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Full-Text Articles in Medicine and Health Sciences
Prevalence Of Sexually Transmitted Infections Among Men Who Have Sex With Men And Injecting Drug Users And Validation Of Audio Computer-Assisted Self Interview (Acasi) Technique In Abuja, Lagos, And Ibadan, Nigeria: Report Fact Sheet, Enhancing Nigeria's Hiv/Aids Response (Enr) Programme
Prevalence Of Sexually Transmitted Infections Among Men Who Have Sex With Men And Injecting Drug Users And Validation Of Audio Computer-Assisted Self Interview (Acasi) Technique In Abuja, Lagos, And Ibadan, Nigeria: Report Fact Sheet, Enhancing Nigeria's Hiv/Aids Response (Enr) Programme
HIV and AIDS
Most-at-risk populations (MARPS), including men who have sex with men (MSM) and injecting drug users (IDUs), represent only 1 percent of Nigeria’s population yet account for 38 percent of new HIV infections. Despite their elevated risk, MSM and IDUs are less likely than the general population to access HIV prevention and sexual health services because of stigmatization. There is a dearth of data on prevalence of HIV and sexually transmitted infections (STIs) among MSM and IDUs because their behaviors make them difficult to be reached programmatically and engaged in research. While the need for HIV and STI prevalence data is …
Female Genital Mutilation Practices In Kenya: The Role Of Alternative Rites Of Passage. A Case Study Of Kisii And Kuria Districts, Habil Oloo, Monica Wanjiru, Katy Newell-Jones
Female Genital Mutilation Practices In Kenya: The Role Of Alternative Rites Of Passage. A Case Study Of Kisii And Kuria Districts, Habil Oloo, Monica Wanjiru, Katy Newell-Jones
Reproductive Health
This research was undertaken by the Population Council to better understand female genital mutilation (FGM) as currently practiced by the Kuria and Kisii communities in Kenya. The study investigated current attitudes and practices in relation to FGM, awareness and attitudes toward the alternative rite of passage (ARP), and factors which encourage individuals to make decisions to abandon FGM. The findings show that FGM is still a celebrated public event among the Kuria, whereas in Kisii, it is a private family affair. The study suggests that the success of ARP as an approach to abandoning FGM is strongly dependent on the …
The Prevention And Management Of Hiv And Sexual And Gender-Based Violence: Responding To The Needs Of Survivors And Those-At-Risk, Sarah Raifman, Ian Askew, Sajeda Amin, Jill Keesbury, Saiqa Mullick, Judith A. Diers, Meiwita P. Budiharsana, Chi-Chi Undie, Mary Zama, Mantshi Menziwa, Sherry Hutchinson, Naomi Rutenberg
The Prevention And Management Of Hiv And Sexual And Gender-Based Violence: Responding To The Needs Of Survivors And Those-At-Risk, Sarah Raifman, Ian Askew, Sajeda Amin, Jill Keesbury, Saiqa Mullick, Judith A. Diers, Meiwita P. Budiharsana, Chi-Chi Undie, Mary Zama, Mantshi Menziwa, Sherry Hutchinson, Naomi Rutenberg
Reproductive Health
The Population Council seeks to understand the social, economic, political, and physical context of risks for sexual and gender-based violence and HIV. Among the top priorities of Council research are supporting and evaluating efforts to prevent violence and HIV, including creating safe spaces for adolescent girls, and working with men and boys to change gender norms within the community; and comprehensively responding to the needs of survivors (including those who are HIV-infected) by strengthening health systems and integrating services. The purpose of this guide is to provide practical guidance on the steps necessary to establish and strengthen sexual violence (SV) …
Assessing Equity Of Access In Programs For Young People, Adam Weiner
Assessing Equity Of Access In Programs For Young People, Adam Weiner
Poverty, Gender, and Youth
Young people aged 10–19 make up almost 20 percent of the population in less developed regions. This vast, highly diverse population faces a variety of threats that could disrupt their healthy transition to adulthood, including early marriage and childbearing, school leaving, violence, exploitation, unemployment, and HIV/AIDS. The majority of youth programs fail to reach the most vulnerable; most programs are only accessible to those with greater levels of social and human capital, such as an education or friendship networks. Promoting Healthy, Safe, and Productive Transitions to Adulthood Brief No. 28 describes how the Population Council, recognizing the need for generating …
Taking Programs For Vulnerable Adolescents To Scale: Experiences, Insights, And Evidence, Martha Brady
