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UNESCO HIV and Health Education Clearinghouse

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  1. Education, HIV, and early fertility: experimental evidence from Kenya

    We provide experimental evidence on the relationships between education, HIV/AIDS education, risky behavior and early fertility in Kenya. We exploit randomly assigned variation in the cost of schooling and in exposure to the national HIV/AIDS prevention curriculum for a cohort of over 19,000 adolescents in Western Kenya, originally aged 13.5 on average. We collected data on the schooling, marriage, and fertility out-comes of these students over 7 years, and tested them for HIV and Herpes (HSV2) after 7 years. …

  2. Policy guidelines and service standards: sexual and reproductive health

    These service standards and guidelines are intended to assist programme managers and providers to expand and improve the quality of services everywhere in the country. Health administrators as well as all providers – i.e. physicians, nurses, counselors and Family Welfare Educators should use them. …

  3. Application of the information, motivation and behavioural skills model for targeting HIV risk behaviour amongst adolescent learners in South Africa

    This paper discusses the application of an information, motivation and behavioural skills (IMB) model in a school-based programme for the reduction of HIV risk behaviour among 259 Grade 11 learners in two high schools in Alexandra township, Johannesburg. School 1 was the Experimental group, while School 2 was the Control group. After a baseline study (Time 1) at both schools, a 3-week intervention programme was conducted at School 1. A post-test (Time 2) was conducted at both schools. The intervention was repeated at School 2, followed by another post-test (Time 3) at both schools. …

  4. Young people today, time to act now: why adolescents and young people need comprehensive sexuality education and sexual and reproductive health services in Eastern and Southern Africa. Summary

    This report is the summary of an in-depth Regional Report into the education and sexual reproductive health status of adolescents and young people in Eastern and Southern Africa. The full report (Young People Today. Time to Act Now) was developed in support of the ESA commitment process, to provide a regional assessment of the current status of HIV and sexuality education and SRH services for adolescents and young people, and to provide an evidence base for discussion related to policy change and programming for adolescents and young people in the Eastern and Southern Africa (ESA) region. …

  5. Assessment of comprehensive HIV/AIDS knowledge level among in-school adolescents in eastern Ethiopia

    This study tries to assess the level of comprehensive knowledge of HIV/AIDS and the factors associated with it among in-school adolescents in eastern Ethiopia. The reason for this study is that there are more adolescents in school today, in Ethiopia, than ever before. This is a cross-sectional school-based study in which respondents were students attending regular school in 14 high schools located in 14 different districts of eastern Ethiopia. The proportion of in-school adolescents with comprehensive HIV/AIDS knowledge was computed and compared by sex. …

  6. Parent-child communication about sexual and reproductive health in rural Tanzania: Implications for young people's sexual health interventions

    Background: Many programmes on young people and HIV/AIDS prevention have focused on the in-school and channeled sexual and reproductive health messages through schools with limited activities for the young people's families. The assumption has been that parents in African families do not talk about sexual and reproductive health (SRH) with their children. These approach has had limited success because of failure to factor in the young person's family context, and the influence of parents. …

  7. An HIV/AIDS knowledge scale for adolescents: item response theory analyses based on data from a study in South Africa and Tanzania

    A 14-item human immunodeficiency virus/acquired immunodeficiency syndrome knowledge scale was used among school students in 80 schools in 3 sites in Sub-Saharan Africa (Cape Town and Mankweng, South Africa, and Dar es Salaam, Tanzania). For each item, an incorrect or don't know response was coded as 0 and correct response as 1. Exploratory factor analyses based on polychoric correlations showed two separate factors for all sites. …

  8. Predictors of knowledge about HIV/AIDS among young people: Lessons from Botswana

    This study sought to identify factors that can predict knowledge about HIV/AIDS among adolescents in Botswana. The data were collected through a self administered questionnaire from a sample of 1294 students from schools around the capital city of Botswana, Gaborone. The research instrument consisted of 76 items that solicited information on background characteristics of respondents, indicators of family cohesiveness and bonding of children with their parents, indicators of personal adjustment, evidence of sex life, and knowledge about HIV/AIDS. …

  9. Long-Term Biological and Behavioural Impact of an Adolescent Sexual Health Intervention in Tanzania: Follow-up Survey of the Community-Based MEMA kwa Vijana Trial

    The ability of specific behaviour-change interventions to reduce HIV infection in young people remains questionable. Since January 1999, an adolescent sexual and reproductive health (SRH) intervention has been implemented in ten randomly chosen intervention communities in rural Tanzania, within a community randomised trial (see below; NCT00248469). The intervention consisted of teacher-led, peer-assisted in-school education, youth-friendly health services, community activities, and youth condom promotion and distribution. …

  10. Strengthening national responses to HIV and adolescents in emergency situations: lessons learned from Côte d'Ivoire and Haiti

    many years, and a growing number of organizations are including a focus on young people, HIV/ASRH and humanitarian settings into their work. Despite this, however, there is on‐going concern that young people in general, and adolescents in particular (10-19 years) do not receive sufficient ttention in humanitarian settings, and that this has both important immediate implications for their health during the emergencies, and also much longer-term implications for them, their families and their communities. This report aims to respond to these concerns. …

  11. Imagined futures VI: checks and balances. Conference report

    This document is a report of a two days conference, "Checks and balances", aimed to explore mechanisms ensuring the balancing of power and the accountability by the stakeholders – the institutions and students. The sessions included: changing dynamics of HIV/AIDS in a university setting, teenage pregnancy at institutions of higher learning, and service provider accountability. The conference closed with a partnership statement on sexual and reproductive rights and health.

  12. HIV prevention for rural youth in Nigeria: Background overview

    The negative impact of the HIV/AIDS epidemic has been a major challenge to sub-Saharan Africa. Although the rate of new HIV infections in sub-continent has decreased, the total number of people living with HIV continues to rise. Most of the people infected with HIV/AIDS in sub-Saharan Africa are within the age bracket of 15 to 35 years. It has been estimated that about 80% of the infected group are aged 20-29 years. …

  13. Sexual coercion among in-school adolescents in Rwanda: prevalence and correlates of victimization and normative acceptance

    Adolescents are particularly vulnerable to sexual coercion, as victim as well as perpetrator. This paper aims to adapt sexual and reproductive health interventions to the reality of young people’s sexuality and relationships. This study assesses the prevalence of forced sex, characteristics of victims and norms regarding sexual coercion among Rwandan adolescents. A survey was completed by 285 senior secondary school students and four focus groups were conducted. Of sexually active respondents, 15.5% reported forced sexual intercourse. …

  14. Nothing as practical as good theory? The theoretical basis of HIV prevention interventions for young people in sub-Saharan Africa: A systematic review

    This paper assesses the extent to which HIV prevention interventions for young people in sub-Saharan Africa are grounded in theory and if theory-based interventions are more effective. Three databases were searched for evaluation studies of HIV prevention interventions for youth. Additional articles were identified on websites of international organisations and through searching references. 34 interventions were included; 25 mentioned the use of theory. …

  15. Young people's perspectives on the adoption of preventive measures for HIV/AIDS, malaria and family planning in South-West Uganda: focus group study

    The aim of the study was to explore young people's understanding and knowledge about why protective measures against HIV/AIDS, malaria and unplanned pregnancy are not taken by those at risk in Uganda. The study results were that the participants (all from secondary school in Kanungu Uganda) could identify reasons why preventive action was not taken. These reasons included misconceptions, the inpracticability of abstinence, and fear of side effects of several key interventions. The article argues that there is an apportunity to improve preventive measures by tackling these issues. …

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