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UNESCO HIV and Health Education Clearinghouse

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  1. National standards and guidelines for adolescent friendly health services

    This document presents the standards of care for adolescents and young people in Zambia. It seeks to provide a guide for strengthening the coordination and delivery of quality adolescent friendly health services, and ensuring appropriate monitoring and evaluation (M&E). The national standards of care have been developed and will be implemented within the framework of the ADH Strategic Plan 2011 to 2015 and the National Health Strategic Plan 2011 to 2015 (NHSP 2011-15), which presents the overall strategic framework for health sector governance and development in Zambia. …

  2. Toolkit for transition of care and other services for adolescents living with HIV: Training manual

    This training is designed to provide participants with the technical knowledge and skillset to provide individualized transition services and incorporate the relevant modules of the Toolkit for Transition of Care and Other Services for Adolescents Living with HIV into routine health services. By the end of this workshop, participants will be able to: 1. Describe characteristics of adolescent-friendly services; 2. Communicate effectively with adolescents; 3. Identify a minimum package of services for the individual adolescent client; 4. …

  3. Evaluating the Kenya Girl Guides Association’s HIV/AIDS Peer Education Program for Younger Youth: Baseline Results

    The Kenya Girl Guide Association (KGGA) and Family Health International (FHI)/Impact began a program, which was developed by PATH, in 1999 to train young Girl Guides as HIV peer educators in their schools. The project aims to improve knowledge and skills related to HIV prevention and care among Girl Guides and their peers. In collaboration with KGGA and FHI/Impact, the Horizons Program is currently conducting a study to evaluate the effectiveness of this intervention model in achieving the objectives of the peer education program. …

  4. Having sex, becoming somebody: A qualitative study assessing (sexual) identity development of adolescents living with HIV/AIDS

    A growing number of adolescents are living with HIV/AIDS. For their well-being and for prevention, age- and culturally appropriate interventions become increasingly important. This qualitative study was conducted as the first step to develop a sexual and reproductive health (SRH) intervention. The study's objective was to assess the impact of HIV and related contextual conditions on identity formation of adolescents living with HIV/AIDS (ALH) in the domains of physical, cognitive, social, and sexual development. Data were collected using focus group discussions (FGDs). …

  5. A review of generalist and specialist community health workers for delivering adolescent health services in sub-Saharan Africa

    The health of adolescents is increasingly seen as an important international priority because the world’s one point eight billion young people (aged 10 to 24 years) accounts for 15.5% of the global burden of disease and are disproportionately located in low- and middle-income countries (LMICs). Furthermore, an estimated 70% of premature adult deaths are attributable to unhealthy behaviors often initiated in adolescence (such as smoking, obesity, and physical inactivity). …

  6. Teen talk : a guide for positive living

    This question and answer guide for HIV-positive adolescents covers a variety of topics, including ARVs, adherence, friendship, nutrition, exercise, reproductive health, positive prevention, multiple concurrent partnerships, safe male circumcision, prevention of mother-to-child transmission, emotions, and disclosure.

  7. An exploratory study of the sexual and reproductive health needs and rights of adolescents living with HIV in Lusaka

    With improved access to treatment for people living with HIV many are now able to live longer. As a result there is growing interest in overall quality of life issues. In many countries attention is increasingly being drawn to the unique and often neglected needs of different sub-groups including young people. This exploratory qualitative study sought to examine the sexual and reproductive health (SRH) needs and concerns and barriers to accessing related services for adolescents aged 10 – 19 years living with HIV in Zambia.

  8. Assessment of comprehensive HIV/AIDS knowledge level among in-school adolescents in eastern Ethiopia

    This study tries to assess the level of comprehensive knowledge of HIV/AIDS and the factors associated with it among in-school adolescents in eastern Ethiopia. The reason for this study is that there are more adolescents in school today, in Ethiopia, than ever before. This is a cross-sectional school-based study in which respondents were students attending regular school in 14 high schools located in 14 different districts of eastern Ethiopia. The proportion of in-school adolescents with comprehensive HIV/AIDS knowledge was computed and compared by sex. …

  9. Strengthening national responses to HIV and adolescents in emergency situations: lessons learned from Côte d'Ivoire and Haiti

    many years, and a growing number of organizations are including a focus on young people, HIV/ASRH and humanitarian settings into their work. Despite this, however, there is on‐going concern that young people in general, and adolescents in particular (10-19 years) do not receive sufficient ttention in humanitarian settings, and that this has both important immediate implications for their health during the emergencies, and also much longer-term implications for them, their families and their communities. This report aims to respond to these concerns. …

  10. 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. …

  11. 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. …

  12. 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. …

  13. 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. …

  14. Report on assessment of facilities providing youth friendly health services in Nigeria

    OneWorld UK (OWUK) is a UK-based non-governmental organisation and with Butterfly Works Netherlands, a Dutch Foundation, conceived the Learning about Living Project with key stakeholders from the civil society and government in Nigeria. The Learning about Living project includes the electronic version of the Family Life and HIV/AIDS Education Curriculum (e-FLHE), which is being implemented in select schools in Nigeria in partnership with local youth focused civil society organisations. …

  15. 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. …

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