Taking Programs For Vulnerable Adolescents To Scale: Experiences, Insights, And Evidence, Martha Brady
Poverty, Gender, and Youth
The international development community’s desire to alleviate poverty and improve health outcomes presents an extraordinary opportunity to transform the lives of young people, particularly girls. Cycles of illiteracy, poor job prospects, and social isolation can be broken but will require concerted efforts to reach large numbers of vulnerable adolescent girls with robust asset-building programs. Scaling-up effective pilot programs will be critical to achieving these goals. While there is an expanding body of research around scaling up health interventions, less is known or documented about scaling up cross-sectoral programs for adolescent girls. Bringing to scale programs directed toward poor, often invisible …
Scaling For Change: Strategic Investment In The Poorest Girls In The Poorest Communities, Judith Bruce
Scaling For Change: Strategic Investment In The Poorest Girls In The Poorest Communities, Judith Bruce
Poverty, Gender, and Youth
No abstract provided.
Programs To Address Child Marriage: Framing The Problem, Sajeda Amin
Programs To Address Child Marriage: Framing The Problem, Sajeda Amin
Poverty, Gender, and Youth
Eradicating child marriage has long been on the agenda of the United Nations and of individual countries. Indeed, all countries where child marriage occurs are signatories to international charters and covenants that discourage the practice. Despite these agreements, marriage before age 18—often without the young bride’s consent—persists. Population Council researchers are seeking to prevent child marriage and support married girls in several countries, including Bangladesh, Burkina Faso, Egypt, Ethiopia, Guatemala, India, Kenya, Nigeria, and Vietnam. Programs include expanding opportunities (education, livelihoods) for girls, especially those most at risk of early marriage, and working directly with gatekeepers to remove barriers that …
Enhancing The Benefits Of Girls' Livelihood Initiatives, Sajeda Amin
Enhancing The Benefits Of Girls' Livelihood Initiatives, Sajeda Amin
Poverty, Gender, and Youth
As a pioneer in the relatively young field of adolescent livelihood programs, the Population Council has implemented and evaluated a range of projects that test vocational training, savings, financial education, and credit initiatives. Since the 1990s, the Council has documented the importance of adolescents’ livelihoods and worked to adapt adult livelihood models to fit adolescents’ unique needs. While these programs often share common strategies and elements, all Council adolescent initiatives recognize the need to learn from and adapt to the local context. Promoting Healthy, Safe, and Productive Transitions to Adulthood Brief No. 17 reviews the Council’s work on adolescent livelihoods …
The Population Council's Approach: Promoting Healthy, Safe, And Productive Transitions To Adulthood, Population Council
The Population Council's Approach: Promoting Healthy, Safe, And Productive Transitions To Adulthood, Population Council
Poverty, Gender, and Youth
This Promoting Healthy, Safe, and Productive Transitions to Adulthood brief provides an overview of the Population Council’s focus on adolescents that began in the early 1990s. The focus has been accompanied by a commitment to move the field of adolescent research and programs from one often narrowly focused on sexuality, reproductive health, and behavior to the broader social and economic issues that underpin adolescent health and well-being. In 1998, with the publication of The Uncharted Passage—a benchmark review of the situation of adolescent girls in developing countries—the current program of work was launched. The Council’s approach has been characterized by …
Leveling The Playing Field: Building Girls' Sports Programs And Creating New Opportunities, Martha Brady
Leveling The Playing Field: Building Girls' Sports Programs And Creating New Opportunities, Martha Brady
Poverty, Gender, and Youth
From Afghanistan to Zimbabwe, more girls and women are participating in sports than ever before. Even in the most unlikely settings, girls are stepping onto playing fields, joining teams, and participating in ways that were unprecedented a decade ago. The burgeoning interest in girls’ and women’s sports around the globe provides an opportune moment to examine the role of sports in adolescent girls’ lives and build the evidence base for future programming and policy development. This brief reports on the collaboration between Population Council researchers and partners, including sports organizations, women’s groups, international development agencies, and ministries of youth, in …
