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UNESCO HIV and Health Education Clearinghouse

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  1. HIV and adolescents: focus on young key populations

    Adolescents and young adults are at increased risk for HIV due to the many developmental, psychological, social, and structural transitions that converge in this period of the lifespan. In addition, adolescent deaths resulting from HIV continue to rise despite declines in other age groups. There are also young key populations (YKPs) that bear disproportionate burdens of HIV and are the most vulnerable, including young men who have sex with men (MSM), transgender youth, young people who inject drugs, and adolescent and young adult sex workers. …

  2. Lost in transitions: Current issues faced by adolescents living with HIV in Asia Pacific

    Across the Asia Pacific region, adolescents aged 10 – 19 years who are living with HIV face unique challenges as they transition from childhood to adolescence and into adulthood. This report aims to document and capture some of the experiences of adolescents living with HIV as they disclose their HIV status, deal with life-long antiretroviral treatment (ART), move from pediatric to adult health care services, navigate sexuality and relationships and build their independent lives. …

  3. Experiences from the field: HIV prevention among most at risk adolescents in Central and Eastern Europe and the Commonwealth of Independent States

    In recent years, UNICEF has worked together with national and local authorities and civil society partners in a number of countries in Eastern Europe and Central Asia to develop and implement HIV prevention programmes intended to reduce risks and vul¬nerabilities among most-at-risk adolescents (MARA.) This docu¬ment presents programming experiences from seven countries: Albania, Bosnia and Herzegovina (BiH), Moldova, Montenegro, Romania, Serbia and Ukraine. …

  4. Young people's sexual health in South Africa: HIV prevalence and sexual behaviors from a nationally representative household surevy

    Objectives: To determine the prevalence of HIV infection, HIV risk factors, and exposure to national HIV prevention programs, and to identify factors associated with HIV infection among South African youth, aged 15–24 years. Design: A cross-sectional, nationally representative, household survey. Methods: From March to August 2003 we conducted a national survey of HIV prevalence and sexual behavior among 11 904 15–24 year olds. Multivariable models for HIV infection were restricted to sexually experienced youth. …

  5. Children's and adolescents' participation and protection from sexual abuse and exploitation

    This paper presents an overview of government commitments to strengthen participation by children and adolescents to protect them from sexual abuse and exploitation. It also considers concrete recommendations for strengthening young people’s involvement in their own protection, based on their recommendations about what is needed to realize the Stockholm Declaration and Agenda for Action. Other inputs include case studies that offer new perspectives on children’s and adolescents’ participation to combat sexual exploitation and abuse. …

  6. Regional issues brief: rights of children and young people to access HIV-related services

    This Regional Issues Brief has been written to provide an overview of an area of enquiry that the Global Commission on HIV and the Law is examining – issues of law and HIV pertaining to young people. It has been undertaken through a literature review of laws and documentation of their enforcement in the context of Asia and the Pacific. It serves as an information resource and complements the report of the Regional Dialogue for Asia and the Pacific that was held under the auspices of the Global Commission on HIV and the Law in Bangkok on 16 and 17 February 2011.

  7. High income countries issue brief: rights of children and young people to access HIV-related services

    This brief focuses on the rights of children (minors under the age of 18 years) in high-income countries to access health services related to HIV prevention – in particular sexual and reproductive health services, and harm reduction services and drug treatment services. …

  8. 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. …

  9. The health and wellbeing of young people in sub-Saharan Africa: an under-researched area?

    A third of sub-Saharan Africa’s (SSA) population comprises persons aged 10–24 years. These youth are growing up in a context marked by pervasive poverty, limited educational opportunities, high HIV/AIDS prevalence, widespread conflict, and weak social controls. Published research on the broad issues that affect youth health and wellbeing in SSA is limited and centers heavily on sexual and reproductive health. …

  10. Who are we failing? How marginalisation and vulnerability affect adolescents' needs for and access to SRHR

    This report summarises a rapid review carried out by Interact Worldwide and funded by Countdown 2015 Europe. The review addresses the perception that, in the context of SRHR, all adolescents are equally ‘marginalised’ and ‘vulnerable’ due to their age. It explores how such a general assertion neglects the dramatically different situations and experiences of adolescents throughout the world: in reality, not all are equally ‘marginalised’ or ‘vulnerable’. The review asks Who are we failing and why? …

  11. Setting research priorities for adolescent sexual and reproductive health in low-and middle-income countries

    This is a research article on a study that conducted a process for identifying priorities in adolescent sexual and repoductive health in low- and middle- income countries. The authors obtained input from nearly 300 researchers on three tasks: to (1) rank outcome areas in order of importance; (ii) formulate research questions within each area, and (iii) rank the formulated questions. …

  12. Rapid assessment most-at-risk adolescents and young people to HIV in Lao PDR

    The Lao People’s Democratic Republic (Lao PDR) has a 'latent' HIV epidemic, with rates of HIV estimated at just 0.2 per cent of the total population aged between 15-49 years of age. However, because of its location in the heart of the Mekong, surrounded by countries with high rates of HIV in concentrated epidemics, Lao PDR is believed to be "in danger of an expanding epidemic". More than 50 per cent of the population of Lao PDR is below the age of 20 and adolescents and young people engaged in highrisk behaviour for HIV are an emerging priority across Asia and the Pacific. …

  13. HIV infection and sexual risk behaviour among youth who have experienced orphanhood: systematic review and meta-analysis

    Background: Previous research has suggested that orphaned children and adolescents might have elevated risk for HIV infection. We examined the state of evidence regarding the association between orphan status and HIV risk in studies of youth aged 24 years and younger. Methods: Using systematic review methodology, we identified 10 studies reporting data from 12 countries comparing orphaned and non-orphaned youth on HIV-related risk indicators, including HIV serostatus, other sexually transmitted infections, pregnancy and sexual behaviours. …

  14. Rapid psychosocial function screening test identified treatment failure in HIV+ African youth

    Psychosocial dysfunction in older children and adolescents is common and may lead to nonadherence to HIV treatments. Poor adherence leads to HIV treatment failure and the development of resistant virus. In resource-limited settings where treatment options are typically limited to only one or two available lines of therapy, identification of individuals at highest risk of failure before failure occurs is of critical importance. …

  15. Safety and tolerability of antiretroviral therapy among HIV-infected children and adolescents in Uganda

    The objective of this study was to determine the frequency and outcome of ART-related adverse events among patients ages 6 weeks to 18 years. The authors followed up a cohort of 378 HIV-infected children and adolescents who started ART at the Baylor-Uganda Clinic during the period of July 2004 to July 2009. Patients were started on zidovudine or stavudine, plus lamivudine, and efavirenz or nevirapine. Adverse events were recorded as they occurred. Descriptive analyses and Kaplan-Meier survival analysis were carried out. …

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