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UNESCO HIV and Health Education Clearinghouse

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  1. Experimental evaluation of school-based HIV programs in sub-Saharan Africa

    School-based adolescent health education programs represent a durable strategy in reducing the spread of HIV because they can leverage pre-existing social and organizational structures to reach large fractions of students at critical life stages. Many evaluations of school-based HIV programs draw on multilevel study designs that assign schools to treatment conditions or assign students to treatment conditions within blocks defined by school membership. …

  2. 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. …

  3. 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. …

  4. 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. …

  5. Out-of-school and at risk? Socio-demographic characteristics, AIDS knowledge and risk perception among young people in Northern Tanzania

    This paper investigates the reasons why young people in urban and rural Kilimanjaro, Tanzania do not attend school, their socio-demographic characteristics, AIDS knowledge and risk perception. A structured face-to-face interview was conducted with 1007 young people between the ages of 13 and 18. Findings suggest that non-attendance is the product of a complex interaction of economic, individual, family and school-related factors. Boys have more AIDS knowledge than girls, and those from urban areas are more knowledgeable than their rural counterparts. …

  6. Multiple sexual partners and condom use among 10-19 year-olds in four districts in Tanzania: What do we learn?

    This study tested a hypothesis that sexual relationships with multiple partners in the 10- to 19-year age group spurs condom use during sex. The authors performed secondary analysis using data from the adolescent module of the cross-sectional household survey on Maternal, Newborn and Child Health (MNCH) that was done in Kigoma, Kilombero, Rufiji and Ulanga districts, Tanzania in 2008. A total of 612 adolescents from a random sample of 1,200 households participated in this study. Pearson Chi-Square was used as a test of association between multiple sexual partners and condom use. …

  7. Development and test-retest reliability of a research instrument designed to evaluate school-based HIV/AIDS interventions in South Africa and Tanzania

    Aims: This article reports on the development and psychometric properties of an instrument to evaluate school-based HIV/ AIDS interventions aimed at adolescents in three African sites. Methods: The instrument was developed in a series of steps that involved a review of existing instruments; use of empirical data and secondary literature supporting an association between the variables of interest and sexual intercourse or condom use; operationalizing the constructs of the theoretical model employed; and using the objectives of the intervention. …

  8. The application of Intervention Mapping in developing and implementing school-based sexuality and HIV/AIDS education in a developing country context: the case of Tanzania

    Effective sexuality and HIV/AIDS education programmes are needed to protect young people against HIV/AIDS and teenage pregnancy in Tanzania and other Sub-Saharan African countries. Using a theory- and evidence-based approach and adapting the programmes to local contexts, increases the effectiveness of these programmes. This paper describes and discusses the challenges and opportunities concerning the application of Intervention Mapping (IM) in the development and implementation of a sexuality and HIV/AIDS education programme targeting young people aged 12-14 in Tanzania. …

  9. Sociodemographic variations in communication on sexuality and HIV/AIDS with parents, family members and teachers among in-school adolescents: a multi-site study in Tanzania and South Africa

    This paper aims to identify with whom in-school adolescents preferred to communicate about sexuality, and to study adolescents' communication on HIV/AIDS, abstinence and condoms with parents/guardians, other adult family members, and teachers. Data were obtained from a baseline questionnaire survey carried out in South Africa (Cape Town and Mankweng) and Tanzania (Dar es Salaam) in early 2004. We analysed data for 14,944 adolescents from 80 randomly selected schools. The mean ages were as follows: CapeTown, 13.38 years (standard deviation (SD). …

  10. Prevention of HIV-related stigma and discrimination: a collection of poems, songs, plays, and stories to be used in Sunday School classrooms

    This collection of poems, songs, and plays was created to help Sunday School teachers in Tanzania to raise their students' awareness of HIV-related stigma and encourage them to combat stigma in their community.

  11. The Questions Adolescents Ask Most Frequently About HIV/AIDS and the New Generation and their Answers. Vol. 6

    The GTZ supported Reproductive Health Project of Tanzania developed youth-friendly education materials, with basic facts about human physiology and reproduction, sexuality, prevention of unwanted pregnancies and HIV/STIs, as well as about partnership and communication between partners. Based on the most frequently asked questions adolescents had on a range of sexual and reproductive health issues, a multidisciplinary team of specialists together with young people de-veloped six "question-and-answer" booklets. …

  12. Good things for young people: reproductive health education for primary Schools. Teacher's resource book

    MEMA kwa Vijana is an adolescent sexual and reproductive health programme, working in schools, health facilities and communities in the Mwanza Region, Tanzania. Its goal is to improve the sexual and reproductive health of adolescents in this region and beyond. MEMA kwa Vijana has over 10 years of research and implementation experience. The documents have been developed for teachers' use after they have received training, without the need for additional teaching aids or books. …

  13. Good things for young people: reproductive health education for primary schools. Teacher's guide for standard 7

    MEMA kwa Vijana is an adolescent sexual and reproductive health programme, working in schools, health facilities and communities in the Mwanza Region, Tanzania. Its goal is to improve the sexual and reproductive health of adolescents in this region and beyond. MEMA kwa Vijana has over 10 years of research and implementation experience. The documents have been developed for teachers' use after they have received training, without the need for additional teaching aids or books. …

  14. Good things for young people: reproductive health education for primary schools. Teacher's guide for standard 6

    MEMA kwa Vijana is an adolescent sexual and reproductive health programme, working in schools, health facilities and communities in the Mwanza Region, Tanzania. Its goal is to improve the sexual and reproductive health of adolescents in this region and beyond. MEMA kwa Vijana has over 10 years of research and implementation experience. The documents have been developed for teachers' use after they have received training, without the need for additional teaching aids or books. …

  15. Good things for young people: reproductive health education for primary schools. Teacher's guide for standard 5

    MEMA kwa Vijana is an adolescent sexual and reproductive health programme, working in schools, health facilities and communities in the Mwanza Region, Tanzania. Its goal is to improve the sexual and reproductive health of adolescents in this region and beyond. MEMA kwa Vijana has over 10 years of research and implementation experience. The documents have been developed for teachers' use after they have received training, without the need for additional teaching aids or books. …

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