Equipping Mayan Girls To Improve Their Lives, Jennifer Catino, Alejandra Colom, Marta Julia Ruiz
Equipping Mayan Girls To Improve Their Lives, Jennifer Catino, Alejandra Colom, Marta Julia Ruiz
Poverty, Gender, and Youth
Guatemala’s population is poorer, less educated, faster growing, and more ethnically diverse than most others in Latin America. The country’s fertility and infant mortality rates are among the highest in the region. Nearly half of the Guatemalan population is indigenous, and more than 20 Mayan ethnic groups live in isolated rural areas with limited access to basic services such as water, sanitation, schooling, and health care. Mayan girls are the country’s most disadvantaged group, leading lives characterized by limited schooling, early marriage, frequent childbearing, social isolation, and chronic poverty. The Population Council, in collaboration with local and international partners, launched …
Addis Birhan Project: Working With Boys And Men To Address Young Girls' Social Vulnerability, Annabel Erulkar, Louis Apicella, Abebaw Ferede
Addis Birhan Project: Working With Boys And Men To Address Young Girls' Social Vulnerability, Annabel Erulkar, Louis Apicella, Abebaw Ferede
Poverty, Gender, and Youth
In Ethiopia, the Ethiopia Ministry of Youth and Sports, the Amhara Regional Bureau of Youth and Sports, and the Population Council implemented programs for vulnerable girls. As these programs increased in popularity, demand for support programs arose from husbands. Qualitative, in-depth interviews were undertaken among adolescents, men, and women in the Amhara Region, exploring the roles of men and women, risk-taking behavior, and patterns of HIV and reproductive health vulnerability. Addis Birhan (“New Light”), a program of the Regional Bureaus of Youth and Sports in Amhara and Tigray and the Population Council for rural men in Ethiopia, targets married men …
Supporting Married Girls: Calling Attention To A Neglected Group, K.G. Santhya, Annabel Erulkar
Supporting Married Girls: Calling Attention To A Neglected Group, K.G. Santhya, Annabel Erulkar
Poverty, Gender, and Youth
In the next ten years, if current patterns continue, more than 100 million girls will marry before the age of 18, according to Population Council analyses of United Nations country data. Child marriage—any marriage that occurs before age 18—is considered a human rights violation by international convention. Marriage transforms virtually all aspects of girls’ lives. Typically, girls who marry are moved from their familial home and village, lose contact with friends, initiate sexual activity with someone they barely know, and soon become mothers. In Bangladesh, Burkina Faso, Ethiopia, India, Nigeria, and elsewhere, the Council is undertaking research to better understand …
Using Data To Identify And Reach The Most Vulnerable Young People, Adam Weiner
Using Data To Identify And Reach The Most Vulnerable Young People, Adam Weiner
Poverty, Gender, and Youth
Promoting Healthy, Safe, and Productive Transitions to Adulthood Brief No. 10 describes how the Population Council, through workshops and conferences with partners around the world, seeks to promote a better understanding of the adolescent experience and advocates for the development of programs based on evidence. To facilitate fact-based planning, the Council uses valuable sources of data, such as the Demographic and Health Surveys (DHS), to generate evidence to support policy analysis and program design. In 2001, the Council produced a series of reports using DHS called “Facts about Adolescents from the Demographic and Health Survey: Statistical Tables for Program Planning” …
Biruh Tesfa Provides Domestic Workers, Orphans, And Migrants In Urban Ethiopia With Social Support, Hiv Education, And Skills, Annabel Erulkar, Belaynesh Semunegus, Gebeyehu Mekonnen
Biruh Tesfa Provides Domestic Workers, Orphans, And Migrants In Urban Ethiopia With Social Support, Hiv Education, And Skills, Annabel Erulkar, Belaynesh Semunegus, Gebeyehu Mekonnen
Poverty, Gender, and Youth
In Ethiopia, the HIV epidemic is increasingly urban and female. An estimated 7.7 percent of the urban population in Ethiopia is HIV-positive, compared with less than 1 percent of the rural population. Nationally, the female-to-male ratio of HIV infection is 3 to 2. Girls who migrate from rural to urban areas may be less protected, more vulnerable to violence and sexual abuse, and less equipped to avoid abusive situations—all of which may increase HIV risk. The Biruh Tesfa (“Bright Future”) program addresses the social isolation of out-of-school adolescent girls aged 10–19, including rural-to-urban migrants, domestic workers, and orphans. Using a …
