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UNESCO HIV and Health Education Clearinghouse

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  1. The precocious period: the impact of early menarche on schooling in India

    Improvements in childhood nutrition increase schooling and economic returns in later life in a virtuous cycle. However, better nutrition also leads to an earlier onset of menstruation (menarche). In socio-cultural contexts where menarche adversely affects educational attainments, early menarche can thus break the virtuous cycle of girls’ human development. This paper focuses on one such context, India, and uses the Young Lives Longitudinal Study to show that starting menses before age twelve causes a 13% decrease in school enrollment rate. …

  2. Switched on: sexuality education in the digital space

    This technical brief summarises the findings of two reviews commissioned by UNESCO in 2019. The first is a desk review of the evidence for the use of digital resources to deliver sexuality education for young people, conducted by the Institute of Development Studies (UK). The review aimed to explore the extent to which digital content can influence knowledge, attitudes and practices of young people 10-24 years old and the potential for digital spaces to be used to add value to the traditional delivery of CSE. …

  3. A rigorous global evidence review of interventions to prevent violence against women and girls

    Violence against women and girls (VAWG) is preventable. Over the last two decades, VAWG prevention practitioners and researchers have been developing and testing interventions to stop violence from occurring, in addition to mitigating its consequences. This rigorous, in-depth review of the state of the field presents what is now known five years on after the UKAID-funded, What Works to Prevent Violence Against Women and Girls (What Works) programme, a six year investment, in advancing our understanding of What Works within the context of the wider evidence base. …

  4. Scaling-up normative change interventions for adolescent and youth reproductive health: an examination of the evidence

    Adolescent and youth reproductive health (AYRH) outcomes are influenced by factors beyond individual control. Increasingly, interventions are seeking to influence community-level normative change to support healthy AYRH behaviors. While evidence is growing of the effectiveness of AYRH interventions that include normative change components, understanding on how to achieve scale-up and wider impact of these programs remains limited. …

  5. Water, sanitation, and primary school attendance: a multi-level assessment of determinants of household-reported absence in Kenya

    This cross-sectional analysis examined the influence of school and household water, sanitation, and hygiene (WASH) conditions on recent primary school absence in light of other individual, household, and school characteristics in western Kenya. School latrine cleanliness was the only school WASH factor associated with reduced odds of absence. The marginal effect of household characteristics, such as distance to water source, child involvement in water collection, and presence of a latrine, differed by gender. …

  6. The effects of adolescent childbearing on literacy and numeracy in Bangladesh, Malawi, and Zambia

    Global investments in girls’ education have been motivated, in part, by an expectation that more-educated women will have smaller and healthier families. However, in many low- and middle-income countries, the timing of school dropout and first birth coincide, resulting in a rapid transition from the role of student to the role of mother for adolescent girls. Despite growing interest in the effects of pregnancy on levels of school dropout, researchers have largely overlooked the potential effect of adolescent childbearing on literacy and numeracy. …

  7. The Good School Toolkit for reducing physical violence from school staff to primary school students: a cluster-randomised controlled trial in Uganda

    Violence against children from school staff is widespread in various settings, but few interventions address this. The authors tested whether the Good School Toolkit - a complex behavioural intervention designed by Ugandan not-for-profit organisation Raising Voices - could reduce physical violence from school staff to Ugandan primary school children. Methods: The authors randomly selected 42 primary schools (clusters) from 151 schools in Luwero District, Uganda, with more than 40 primary 5 students and no existing governance interventions. All schools agreed to be enrolled. …

  8. School-based programs to reduce bullying and victimization

    Bullying is becoming an ever more pressing issue for schools, daycare centers, politicians and the public. Everyone agrees that bullying is a serious problem and initiatives are urgently called for to stamp it out. This Campbell systematic review studied the effects of anti‐bullying programs in schools. The conclusion is that programs generally work and bullying is reduced on average by around 20%. A total of 89 reports were of sufficient quality to be included in the systematic review. The 89 reports describe 53 different studies. …

  9. Does schooling protect sexual health? The association between three measures of education and STIs among adolescents in Malawi

    While multiple studies have documented shifting educational gradients in HIV prevalence, less attention has been given to the effect of school participation and academic skills on infection during adolescence. …

  10. 'Culturespeak' is everywhere: an analysis of culturalist narratives in approaches to sexuality education in Mozambique

    Building on postcolonial feminist scholars and critical anthropological work, this paper analyses the frequent deployment of the notion of ‘culture’ by decision-makers, educators, international agency staff and young people in the design, delivery and uptake of sexuality and HIV prevention education in Mozambique. The paper presents qualitative data gathered in Maputo, Mozambique to highlight the essentialising nature of culturalist assumptions underpinning in-school sexuality education. …

  11. We've got the power: women, adolescent girls and the HIV response

    This publication marks the 25th anniversary of the Beijing Declaration and Platform for Action, the most comprehensive and progressive global policy road map for fulfilling the human rights of women and girls and achieving gender equality. Progress has been made in key areas, the report shows, however, that many of the promises made to improve the lives of women and girls around the world have not been kept. It points out how the HIV epidemic holds a mirror up to these inequalities and injustices, and how the gaps in rights and services for women and girls are exacerbating the epidemic. …

  12. La pedagogía de la sexualidad: procesos de planificación e implementación didáctica realizados por docentes en Chile

    A pesar de los avances en las últimas décadas, en el mundo aún hay muchos niños, niñas y jóvenes que en su tránsito de la niñez a la adultez reciben información incorrecta o incompleta en educación en sexualidad. Esta circunstancia afecta sus posibilidades de desarrollo físico, social y emocional. Con el fin de atender esta situación, la UNESCO, en colaboración de otros organismos, publicó en el año 2018 el documento Orientaciones técnicas internacionales sobre educación en sexualidad: Un enfoque basado en la evidencia. …

  13. Promoting youth well-being through health and education: insights and opportunities

    Putting well-being at the heart of planning, policy making, and resource allocation is emerging as critical to the development of thriving communities and nations. The authors examined the academic and grey literature to identify theoretical frameworks that integrate health and education. The authors identified and described policies and programs supporting well-being around the world, and interviewed experts from each location to gain a deeper understanding of them. …

  14. Bullying and school attendance: a case study of senior high school students in Ghana

    This paper focuses on senior high school students and the ways that bullying affects their school attendance. Selected items from the 2008 Ghana Global School-based Student Health Survey are analysed first to explore the relationships between the duration and type of bullying and school attendance. Second, the authors investigate whether having emotional problems, in addition to being bullied, incrementally affects the relationship between bullying and school attendance. Third, the authors explore the mitigating influence of peer friendships on these relationships. …

  15. "My teacher said I had a disease": barriers to the right to education for LGBT youth in Vietnam

    Lesbian, gay, bisexual, and transgender (LGBT) youth in Vietnam face stigma and discrimination at home and at school. Many experience verbal harassment and bullying, which in some cases leads to physical violence. Teachers are often untrained and ill-equipped to handle cases of anti-LGBT discrimination. …

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