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Adolescent fertility since the International Conference on Population and Development (ICPD) in Cairo.
New York, New York, United Nations, 2013.  p. (ST/ESA/SER.A/337)This report presents new estimates of the levels and trends in adolescent fertility worldwide from 1990-1995 to 2005-2010. It highlights key social and demographic factors underlying adolescent fertility, including early marriage, first sex, contraceptive use and education. This period coincides with assessments of progress in implementing the Programme of Action of the ICPD and the Millennium Development Goals, which include a focus on reducing early childbearing, expanding access to reproductive health and investing in the human capital of youth, especially girls.
AIDS. 2008 Jul; 22 Suppl 1:S51-7.Because full funding for HIV/AIDS prevention interventions is unlikely to occur in the near future, it is essential that the resources available are spent in the most effective way possible. This paper presents a matrix of effectiveness coefficients for HIV/AIDS-related prevention interventions that can be used as an integral part of the coordinated strategic planning process currently underway by the World Bank and UNAIDS, as the interventions in the matrix are harmonized with the interventions in that process. Coefficients for four types of sexual behavior change (condom use, partner reduction, sexually transmitted infection treatment-seeking behavior, age at first sex) across three different risk groups (high, medium, low) are presented, along with their interquartile ranges. Results indicate that: (1) impacts seem greater when an intervention includes interpersonal contact, rather than targeting a more general audience; (2) although significant impacts are observed in the columns measuring changing condom use, other impacts are lower, and sometimes are actually (measured) zero; and (3) additional studies have evaluations of the number of sexual partners and have found a greater impact than previous studies. Although progress has been made in increasing the number of evaluation studies that can be utilized in this impact matrix, particularly in the area of youth interventions, there are still empty cells in which no studies report impacts. Finally, it is important to note that issues such as quality differences and synergies between programmes could have an effect on the impacts calculated for a particular strategic plan.
European Journal of Contraception and Reproductive Health Care. 2008 Mar; 13(1):58-70.Acceptance of sexual and reproductive health as fundamental to the sustainable development of societies has allowed for creation of new reproductive health programmes and policies. WHO sexual and reproductive health (SRH) strategies were developed in the WHO Regional Office for Europe (2001), as well as globally (2004). Adolescent SRH is important in both strategies. Despite these commitments, adolescents remain vulnerable to poor reproductive health. The goal of this paper is to analyse the current status of SRH of adolescents in Europe. Key reproductive health indicators were chosen. Information was obtained from published studies, databases and questionnaires sent to WHO reproductive health counterparts within the health ministries in the Member States of the WHO European Region. Pregnancy rate, age at first sexual intercourse, contraceptive use at first and last intercourse, contraceptive prevalence, HIV knowledge, and STI rates vary widely according to the population considered. Gender difference and lack of information pertaining to SRH of all adolescent populations are other key findings. While the SRH of most European adolescents is good, they remain a vulnerable population. Lack of standardized reproductive indicators and age specific aggregate data make it difficult to accurately assess the situation in individual countries or perform cross country comparison. (author's)
AIDS ANALYSIS AFRICA. 1996 Feb; 6(1):1.Considerable data on AIDS in Malawi are available at the local level, but much of the information long languished instead of being formally collected and put together to provide an overall picture of the epidemic in the country. A World Health Organization (WHO) epidemiologist, however, has completed the first comprehensive, nationwide survey of HIV prevalence rates in Malawi. 1.6 million of Malawi's 11 million population are infected with HIV, making it one of countries in Africa worst affected by the epidemic. In 1995 alone, there were an estimated 265,000 new HIV cases and 74,900 deaths from AIDS. There are also fears about the safety of the blood supply. The WHO survey suggests that three of the country's 62 hospitals are not testing blood for HIV. Moreover, the effectiveness of the system is undermined by the widespread carelessness and dishonesty of overworked technicians who conduct the tests. While the reasons are many and complex for the spread of HIV, it seems that the policies of former President Hastings Kamuzu Banda were a contributory factor. President Banda's neglect of grassroots health care, especially in rural areas, and his refusal to allow public debate on the disease no doubt fueled the spread of HIV in Malawi. Traditional sex practices also probably play a role. For example, in some ethnic groups, young teenage girls are sexually initiated by men specially chosen for their physical prowess. Any one of these men who happens to be HIV-seropositive and has sex with many of these young girls may pass the virus on to many other people.
DISPATCHES. 1993 Oct; (3):1.A narrative research approach was developed by the World Health Organization, the World Assembly of Youth, the World Organization of the Scout Movement, and the UNFPA in which researchers study the sexual behavior or young people by simply listening to the accounts of individual youths. The method specifically examines how adolescents describe their first sexual experience and its aftermath. Respondents explain their behavior without moralistic critique from interviewers. Beginning in 1988, teens in 11 sub-Saharan African countries talked about their sexual encounters. Youth leaders from each country drew upon these experiences to create a typical story about the adolescent sexual experience. Stories were then converted into questionnaires for teens to fill out. The method has subsequently been tested by 13,000 teens. Its developers are working on action programs in a number of countries. Data thus far suggest that sexual relations develop between 2 people over time, with the boy generally showing more interest than the girl. Contraception is not used and no reference is made to the possibility of contracting a sexually transmitted disease (STD). Families are informed about neither the relationship nor the resulting pregnancy, at least at first. Boys try to evade responsibility for pregnancies when they are suspected and abortion is considered a major option. Families take over when they find out about the pregnancy, but the girl's fate also depends on the attitude of the boy's family. 25% of girls report being chased from home and turning to commercial sex work to earn a living, 33% report a pregnancy problem, and 20% report contracting a STD.