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Currently Skimming:

Problems and Programs Beyond the Health Sector
Pages 15-21

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From page 15...
... Changes in public opinion about "date rape" in the United States are a good example of the latter. Heise also cited a study in which Iranian women who had emigrated to the United States used the term rape to describe their own sexual initiation in retrospect, even though the behavior was
From page 16...
... Sexual abuse and coercion have been found to be associated with entry into prostitution and the likelihood of high-risk behaviors. Violence is one of the threats faced by pregnant women; a population-based study in two cities in the United States showed that pregnant women were beaten in nearly one-sixth of pregnancies (McFarlane et al., 1992~.
From page 17...
... Life-skills education typically entails not just the addition of one more subject to standard curricula, but also introduction of new interactive teaching methods, which require teacher training. Birrell Weisen gave as examples a life-skills-based family life and health education program in Caribbean countries that is being assisted by the World Health Organization.
From page 18...
... Goals include helping young people understand a positive view of sexuality, providing them with information and skills to take care of their sexual health, and helping them acquire skills for making decisions now and in the future (National Guidelines Task Force, 1991~. Most young people around the world are not receiving comprehensive sexuality education.
From page 19...
... The common features of the curricula that Kirby and his colleagues found effective in increasing safe sexual behavior among adolescents in schools in the United States, include: A theoretical grounding in social learning or social influence theories; A narrow focus on reducing specific sexual risk-taking behaviors; 3. Experiential activities to convey information on the risks of unprotected sex and how to avoid those risks and personalize the information; 4.
From page 20...
... " Smith cited evaluations showing that a communications campaign had reduced socioeconomic differentials in immunization rates in Ecuador; he also described a "natural experiment" in the Gambia when a radio campaign for oral rehydration treatment was interrupted by a coup and the use of oral rehydration went down (evaluations summarized in Academy for Educational Development, 19941. Mass communication influences provider behavior as well as that of the clients of health services, for example, in promoting the idea of oral rehydration as treatment for diarrhea.
From page 21...
... But Schellstede argued that the current allocation of funds in health communications is skewed toward small programs, with uncoordinated messages reaching small numbers of people, leaving mass communications underfunded relative to their potential for changing behavior. Lawrence Kincaid, in his comments, discussed the synergy between mass communication and community-based distribution in the national family planning program in Bangladesh, arguing that together they have brought about a profound change in the culture, manifested in the willingness to discuss contraception, the changes in women's perceptions of their husbands' support for family planning, and other attitudinal data (Kincaid et al., 1993; Rogers and Kincaid, 19811.


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