Posted: Dec 13, 2016
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“COUNT ME IN”: A community dialogue on GBV
The slogan ‘count me in’ engulfed the air during a gender based violence (GBV) community dialogue organised by the Wits Reproductive Health and HIV Institute (WitsRHI) in partnership with Melitha Development Centre at KwaDabeka Community Hall in eThekwini West, KwaZulu-Natal on 9th December 2016. The dialogue is part of the PAVING (Focusing on Prevention of gender-bAsed VIolence and HIV in Adolescent girls and youNG women) project, a DREAMS initiative, to engage the community and support the annual 16 days of activism and other campaigns against gender-based violence, particularly directed towards adolescent girls and young women (AGYW) across South Africa.
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- Reference: Written by Dr Oluwafemi Adeagbo (Senior Researcher: Implementation Science Unit, Wits RHI). 2016
Posted: Dec 12, 2016
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MORE THAN JUST A GAME: Sport as a Communication Platform in Sexuality Education for Adolescent Girls
This report is intended for communities, development practitioners, research institutions, governments and donor agencies. We hope that the insights herein will help to guide the design of future interventions and research on the use of sport in sexuality education.
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- Reference: Barkley, Chris, Warren, Jenn and Sanders, Ben. 2016. “More Than Just A Game: Sport as a Communication Platform in Sexuality Education for Adolescent Girls.” Cape Town: Grassroot Soccer.
Posted: Dec 8, 2016
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HE2RO Policy Brief
CONTRACEPTIVE SERVICES IN SOUTH AFRICA: TOWARD UNIVERSAL ACCESS
The Millennium Development Goals included a call for universal access to sexual and reproductive health (SRH) services, an aspiration which has been repeated in the Sustainable Development Goals. Access to contraception is often used as a proxy for SRH service provision overall. As part of the 2016 South African Health Review (SAHR), we summarized barriers and opportunities for increasing contraceptive prevalence in South Africa.
Contraceptive laws, policies & guidelines
In 2012, the South African National Department of Health released the National Contraceptive and Fertility Planning Policy (the CFP Policy), which promotes a rights-based approach to contraceptive access. The CFP Policy calls for reduced dependency on injectable contraceptives and increased access to long-acting reversible contraceptive methods (LARCs) such as the contraceptive implant and the intrauterine contraceptive device (IUD). Table 1 lists the modern methods that should be available in the public sector under the CFP Policy.
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- Reference: This policy brief is drawn from: Lince-Deroche, N. et al. Achieving universal access to sexual and reproductive health services: the potential and pitfalls for contraceptive services in South Africa. In: Padarath A, King J, Mackie E, Casciola J, editors. South African Health Review 2016. Durban: Health Systems Trust; 2016. URL: http://www.hst.org.za/publications/south-african-health-review-2016
Posted: Dec 1, 2016
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Epidemiology of HIV and AIDS Among Adolescents: Current Status, Inequities, and Data Gaps
Objectives: To examine levels and patterns of HIV prevalence, knowledge, sexual behavior, and coverage of selected HIV services among adolescents aged 10–19 years and highlight data gaps and challenges.
Methods: Data were reviewed from Joint United Nations Programme on HIV/AIDS HIV estimates, nationally representative household surveys, behavioral surveillance surveys, and published literature.
Results: A number of gaps exist for adolescent-specific HIV-related data; however, important implications for programming can be drawn. Eighty-two percent of the estimated 2.1 million adolescents aged 10–19 years living with HIV in 2012 were in sub-Saharan Africa, and the majority of these (58%) were females. Comprehensive accurate knowledge about HIV, condom use, HIV testing, and antiretroviral treatment coverage remain low in most countries. Early sexual debut (sex before 15 years of age) is more common among adolescent girls than boys in low- and middle-income countries, consistent with early marriage and early childbirth in these countries. In low and concentrated epidemic countries, HIV prevalence is high-est among key populations.
Conclusions: Although the available HIV-related data on adolescents are limited, increased HIV vulnerability in the second decade of life is evident in the data. Improving data gathering, analysis, and reporting systems specific to adolescents is essential to monitoring progress and improving health outcomes for adolescents. More systematic and better quality disaggregated data are needed to understand differences by sex, age, geography, and socioeconomic factors and to address equity and human rights obligations, especially for key populations.
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- Reference: IDELE, P., GILLESPIE, A., PORTH, T., SUZUKI, C., MAHY, M., KASEDDE, S. & LUO, C. 2014. Epidemiology of HIV and AIDS among adolescents: current status, inequities, and data gaps. J Acquir Immune Defic Syndr, 66 Suppl 2, S144-53.
