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UNESCO HIV and Health Education Clearinghouse

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  1. All in, in Eastern and Southern Africa: catalysing the HIV response for adolescents

    The report demonstrates progress made on adolescent HIV programming in the Eastern and Southern African Region (ESAR) in a few short years. Qualitative in approach, the report explores how the impact of HIV on adolescents and young people was given visibility and focus as a result of the All In to end adolescent AIDS (All In) country assessments, which systematically reviewed and analyzed data, programmes and strategies currently responding to adolescent HIV.

  2. The adolescent experience in-depth: using data to identify and reach the most vulnerable young people: Tanzania 2009-2012

    This report presents a secondary data analysis and triangulation of the Tanzania Demographic and Health Survey (DHS) 2010, the Tanzania HIV and Malaria Indicator Survey (THMIS) 2011-12, and the Violence Against Children in Tanzania Survey (VACS) 2009. Its objectives are to analyse approximately 40 key indicators related to knowledge, attitudes, behaviours and outcomes (e.g. …

  3. National HIV strategy for adolescents and young people 2016-2020

    The goal of this strategy is to reduce new HIV infections among adolescents and young people in Nigeria.The target populations for the strategy are divided into three major groups: in-school youth, out-of-school youth, and key populations at higher risk.

  4. Kenya fast-track plan to end HIV and AIDS along adolescents and young people

    Goal: To fast-track the HIV response to end new HIV infections, AIDS related deaths and stigma and discrimination in adolescents and young people. Objectives of this fast-track plan: 1. To reduce new HIV infections among adolescents and young people by 40%; 2. To reduce AIDS related deaths among adolescent and young people by 15%; 3. To reduce stigma and discrimination by 25%. Target beneficiaries: The target beneficiary populations are adolescent boys and girls aged 10 – 19 years and young people, particularly women, aged 20 – 24 years. …

  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. Cash plus care: social protection cumulatively mitigates HIV-risk behaviour among adolescents in South Africa

    Objectives: It is not known whether cumulative ‘cash plus care’ interventions can reduce adolescent HIV-infection risks in sub-Saharan Africa. This study investigated whether parental AIDS and other environmental adversities increase adolescent HIVrisk behaviour and whether social protection provision of ‘cash’ or integrated ‘cash plus care’ reduces HIV-risk behaviour. Design: A prospective observational study with random sampling (<2.5% baseline refusal, 1-year follow-up, 96.8% retention). …

  7. The Government of Kenya’s Cash Transfer Program Reduces the Risk of Sexual Debut among Young People Age 15-25

    The aim of this study is to assess whether the Government of Kenya’s Cash Transfer for Orphans and Vulnerable Children (Kenya CT-OVC) can reduce the risk of HIV among young people by postponing sexual debut. The program provides an unconditional transfer of US$20 per month directly to the main caregiver in the household. An evaluation of the program was implemented in 2007–2009 in seven districts. Fourteen Locations were randomly assigned to receive the program and fourteen were assigned to a control arm. A sample of households was enrolled in the evaluation in 2007. …

  8. SADC Minimum Standards for child and adolescent HIV, TB and malaria continuum of care and support (2013-2017)

    The Minimum Standards serve as a framework to guide the regional harmonisation of approaches for a continuum of care and support in HIV, TB and malaria for children and adolescents in the SADC region. This is necessary to improve the effectiveness of national and community efforts to accelerate child survival and achieve comprehensive developmental outcomes for children and adolescents. …

  9. 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. …

  10. 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. …

  11. The psychological effect of orphanhood in a matured HIV epidemic: an analysis of young people in Mukono, Uganda

    As the HIV pandemic progresses, the number of orphans is expected to rise. Uganda is one of the countries that has been most impacted by the pandemic. A few studies have explored the effects of orphanhood on psychological well-being; however, most of these studies have not explored potential pathways through which orphanhood could affect psychological well-being. Using a school-based sample, this study sought to examine the differences in depressive symptoms and hopelessness between orphans and non-orphans in Mukono District, Uganda. …

  12. MDG-6 status for children and HIV in Rwanda: a rapid assessment

    In order to develop a comprehensive response to HIV/AIDS pandemic in women and children, Rwanda has benefited from generous international commitment of resources and technical assistance. More than halfway to the 2015 deadline to achieve the MDGs, an assessment of the progress towards achieving MDG 6 for children and HIV in Rwanda is needed to inform the acceleration of program implementation. An assessment tool was first of all developed around the "Four Ps". …

  13. Policy and institutional frameworks: mainstreaming adolescent reproductive health (ARH) and gender in HIV/AIDS programs: examples from Ethiopia and Uganda

    This document is divided into six parts (Part I-VI). Part I covers (a) the study background including objectives, methodologies and activities; and (b) an overview of the HIV situation among young people and adolescents in the Africa region. Part II and III present key findings from Ethiopia and Uganda, including a review of policies and the institutional environment in both countries in regards to gender, youth, ARH and HIV/AIDS. Part IV includes key findings of six country assessments of youth issues in the Multi-Sector Programs on HIV/AIDS of the World Bank. …

  14. Undiagnosed HIV Infections among Adolescents Seeking Primary Health Care in Zimbabwe

    Mother-to-child transmission of human immunodeficiency virus (HIV) infection was extremely common in southern Africa during the 1990s, and a substantial minority of infected infants have survived to reach adolescence undiagnosed. Studies have shown a high prevalence of HIV infection in hospitalized adolescents who have features associated with long-standing HIV infection, including stunting and frequent minor illnesses. Given this reality, the epidemiology of HIV infection at the primary care level is investigated. …

  15. South African national HIV prevalence, incidence, behaviour and communication survey, 2008. A turning tide among teenagers

    South Africa's first national, household sero-prevalence survey of HIV and AIDS was conducted in 2002. A second survey was completed in 2005 and this, the third, in 2008. This report provides an analysis of trends across the three surveys and begins to map the ways in which the shape of the pandemic in South Africa has changed since 2002. Indicators for assessing mid-term progress made in implementing South Africa's National Strategic Plan on HIV and AIDS, 2007-2011 are also provided. …

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