This report presents information outlining "the ways in which mental health concerns intersect with women’s reproductive health. It includes a discussion of the bio-psycho-social factors that increase vulnerability to poor mental health, those that might be protective and the types of programmes that could mitigate adverse effects and promote mental health." This review is useful for public health professionals, planners, policy makers and programme managers to raise awareness of mental health aspects of women’s reproductive health
"This tool is designed to help assessment teams, project managers, supervisors, and providers collect detailed information on the quality of Postabortion Care (PAC) services provided to adolescents at a given facility in order to make services more youth-friendly. "...[It] was developed as part of Pathfinder International’s Youth-Friendly Postabortion Care (YFPAC) Project which was implemented in eight sub-Saharan African countries: Angola, Ethiopia, Ghana, Kenya, Mozambique, Nigeria, Tanzania, and Uganda from June 2007 to May 2008"
This is the report of project that aimed to increase access to postabortion care services that are responsive to the needs of adolescents in sub-Saharan Africa. The project was Implemented between June 2007 and May 2008
"The Training Guide was developed as a tool for ‘Mobilising Communities for Young People’s Health and Rights: An Advocacy Toolkit for Programme Managers’, which is designed to assist programme planners and managers in designing, conducting, and evaluating advocacy campaigns to advance the implementation of existing policies, with a specific focus on young people’s sexual and reproductive health (SRH) and rights. The Training Guide was developed with the view that community-based advocacy is a crucial intervention, and that much more needs to be done to equip grassroots groups, networks, and organisations with the information and advocacy skills to demand that community needs and priorities be addressed. The Training Guide is specifically designed for use with community-based organisations, youth groups, and other grassroots partners that are interested in improving access to SRH information and services for youth. The five-day training leads participants through the essential steps in designing and planning an advocacy campaign. The Training Guide includes a number tools specifically designed to help grassroots partners formulate advocacy goals and objectives, and map out a comprehensive advocacy plan"
"This publication outlines the specific reproductive health needs of this cadre of adolescents and the programmatic responses that can be used to reach them"
This toolkit contains ideas for drama and discussion activities aimed at helping young people to learn about sexual and reproductive health issues and to gain skills in facilitating and using interactive drama tools and techniques. It is aimed at youth groups, community youth workers, community drama groups, teachers, people working in sexual and reproductive health and HIV programmes, and anyone who wants to use drama as a process of learning and action on sexual and reproductive health.
The toolkit is the result of teamwork between drama and sexual and reproductive health practitioners from six countries: Botswana, Malawi, Mozambique, UK, Zambia and Zimbabwe
This toolkit is written for anyone who wants to facilitate participatory learning activities with young people to equip them with the knowledge, positive attitudes and skills to grow up and enjoy sexual and reproductive health and well-being. This includes peer educators and leaders, outreach workers, teachers, community workers and others
The guide is intended to support anyone who wants to use the ‘Our future: sexuality and life-skills education’ books for primary schools, Grades 4-5, 6-7 and 8-9, to facilitate sexuality and life-skills lessons with learners in or out of the classroom. It contains information and activities to encourage users to try out ideas in the classroom and feel confident to plan and facilitate sexuality and lifeskills lessons
This summary report presents the findings of an evaluation of the Straight Talk mass media communication programmes to inform youth in Africa about sexual and reproductive health, which have been implemented in Uganda since 1993. The campaign was delivered through a radio show and two newspapers - one aimed at primary school children and one at secondary school students
In 2001, the Population Council conducted an assessment in Brazilian border areas, commissioned by the Brazilian Ministry of Health, with support from USAID/Brazil, to determine which populations were most in need of HIV prevention activities. The research findings in the southern region revealed the presence of an extremely mobile, international truck driver community with little or no access to HIV prevention, testing and treatment services. In response to this need, Horizons/Population Council implemented an operations research study focused on trucker drivers (2002-2005) in the south of Brazil. In collaboration with the administration of the customs stations, municipal and state STI and AIDS programmes, and Health Ministries, the investigators sought to examine the feasibility and impact of an HIV prevention project targeted at truckers crossing the southern border of Brazil
This issue reflects on how cultural and religious attitudes affect the sexual behaviour of young people and on the role they play in HIV incidence in the Asia-Pacific region. It also looks at good practices in this area. Includes two research briefs on the role of sex and HIV educational programmes for the youth and on knowledge and sexual behaviour of adolescent in Pune. Contains an interview with Halida Hanum Akhter, the recipient of the 2006 United Nations Population Award, which presents her insights into popular culture and reproductive health.
