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UNESCO HIV and Health Education Clearinghouse

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  1. Rising school enrollment and declining HIV and pregnancy risk among adolescents in Rakai district, Uganda, 1994–2013

    Background: Poverty, family stability, and social policies influence the ability of adolescents to attend school. Likewise, being enrolled in school may shape an adolescent’s risk for HIV and pregnancy. We identified trends in school enrollment, factors predicting school enrollment (antecedents), and health risks associated with staying in or leaving school (consequences). Methods: Data from the Rakai Community Cohort Study (RCCS) were examined for adolescents 15–19 years (n = 21,735 person-rounds) from 1994 to 2013. …

  2. Length of secondary schooling and risk of HIV infection in Botswana: evidence from a natural experiment

    Background An estimated 2.1 million individuals are newly infected with HIV every year. Cross-sectional and longitudinal studies have reported conflicting evidence for the association between education and HIV risk, and no randomised trial has identified a causal effect for education on HIV incidence. We aimed to use a policy reform in secondary schooling in Botswana to identify the causal effect of length of schooling on new HIV infection. …

  3. Unintended pregnancy and termination of studies among students in Anambra state, Nigeria: are secondary schools playing their part?

    This study evaluated efforts of secondary schools to prevent unintended pregnancy among students and their reactions to pregnant students before and after delivery. A cross-sectional survey of 46 teachers in three public and two private schools in Anambra state, Nigeria was carried out. Information was collected using self-administered questionnaire. Of all the teachers in the study, 87% reported unintended pregnancies among students in the previous 3 years. Expulsion (43%) and suspension (28%) were the most common reactions. …

  4. An assessment of the implementation of the re-entry policy for girls in Swaziland: school practices and implications for policy development

    Swaziland has no stand-alone re-entry policy. Practices vary from school to school, but generally a pregnant adolescent girl has to drop out of school although those who become pregnant may be allowed to return to write their exams at the same school or they may be advised to find another examination centre. …

  5. The government of Kenya cash transfer for orphaned and vulnerable children: cross-sectional comparison of household and individual characteristics of those with and without

    Background: The ‘Cash Transfer to Orphans and Vulnerable Children’ (CT-OVC) in Kenya is a government-supported program intended to provide regular and predictable cash transfers (CT) to poor households taking care of OVC. CT programs can be an effective means of alleviating poverty and facilitating the attainment of an adequate standard of living for people’s health and well-being and other international human rights. …

  6. Teen mothers and schooling: lacunae and challenges

    While many girls who become mothers before completing schooling consider academic qualifications to be very important, they may not be able to succeed academically if the support they need to complete their studies is insufficient. Usually, instead of getting support, the teen mothers endure misunderstandings and pressure. The teen mothers may feel disempowered because they are ‘othered’ and consequently, they develop forms of resistance which in most cases may foster their failure as learners. …

  7. The impact of HIV on children's education in eastern Zimbabwe

    Little is known about how HIV impacts directly and indirectly on receiving, or particularly succeeding in, education in sub-Saharan Africa. To address this gap, we used multivariable logistic regression to determine the correlation between education outcomes in youth (aged 15–24) (being in the correct grade-for-age, primary school completion and having at least five “O” level passes) and being HIV-positive; having an HIV-positive parent; being a young carer; or being a maternal, paternal or double orphan, in five rounds (1998–2011) of a general population survey from eastern Zimbabwe. …

  8. The socioeconomic impact of HIV/AIDS on education outcomes in Uganda: School enrolment and the schooling gap in 2002/2003

    Due to high prime-age mortality—a result of HIV/AIDS, the number of orphans in Uganda continues to rise. Using the 2002/2003 Uganda National Household Survey, this paper investigates how HIV/AIDS orphan status affects schooling enrolment and grade progression. Our results show that HIV/AIDS orphans are not significantly less likely to continue schooling but are by far more likely to fall below their appropriate grade. …

  9. Schools Against AIDS: Secondary School Enrollment and Cross-National Disparities in AIDS Death Rates

    Although AIDS is a leading cause of death worldwide, the consequences of the pandemic are remarkably unequally distributed cross-nationally. This unequal global distribution of AIDS deaths should be of interest to sociologists because of the potential role of structural forces in accounting for these disparities. Yet, there has been relatively little sociological research on this topic. Using underutilized cross national data on AIDS deaths, this study examines the macro-level sources of variation in AIDS death rates across 115 countries. …

  10. Does Education Affect HIV Status? Evidence from five African Countries

    Data from the first five Demographic and Health Surveys to include HIV testing for a representative sample of the adult population are used to analyze the socioeconomic correlates of HIV infection and associated sexual behavior. Emerging from a wealth of country relevant results, some important findings can be generalized. First, successive marriages are a significant risk factor. Second, contrary to prima facie evidence, education is not positively associated with HIV status. …

  11. HIV and AIDS: responding to a threat to education for sustainable development

    The article seeks to sensitize the development community, particularly outside the education sector, about the issues surrounding education as a vehicle for promoting sustainable development in an AIDS environment in Africa. By illustrating how the epidemic impacts education sector staff as well as parents and students at all levels, the article intends to suggest how national authorities, NGOs and donor agencies can work out strategies to enhance the role of education in promoting sustainable development in Africa. …

  12. Education and vulnerability: the role of schools in protecting young women and girls from HIV in southern Africa

    Education has a potentially important role to play in tackling the spread of HIV, but is there evidence that this potential is realized? This analysis combines the results of previous literature reviews and updates them with the findings of recent randomized controlled trials and a discussion of possible mechanisms for the effect of schooling on vulnerability to HIV infection. There is a growing body of evidence that keeping girls in school reduces their risk of contracting HIV. …

  13. The association between school attendance, HIV infection and sexual behaviour among young people in rural South Africa

    Objectives: To investigate whether the prevalence of HIV infection among young people, and sexual behaviours associated with increased HIV risk, are differentially distributed between students and those not attending school or college. Design: A random population sample of unmarried young people (916 males, 1003 females) aged 14–25 years from rural South Africa in 2001. Methods: Data on school attendance and HIV risk characteristics came from structured face-to-face interviews. HIV serostatus was assessed by oral fluid ELISA. …

  14. Systematic review exploring time trends in the association between educational attainment and risk of HIV infection in sub-Saharan Africa

    Objective: To assess the evidence that the association between educational attainment and risk of HIV infection is changing over time in sub-Saharan Africa. Design and methods: Systematic review of published peer-reviewed articles. Articles were identified that reported original data comparing individually measured educational attainment and HIV status among at least 300 individuals representative of the general population of countries or regions of sub-Saharan Africa. …

  15. Children’s school participation and HIV/AIDS in rural Malawi: the role of parental knowledge and perceptions

    Studies of the relationship between HIV/AIDS and children’s educational attainment largely focus on the direct impacts of parental illness and death, overlooking the potential indirect impact that parental knowledge and perceptions of their HIV status may have on children’s school enrollment. Drawing on both quantitative and qualitative evidence from Malawi, this paper finds that women’s real and perceived anticipation of future health shocks has a positive impact on their children’s educational attainment. …

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