Summary Of New Lessons: The Power Of Educating Adolescent Girls, Cynthia B. Lloyd
Summary Of New Lessons: The Power Of Educating Adolescent Girls, Cynthia B. Lloyd
Poverty, Gender, and Youth
Over the past 15 years, girls’ education in the developing world has been a story of progress, as noted in Promoting Healthy, Safe, and Productive Transitions to Adulthood Brief No. 33. Interest from the development community has grown steadily in response to evidence documenting the benefits of girls’ schooling, and female education is now a major part of global development commitments. Education helps adolescent girls avoid long working hours and early pregnancies, and lowers risk of HIV/AIDS, and secondary education offers greater prospects of remunerative employment. But according to a 2008 United Nations report, 113 countries failed to reach the …
Siyakha Nentsha: Building Economic, Health, And Social Capabilities Among Highly Vulnerable Adolescents In Kwazulu-Natal, South Africa, Kelly Hallman, Eva Roca
Siyakha Nentsha: Building Economic, Health, And Social Capabilities Among Highly Vulnerable Adolescents In Kwazulu-Natal, South Africa, Kelly Hallman, Eva Roca
Poverty, Gender, and Youth
Young people growing up in South Africa face many challenges. HIV, orphanhood, early pregnancy, and limited employment prospects are some of the major obstacles to a healthy and productive adulthood. In KwaZulu-Natal (KZN), the province with the highest HIV prevalence rates, the impact of HIV and AIDS is felt especially strongly, and already-disadvantaged adolescents face the prospect of falling even further behind socially and economically because of the disruption of key relationships in their lives. The Isihlangu Health and Development Agency and the Population Council developed and piloted a life-orientation program, Siyakha Nentsha, to improve the lifelong skills and well-being …
Rethinking The Time Allocation Of Egyptian Females: A Matching Analysis, Rana Hardy
Rethinking The Time Allocation Of Egyptian Females: A Matching Analysis, Rana Hardy
Poverty, Gender, and Youth
This study explores the extremely biased division of labor within Egyptian households. The effects of marriage on women’s market and domestic labor supplies are important aspects of this study conducted by the Population Council for its working paper series on gender and work in the Mideast-North Africa region. New explanations for married women’s low participation rates are proposed. A matching model is estimated to determine how selection into marriage alters the time allocation of women. The empirical results show that marriage significantly affects both types of work with married women spending about eight hours less on market work weekly relative …
Protecting Young People From Sex Without Consent, Shireen J. Jejeebhoy
Protecting Young People From Sex Without Consent, Shireen J. Jejeebhoy
Poverty, Gender, and Youth
Over the last decade, a growing body of evidence has laid to rest any illusion that the young are protected from unwanted sexual advances or forced sex both within and outside of marriage. Studies have established the prevalence of unwanted sex within marriage among young women and its risk factors; the association between poverty and forced sex among adolescent girls in South Africa; levels and correlates of forced sex reported by young people in Ethiopia and Kenya. Evidence has established that sex without consent among the young exists in every region of the world, and that girls, as well as …
Piloting A Safe Spaces, Asset-Building Program For Adolescent Girls In Urban Ghana, Sarah Engebretsen, Selina F. Esantsi
Piloting A Safe Spaces, Asset-Building Program For Adolescent Girls In Urban Ghana, Sarah Engebretsen, Selina F. Esantsi
Poverty, Gender, and Youth
Ghana’s population of 24 million is projected to reach 31.8 million in 2025. This population growth is coupled with rapid urbanization. Urban adolescent females experience a rapid decline in school enrollment, often because they need to provide economic support to families. Girls living apart from families and out of school often lack social networks and have few opportunities to build the critical skills needed for adulthood. The Population Council has a global portfolio of work reaching vulnerable adolescent girls with programs that provide a safe, girl-specific platform where girls can develop core skills, form friendships, receive and give peer support, …
