The 2002 edition of this quadrennial publication presents a regional analysis of the health situation and trends in the Americas region, as well as for each of the 47 countries and territories in the region. It is published in two volumes and covers mainly the years from 1997-2000. This edition focuses upon the inequalities in health. Volume One looks at issues dealing with leading health and health-related indicators, ranging from mortality and changes in life expectancy to the relationship between health and income distribution. It also considers current health conditions and trends including disease prevention and control, health promotion and environmental protection. Volume Two examines each country's overall health conditions, including institutional organisation, health regulations and the overall operation of health services.

This is the first book to provide a multidisciplinary and global overview of evidence-based sexuality education (SE) programs and practices. Readers are introduced to the fundamentals of creating effective programs to prepare them to design new or implement existing programs that promote healthy sexual attitudes and relationships. Noted contributors from various disciplines critically evaluate evidence –based programs from around the globe and through the lifespan. Examples and discussion questions encourage application of the material. Guidance for those who wish to design, implement, and evaluate SE programs in various social contexts is provided. Each chapter follows a consistent structure so readers can easily compare programs: Learning Goals; Introduction; Conclusion; Key Points; Discussion Questions; and Additional Resources. The editor taught human sexuality and family life education courses for years. This book reviews the key information that his students needed to become competent professionals. Highlights of the book’s coverage include: Interdisciplinary, comprehensive summary of evidence-based SE programs in one volume. Prepares readers for professional practice as a Certified Family Life Educator (CFLE) or sex educator by highlighting the fundamentals of developing and implementing SE programs. Exposes readers to evidence-based SE programs from various social contexts including families, schools, communities, and religious institutions. Considers the developmental context of SE across the lifespan along with programs for LGBT individuals and persons with disabilities. Critically reviews SE programs from around the world including the US, Europe, Asia, Africa, Latin America, and other developing countries. The book opens with an historical overview. Part I focus on general frameworks of sexuality education including UNESCO’s International Technical Guidelines. How to develop, deliver, and implement evidence based SE programs, including ethical concerns, are explored in Part II. Part III exposes readers to evidence-based programs in various social contexts--families, schools, communities, and religious institutions. Part IV considers the developmental context of SE from early childhood through adolescence and adulthood along with programs for LGBT individuals and persons with disabilities. Part V examines diverse global contexts from the US, Latin America, Europe, Asia, Africa, and other developing countries. The book concludes with future trends and directions. Ideal for graduate or advanced undergraduate courses in sex education, sexual health, human sexuality, sex or marriage counseling, intimate relationships, family life education, or home, school, and community services taught in human development and family studies, psychology, social work, health education, nursing, education, and religion, and in seminaries and family clinics, the book also serves as a resource for practitioners, counselors, researchers, clergy members, and policy makers interested in evidence based SE programs, or those seeking to become CFLEs or sexuality educators.

El embarazo en la adolescencia es considerado como un riesgo para la salud materna e infantil, así como un factor que contribuye al desmesurado crecimiento de la población, a la deserción escolar, y a la perpetuación de la pobreza, al coartar las posibilidades de desarrollo familiar. Sus causas se atribuyen principalmente a la sexualidad precoz y a la falta de información y de acceso a los métodos anticonceptivos. Esta publicación pone en cuestión los supuestos antes mencionados, destacando dos factores realmente subyacentes a esta problemática: la pobreza y la desigualdad, que dejan pocas oportunidades alternativas de desarrollo a una gran cantidad de nuestros jóvenes, y la falta de una verdadera educación para el ejercicio de la sexualidad que les permita enfrentarse con responsabilidad a este aspecto tan central para su vida.

Pick and Sirkin show how IMIFAP, a Mexican NGO, has employed a development strategy to encourage the establishment of a participatory, healthy and educated citizenry. The program strategy is grounded in Amartya Sen's approach to sustainable development through expanding individual's capabilities and freedoms. It presents the Framework for Enabling Empowerment (FrEE) and the step by step strategy "Programming for Choice," based on the practical experience and evaluation of IMIFAP's programs. The end goal is to achieve sustainable community and individual development that can be expanded across a variety of life domains (social, economic, political, education, health and psychological). The book shows how community development can be enhanced if people are enabled to make accountable choices and expand their alternatives. International development efforts will not be sustainable if we continue to build schools without quality teachers; health clinics without enhancing logistical and psychological access and improving quality of care; and laws that are not enforced. Institutions will only flourish if their leaders and bureaucrats enhance their personal capabilities. The central premise of the book is that enhancing skills, knowledge and reducing psychological and contextual barriers to change are central (and often neglected) aspects of sustainable development. IMIFAP was founded in 1984. Through its health promotion and poverty reduction work it has reached over 19 million people in 14 countries through over 40 different programs and over 280 educational materials with support from over 300 funding agencies and government and private institutions. Its mission is to enable society's poor and vulnerable to take charge of their lives through helping them develop their potential. We have found that through the IMIFAP "I want to, I can" programs people take the control of their lives in their own hands. Examples of these results are presented including numerous testimonies.

The extended contents of this second edition reflect the growing spectrum of topics in pediatric and adolescent gynecology. Like its predecessor, this book addresses the most common gynecological problems encountered in childhood medicine, including endocrinological and surgical aspects. New chapters place particular emphasis on an update of technological aspects such as ultrasound, molecular genetics, surgery in sex disorders and new problems encountered in reproductive medicine.The book opens with a comprehensive description of the background of infant and adolescent gynecology and diagnostic tools. Several chapters are devoted to the various pathologies encountered in prepubertal and adolescent girls. Contemporary social issues such as sexual abuse, sexually transmitted diseases, contraception for teenagers and teenage pregnancy are also discussed in detail.Presenting a clear plan for clinical management and treatment of frequently encountered problems in prepubertal and adolescent girls, this book should be read by pediatricians, endocrinologists, gynecologists and family practitioners.