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UNESCO HIV and Health Education Clearinghouse

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  1. How access to smartphones affects HIV risk among students in Tanzania: a case study of selected high schools in the Dar es Salaam region

    Studies show that smartphone adoption by teenagers in Tanzania has increased substantially, and mobile access to the Internet is pervasive. This study investigated whether the use of smartphones by high-school students in Tanzania raises their awareness of HIV or makes them more vulnerable to its acquisition. Twelve private and government high schools in Ilala and Kinondoni Municipalities, both day and boarding schools, participated in this study. Data collection entailed qualitative and quantitative methods. …

  2. HIV/AIDS vulnerabilities, discrimination, and service accessibility among Africa’s youth: Insights from a multi-country study

    Africa’s young people aged 15–24 are disproportionately affected by HIV and AIDS. The impact of the epidemic on young people calls for close attention to the youth dimensions of the epidemic. To inform the development of more effective policies for targeting youth and meeting their needs, the Population Council and partners conducted a study of HIV risk-taking and health-seeking behaviors among young people in Egypt, Kenya, Nigeria, Senegal, South Africa, and Uganda. …

  3. Love, sexual rights and young people: Learning from our peer educators how to be a youth-centred organisation

    This report examines the findings of an external assessment of the A+ programme, an innovative IPPF youth-led programme funded by Danida. The A+ programme was implemented by IPPF’s Member Associations in 16 countries across Sub-Saharan Africa, South Asia and Central America. Its overriding goal was to increase access to sexual and reproductive health services and comprehensive sexuality education for young people, and to promote their sexual and reproductive health and rights. …

  4. Mapping HIV services and policies for adolescents: A survey of ten countries in sub-Saharan Africa

    PEPFAR and USAID, in collaboration with UNICEF, supported AIDSTAR-One in conducting a mapping activity to identify HIV policies and services for adolescents in 10 sub-Saharan African countries: Kenya, Lesotho, Malawi, Mozambique, South Africa, Swaziland, Tanzania, Uganda, Zambia, and Zimbabwe. This technical report summarizes AIDSTAR-One’s findings and is a resource for program planners and policymakers working to improve services and policies for HIV prevention, care, and treatment among adolescents and ALHIV in sub-Saharan Africa. …

  5. Disability and HIV/AIDS - a systematic review of literature on Africa

    This systematic review focuses on empirical work on disability and HIV/AIDS in Africa in the past decade and considers all the literature currently accessible. The review presents data from different surveys and summarizes the findings. In this way, it convincingly reveals that people with disabilities are very vulnerable to contracting HIV, and lack access to information, testing and treatment. The review further reveals gaps in the research and areas of concern. While vulnerability and accessibility have been investigated, there are few prevalence studies or evaluations available. …

  6. What they really want to know. Developing booklets for young people on growing up and sexuality

    A large proportion of young people worldwide are sexually active, and this exposes them to the risk of contracting sexually transmitted infections (STIs), including HIV, and to the risk of unintended pregnancies. In 2008, 16 million girls aged 15 to 19 gave birth and approximately 40% of these pregnancies were unintended. Young people between the ages of 15 and 24 years account for more than one third of all new HIV infections, with some 3,000 young people becoming infected with HIV each day. …

  7. Young people's sexual health in South Africa: HIV prevalence and sexual behaviors from a nationally representative household surevy

    Objectives: To determine the prevalence of HIV infection, HIV risk factors, and exposure to national HIV prevention programs, and to identify factors associated with HIV infection among South African youth, aged 15–24 years. Design: A cross-sectional, nationally representative, household survey. Methods: From March to August 2003 we conducted a national survey of HIV prevalence and sexual behavior among 11 904 15–24 year olds. Multivariable models for HIV infection were restricted to sexually experienced youth. …

  8. The Youth to Youth Initiative – an assessment of results in Ethiopia and Kenya

    This report, commissioned by the Gesellschaft für International Zusammenarbeit GmbH (GIZ), brings out findings of an external assessment of the Youth-to-Youth (Y2Y) Initiative in Ethiopia and Kenya. The aim was to assess the results of the Y2Y-Initiative for young people with an emphasis on gender equality in the project regions both at individual level for participating young women and men as well as at the level of potentially changed perceptions of, and attitudes towards young people, in particular women, in their social environment.

  9. Regional issues brief: Children, HIV and the law

    This regional issues brief was prepared for the Africa Regional Dialogue of the Global Commission on HIV and the Law which took place on 4 August 2011 in Pretoria, South Africa. The brief examines legal responses to children and HIV in Africa including: Prohibiting discrimination; Access to treatment; Access to sexual and reproductive rights; Access to HIV information and education; Access to harm reduction measures; Guardianship, property rights and social protection.

  10. Adolescents' perceptions of sexual coercion in Uganda

    In Uganda, HIV prevalence remains high with young people at higher risk of infection than adults. Much is known about the sexual risk factors for HIV transmission among youths, including sexual encounters that are coerced. On the other hand, relatively little is known about the barriers to preventing sexual coercion and what strategies may overcome those barriers with adolescents. …

  11. Do teenagers respond to HIV risk information? Evidence from a field experiment in Kenya

    We use a randomized experiment to test whether and what information changes teenagers' sexual behavior in Kenya. Providing information on the relative risk of HIV infection by partner's age led to a 28 percent decrease in teen pregnancy, an objective proxy for the incidence of unprotected sex. Self-reported sexual behavior data suggests substitution away from older (riskier) partners and toward same-age partners. In contrast, the official abstinence-only HIV curriculum had no impact on teen pregnancy. …

  12. A multi-sectoral approach to providing reproductive health and information services to young people in Western Kenya: Kenya Adolescent Reproductive Health Project

    Informing adolescents about appropriate and acceptable behaviours, and ways to protect themselves against unwanted and unprotected sex, has proved problematic in Kenya. Education programmes for in and out of school adolescents are lacking, there is controversy around providing services to sexually active adolescents, and a pervasive concern that sexuality education and contraceptive services leads to promiscuity. …

  13. Children's access to information on behaviour change, sexuality and reproductive rights: a myth or reality

    The overall objective of this baseline survey was to help determine access to information on 1) HIV and AIDS prevention; 2) sexuality and 3) reproductive rights for in-school childre. The specific objectives were to: document existing behaviour change communication (BCC) materials and programs for children; document the BCC methods to children including the packaging of information and dissemination; establish the relevance of BCC materials to children; compile empirical evidence on the impact of BCC materials on children in Swaziland.

  14. Sexual risk among orphaned adolescents: is country-level HIV prevalence an important factor?

    Previous studies from sub-Saharan Africa have found that orphans experience increased sexual risk compared to non-orphans. This article developed a theoretical framework for the investigation of determinants of HIV risk and used it to generate specific hypotheses regarding the effect of country-level HIV prevalence on the sexual risk experience of orphans. It expected that countries with high HIV prevalence would experience a higher prevalence of orphanhood. …

  15. Sexual and Reproductive Health /HIV/AIDS/ Project for Adolescents and Youth

    Sexual and Reproductive Health /HIV/AIDS/Project for Adolescents and Youth is a small magazine developed by Geração Biz, a national, multi-sectoral adolescent program, including the Ministries of Health, Youth and Sports, and Education, and local NGOs, in Zambezia, Mozambique in 2001. It presents articles written to recall the importance to improve sexual and reproductive health among youth. It describes briefly the situation of the province of Zambezia, where the HIV prevalence is 13%, regarding early marriages, pregnancies, school attendance or knowledge of contraception. …

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