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UNESCO HIV and Health Education Clearinghouse

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  1. Improving lives by accelerating progress towards the UN Sustainable Development Goals for adolescents living with HIV: a prospective cohort study

    Background: Low-income and middle-income countries (LMICs) face major challenges in achieving the UN's Sustainable Development Goals (SDGs) for vulnerable adolescents. We aimed to test the UN Development Programme's proposed approach of development accelerators—provisions that lead to progress across multiple SDGs—and synergies between accelerators on achieving SDG-aligned targets in a highly vulnerable group of adolescents in South Africa. …

  2. Addressing challenges facing adolescents in knowing and managing their HIV status in sub-Saharan Africa

    This policy paper was conceived at a joint LSHTM-Sentebale roundtable meeting in July 2017; three young people from Lesotho and Botswana presented their personal experiences and challenges of living with HIV to an audience including Prince Harry, leading HIV researchers, and senior staff from organisations such as UNAIDS, PEPFAR and the Global Fund to Fight AIDS, TB and Malaria. This paper profiles some promising approaches to address challenges and barriers identified by adolescents living with HIV (ALHIV). …

  3. All in to end the adolescent AIDS epidemic: a progress report

    UNICEF and UNAIDS launched the ALL IN platform in February 2015 to galvanize global action towards HIV and a population that were largely neglected in the global AIDS response – adolescents. The ALL IN initiative, with a focus on 25 lead countries that contribute to 86 per cent of all new HIV infections in adolescents, seeks to bring adolescents into focus in fast-track efforts to end the AIDS epidemic by 2030, and provides three targets for the year 2020 to frame this acceleration agenda: 1. Reduce new HIV infections among adolescents by at least 75 per cent; 2. …

  4. Nutrition assessment, counselling and support for adolescents and adults living with HIV: A programming guide

    This programming guide prepared by the World Food Programme (WFP), the United Nations Programme on HIV/AIDS (UNAIDS) and the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) provides practitioners with useful information for planning and implementing food and nutrition support as part of a comprehensive treatment, care and support programme for adults and adolescents living with HIV. It serves as a resource for governments, UN organizations, donors, civil society, and other organizations providing support to countries.

  5. The impact and cost of the HIV/AIDS investment framework for adolescents

    Background: In 2005, the resources needed to support orphans and vulnerable children in sub-Saharan Africa were estimated at US$1.1–4.1 billion. Approaches to support vulnerable children have changed considerably since then. This study updates previous estimates by including new types of support and information on support costs. Methods: We considered 16 types of support categorized as economic strengthening, education support, social care and community outreach, and program support. …

  6. Factors associated with HIV infection among sexually experienced adolescents in Africa: a pooled data analysis

    The article examines the factors associated with HIV status among adolescents aged 15–19 years in 13 African countries. The data were derived from demographic and health surveys or AIDS indicator surveys conducted between 2004 and 2009. The levels of HIV prevalence among adolescents varied considerably across the countries. There was significantly higher HIV prevalence among female adolescents as compared with their male counterparts. For male adolescents, circumcision was the only variable significantly associated with HIV status. …

  7. Survival of HIV-infected adolescents on antiretroviral therapy in Uganda: findings from a nationally representative cohort in Uganda

    Adolescents have been identified as a high-risk group for poor adherence to and defaulting from combination antiretroviral therapy (cART) care. However, data on outcomes for adolescents on cART in resource-limited settings remain scarce. The authors developed an observational study of patients who started cART at The AIDS Service Organization (TASO) in Uganda between 2004 and 2009. Age was stratified into three groups: children (less than or equal to 10 years), adolescents (11-19 years), and adults (greater than or equal to 20 years). …

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