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UNESCO HIV and Health Education Clearinghouse

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  1. Literature review: the last taboo: research on managing menstruation in the Pacific

    This literature review examines the determinants and impacts of menstrual hygiene management (MHM), and effective interventions for improving MHM globally and in the Pacific. The review also seeks to describe Australian Government programming relevant to MHM in the three research countries and to identify opportunities for MHM programming.

  2. The last taboo : research on menstrual hygiene management in the Pacific : final report Fiji

    Managing menstruation hygienically, effectively and with dignity can be challenging for girls and women in low and middle-income countries. Currently there is limited research on menstrual hygiene management (MHM) in the Pacific region. This report presents findings from research that was undertaken in Fiji in November 2016. The study is part of a larger piece of work which includes the Solomon Islands and Papua New Guinea, and is funded through the Australian Government, Department of Foreign Affairs and Trade (DFAT). …

  3. Choose a Future! Issues and Options for Adolescent Girls in southern Africa

    This is a manual for facilitators working with adolescents, generally aged 10–14, to help them address the many situations they encounter at home, school and in their communities. This manual is the beginning of a series that treats topics such as selfimage, setting goals, making plans, gender and family roles and relationships. Choose a Future! currently includes 15 modules and 66 sessions. Each session takes 1 to 2½ hours to complete. Sessions can be completed in weekly meetings or more frequently. The sessions are sequential and build on previous sessions. …

  4. Mapping the knowledge and understanding of menarche, menstrual hygiene and menstrual health among adolescent girls in low- and middle-income countries

    This paper maps the knowledge, attitudes, beliefs and practices surrounding menarche, menstrual hygiene and menstrual health among adolescent girls in low and middle income countries in order to inform the future design of relevant policies and programming. The study of over 80 journal articles from a number of low and middle income countries confirmed that: (1) Many adolescent girls start their periods uninformed and unprepared. (2) Mothers are the primary source of information, but they inform girls too-little and too-late and often communicate their own misconceptions. …

  5. Do menstrual hygiene management interventions improve education and psychosocial outcomes for women and girls in low and middle income countries? A systematic review

    Background: Unhygienic and ineffective menstrual hygiene management has been documented across low resource contexts and linked to negative consequences for women and girls. Objectives: To summarise and critically appraise evidence for the effectiveness of menstruation management interventions in improving women and girls’ education, work and psychosocial wellbeing in low and middle income countries. [...] Conclusions: There is insufficient evidence to establish the effectiveness of menstruation management interventions, although current results are promising. …

  6. HIV prevention among adolescent girls and young women: putting HIV prevention among adolescent girls and young women on the fast-track and engaging men and boys

    This programming guidance is meant to inform programmes that aim to reduce HIV infection among adolescent girls and young women in countries and locations where HIV incidence is high among adolescent girls and young women and where HIV is primarily spread through heterosexual transmission. This report primarily is for policymakers, planners and implementers of HIV prevention programmes across multiple sectors, including organizations led by young people. …

  7. MHM in Ten: advancing the MHM agenda in WASH in schools

    In recent years, there has been growing attention to the challenges faced by menstruating schoolgirls in low- and middle-income countries. A solid body of research conducted across numerous countries and contexts has documented menstruating girls’ experiences of shame. The evidence has revealed the discriminatory nature of many school environments, with menstruating girls (and female teachers) unable to adequately manage their monthly menses with safety, dignity and privacy. This, in turn, may have negative impacts on girls’ ability to succeed and thrive within the school environment. …

  8. How reliable are reports of early adolescent reproductive and sexual health events in demographic and health surveys?

    CONTEXT: Age at sexual debut, age at first marriage or first union and age at first birth are among the most widely used indicators of health and well-being for female adolescents. However, the accuracy of estimates for these indicators, particularly for younger adolescents, is poorly understood. METHODS: For each of nine countries in Africa and Latin America, Demographic and Health Survey (DHS) data from two surveys conducted five years apart were used to examine women’s reports of age at sexual debut, marriage or first union, and first birth. …

  9. Preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries: what the evidence says

    These guidelines are primarily intended for programme managers, technical advisors and researchers from governments, nongovernmental organizations, development agencies and academia. They are also likely to be of interest to public health practitioners, professional associations and civil society groups. They have been developed through a systematic review of existing research and input from experts from countries around the world, in partnership with many key international organizations working to improve adolescents’ health. …

  10. 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). …

  11. Defeating AIDS—advancing global health

    After more than a decade of major achievements, the AIDS response is at a crucial juncture, both in terms of its immediate trajectory and its sustainability, as well as its place in the new global health and development agendas. In May, 2013, the UNAIDS–Lancet Commission— a diverse group of experts in HIV, health, and development, young people, people living with HIV and affected communities, activists, and political leaders— was established to investigate how the AIDS response could evolve in a new era of sustainable development. …

  12. Estimating the costs and benefits of education from a health perspective: background paper for the Oslo Summit on Education for Development. Executive summary

    In preparation for the Oslo Summit on Education for Development in July 2015, the Norwegian Agency for Development Cooperation (NORAD) commissioned SEEK Development to conduct an evaluation of the costs and benefits of education from a health perspective. Such a study is very relevant in light of ongoing discussions around the Sustainable Development Goals and post-2015 development agenda, which emphasize the need for a stronger focus on the broader determinants of health. The study is organized around three interconnected workstreams. …

  13. Global review of sanitation system trends and interactions with menstrual management practices. Report for the menstrual management and sanitation systems project

    This review of sanitation system trends and interactions with menstrual management practices has been conducted as part of the broader project on Menstrual Management and Sanitation Systems. It starts with a review of trends in the development of urban sanitation systems and then explores the interaction between menstrual management and sanitation systems, mainly relating to the issue of disposal of used menstrual blood absorption materials. …

  14. Girls decide: Choices on sex and pregnancy

    This publication is part of a larger IPPF initiative called Girls Decide. The initiative aims to ensure that girls’ and young women’s sexuality and pregnancy-related issues are effectively addressed by leaders and service providers. Girls Decide: Choices on Sex and Pregnancy presents a selection of innovative projects that are examples of good practice, and offer great potential for poverty reduction, female empowerment and development. These projects can guide policy- and decision-makers, educators, service providers and community leaders in rethinking strategies for girls and young women

  15. A manual for integrating gender into reproductive health and HIV programs: From commitment to action

    Ce Manuel vise principalement à contribuer à la conception et à l’exécution de programmes dans le domaine de la Santé Reproductive et du VIH/SIDA qui intègrent des approches de nature à parvenir à l’équité/l’égalité des genres. Les programmes qui intègrent ces objectifs ont pour effet de maximiser l’accès et la qualité, d’appuyer la prise de décisions par l’individu et ses options en matière de reproduction, d’accroître la pérennité et de mettre en pratique les engagements internationaux des Etats-Unis et les politiques de l’USAID. Ce document a été conçu pour être un manuel de référence. Il peut servir à toute étape du cycle d’un programme, c’est-à-dire de la conception à l’évaluation. Ceci dit, il se révélera d’autant plus utile qu’il servira à guider les décisions prises tout au long du cycle des projets

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