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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. A sexual and reproductive health peer education programme for girls in grades 7 to 9. Mentor’s manual

    This sexual and reproductive health (SRH) peer education programme was developed as part of the Department of Basic Education’s (DBE) Leveraging Partnerships to Achieve the Goals of South Africa’s HIV & AIDS and STI National Strategic Plan 2012–16, otherwise known as Keeping Girls in School. The aim of this component of the programme is to shift social norms and change sexual behaviour by reinforcing and supporting the SRH messages received via the curriculum in order to increase retention and reduce the risk of HIV infection and teenage pregnancy.

  3. 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. …

  4. 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. …

  5. Early marriage and sexual and reproductive health vulnerabilities of young women: a synthesis of recent evidence from developing countries

    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. …

  6. Go Teachers! Creating a safe and supportive environment for girls at school: A training manual for school personnel and teachers

    The Go Girls! Toolkit is designed to support a comprehensive program that aims to reduce girls’ vulnerability to HIV/AIDS by reaching out to communities, schools, parents, boys and young girls using participatory awareness raising, community action items, and skills building tools. The tools have been pilot tested in the three implementation countries – Malawi, Mozambique, and Botswana – and revised based on the feedback from the facilitators and participants in each of the three countries

  7. Are schools safe and gender equal places? Findings from a baseline study of school related gender-based violence in five countries in Asia

    This report presents findings from a baseline study carried out in specific districts of five Asian countries: Cambodia, Indonesia, Nepal, Pakistan and Vietnam, as part of a programme to address School Related Gender based Violence (SRGBV) in the region. Tilted Promoting Equality and Safety in Schools (PEASS), this regional programme has an overarching goal to make the ‘education systems in Asia gender responsive with zero-tolerance to SRGBV’, and is a joint initiative of Plan International and the International Center for Research on Women (ICRW). …

  8. 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. …

  9. A toolkit for integrating menstrual hygiene management (MHM) into humanitarian response

    The Menstrual Hygiene Management (MHM) in Emergencies toolkit aims to provide streamlined guidance to support organizations and agencies seeking to rapidly integrate MHM into existing programming across sectors and phases.

  10. The Last Taboo. Research on menstrual hygiene management in the Pacific: Solomon Islands, Fiji, and Papua New Guinea. Final report

    Managing menstruation 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 general findings from research funded through the Australian Government, Department of Foreign Affairs and Trade (DFAT), including its innovationXchange. It represents collaboration between DFAT’s Pacific Division and DFAT’s innovationXchange following an internal DFAT Ideas Challenge. …

  11. Menstruation as a barrier to education?

    Increasing education for girls is an important policy priority in many developing countries, where secondary school enrollment often remains lower for girls than for boys. Some researchers and policymakers have argued that menstruation may be causing girls to miss a significant number of school days. At the maximum, some have estimated that girls might be missing as much as 10 to 20 percent of school days due to menstruation. Anecdotal evidence seems to support this. Girls report missing school during their periods and lacking access to modern sanitary products. …

  12. WASH in Schools for Girls E-Course: Increasing national capacity to conduct research on menstrual hygiene management in schools

    Menstrual hygiene remains a taboo in many settings, with poor knowledge and misconceptions as great a challenge as access to adequate facilities at both home and in school. In recent years, a solid body of evidence has revealed the discriminatory nature of many school environments, with menstruating girls 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. …

  13. Attention to menstrual hygiene management in schools: An analysis of education policy documents in low- and middle-income countries

    Recent decades have seen a push for gender parity in education in low resource countries. Attention is shifting to how school environments hinder the achievement of gender equality. One effort, primarily led by the water, sanitation and hygiene sector, includes a focus on the needs of menstruating girls.

  14. 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.

  15. 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. …

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