Introducing Adolescent Livelihoods Training In The Slums Of Allahabad, India, Monica J. Grant, Barbara Mensch, Mary Philip Sebastian
Introducing Adolescent Livelihoods Training In The Slums Of Allahabad, India, Monica J. Grant, Barbara Mensch, Mary Philip Sebastian
Poverty, Gender, and Youth
While all adolescents in India face a rapidly changing economic environment, girls’ life choices are very different from boys’. Girls are much less likely to be engaged in economic activities, and when young women do participate in income-generating activities, it is often in unremunerated home-based work. Even when young women are paid for their labor, they may not retain control of their income. The Population Council and its partners are promoting a “livelihoods approach” that aims to expand the decision-making power of young women by building social networks and developing financial and income-generating capacities. This approach attempts to provide technical …
Addressing Sexual Violence And Hiv Risk Among Married Adolescent Girls In Rural Nyanza, Kenya, Chi-Chi Undie
Addressing Sexual Violence And Hiv Risk Among Married Adolescent Girls In Rural Nyanza, Kenya, Chi-Chi Undie
Poverty, Gender, and Youth
Married adolescent girls form a large segment of Kenyan youth, yet they are largely overlooked by researchers and program managers concerned with the lives of adolescents. In settings such as Nyanza Province, Kenya, rates of HIV infection are extremely high, and evidence is increasing in some settings that girls who are married are much more likely to be infected, compared with their unmarried sexually active counterparts. Research indicates that the risk of HIV infection following forced sex is likely higher than following consensual sex. Finding ways to tackle sexual violence and HIV infection simultaneously has therefore become a major public …
Education During Humanitarian Emergencies: The Situation Of Displaced Children And Youth In Darfur, Sudan, Safaa El-Kogali
Education During Humanitarian Emergencies: The Situation Of Displaced Children And Youth In Darfur, Sudan, Safaa El-Kogali
Poverty, Gender, and Youth
More than 39 million children and youth who live in conflict-affected fragile states do not have access to education. With an increase in the average duration of refugee displacement from 9 years in the early 1990s to 17 years today, whole generations of children have little chance to recoup the potential educational investment lost during their years living in the midst of a humanitarian emergency. The Population Council and the Women’s Refugee Commission launched a research project to identify the link between education and children’s protection and well-being in Darfur, Sudan. The objective was to document the educational environment in …
Investigating School Quality And Learning Outcomes Among Adolescents In Malawi, Christine A. Kelly
Investigating School Quality And Learning Outcomes Among Adolescents In Malawi, Christine A. Kelly
Poverty, Gender, and Youth
Education, particularly at the primary level, has long been regarded as an essential input of social and economic development. In addition to its role in increasing the cognitive abilities of students, schooling is recognized as a facilitator of labor force participation, female empowerment, improved health outcomes, and greater civic engagement. As one of the early pioneers in sub-Saharan Africa of free primary education, Malawi’s enrollment figures compare favorably with those of its neighbors in southern Africa. However, as noted in Promoting Healthy, Safe, and Productive Transitions to Adulthood Brief No. 34, primary school completion rates stand at just 35 percent, …
Calling Attention To Young Adolescents: Building The Evidence Base To Inform Policies And Programs, Martha Brady
Calling Attention To Young Adolescents: Building The Evidence Base To Inform Policies And Programs, Martha Brady
Poverty, Gender, and Youth
Young adolescence is a critical life-cycle stage marked by a dynamic combination of opportunity and risk. During this time, children undergo tremendous physical, emotional, social, and cognitive changes as well as socialization into prevailing sexual and gender norms. For the majority, young adolescence is characterized by relatively good health and stable family circumstances, but it can also be a period of vulnerability due to a number of rapid transitions that force some young people into adult roles. Most young adolescents experience the onset of puberty (girls earlier than boys), which typically marks an abrupt life change. Some young adolescents will …
