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UNESCO HIV and Health Education Clearinghouse

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  1. Best practices for adolescent- and youth-friendly HIV Services: a compendium of selected projects in PEPFAR-supported countries

    The goal of this compendium is to answer critical questions that move forward USAID’s mission of supporting (a) the adoption of evidence-based practices in adolescent- and youth-friendly HIV care and services to help at-risk adolescents (ages 10–19 years) and youth (ages 15–24 years) stay HIV-free, and (b) the provision of comprehensive packages of HIV prevention, care, treatment, and retention services to adolescents and youth living with HIV in order to promote their successful transition to adulthood.

  2. Strengthening comprehensive sexuality education for young people in school settings in Zambia: a review and documentation of the scale-up process

    This report documents progress on implementation of a Swedish International Development Cooperation Agency (Sida)-funded UNESCO project that aims to strengthen sexuality education programmes for young people in school settings in Zambia. The project was conceptualized in line with the country’s thematic focus on broader economic and social development and is expected to reach all 9,000 government schools, 1,749,664 learners representing 100% of grades 5 to 12 learners, 40,000 in-service teachers, and 20,000 preservice teachers. …

  3. Sexual and reproductive health of young people in Asia and the Pacific: a review of issues, policies and programmes

    The aim of the review was to describe the current status of young people’s SRH and policy and programme responses in the Asia and Pacific regions to support evidence informed policy, programming and advocacy. …

  4. Is the sexual behaviour of young people in sub-Saharan Africa influenced by their peers? A systematic review

    Adolescents in sub-Saharan Africa are highly vulnerable to HIV, other sexually transmitted infections (STIs) and unintended pregnancies. Evidence for the effectiveness of individual behaviour change interventions in reducing incidence of HIV and other biological outcomes is limited, and the need to address the social conditions in which young people become sexually active is clear. Adolescents' peers are a key aspect of this social environment and could have important influences on sexual behaviour. There has not yet been a systematic review on the topic in sub-Saharan Africa. …

  5. Effective approaches for programming to reduce adolescent vulnerability to HIV infection, HIV risk, and HIV-related morbidity and mortality: A systematic review of systematic reviews

    Background: In 2012, an estimated 2.1 million adolescents were living with HIV. Though there are effective interventions to prevent and treat HIV infection, adolescents face specific barriers in accessing them. As a result, new infections and poor outcomes among HIV-infected adolescents are common. HIV programming for adolescents should focus on interventions of proven effectiveness and address underlying factors driving incidence and lack of effective treatment and care in this age group. …

  6. Mapping HIV services and policies for adolescents: A survey of ten countries in sub-Saharan Africa

    PEPFAR and USAID, in collaboration with UNICEF, supported AIDSTAR-One in conducting a mapping activity to identify HIV policies and services for adolescents in 10 sub-Saharan African countries: Kenya, Lesotho, Malawi, Mozambique, South Africa, Swaziland, Tanzania, Uganda, Zambia, and Zimbabwe. This technical report summarizes AIDSTAR-One’s findings and is a resource for program planners and policymakers working to improve services and policies for HIV prevention, care, and treatment among adolescents and ALHIV in sub-Saharan Africa. …

  7. Summary of methodologies to measure prevention of HIV/AIDS among young people

    This document is a summary of the major tools that have been commonly used to measure prevention of HIV/AIDS among youth. This table has been designed to help program planners, policy makers, and others interested in understanding the status of youth HIV risk and youth HIV prevention programs at the national, regional, or local level identify sources of relevant information.

  8. Status report adolescents and young people in sub-Saharan Africa: Opportunities and challenges

    Nearly half of the world's population, some 3 billion people, is under the age of 25. As the largest generation ever of young people, investments in their health and well-being are crucial so they can make a positive transition into adulthood and fully contribute to the economic and social development of their families, communities and nations. But in order to develop strategies and mobilize financial resources to support adolescent and youth development, decisionmakers need reliable, up-to-date demographic, health, education and socioeconomic data about young people. …

  9. 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? …

  10. 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. …

  11. 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". …

  12. Investing in youth for national development

    Despite the commitment of many policymakers and advocates to addressing the ever-increasing sexual and reproductive health needs of youth, calls for appropriate programs, services, and funding have gone largely unanswered. Youth around the world remain at high risk of unplanned pregnancy, HIV/AIDS, and sexually transmitted infections, even though many small-scale programs are ready for scale up and would help youth achieve their potential and help nations achieve their development goals. …

  13. Sexual and reproductive health rights of adolescents living with HIV

    The International HIV/AIDS Alliance have carried out a literature review of the sexual and reproductive health rights of adolescents living with HIV. The study found that adolescents living with HIV have largely been left out of the national responses to HIV/AIDS in low-income settings. Their needs differ from those of adults living with HIV and they face many challenges, including serious service access barriers that require greater attention and advocacy. In most low-income countries health systems have not been designed and do not have the capacity to meet their specific needs. …

  14. Generating demand and community support for sexual and reproductive health services for young people: a review of the literature and programmes

    To support the health sector in identifying and implementing a few strategic, do-able, evidence-based interventions to create demand for sexual and reproductive health services by adolescents who need them and to stimulate community acceptance and support for their provision, a global review of the evidence was compiled. Using a standard methodology, evidence from thirty studies was reviewed on interventions for generating demand through the provision of information, education and communication via several different channels. …

  15. But where are our moral heroes?: An analysis of South African press reporting on children affected by HIV/AIDS

    Messages conveyed both explicitly and implicitly in the media play an important role in the shaping of public understanding of issues, as well as associated policy, programme and popular responses to these issues. This paper applies discourse analysis to a series of articles on children affected by HIV/AIDS published in 2002/2003 in the English-medium South African press. …

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