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UNESCO HIV and Health Education Clearinghouse

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  1. Experimental evaluation of school-based HIV programs in sub-Saharan Africa

    School-based adolescent health education programs represent a durable strategy in reducing the spread of HIV because they can leverage pre-existing social and organizational structures to reach large fractions of students at critical life stages. Many evaluations of school-based HIV programs draw on multilevel study designs that assign schools to treatment conditions or assign students to treatment conditions within blocks defined by school membership. …

  2. Our time to be heard: stories giving voice to young people and their experience of HIV

    This publication is a collection of stories about young people living with HIV written by citizen journalists from the Key Correspondents network. The authors hope that they bring the experiences, thoughts and reflections of young people to the growing global debates on adolescent health and HIV. Key Correspondents is a network of citizen journalists around the world writing on HIV, health and human rights, helping get the voices of those most affected into global debates.

  3. Eastern and Southern Africa commitment: One year in review - 2013-2014

    In December 2013, ministers of education and health from twenty ESA countries affirmed and endorsed their joint commitment to deliver comprehensive sexuality education (CSE) and sexual and reproductive health (SRH) services for young people. The ESA Commitment document was developed based on a Regional Report, “Young People Today: Time to Act Now” which reviewed the trends and status of sexual and reproductive health and HIV among adolescents and young people in the ESA Region including comprehensive sexuality education and service needs. …

  4. Addressing cross-generational sex: A desk review of research and programs

    Current interest in cross-generational sex is largely due to the feminization of the HIV and AIDS epidemic. Young women 15-24 years of age in sub-Saharan Africa are three times more likely to be infected with HIV than young men of the same age, four times more likely in Zambia, and a staggering five times more likely in Zimbabwe. But, in fact, ministries of education and others have had curricula and materials addressing the “sugar daddy” phenomenon for many years. …

  5. 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. …

  6. HIV infection and sexual risk behaviour among youth who have experienced orphanhood: systematic review and meta-analysis

    Background: Previous research has suggested that orphaned children and adolescents might have elevated risk for HIV infection. We examined the state of evidence regarding the association between orphan status and HIV risk in studies of youth aged 24 years and younger. Methods: Using systematic review methodology, we identified 10 studies reporting data from 12 countries comparing orphaned and non-orphaned youth on HIV-related risk indicators, including HIV serostatus, other sexually transmitted infections, pregnancy and sexual behaviours. …

  7. Adolescent sexual and reproductive health in Malawi: a synthesis of research evidence

    The primary goal of this report is to summarize what is known about adolescent sexual and reproductive health in Malawi and to identify knowledge and program gaps requiring further research and program action. …

  8. Advancing promising program and research/evaluation practices for evidence-based programs reaching very young adolescents: a review of the literature

    This paper reviews and describes research practices and program interventions addressing the sexual and reproductive health of very young adolescents (VYA) and identifies promising program components and research/evaluation practices. The paper is not exhaustive but serves as a tool for further discussion of what is needed in VYA programming and research

  9. Protecting the next generation in Malawi. New evidence on adolescent sexual and reproductive health needs

    This report presents key findings from a new body of research that describes the sexual and reproductive health needs of Malawi's youth. The information was gathered from young Malawians themselves through focus group discussions, in-depth interviews and a nationally representative survey on sex, relationships, marriage, HIV/AIDS and pregnancy among young women and men aged 12-19. This report discusses in detail some of the challenges in and opportunities for improving the sexual and reproductive health of adolescents in Malawi. …

  10. Descriptions of specific programmes that were assessed for their HIV/AIDS communication to adolescents in Malawi, Zambia, Kenya and Uganda

    This chapter describes school programmes addressing HIV/AIDS in Malawi, Zambia, Kenya and Uganda. It describes the common approaches to anti AIDS programmes adopted in these countries mostly in the form of school based curriculum or club activities organized through the school or community.

  11. Protecting the next generation in sub-saharan Africa: learning from adolescents to prevent HIV and unintended pregnancy

    This report presents key findings from nationally representative surveys conducted in 2004 among 12-19-year-olds in four African countries-Burkina Faso, Ghana, Malawi and Uganda-with the goal of guiding programs, policies and investments aimed at improving adolescent sexual and reproductive health. It is based on research conducted as part of a multiyear project, called Protecting the Next Generation: Understanding HIV Risk Among Youth. …

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