’ access to education. It also provides recommendations for much-needed reforms.

  6. Menarche and its implications for educational policy in Peru

    Indigenous girls in rural areas live in the most extreme poverty and make up the least educated groups in Peru. These girls face numerous constraints to obtaining an education. Enrollment rates are lower for girls in rural areas, and their grade repetition rates are higher than those for boys. Adolescence is particularly difficult, as girls face a number of risks during this time. Once they begin menstruation, completing their primary school education is a formidable challenge, and opportunities for advancing to secondary school are limited. …

  7. Menstrual hygiene management compliance in primary schools in Uganda: a case of Lira Municipality

    The main objective of the study was to determine the influence of Menstrual Hygiene Management on school absenteeism of adolescent girls in 10 primary schools in Lira municipality. Our findings highlighted that; majority of the respondent’s onset of the menstruation was at 13 years of age, 60% of the participants used disposable pads. Most respondents changed their pads at least twice a day. Two fifth of the primary girls reported missing school for about 3 days during menstrual periods pointing to the lack of menstrual hygiene products. …

  8. Menstrual hygiene management to improve the attendance of primary school-aged girls in Central North, Burkina Faso

    How to improve the conditions for girls to attend school, to reduce failure and drop-out rates of adolescent girls, while ensuring their dignity and protection? This was the consideration that motivated the Kom-Yilma project, implemented by Catholic Relief Services in Burkina Faso and financed by the Leona M. and Harry B. Helmsley Charitable Trust, to undertake a behavior-change strategy for menstrual-hygiene management in 118 schools in Bam and Sanmatenga Provinces. …

  9. Menstrual hygiene management among Bangladeshi adolescent schoolgirls and risk factors affecting school absence: results from a cross-sectional survey

    Background: Many adolescent girls in low-income and middle-income countries lack appropriate facilities and support in school to manage menstruation. Little research has been conducted on how menstruation affects school absence. This study examines the association of menstrual hygiene management knowledge, facilities and practice with absence from school during menstruation among Bangladeshi schoolgirls. Methods: We conducted a nationally representative, cross-sectional study in Bangladeshi schools from March to June 2013 among girls 11 to 17 years old who reached menarche. …

  10. From evidence to action: results from the 2013 baseline survey for the BALIKA project

    The objective of the “BALIKA: Bangladeshi Association for Life Skills, Income, and Knowledge for Adolescents” project is to generate programmatic evidence to delay marriage in Bangladesh. This report documents baseline data from a survey conducted in 96 villages in the districts of Khulna, Narail, and Satkhira on a range of related indicators on education, livelihoods, sexual and reproductive health, and social life. …

  11. Girls in control: Compiled findings from studies on menstrual hygiene management of school girls. Ethiopia, South Sudan, Tanzania, Uganda, Zimbabwe

    SNV launched the five-country Girls in Control menstrual hygiene pilot programme in January 2014, building on insights and experience gained from implementing school-based water, sanitation and hygiene (WASH) programmes in 14 countries. This report presents the findings of baseline studies on the menstrual hygiene management of schoolgirls, conducted in the five project countries: Ethiopia, South Sudan, Tanzania, Uganda and Zimbabwe.

  12. WASH in schools empowers girls’ education: Proceedings of the 5th Annual Virtual Conference on Menstrual Hygiene Management in Schools

    Capturing girls’ voices: Channelling girls’ recommendations into global and national level action. Globally, there are around 600 million adolescent girls. Adolescence is a pivotal transitional period that requires special attention to ensure progress for all girls, especially the most vulnerable, and poses a unique opportunity to break intergenerational cycles of poverty and to transform gender roles. The onset of puberty and menstruation can pose an additional barrier to a girl’s personal freedom, and can signal entry into a different role in their family and wider society. …

  13. Cash transfers: magic bullet or fundamental ingredient?

    Comment on a study published in The Lancet Global Health by Audrey Pettifor and colleagues on cash transfers, school attendance and the reduction of HIV risk behaviours in adolescent girls.

  14. The effect of a conditional cash transfer on HIV incidence in young women in rural South Africa (HPTN 068): a phase 3, randomised controlled trial

    Cash transfers have been proposed as an intervention to reduce HIV-infection risk for young women in sub-Saharan Africa. However, scarce evidence is available about their effect on reducing HIV acquisition. The authors aimed to assess the effect of a conditional cash transfer on HIV incidence among young women in rural South Africa. Based on their research findings, the authors draw the conclusion that cash transfers conditional on school attendance did not reduce HIV incidence in young women. School attendance significantly reduced risk of HIV acquisition, irrespective of study group. …

  15. Effect of a cash transfer programme for schooling on prevalence of HIV and herpes simplex type 2 in Malawi: a cluster randomised trial

    Lack of education and an economic dependence on men are often suggested as important risk factors for HIV infection in women. The authors assessed the efficacy of a cash transfer programme for schooling to reduce the risk of sexually transmitted infections in young women. Based on their findings the authors conclude that cash transfer programmes can reduce HIV and HSV-2 infections in adolescent schoolgirls in low-income settings. Structural interventions that do not directly target sexual behaviour change can be important components of HIV prevention strategies.

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