Addressing Sexual And Gender-Based Violence (Sgbv) Against Adolescent Girls, Sajeda Amin, Althea D. Anderson
Addressing Sexual And Gender-Based Violence (Sgbv) Against Adolescent Girls, Sajeda Amin, Althea D. Anderson
Poverty, Gender, and Youth
The Population Council’s extensive work on adolescent safe spaces and livelihoods programs has demonstrated the pathways of empowering adolescent girls and the substantial benefits for society. Monitoring and evaluation data from these initiatives have produced empirical evidence about threats to girls’ health and well-being that relate to both longstanding and emergent social forces. In developing countries, where the risk of adverse sexual and reproductive health outcomes is high and young girls are at high risk, it is important to address issues related to sexual and gender-based violence (SGBV) and gender norms that relate to these risks. The Council’s work with …
Social Mobilization Strategy, Family Advancement For Life And Health (Falah)
Social Mobilization Strategy, Family Advancement For Life And Health (Falah)
Reproductive Health
This document outlines social mobilization strategies at the national and community levels of the Family Advancement for Life and Health (FALAH) project in Pakistan. The project aims to improve the health and well-being of women, men, and their children through tackling the major obstacles in adoption of birth spacing to improve maternal and child health outcomes and family well-being, by increasing knowledge of the benefits of birth spacing as well as knowledge, increased demand for, and effective use of contraceptive methods. The strategy aims to achieve a significant increase in couples’ knowledge and understanding of the need for and benefits …
Addressing The Needs Of Girls At Risk Of Early Marriage And Married Adolescent Girls In Burkina Faso, Sarah Engebretsen, Gisele Kaboré
Addressing The Needs Of Girls At Risk Of Early Marriage And Married Adolescent Girls In Burkina Faso, Sarah Engebretsen, Gisele Kaboré
Poverty, Gender, and Youth
Early marriage occurs frequently in rural areas of Burkina Faso and curtails girls' ability to complete their education and fulfill their potential. Once married, girls tend to be less mobile and have limited social networks compared to unmarried girls, and married girls are expected to begin childbearing almost immediately. Given their young age, pregnant adolescents may be at risk of complications during childbirth. Despite the large number of married girls and girls at risk of early marriage in Burkina Faso’s rural areas, few programs address the issue of early marriage directly. Furthermore, the country lacks services tailored to their needs. …
Scaling Up Asset-Building Programs For Marginalized Adolescent Girls In Socially Conservative Settings: The Ishraq Program In Rural Upper Egypt, Nadia Zibani, Martha Brady
Scaling Up Asset-Building Programs For Marginalized Adolescent Girls In Socially Conservative Settings: The Ishraq Program In Rural Upper Egypt, Nadia Zibani, Martha Brady
Poverty, Gender, and Youth
In 2001, the Population Council and partners designed and implement an intervention program to address the needs of out-of-school adolescent girls in rural Upper Egypt. As noted in Promoting Healthy, Safe, and Productive Transitions to Adulthood Brief No. 12, the pilot, referred to as Ishraq (“Sunrise”), was launched in four rural villages of el-Minya governorate in Upper Egypt, the country’s least developed and most disadvantaged region. Targeting girls aged 13–15, this program was designed to promote literacy, impart life skills, build social networks, and foster leadership and self-confidence through sports. By establishing girl-friendly spaces in which participants could meet, learn, …
Creating 'Safe Spaces' For Adolescent Girls, Wendy Baldwin
Creating 'Safe Spaces' For Adolescent Girls, Wendy Baldwin
Poverty, Gender, and Youth
Adolescence is a time of many transitions and a time to acquire the skills for adult life. Although skills can still be acquired in adulthood, adolescence is a time to lay a foundation of education, financial skills, positive health behaviors, and critical thinking. For many girls in the developing world, the opportunity to move freely in the community becomes limited at the onset of puberty. This may be a well-intentioned protective measure, but the effect can be to limit girls’ opportunity to form strong social networks, gain requisite skills, and learn how to be full members of their community. The …