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According to WHO 2012 estimates, Water, Sanitation and Hygiene (WASH) was responsible for 842 000 annual deaths from diarrhoea and 15% of the Global Burden of Disease in Disability- Adjusted Life Years (DALYs). In South Africa, diarrhoea and respiratory infections are a major public health problem, and are amongst the top causes of death in children. Respiratory and diarrhoeal infections are ranked the 2nd and 3rd leading causes of death amongst the under-5 population, and the 3rd and 4th biggest killers in children between ages 5-14 years. …
Adolescent dating and relationship violence is associated with health harms and is an important topic for sex education. School-based interventions addressing this have been effective in the USA, but schools in England confront pressures that might hinder implementation. We assessed the feasibility of, and contextual enablers / barriers to implementing Project Respect, a whole-school intervention.We conducted a pilot trial with process evaluation in six English secondary schools. …
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. …
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. …
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. …
The theory of change behind the Adolescent Girls Empowerment Program (AGEP) posited that adolescent girls are empowered by building social, health, and economic assets that they can then draw on to reduce vulnerabilities and expand opportunities. In the long term, they will then increase their likelihood of completing school, delaying sexual debut, and reducing risks of early marriages, unintended pregnancies, acquisition of HIV, and other possibly detrimental outcomes. …
The theory of change behind the Adolescent Girls Empowerment Program (AGEP) posited that adolescent girls are empowered by building social, health, and economic assets that they can then draw on to reduce vulnerabilities and expand opportunities. In the long term, they will then increase their likelihood of completing school, delaying sexual debut, and reducing risks of early marriages, unintended pregnancies, acquisition of HIV, and other possibly detrimental outcomes. …
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. …
UNESCO Regional Office for Eastern Africa in partnership with the Ministry of Education (MoE), and with the support of Government of Azerbaijan implemented a project on “Health literacy and behavior change practices among adolescent girls in the Kibera informal settlement” (2014-2016). …
The objective of this literature review was to provide a background to the current context relating to the provision of comprehensive and integrated youth-friendly SRHR and HIV prevention services to students at post-schooling institutions in South Africa and in the Eastern Cape. …
Story of a national program that has been a school for social, academic and professional development for thousands of peer educators and government employees and throughout the years, the program has freed local communities from the stranglehold of taboos on sex, education and the role of young people in society. …
The prevention of HIV and AIDS, especially amongst young people, is very important, as they are the future leaders. South Africa carries a high burden of the HIV and AIDS disease, and efforts at the prevention of the disease need to be intensified. University students are also at risk, and prevention efforts need to be intensified to ensure that students graduate and enter the world of work to become productive citizens. Failure to pay attention to preventative behaviour amongst university students may have negative socio-economic consequences for the country. …
This report presents the findings of a rapid assessment of ‘Health Literacy and Behavior Change Practiced among Adolescent Girls in Kibera’ Informal Settlement in Nairobi, Kenya.
The study explores the role and contribution of education in developing a localized and relevant HIV/AIDS prevention strategy through a multi-voiced approach, involving the educational institutions, as well as the traditional leaders, community-members, including parents. The study comprised all public schools in one Zambian province from 2002-2008. The study explores, among other factors, the role of traditional culture in mitigating and exacerbating the spread of the disease. …
Concerns about significant increases in Sierra Leone’s already high rates of teenage pregnancy during the Ebola crisis have led to redoubled efforts among policy-makers and development practitioners to address this problem. The startling health and education impacts on teenage girls -twice as many mothers aged 15-19 die in childbirth compared to those over 20 while teen pregnancy is one of the leading causes of school dropouts - underline the importance of these efforts. …
