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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. 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. …

  3. The cost and cost-effectiveness of gender-responsive interventions for HIV: a systematic review

    Introduction: Harmful gender norms and inequalities, including gender-based violence, are important structural barriers to effective HIV programming. We assess current evidence on what forms of gender-responsive intervention may enhance the effectiveness of basic HIV programmes and be cost-effective. Methods: Effective intervention models were identified from an existing evidence review (“what works for women”). Based on this, we conducted a systematic review of published and grey literature on the costs and cost-effectiveness of each intervention identified. …

  4. Very young children affected and infected by HIV/AIDS: How are they living? A case study from Namibia

    This paper describes a recent study conducted jointly by the authors in the Khomas Region of Namibia. The study developed and trialled research and documentation methods regarding very young children who had been infected or affected by the HIV/AIDS pandemic. Because of the stigma attached to the disease, effective methods for assessing ‘real’ needs of the target population have been elusive in Namibia and elsewhere. …

  5. The intergenerational impact of the African orphans crisis: a cohort study from an HIV/AIDS affected area

    Background: In sub-Saharan Africa, the prevalence of orphanhood among children has been greatly exacerbated by the HIV/AIDS pandemic. If orphanhood harms a child’s development and these effects perpetuate into adult life, then the African orphan crisis could seriously jeopardize the continent’s future generations. Whether or not there exists an adverse, causal and intergenerational effect of HIV/AIDS on development is of crucial importance for setting medical priorities. …

  6. 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. …

  7. 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. …

  8. 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. …

  9. Education status among orphans and non-orphans in communities affected by AIDS in Tanzania and Burkina Faso

    The AIDS pandemic has created an estimated 15 million orphans who may face elevated risk of poor health and social outcomes. This paper compares orphans and non-orphans regarding educational status and delay using data collected in three low-income communities affected by AIDS in Tanzania and Burkina Faso. Orphans were significantly more likely not to attend school than were non-orphans and also to be delayed when in school, though, after controlling for confounders, the risk was borderline and non-significant. …

  10. Orphaned and vulnerable children in Zambia: the impact of the HIV/AIDS epidemic on basic education for children ar risk

    There is an emerging corpus of work on the impact of the HIV/AIDS epidemic on education in sub-Saharan Africa. This mainly employs demographic models to make projections of student enrolments and teacher requirements. However, there is a paucity of research in basic schools to examine the experiences of AIDS-affected teachers and students. This study explored staff and student perceptions of the impact of the HIV/AIDS epidemic on the education of affected children in high-prevalence districts of the Copperbelt province of Zambia. …

  11. Orphans and schooling in Africa: a longitudinal analysis

    AIDS deaths could have a major impact on economic development by affecting the human capital accumulation of the next generation. We estimate the impact of parent death on primary school participation using an unusual five-year panel data set of over 20,000 Kenyan children. There is a substantial decrease in school participation following a parent death and a smaller drop before the death (presumably due to pre-death morbidity). Estimated impacts are smaller in specifications without individual fixed effects, suggesting that estimates based on cross-sectional data are biased toward zero. …

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