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UNESCO HIV and Health Education Clearinghouse

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  1. Project evaluation: HIV/AIDS Prevention and Promotion of Adolescent Sexual Reproductive Health

    In Ethiopia Save the Children Sweden (SCS) works to promote children's rights through advocacy, direct support, capacity building, research and awareness raising. In line with this, it has been supporting six local partner organisations whose implementation area is in Addis Ababa. Hiwot Ethiopia is one of the local partners of SCS working on HIV prevention and promotion of adolescent sexual reproductive health with the major objective of inducing behavioral change among in and out of school youth. …

  2. Relative Risks and the Market for Sex: Teenagers, Sugar Daddies and HIV in Kenya

    An information campaign that provided Kenyan teenagers in randomly selected schools with the information that HIV prevalence was much higher among adult men and their partners than among teenage boys led to a 65% decrease in the incidence of pregnancies by adult partners among teenage girls in the treatment group relative to the comparison. This suggests a large reduction in the incidence of unprotected cross-generational sex. The information campaign did not increase pregnancies among teenage couples. …

  3. Efficacy of an American alcohol and hiv prevention curriculum adapted for use in South Africa: results of a pilot study in five township schools

    The high prevalence of HIV among young people in African countries underscores a pressing need for effective prevention interventions. Adapting school–based prevention programs developed in the United States for use in African schools may present an alternative to the time–consuming process of developing home–grown programs. The researchers report the results of a pretest–posttest field trial of an alcohol/ HIV prevention curriculum adapted from an American model and delivered to ninth-grade students in five South African township schools. …

  4. Evaluating the Kenya Girl Guides Association’s HIV/AIDS Peer Education Program for Younger Youth: Baseline Results

    The Kenya Girl Guide Association (KGGA) and Family Health International (FHI)/Impact began a program, which was developed by PATH, in 1999 to train young Girl Guides as HIV peer educators in their schools. The project aims to improve knowledge and skills related to HIV prevention and care among Girl Guides and their peers. In collaboration with KGGA and FHI/Impact, the Horizons Program is currently conducting a study to evaluate the effectiveness of this intervention model in achieving the objectives of the peer education program. …

  5. 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. …

  6. 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. …

  7. Teen talk : a guide for positive living

    This question and answer guide for HIV-positive adolescents covers a variety of topics, including ARVs, adherence, friendship, nutrition, exercise, reproductive health, positive prevention, multiple concurrent partnerships, safe male circumcision, prevention of mother-to-child transmission, emotions, and disclosure.

  8. HIV infection and schooling experiences of adolescents in Uganda

    This chapter, from the publication " Social and psychosocial aspects of HIV/AIDS and their ramifications" responds to the need for relevant evidence by exploring the experiences of HIV-positive adolescent boys and girls in primary and secondary schools in Uganda from the perspectives of school officials and teachers, the general student body, as well as adolescents perinatally infected with HIV. …

  9. 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. …

  10. 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. …

  11. 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. …

  12. 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.

  13. 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. …

  14. 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. …

  15. Gender, peer and partner influences on adolescent HIV risk in rural South Africa

    In preparation for a school-based intervention in KwaZulu-Natal, South Africa, the authors conducted a cross-sectional survey of potential HIV risk factors in youth ages 14–17 (n=983). Boys were significantly more likely than girls to report lifetime sexual activity (37.7% v. 13.8%, P<0.01). Among boys and girls, 46.1% reported condom use at last sex. Discussion of condom use with a partner was the strongest predictor of condom use (boys, odds ratio (OR)=7.39; girls, OR=5.58, P<0.0001). …

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