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This report draws on analyses of national survey data and literature review results to provide an overview of the evidence on key aspects of sexual and reproductive health among very young adolescents aged 10–14 living in developing regions. Analyses showed that while most young adolescents report never having experienced sexual intercourse, some had begun to explore non-coital sexual activities. Many young adolescents who had experienced sexual…
An unmet need for sexual and reproductive health and rights (SRHR) and HIV services is substantial in developing countries, particularly among older adolescent girls and young women. This editorial describes the key lessons from the Link Up project, aimed to improve the SRHR of young people most affected by HIV in five countries of Africa (Burundi, Ethiopia and Uganda) and Asia (Bangladesh and Myanmar).
This report brings attention to achieving gender equality in the context of women, girls, and the HIV response. This six-month consultation in 2016 with adolescent women and young girls found that #WhatWomenWant is: collaboration and joint action by all to invest in women's HIV and Sexual and Reproductive Health and Rights (SRHR), to be leaders and articulate the priorities of women and girls in all their diversity, and to speak to the new…
The Center for Health and Gender Equity (CHANGE) reports on the implementation of the new PEPFAR DREAMS Partnership, which aims to reduce the number of adolescent girls and young women (AGYW) in sub-Saharan Africa disproportionately affected by HIV. This report contains program insights from South Africa and Kenya, specifically around HIV prevention, civil society engagement, and addressing specific needs of AGYW.
These fact sheets intertwine gender as part of the HIV/AIDS epidemic and provide gender-sensitive, topic-specific information on the core areas of HIV/AIDS. Some of these areas include Human Rights, Education, Global Commitments, Young People, Male Participation, Conflict Situations, Rural Development, and Monitoring and Evaluation.
The International Center for Research on Women (ICRW) developed a participatory research action project in Tanzania to understand and address HIV-risk among adolescent girls and young women. The program centered around a life-skills manual, teaching girls about their rights, roles in society, and how to address their needs within their communities. This report goes into detail about the rigorous research methods used for monitoring and…
This guidebook aims to inform health policy makers and program planners on how to establish PrEP as an effective prevention method for adolescent girls and young women. This includes addressing the delivery platforms, marketing, regulations, demand, and use of PreP for this population.
The purpose of this report is to guide policymakers, planners, implementers of HIV prevention programs to understand the risk of HIV for adolescent girls and young women, learn how to create and deliver effective responses, and address policy and structural changes in order to create ways to break unequal gender norms and make positive changes towards reducing the burden of HIV for adolescent girls and women.
UNFPA’s Advocacy Guide focuses on three effective responses to HIV prevention: improving access to sexual and reproductive health services, expanding socio-economic opportunities, and ending child marriage. Based on these goals, ten advocacy messages were developed and the report details the rationale behind them, global examples, and ways to address the issues politically and programmatically.
This formative research report aimed to generate ideas for programs and services to support adolescent girls living with HIV in Zambia in transition to adulthood. The findings and recommendations are reported by ecological levels: individual, interpersonal, and organizational.
The 2014 UNAIDS Report highlights the gender-based discrimination adolescent girls and young women face worldwide in relation to HIV. It uses population-level data to discuss issues of gender-based violence, lack of access to education and health services, and legal barriers which often lead to increased vulnerabilities of HIV infection.
This brief highlights why it is important for girls to stay in school, and how poor educational status is highly correlated with HIV infection. A range of interventions to address this issue are given, as well as key questions to consider when advocating for girls’ rights to education. This article can be accessed on-line here.
Many adolescents and young women in Zambia are faced with economic and social barriers, lack of access to health care, and gender-based violence which increase their risk for unwanted pregnancy, HIV, and school drop outs. The AGEP curriculum was developed to teach girls to build strong support networks, increase knowledge around reproductive health, and develop their decision-making and negotiation skills. This low-resource manual provides…
In KwaZulu-Natal, South Africa the prevalence of HIV is disproportionately high for young women (ages 15-24). A 15-session classroom based program was developed by the Department of Education to teach adolescent boys and girls (ages 14-17) about HIV and pregnancy prevention using gender-transformative curriculum. This evaluation looks at changes in condom use, partner communication, gender beliefs, and efficacy to refuse unsafe sex pre and post…
Poverty, Gender, and Youth: First Generation of Gender and HIV Programs: Seeking Clarity and Synergy
As the recognition towards the disproportionate female-to-male infection ratio is being recognized, more programs around gender and HIV are being developed. However, this paper argues that many of these programs do not have specific target audiences, content, or evaluation plans. This paper reviews 63 well-known HIV and Gender programs and evaluates their attribution to gender inequities, selected target populations, measurement of results, and…
In Southern Africa, adolescent girls and young women (ages 15-24) make up a disproportionate number of new HIV infections compared to their male peers. In order to become AIDS-free, it is critical to prevent new infections in this key population. This study explores biological and social vulnerabilities young women face in relation to HIV, including engagement in transactional sex, limited education, and amplified effects of transmission. This…
This review analyzed 150 studies of HIV programming for adolescent girls from 2001-2013. The objective was to use these evaluations to make suggestions around creating enabling environments for girls, increasing information and service needs, and providing social support. Areas with little evidence-based programming are also discussed, as well as how to move forward in developing strong frameworks to address the needs of adolescent girls through…
This paper discusses the links between education, gender equality, HIV prevention, and sexual and reproductive health. It acknowledges that these connections are widely recognized and utilized in public health programming, but that there is also a need for more combined efforts to design programs to ensure these links better reinforce one another and work more effectively to create an enabling environment for girls to prosper.
This extensive toolkit developed by EngenderHealth after conducting a needs assessment of program staff working in local and district levels in South Africa. The assessment revealed that levels of training varied among staff members and training opportunities were rare. There were large gaps in the knowledge around gender and youth in relation to HIV, which is why this training module was developed. There are 8 modules which provide training…
The Meri Life, Meri Choice project was developed to reduce HIV vulnerabilities of rural adolescent girls and young women in India. This was done through providing socially disadvantaged, out-of-school girls with knowledge around sexual and reproductive health, increasing their utilization of sexual health services, creating a supportive environment to reduce vulnerabilities. The Population Council evaluated the acceptability, feasibility, and…