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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. Rising school enrollment and declining HIV and pregnancy risk among adolescents in Rakai district, Uganda, 1994–2013

    Background: Poverty, family stability, and social policies influence the ability of adolescents to attend school. Likewise, being enrolled in school may shape an adolescent’s risk for HIV and pregnancy. We identified trends in school enrollment, factors predicting school enrollment (antecedents), and health risks associated with staying in or leaving school (consequences). Methods: Data from the Rakai Community Cohort Study (RCCS) were examined for adolescents 15–19 years (n = 21,735 person-rounds) from 1994 to 2013. …

  3. 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. …

  4. 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. …

  5. 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. …

  6. HIV/AIDS related knowledge and perceived risk associated with condom use among adolescents in Uganda

    While considerable attention has been paid to sexual behaviors among HIV high-risk populations in Africa, few studies have looked at the adolescent population. Using data from the 2004 National Survey of Adolescents in Uganda, logistic regression models were fitted to examine the odds that HIV/AIDS related knowledge and perceived risk of HIV infection are associated with condom use among adolescents. …

  7. Increased sexual abstinence among in-school adolescents as a result of school health education in Soroti district, Uganda

    A health education program conducted in primary schools in Soroti district, Uganda promoted increased access to information, better peer interactions and better quality of the health education system. A cross-sectional survey was conducted among students in their final year of primary school (average age 14 years) at baseline and two years after introduction of the intervention. The percentage of sexually active students decreased from 42.9% (123 out of 287) to 11.1% (31 out of 280) in the intervention arm, while no changes were observed in the control arm. …

  8. HIV sero-status disclosure in the school context: experiences of adolescents perinatally infected with HIV in Uganda

    In this paper, we use data from Uganda to examine disclosure of HIV sero-status in the school context by adolescents perinatally infected with HIV. We begin by presenting evidence of the existence of stigma and discrimination in schools from the perspectives of school officials, in-school young people perinatally infected with HIV, and other students. We then examine the level of disclosure of sero-status to school officials and friends by adolescents perinatally infected with HIV. …

  9. 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. …

  10. Annual Report 2006

    The Young Empowered and Healthy (Y.E.A.H) Initiative is a multi-channel communication campaign by and for young people that combines mass media, person-to-person dialogue, and community media. The mission of Y.E.A.H is to stimulate dialogue and action among communities, families, schools, and health institutions; and model positive practices through local and national media. Y.E.A.H is designed to contribute to a reduction in the incidence of HIV and early pregnancy and to contribute to an increase in the proportion of young people that complete primary education and beyond. …

  11. It works! Communication for HIV prevention and social change in adolescents: a mid-term review

    Straight Talk Foundation (STF) has worked for 15 years to better the lives of Ugandan adolescents. Its focus has been HIV prevention and improved adolescent sexual and reproductive health (ASRH). STF's approach builds on the voices and stories of young people, parents, teachers and health workers to create "conversations" and generate solutions. STF works through three channels: radio, print and face-to-face communication. In 2005, STF drew up a five year Strategic Plan (SP) for 2006-2010. …

  12. The world starts with me!

    This is an innovative, computer-based, online curriculum on sexual and reproductive health and rights for secondary schools in Indonesia, Kenya, Thailand and Uganda. It combines information technology (IT) skills-building and creative expression with sexual health and rights (SRH) education, using experiential learning as the didactic method and following the principles of three combined approaches: adolescents' development, behaviour change and the human rights-based approach. …

  13. HIV prevention for young people in developing countries: report of a technical meeting

    A report of technical meeting co-sponsored by USAID Office of HIV/AIDS, the Institute for Youth Development, and YouthNet/Family Health International held in Washington DC on July 24, 2003. The objectives of the meeting were to share state-of-the-art research and programmatic experiences relating to HIV prevention among young people, and to provide an opportunity for dialogue across groups from different academic disciplines and philosophical perspectives on strategies for HIV prevention among youth.

  14. Descriptions of specific programmes that were assessed for their HIV/AIDS communication to adolescents in Malawi, Zambia, Kenya and Uganda

    This chapter describes school programmes addressing HIV/AIDS in Malawi, Zambia, Kenya and Uganda. It describes the common approaches to anti AIDS programmes adopted in these countries mostly in the form of school based curriculum or club activities organized through the school or community.

  15. Protecting the next generation in sub-saharan Africa: learning from adolescents to prevent HIV and unintended pregnancy

    This report presents key findings from nationally representative surveys conducted in 2004 among 12-19-year-olds in four African countries-Burkina Faso, Ghana, Malawi and Uganda-with the goal of guiding programs, policies and investments aimed at improving adolescent sexual and reproductive health. It is based on research conducted as part of a multiyear project, called Protecting the Next Generation: Understanding HIV Risk Among Youth. …

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