E-Book Overview
This volume emerged out of the Adolescent Reproductive Health Network (ARHNe), a European Union-funded concerted action project which developed the competence and capacity of researchers in East and Southern Africa to engage in health promotion activities (particularly in the area of reproductive health). The main objectives of the ARHNe were to: strengthen and further develop research and practice related to the design and delivery of sexual and reproductive health-related services and programs targeting adolescents; foster the development and application of trans-disciplinary theories, conceptual models and research methods relevant to the study of adolescent health, and ultimately develop culturally appropriate intervention programs to modify adolescent health-related behaviors; facilitate technical co-operations among African researchers and between African researchers and their European colleagues in order to stimulate a productive scientific context for ongoing programs and to reduce the risk of costly, uncoordinated duplication of research.This book ultimately represents a tool that may be utilized not only by academics in the field, but also by practitioners, governments, policy makers and students interested in the future research agenda, priorities and challenges of sexual and reproductive health in the wake of several international commitments.
E-Book Content
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Promoting Adolescent Sexual and Reproductive Health in East and Southern Africa
Edited by Knut-Inge Klepp, Alan J. Flisher and Sylvia F. Kaaya
NORDISKA AFRIKAINSTITUTET, Sweden HSRC PRESS, Cape TOWN 2008
Free download from www.hsrcpress.ac.za
Indexing terms: Adolescents Reproductive health Sexual behaviour Sex education Health programmes Health service AIDS prevention Social change Case studies East Africa Southern Africa
Language checking: Elaine Almén Index: Jane Coulter Cover: FUEL Design, Cape Town © The authors and Nordiska Afrikainstitutet 2008 P.O. Box 1703, SE-751 47 Uppsala, Sweden www.nai.uu.se ISBN 978-91-7106-599-5 Published in South Africa by HSRC Press Private Bag X9182, Cape Town, 8000, South Africa www.hsrcpress.ac.za ISBN 978-0-7969-2210-6 Printed in Sweden by Alfa Print 2008
Contents Preface ……………………………………………………..…………………………………………………… Introduction …………………………………………………………………………………………………
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Part I Policy and Theory Informing Practice 1. Public Policy: A Tool to Promote Adolescent Sexual and Reproductive Health ………………..………………………………………………………… Yogan Pillay & Alan J. Flisher 2. Social Cognition Models and Social Cognitive Theory: Predicting Sexual and Reproductive Behaviour among Adolescents in Sub-Saharan Africa ………………………………………………… Leif E. Aarø, Herman Schaalma & Anne Nordrehaug Åstrøm 3. Health Education and the Promotion of Reproductive Health: Theory and Evidence-Based Development and Diffusion of Intervention Programmes ……………..…………………………… Herman Schaalma & Sylvia F. Kaaya 4. Ethical Dilemmas in Adolescent Reproductive Health Promotion ……………………………………………………………………………… Gro Th. Lie
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Part II Contextual Aspects of Adolescent Sexual and Reproductive Health 5. From Initiation Rituals to AIDS Education: Entering Adulthood at the Turn of the Millenium ……………………… Graziella Van den Bergh
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6. Illegal Abortion among Adolescents in Dar es Salaam ……..………… 117 Vibeke Rasch & Margrethe Silberschmidt 7. Adolescent Sexuality and the AIDS Epidemic in Tanzania: What Has Gone Wrong? …………………………………………… 135 Melkizedeck T. Leshabari, Sylvia F. Kaaya & Anna Tengia-Kessy
8. To Risk or not To Risk? Is It a Question? Sexual Debut, Poverty and Vulnerability in Times of HIV: A Case from Kigoma Region, Tanzania ………………………… 162 Graziell