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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. Adaptation in practice: lessons from teenage pregnancy programmes in Sierra Leone

    This brief discusses initial learning emerging from the Adaptive approaches to reducing teenage pregnancy in Sierra Leone action research project. The project is accompanying three international NGOs - Concern, International Rescue Committee (IRC), and Save the Children - as they trial adaptive approaches to addressing teenage pregnancy in Sierra Leone. Key messages: 1) Partners under this action research project are trialling alternative approaches to preventing teenage pregnancy, focusing on social norms change. …

  3. 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. …

  4. Adolescent Girls Empowerment Program (AGEP): sexual and gender-based violence; brief, March 2018

    Acceptability and experience of sexual and gender-based violence is alarmingly high among adolescent girls in Zambia. Even more striking is the very young age from which notions of violence are ingrained and experience with violence begins. This brief summarizes the Adolescent Girls Empowerment Program (AGEP) evaluation which demonstrated that in the Zambian context, a program focused on changing norms among girls themselves is not enough to impact attitudes toward and experience of violence. …

  5. The entertaining way to behavioral change: Fighting HIV with MTV

    This paper tests the effectiveness of an entertainment education television series, MTV Shuga, aimed at providing information and changing attitudes and behaviors related to HIV/AIDS. Using a simple model, the paper shows that “edutainment” can work through an individual or a social channel. This study is a randomized controlled trial conducted in urban Nigeria, where young viewers were exposed to MTV Shuga or a placebo television series. …

  6. Parent’s knowledge, aptitudes and practices (KAP) towards comprehensive sexuality education in secondary school in Rwanda

    In Rwanda, Comprehensive Sexuality Education (CSE) has been subsumed in the new Competence Based Curriculum (CBC) as one of the essential cross cutting components. The aim of the school based CSE is to equip children with knowledge, skills and values in an age appropriate and culturally gender sensitive manner so as to enable them to make responsible choices about their sexual and social relationships, explain and clarify feelings, values and attitudes, as well as to promote and sustain risk reducing behavior (Rwanda Education Board, 2015). …

  7. IFMSA policy document: comprehensive sexuality education

    The IFMSA acknowledges the relevance of Comprehensive Sexuality Education for ensuring the respect to sexual and reproductive rights in the different stages of the life cycle. IFMSA believes the inclusion of CSE in the national curricula will help youth to have a healthier sexual and reproductive lives, free from stigma and discrimination. Moreover, the IFMSA condemns gender based violence (GBV), as it poses a serious threat to all genders; so we promote CSE as a powerful tool to attack the roots of GBV since the beginnings of life.

  8. Sexual and reproductive health outcomes are positively associated with comprehensive sexual education exposure in Mexican high-school students

    This paper provides evidence of the potential beneficial effects of CSE on attitudes, knowledge, and behaviors regarding sexual and reproductive health among adolescents. In addition, it identifies areas that should be strengthened to increase the positive impact of CSE.

  9. Picture that: supporting sexuality educators in narrowing the knowledge/practice gap

    Teaching about sex and relationships is one of the greatest challenges in not only the combating of HIV and AIDS, but also in preparing the youth for responsible sexual behaviour. Although it seems as if teachers to some extent do feel comfortable with the teaching of sexuality education at school, the question however remains as to whether youth get the information they require. In this article, I present drawings produced by teacher participants in order to investigate the beliefs that teachers hold regarding young people’s needs from sexuality education. …

  10. HIV knowledge, attitudes and behaviours: The situation at technical, vocational education and training (TVET) colleges in South Africa

    The HSRC 2012 population-based survey of national HIV prevalence, incidence and behaviour reported that there were approximately 469 000 new HIV infections in 2012 (Shisana et al. 2014). More than one-third of these infections (192 000) were among young people in the 15–24 years age group, with females accounting for 90% of new infections. Among those 25 years and older, 300 000 new infections were estimated, with the highest number of infections among females (175 000) compared to males (125 000). …

  11. Relationship between teachers’ attitude towards teaching HIV/AIDS education and students’ knowledge and attitude towards sexual behaviour in secondary schools in Coast Region, Kenya

    The purpose of the study was to determine the relationship between teachers’ attitude towards teaching HIV/AIDS education and students’ knowledge and attitude towards sexual behaviour in secondary schools in the Coast Region of Kenya. The study used descriptive survey research design. The samples comprised 421 respondents of which 33 were teachers and 388 students in 13 secondary schools. Questionnaires and interview schedule were used to collect the data. The validity of the instruments was checked by the supervisors and other experts in the field of research. …

  12. Parents’ and teachers’ views on sexual health education and screening for sexually transmitted infections among in-school adolescent girls in Kenya: a qualitative study

    Background: To successfully develop and implement school-based sexual health interventions for adolescent girls, such as screening for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis, it is important to understand parents’ and teachers’ attitudes towards sexual health education and acceptability of sexually transmitted infection (STI) screening interventions. Methods: In this qualitative study, we approached parents and teachers from three high schools to participate in in-depth interviews (IDIs) and focus-group discussions (FGDs). …

  13. Interventions for preventing unintended pregnancies among adolescents (Review)

    Background: Unintended pregnancy among adolescents represents an important public health challenge in high-income countries, as well as middle and low-income countries. Numerous prevention strategies such as health education, skills-building and improving accessibility to contraceptives have been employed by countries across the world, in an effort to address this problem. However, there is uncertainty regarding the effects of these interventions, hence the need to review the evidence-base. …

  14. Impact of teachers training on HIV/AIDS education program among secondary school students in Bangladesh: A cross-sectional survey

    In 2007, the Government of Bangladesh incorporated a chapter on HIV/AIDS into the national curriculum for an HIV-prevention program for school students. For the efficient dissemination of knowledge, an intervention was designed to train the teachers and equip them to educate on the topic of HIV/AIDS. The present study intended to understand the impact of this intervention by assessing the knowledge, attitudes and behaviours related to HIV/AIDS, among the targeted students.

  15. Adolescent friendly health corners (AFHCS) in selected government health facilities in Bangladesh: an early qualitative assessment. Research report

    With high rates of early marriage, especially among girls, a significant proportion of adolescents in Bangladesh need sexual and reproductive health services (SRH), including contraceptive information and services. Married women, including married adolescents, currently have access to these services through public sector. Unmarried adolescents do not have access to SRH information and services through public sector facilities. …

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