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UNESCO HIV and Health Education Clearinghouse

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  1. Charting the future: empowering girls to prevent early pregnancy

    This report begins with a situation analysis of adolescent pregnancy (Section 2), highlighting where today’s adolescents live and where their fertility levels are highest, as well as looking at the drivers of their fertility rates. Section 3 provides a more detailed discussion of the multiple barriers that girls face in controlling their fertility. Section 4 presents our conclusions about the main drivers of adolescent pregnancy and introduces our policy and programming recommendations, which can be found in Section 5. …

  2. Feasibility trial of a film-based educational intervention for increasing boys’ and girls’ intentions to avoid teenage pregnancy: Study protocol

    The World Health Organisation, amongst others, recognises that adolescent men have a vital yet neglected role in reducing teenage pregnancies and that there is a pressing need for educational interventions designed especially for them. This study seeks to fill this gap by determining the feasibility of conducting an effectiveness trial of the If I Were Jack intervention in post-primary schools. This 4-week intervention aims to increase teenagers’ intentions to avoid unintended pregnancy and addresses gender inequalities in sex education by explicitly focusing on young men. …

  3. National policies on pregnancy in education systems in sub-Saharan Africa: the case of Botswana

    The article critiques pregnancy policies in the education systems in sub-Saharan Africa. Policies discussed are divided into expulsion, re-entry and continuation policies. Arguing from the standpoint of theories of oppression, it is postulated that expulsion policies symbolise direct violence against girls who become pregnant and are more common in those countries with poor human rights records. …

  4. Challenges of school re-entry among teenage mothers in primary schools in Muhoroni district, Western Kenya

    Much has been done towards attainment of gender equity in education as envisaged in the Millennium Development Goals (MDGs), yet gender disparities persist in many parts of the country. Studies indicate that most of girls who drop out of school do not return to class after childbirth despite provisions for it. The purpose of this study was to examine factors that influence re-entry of school girl mothers in primary schools in Muhoroni District, Kisumu County in western Kenya. …

  5. Menstrual hygiene management (Waterlines: Journal issue)

    This issue of the journal Waterlines looks at experiences of menstrual hygiene management in schools in a number of countries.

  6. Developing an education sector response to early and unintended pregnancy

    This discussion paper was prepared by UNESCO for the global consultation on education sector responses to early and unintended pregnancy (EUP) held in Johannesburg in November 2014. The paper describes global and regional specificities of EUP, the causes behind it, and the implications for the education sector, highlighting the current status of the education sector response and examples of ongoing programs and initiatives aimed at preventing EUP through comprehensive sexuality education and ensuring the right to education for pregnant and parenting girls.

  7. Re-entry to school after giving birth: an evaluation of the process used to design and implement policy in Zambia

    The re-entry policy launched in 1997 advocates that girls who drop out of school due to pregnancy should be readmitted after giving birth. …

  8. Connecting the private and the public: pregnancy, exclusion, and the expansion of schooling in Africa

    In a number of countries in Africa, young women who become pregnant are excluded from school. This article presents a critique of policy and practice in this area drawing partly on Diana Leonard's scholarship concerning the relational dynamic of gender, generation, social division, and household forms. Much of the policy prescription of large global organisations concerned with the expansion of secondary schooling in Africa does not sufficiently take account of the connection between the gender dynamics of the private and that of the public outlined in Leonard's work. …

  9. Adolescent pregnancy in Eastern Europe and Central Asia

    Although the countries of Eastern Europe and Central Asia are not affected to the same extent as other world regions, adolescent pregnancy is a major challenge in parts of the region, and in particular among some population groups. The State of World Population 2013, published by UNFPA, the United Nations Population Fund, highlights the main challenges of adolescent pregnancy and its serious impacts on girls’ education, health and long-term employment opportunities. The report also shows what can be done to curb this trend and protect girls’ human rights and well-being. …

  10. Forced out: mandatory pregnancy testing and the expulsion of pregnant students in Tanzanian schools

    This publication documents the forced pregnancy testing and expulsion of pregnant school girls in mainland Tanzania. Launched in 2013 and based on in-depth interviews with young women who have undergone these practices, as well as teachers, government officials, and health care providers, this report provides concrete evidence and compelling stories of the numerous human rights violations many Tanzanian girls face in the pursuit of education. In addition, the report provides key recommendations to the Tanzanian Government, regional human rights bodies, and the international donor community. …

  11. The effect of school-based health clinics on teenage pregnancy and parenting outcomes: an integrated literature review

    Teenage pregnancy outcomes have become an increasing concern in the United States. Education and support of pregnant teens are critical factors that may determine good or poor pregnancy outcomes. Poor outcomes may include low birth weight, developmental delays, and poor academic performance. Although the number of teenagers experiencing pregnancy and parenting has declined in the U.S., school-based health clinics can be used to provide support and guidance designed to avoid the negative outcomes associated with teenage pregnancy and parenting. …

  12. Perceptions of policy duty bearers on the inclusive education policy for pregnant teenagers in South Africa

    Post-apartheid, South Africa democratised access to education as enshrined in the country’s Constitutional Bill of Rights of 1996. This also includes making education accessible to pregnant teenagers as provided for by other post-apartheid legal provisions that prohibit discrimination in education. This study explored the perceptions of education policy duty bearers on the inclusion of pregnant learners in formal schools. …

  13. Teenage pregnancy in South African schools: challenges, trends and policy issues

    Teenage pregnancy in South African schools poses a serious management and leadership challenge. It calls for school management teams (SMTs) to acquire critical skills to manage teenage pregnancy within the requirements of the Constitution of the Republic of South Africa, 1996 and the South African Schools Act 84 of 1996. Little, if any, research has been conducted on learner pregnancy as a hurdle toward the achievement of millennium development goals (MDGs) and EFA goals. …

  14. Interventions for preventing unintended pregnancies among adolescents

    Interventions for preventing unintended pregnancy include any activity (health education or counselling only, health education plus skills-building, health education plus contraception education, contraception education and distribution, faith-based group or individual counselling designed to: increase adolescents' knowledge and attitudes relating to risk of unintended pregnancies; promote delay in initiation of sexual intercourse; encourage consistent use of birth control methods and reduce unintended pregnancies. …

  15. Unintended pregnancy and termination of studies among students in Anambra state, Nigeria: are secondary schools playing their part?

    This study evaluated efforts of secondary schools to prevent unintended pregnancy among students and their reactions to pregnant students before and after delivery. A cross-sectional survey of 46 teachers in three public and two private schools in Anambra state, Nigeria was carried out. Information was collected using self-administered questionnaire. Of all the teachers in the study, 87% reported unintended pregnancies among students in the previous 3 years. Expulsion (43%) and suspension (28%) were the most common reactions. …

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