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UNESCO HIV and Health Education Clearinghouse

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  1. 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). …

  2. 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. …

  3. Searching for the second R in sexual and reproductive health and … rights

    Sexual and reproductive health and rights have gained prominence in the HIV response. The role of sexual and reproductive health in underpinning a successful approach to HIV prevention, treatment, care, and services has increasingly been recognized. However, the “second R,” referring to sexual and reproductive rights, is often neglected. This leads to policies and programs which both fail to uphold and fulfill these rights and which fail to meet the needs of those most affected by HIV by neglecting to take account of the human right-based barriers and challenges they face. …

  4. Frequently asked questions about HIV and AIDS

    This booklet contains a list of frequently asked questions, and answers, about HIV and AIDS.

  5. National guidelines for the management of HIV and AIDS

    This edition covers Adult and Paediatric HIV and AIDS management; Nutrition; Management of Opportunistic Infections; Home Based Care and the Continuum of Care; and Counselling for HIV Testing as well as ART adherence. Other areas covered include: health facility certification, standard precautions in care settings and laboratory services, post exposure prophylaxis, as well as ARV logistics and dosages.

  6. National guidelines for the management of HIV and AIDS

    This edition covers key areas of Adult and Paediatric HIV and AIDS management; Nutrition; Management of Opportunistic Infections; Home Based Care and the Continuum of Care; Counselling for HIV Testing, as well as, ART adherence. Other areas covered include, standard precautions in care settings and laboratory services, post exposure prophylaxis, as well as, ARV logistics and dosages. There is also an emphasis on Positive Health, Prevention and Dignity, a strategy that is meant to support PLHIV, so as to have a holistic care approach. …

  7. 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.

  8. Building the assets to thrive: Addressing the HIV-related vulnerabilities of adolescent girls in Ethiopia

    Reaching vulnerable adolescent girls with information and connecting them to services are not straightforward tasks. Poor girls in Ethiopia have few opportunities to access public institutions such as youth or community centers, health services, financial institutions, and schools. They may not know that they have a right to these services, and service delivery staff might not welcome them. …

  9. 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. …

  10. Life Doesn’t Wait. Romania’s Failure to Protect and Support Children and Youth Living with HIV

    More than 7,200 Romanian children and youth age fifteen to nineteen are living with HIV—the largest such group in any European country. The vast majority were infected with HIV between 1986 and 1991 as a direct result of government policies that exposed them to contaminated needles and “microtransfusions” of unscreened blood. Despite Romania’s progressive expansion of access to antiretroviral drugs, these children and youth face pervasive stigma and discrimination that often impedes their enjoyment of basic rights and services. …

  11. Transitioning of Care and other Services for Adolescents Living with HIV in Sub-Saharan Africa

    As the number of adolescents living with HIV (ALHIV) continues to grow, the need to improve services, policies, and programs intensifies. This technical brief provides guidance for program managers and policymakers in order to develop services for ALHIV and their families/caregivers as they transition toward HIV self-management and adult clinical care. Focusing more specifically on the transitional needs of adolescents vertically infected with HIV, the contents have relevance for those adolescents infected via behavioral routes. …

  12. HIV serostatus disclosure and lived experiences of adolescents at the Transition Clinic of the Infectious Diseases Clinic in Kampala, Uganda: A qualitative study

    Most studies on HIV serostatus disclosure and adolescents focus on whether, how and when to disclose to adolescents their HIV diagnosis. Fewer studies have examined HIV serostatus disclosure by adolescents who know they are infected with HIV. This study presents qualitative data examining HIV serostatus and treatment disclosure practices and concerns of young people living with HIV in Uganda and the extent to which they are satisfied with current norms around HIV serostatus and treatment disclosure. …

  13. 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. …

  14. 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). …

  15. Manual de rotinas para assistência de adolescentes vivendo com HIV/Aids

    Adolescentes e jovens estão sendo infectados e afetados pelo HIV mais do que qualquer outro grupo populacional. As características sócio-demográficas e culturais dos adolescentes e jovens vivendo com HIV/aids mostram a necessidade de se implementar ações de intervenção preventiva e clínica de qualidade que contemple as necessidades desse grupo populacional de forma mais efetiva, integral e participativa. …

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