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UNESCO HIV and Health Education Clearinghouse

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  1. Improving lives by accelerating progress towards the UN Sustainable Development Goals for adolescents living with HIV: a prospective cohort study

    Background: Low-income and middle-income countries (LMICs) face major challenges in achieving the UN's Sustainable Development Goals (SDGs) for vulnerable adolescents. We aimed to test the UN Development Programme's proposed approach of development accelerators—provisions that lead to progress across multiple SDGs—and synergies between accelerators on achieving SDG-aligned targets in a highly vulnerable group of adolescents in South Africa. …

  2. All in, in Eastern and Southern Africa: catalysing the HIV response for adolescents

    The report demonstrates progress made on adolescent HIV programming in the Eastern and Southern African Region (ESAR) in a few short years. Qualitative in approach, the report explores how the impact of HIV on adolescents and young people was given visibility and focus as a result of the All In to end adolescent AIDS (All In) country assessments, which systematically reviewed and analyzed data, programmes and strategies currently responding to adolescent HIV.

  3. Addressing challenges facing adolescents in knowing and managing their HIV status in sub-Saharan Africa

    This policy paper was conceived at a joint LSHTM-Sentebale roundtable meeting in July 2017; three young people from Lesotho and Botswana presented their personal experiences and challenges of living with HIV to an audience including Prince Harry, leading HIV researchers, and senior staff from organisations such as UNAIDS, PEPFAR and the Global Fund to Fight AIDS, TB and Malaria. This paper profiles some promising approaches to address challenges and barriers identified by adolescents living with HIV (ALHIV). …

  4. The adolescent experience in-depth: using data to identify and reach the most vulnerable young people: Tanzania 2009-2012

    This report presents a secondary data analysis and triangulation of the Tanzania Demographic and Health Survey (DHS) 2010, the Tanzania HIV and Malaria Indicator Survey (THMIS) 2011-12, and the Violence Against Children in Tanzania Survey (VACS) 2009. Its objectives are to analyse approximately 40 key indicators related to knowledge, attitudes, behaviours and outcomes (e.g. …

  5. Frequently asked questions about HIV and AIDS

    This booklet contains a list of frequently asked questions, and answers, about HIV and AIDS.

  6. Structural drivers and social protection: mechanisms of HIV risk and HIV prevention for South African adolescents

    Social protection is high on the HIV-prevention agenda for youth in sub-Saharan Africa. However, questions remain: How do unconditional cash transfers work? What is the effect of augmenting cash provision with social care? And can “cash plus care” social protection reduce risks for adolescents most vulnerable to infection? This study tackles these questions by first identifying mediated pathways to adolescent HIV risks and then examining potential main and moderating effects of social protection in South Africa.

  7. National HIV strategy for adolescents and young people 2016-2020

    The goal of this strategy is to reduce new HIV infections among adolescents and young people in Nigeria.The target populations for the strategy are divided into three major groups: in-school youth, out-of-school youth, and key populations at higher risk.

  8. Kenya fast-track plan to end HIV and AIDS along adolescents and young people

    Goal: To fast-track the HIV response to end new HIV infections, AIDS related deaths and stigma and discrimination in adolescents and young people. Objectives of this fast-track plan: 1. To reduce new HIV infections among adolescents and young people by 40%; 2. To reduce AIDS related deaths among adolescent and young people by 15%; 3. To reduce stigma and discrimination by 25%. Target beneficiaries: The target beneficiary populations are adolescent boys and girls aged 10 – 19 years and young people, particularly women, aged 20 – 24 years. …

  9. National guidelines for the management of HIV and AIDS

    This edition covers Adult and Paediatric HIV and AIDS management; Nutrition; Management of Opportunistic Infections; Home Based Care and the Continuum of Care; and Counselling for HIV Testing as well as ART adherence. Other areas covered include: health facility certification, standard precautions in care settings and laboratory services, post exposure prophylaxis, as well as ARV logistics and dosages.

  10. National guidelines for the management of HIV and AIDS

    This edition covers key areas of Adult and Paediatric HIV and AIDS management; Nutrition; Management of Opportunistic Infections; Home Based Care and the Continuum of Care; Counselling for HIV Testing, as well as, ART adherence. Other areas covered include, standard precautions in care settings and laboratory services, post exposure prophylaxis, as well as, ARV logistics and dosages. There is also an emphasis on Positive Health, Prevention and Dignity, a strategy that is meant to support PLHIV, so as to have a holistic care approach. …

  11. Building the assets to thrive: Addressing the HIV-related vulnerabilities of adolescent girls in Ethiopia

    Reaching vulnerable adolescent girls with information and connecting them to services are not straightforward tasks. Poor girls in Ethiopia have few opportunities to access public institutions such as youth or community centers, health services, financial institutions, and schools. They may not know that they have a right to these services, and service delivery staff might not welcome them. …

  12. The impact and cost of the HIV/AIDS investment framework for adolescents

    Background: In 2005, the resources needed to support orphans and vulnerable children in sub-Saharan Africa were estimated at US$1.1–4.1 billion. Approaches to support vulnerable children have changed considerably since then. This study updates previous estimates by including new types of support and information on support costs. Methods: We considered 16 types of support categorized as economic strengthening, education support, social care and community outreach, and program support. …

  13. Cash plus care: social protection cumulatively mitigates HIV-risk behaviour among adolescents in South Africa

    Objectives: It is not known whether cumulative ‘cash plus care’ interventions can reduce adolescent HIV-infection risks in sub-Saharan Africa. This study investigated whether parental AIDS and other environmental adversities increase adolescent HIVrisk behaviour and whether social protection provision of ‘cash’ or integrated ‘cash plus care’ reduces HIV-risk behaviour. Design: A prospective observational study with random sampling (<2.5% baseline refusal, 1-year follow-up, 96.8% retention). …

  14. The Government of Kenya’s Cash Transfer Program Reduces the Risk of Sexual Debut among Young People Age 15-25

    The aim of this study is to assess whether the Government of Kenya’s Cash Transfer for Orphans and Vulnerable Children (Kenya CT-OVC) can reduce the risk of HIV among young people by postponing sexual debut. The program provides an unconditional transfer of US$20 per month directly to the main caregiver in the household. An evaluation of the program was implemented in 2007–2009 in seven districts. Fourteen Locations were randomly assigned to receive the program and fourteen were assigned to a control arm. A sample of households was enrolled in the evaluation in 2007. …

  15. Relative Risks and the Market for Sex: Teenagers, Sugar Daddies and HIV in Kenya

    An information campaign that provided Kenyan teenagers in randomly selected schools with the information that HIV prevalence was much higher among adult men and their partners than among teenage boys led to a 65% decrease in the incidence of pregnancies by adult partners among teenage girls in the treatment group relative to the comparison. This suggests a large reduction in the incidence of unprotected cross-generational sex. The information campaign did not increase pregnancies among teenage couples. …

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