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AIDS, other sexually transmitted infections, and unintended pregnancies have reached critical levels in sub-Saharan Africa, creating a need for innovative prevention programs for vulnerable groups. This report describes operations research projects in Botswana, Cameroon, Guinea, and South Africa that attempted to determine whether social marketing interventions improved adolescent understanding of sexual health issues and access to reproductive health products and services

Report of a study that tested the effectiveness of two low-cost alternatives to supervision (self-assessment and peer review) that may reinforce providers' skills after training. The performance of 3 groups of providers, who attend family planning clients was compared. Provider-client interactions were improved in the groups undergoing peer review or self-assessment, as was the level of facilitative communication. The level of information-giving was not improved in the control group or the groups undergoing peer review or self-assessment

Establishes definitions of terms such as 'sex' and 'sexuality', and discusses basic concepts, concerns and problems related to promoting sexual health. Presents and discusses five basic goals, or broad recommendations for action, to advance the sexual health of people in the Americas.