Tap and Reposition Youth (TRY) was a multiphase initiative undertaken by the Population Council and K-Rep Development Agency (KDA), the oldest and largest microfinance institution in Kenya. The overall aim of the project was to reduce adolescents' vulnerabilities to adverse social and reproductive health outcomes, including HIV infection, by improving their livelihoods options. The project was launched in low-income and slum areas of Nairobi, Kenya, where rates of HIV infection are alarming and where young women are disproportionately affected
This resource offers a new approach to understanding and developing work to meet the sexual and reproductive health needs of young people. After setting out the key principles which inform a Dynamic Contextual Analysis, the guide outlines the three main steps in carrying out such an assessment of needs and opportunities. Policy-makers, practitioners and researchers working to promote young people's sexual health in resource-constrained settings will find this resource particularly useful
During the past 20 years, substantial reductions have occurred in the proportion of young women who report marrying as teenagers in sub-Saharan Africa. An oft-stated consequence of a delay in age at marriage is a rise in the proportion of young women who engage in premarital sex. This paper investigates the links between changing age at marriage and premarital sexual behavior in 27 sub-Saharan African countries in which Demographic and Health Surveys were conducted between 1994 and 2003. Using multiple-decrement life tables to examine the competing risks of premarital sex and marriage without prior sexual experience, we answer the largely unaddressed question of how reductions in the prevalence of early marriage have affected the likelihood of initiating premarital sex. Our analysis reveals that although the age of first sexual activity has either remained the same or increased, a shift in the context of sexual debut from marriage to before marriage has taken place in many countries. We assess whether the increase in the proportion of young women who report premarital sex is influenced by an increase in exposure resulting from delayed marriage or by an increase in the rate of premarital sex. The evidence on this point is mixed; in some settings greater exposure explains more of the increase, whereas in others an increased rate of premarital sex dominates
'The Population Council has developed a novel framework for training providers to deliver client-centered reproductive health services. The essence of the approach is to bring about behaviour change in providers by making them more receptive and responsive to client needs. Further, providers are taught to treat clients with respect and dignity, to assess their reproductive health needs holistically within the context of their household circumstances, and to negotiate solutions that clients are able to implement. Known by the acronym SAHR, this approach involves four interconnected steps: Salutation, Assessment, Help, and Reassurance. Through operations research, SAHR was successfully tested in Pakistan in 2000-02. The training manual describes the SAHR approach and is meant to facilitate training of reproductive health providers in how to offer client-centered services. The manual is written in fairly generic terms and can be used, with slight modifications, in any setting or country. The manual has three sections. Section One, the introduction, is an overview of the contents. Section Two, the trainer's guide, comprises the training modules. Each module describes the individual components of client-provider interaction and includes learning objectives, key learning points, a schedule, and a list of materials required. Trainer notes and step-by-step instructions for each activity are included within each module. Section Three contains support materials to help trainers prepare for the sessions.'
This study was done to seek best practices in sexual and reproductive health education, by comparing youth (health) centres with different approaches around the country. The average age of visitors was 20.3, and over 2/3 came every day. There are a variety of activities (sport, cultural, information, education and communication (IEC), vocational and health training), and most centres are run by volunteers. Some of the health facilities are not well attended because of poor resources. Most centres are not self sustaining, and those that attempt to be tend to lose sight of their purpose. Young people felt they should have greater ownership of the centres. It was concluded that the ideal youth centre is a resource centre run by young people, with the involvement of the community, youth work specialists, volunteers and youth friendly health care providers, where youth-relevant information, a range of leisure and IEC activities, and counselling is available, as well as opportunities to develop personal skills. However, offering professional health services in Youth centres is most probably not cost-effective, mostly due to low numbers of actual clients
In a time when young people are increasingly at risk of unintended pregnancy and sexually transmitted infections, the role of contraception in preventing these is crucial. This issue of YouthLens looks at how education, services and products can help protect youth against unintended pregnancy and sexually transmitted infections, including HIV. It stresses that young people should be targeted with appropriate messages
This report evaluates the experience of member associations of the International Planned Parenthood, Western Hemisphere Region, in the development of programmes that use computer technologies to reach young people with sexual and reproductive health information. It identifies key issues for youth-and-technology projects and makes strategic recommendations for future development. The review of case studies from IPPF/WHR member associations in Chile, El Salvador, Guatemala and Peru provides important insight related to the preliminary effects of and lessons learned from the implementation of first-generation youth and technology projects in the region. Strategic recommendations for the development of second-generation projects in this area are also proposed
Stigma, discrimination and the violation of human rights impact on people's experiences of sexual relationships, and on practitioners' and policy-makers' ability to promote young people sexual health. This resource sets out how stigma and discrimination influence sexual health, identifies some principles of good practice, and introduces examples of innovative and effective practice with young people from Africa, Asia, Central and Latin America
Provides summaries of research findings, programme experience and clinical guidelines related to key reproductive health topics, as well as analyses of policy and programme implications. Reproductive Health Outlook is designed for reproductive health programme managers and decision makers working in developing countries and low-resource settings
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