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Objectives: Although sex and relationship education (SRE) represents a key strand in policies to safeguard young people and improve their sexual health, it currently lacks statutory status, government guidance is outdated and a third of UK schools has poor-quality SRE. We aimed to investigate whether current provision meets young people's needs. Design: Synthesis of qualitative studies of young people's views of their school-based SRE. Setting: Eligible studies originated from the UK, Ireland, the USA, Australia, New Zealand, Canada, Japan, Iran, Brazil and Sweden. …
In December of 2013, Zambia and nineteen other countries in the East and Southern Africa (ESA) region affirmed and endorsed their joint commitment to deliver CSE and SRHR services for young people (the East and Southern Africa Commitment on CSE and SRH services for young people). Since then, in Zambia, CSE has been integrated in the curriculum, but there is no plan on realistic implementation to achieve its core objectives. Evidence is limited on what CSE and wider SRHR provision (information and access to services) is available to young people. …
This brief discusses the effectiveness of comprehensive sexuality education (CSE) in preventing HIV, and lists key findings and recommendations. It concludes that CSE is effective in decreasing HIV risk factors in adolescents and young people, and improving SRH in general, including creating demand for SRH services. When programmes are designed with a gender, empowerment and rights focus, along with appropriately trained staff to deliver CSE through participatory learning approaches, beneficial outcomes have been demonstrated on knowledge, attitudes, self-efficacy and SRH outcomes.
The purpose of this article was to reflect on the concepts of adolescence and youth, summarize models and frameworks developed to conceptualize youth participation, and assess research that has attempted to evaluate the implementation and impact of youth participation in the field of sexual and reproductive health and rights (SRHR).The authors searched and critically reviewed relevant published reports and “gray literature” from the period 2000–2013. …
As everywhere in the world, adolescence is quite a challenging phase in the lives of young people in Pakistan. Girls and boys need support to not only understand all the emotional, social and physical changes they experience but also to help them transition into adulthood – safely and happily. Due to very strict and deeply felt societal and religious norms they are currently not getting this support, at home or at school. Sexuality is a taboo subject in most parts of Pakistani society. Even talking about bodily changes is con¬sidered ‘not done’. …
Background: Accessible sexual, reproductive, and mental healthcare services are crucial for adolescent health and wellbeing. It has been reported that school-based healthcare (SBHC) has the potential to improve the availability of services particularly for young people who are normally underserved. Locating health services in schools has the potential to reduce transport costs, increase accessibility and provide links between schools and communities. Methods: A systematic review of the literature was undertaken. …
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. …
Purpose of review: To review current evidence on the links between early marriage and health-related outcomes for young women and their children. Recent findings: Every third young woman in the developing countries excluding China continues to marry as a child, that is before age 18. Recent studies reiterate the adverse health consequences of early marriage among young women and their children even after a host of confounding factors are controlled. …
Puberty and menstruation are a fundamental part of the second decade of girls’ lives. Yet many girls in low and middle-income countries know very little about the physical and emotional changes that are part of growing up. …
This paper reports on the results of an exploratory evaluation of a sexuality education program that was introduced in technical and vocational institutions in Guyana. The rationale for the program is outlined, along with the methodology employed in the evaluation of the program, including the analysis of data from document reviews, telephone and face-to-face interviews, and surveys of facilitators and students’ perceptions of the program. …
The purpose of this article was to present the current state of evidence and experience of youth participation approaches in HIV and sexual and reproductive health decision-making, policies and programmes. By combining a literature review of evaluation evidence with in-depth interviews and a global survey targeting young people with the experience of participation, this study opens a new window into the support needs for meaningful youth participation globally. …
In 2015, World Health Organization worked with the Nepal Ministry of Health to redesign the country’s Adolescent Sexual and Reproductive Health, through a pilot study utilizing the Innov8 Approach – an 8-step review process geared towards helping health programmes better address gender, equity, human rights and social determinants of health. The aim was to identify the adolescent subpopulations being missed, increase coverages, identify inequities and take a holistic approach to adolescent health and development. …
Au Sénégal, comme dans la plupart des sociétés Africaines, la sexualité a pendant longtemps été perçue comme un sujet tabou, pour des raisons d’ordre religieux et social ; elle n’était donc abordée ni en famille, ni à l’école car les adultes (parents ou enseignants) n’étaient nullement préparés à parler avec les jeunes des questions relatives à la Santé de Reproduction des adolescents et adolescentes.
En la actualidad, niñas, niños, adolescentes y jóvenes enfrentan múltiples desafíos para lograr definir y realizar proyectos de vida significativos y disfrutar de bienestar. En América Latina y El Caribe, muchos de los retos que se enfrentan en la niñez y adolescencia tienen que ver, por una parte, con la sexualidad, un aspecto de la identidad que experimenta múltiples cambios en este período, por otra, con las desventajas que generan las normas sociales de género inequitativas a las que están expuestas las personas a lo largo de la vida. …
This report draws on analyses of national survey data and literature review results to provide an overview of the evidence on key aspects of sexual and reproductive health among very young adolescents aged 10–14 living in developing regions.