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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. Evaluation of a theoretically based AIDS/STD peer education program on postponing sexual intercourse and on condom use among adolescents attending high school

    This study aimed to evaluate the theories of Ajzen (Planned Behavior) and Triandis (Interpersonal Behavior) on influencing 698 junior high school students and 306 senior high school students at two sites in Quebec, Canada. Baseline questionnaires were completed as well as at 9 months of follow-up. …

  3. Peer education in HIV prevention: an evaluation in schools

    Peer education is increasingly being used to increase HIV and AIDS awareness among youth. This pilot cohort study tested the effectiveness of this approach among high school students in 10 schools in Athens, Greece. Over one year, 702 students were followed (n = 493 experimental group, n = 209 control group) and knowledge, attitudes, behaviors, and practices assessed through a pre and post intervention questionnaire. Students in the intervention group were moderately more empowered to take personal responsibility and adopt safer sexual practices. …

  4. Evaluation of HIV/AIDS secondary school peer education in rural Nigeria

    This study used a comparative case series (n=250), a cross-sectional structured survey (n=135) and focus group discussions (n=80) to assess whether HIV peer education can influence knowledge, misconceptions and behavior among adolescents in rural Nigeria. A questionnaire was designed to look at socio-demographics, transmission and prevention knowledge on HIV, access to various sources of HIV/AIDS information, stigmatization and sexual behavior. …

  5. Comparison of Health Education and STD Risk Reduction Interventions for Incarcerated Adolescent Females

    Adolescent girls imprisoned in state reformatories were recruited (N=246) to an 18-month health education or HIV prevention program. A randomized block design was used to assign girls to one of the two programs. Girls in the HIV prevention program had improved risk reduction and condom use skills. At 9 months of follow-up, girls in both groups reported less sex under the influence of alcohol or drugs and less unprotected sex.

  6. Indigenous knowledge of HIV/AIDS among High School students in Namibia

    The study explored the indigenous names for HIV/AIDS and its symptoms. Qualitative data was gathered through focus groups with students from 18 secondary schools across six educational districts. People living with HIV/AIDS were called names meaning prostitute: ihule, butuku bwa sihule, and shikumbu. Names such askibutu bwa masapo (bone disease),katjumba (a young child), kakithi (disease), and shinangele (very thin person) described AIDS. Derogatory names like mbwa (dog), esingahogo (pretender), ekifi (disease), and shinyakwi noyana (useless person) were also used. …

  7. Knowledge of HIV/AIDS among secondary school adolescents in Osun state, Nigeria

    The study assessed levels of knowledge and sources of information on HIV/AIDS among secondary school students in Osun State, Nigeria. Multistage, random sampling was used to identify 592 students from 5 local areas in Osun State. A self-administered questionnaire revealed that 50% of students believed one could contract HIV through mosquito bites and 53.7% through kissing. Half of the students believed that someone with HIV/AIDS can look healthy; 92.6% had heard of HIV/AIDS prior to the study and 29.4% believed there was a cure for AIDS. …

  8. The Association of AIDS Education and Sex Education with Sexual Behavior and Condom Use Among Teenage Men

    A 1998 national U.S. survey of 15-19 year olds found that 73% had received education about AIDS, 79% about birth control and 58% about resisting sexual activity. Multivariate analysis shows that AIDS and sex education moderately but significantly decreased number of sexual partners and frequency of intercourse in the year prior to the survey. This type of education was also associated with more consistent condom use. Education on some topics was associated with increased knowledge and improved attitudes about AIDS, but these did not always correlate with safer sexual behavior.

  9. Sexually Active Adolescents have Less Knowledge and Less Fear of HIV than their Abstinent Peers

    A study in four districts of Rhode Island (USA) of 1,379 junior high school students (average age 13.2 years) found that sexually active boys were less knowledgeable about HIV, less tolerant of people living with AIDS, less fearful of contraction of HIV and more likely to undertake risky behavior, than those who were not sexually active. The same pattern, although less extreme, is found among girls in the sample. …

  10. Young people's understanding of HIV: a qualitative study among school students in Mankweng, South Africa

    This article describes young people's interpretation of HIV, AIDS and sexually transmitted illness in a rural South African community in Mankweng, Limpopo Province. Method: The study was based on 19 focus group discussions with adolescents aged 12-14 years. Results: Our participants had limited knowledge about HIV from a biomedical perspective. Their understanding and interpretations of HIV and other sexually transmitted diseases were largely informed by traditional and religious belief systems that explain how and why people contract an illness via sexual intercourse. …

  11. 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. …

  12. 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. …

  13. 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). …

  14. I am not "umqwayito'': a qualitative study of peer pressure and sexual risk behaviour among young adolescents in Cape Town, South Africa

    Young people in South Africa are susceptible to HIV infection. They are vulnerable to peer pressure to have sex, but little is known about how peer pressure operates. The aim of the study was to understand how negative peer pressure increases high risk sexual behaviour among young adolescents in Cape Town, South Africa. Qualitative research methods were used. Eight focus groups were conducted with young people between the ages of 13 and 14 years. …

  15. Process evaluation of a school-based HIV/AIDS intervention in South Africa

    This paper presents a process evaluation that assessed the fidelity and quality of implementation, as well as the acceptability and subjective evaluations of a HIV/AIDS intervention among students and teachers. Methods: The process evaluation was conducted as part of a cluster randomized controlled trial of a theory- and evidence-based school HIV/AIDS intervention in Cape Town. The intervention was designed for grade 8 high school students and delivered by teachers over a six-month period. Twenty-six schools participated in the trial, 13 in the intervention group and 13 in the control group. …

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