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UNESCO HIV and Health Education Clearinghouse

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  1. School-based sexual health education interventions to prevent STI/HIV in sub-Saharan Africa: a systematic review and meta-analysis

    The authors reviewed evaluations of school-based sexual health education interventions in sub-Saharan Africa to assess effectiveness in reducing sexually transmitted infections and promoting condom use.

  2. Interventions to prevent sexually transmitted infections, including HIV, among young people in low- and middle-income countries: a systematic review of the published and gray literature

    Sexually transmitted infections (STIs), including HIV, are prevalent among adolescents and can have lasting adverse health consequences. The objective of this review is to identify high-quality interventions and evaluations to decrease STI transmission and related risky behaviors among young people in low- and middle-income countries. PubMed, Embase, PsycInfo, Cinahl Plus, Popline, and the Cochrane Databases were searched without language limitations for articles published through November 2015. Gray literature was searched by hand. …

  3. Effective approaches for programming to reduce adolescent vulnerability to HIV infection, HIV risk, and HIV-related morbidity and mortality: A systematic review of systematic reviews

    Background: In 2012, an estimated 2.1 million adolescents were living with HIV. Though there are effective interventions to prevent and treat HIV infection, adolescents face specific barriers in accessing them. As a result, new infections and poor outcomes among HIV-infected adolescents are common. HIV programming for adolescents should focus on interventions of proven effectiveness and address underlying factors driving incidence and lack of effective treatment and care in this age group. …

  4. Effectiveness of HIV prevention for youth in sub-Saharan Africa: systematic review and meta-analysis of randomized and nonrandomized trials

    Objective: Systematically assess the effectiveness of HIV-prevention interventions in changing sexual behaviour of young people (10–25 years) in sub-Saharan Africa. Methods: Three online databases were searched using prespecified terms. Additional articles were identified on websites of international organizations and by searching bibliographies. Randomized and nonrandomized trials of interventions aiming to reduce risk behaviour were included as well as single-arm studies reporting effects of differential exposure to an intervention. …

  5. Effectiveness of peer education interventions for HIV prevention in developing countries: a systematic review and meta-analysis

    Peer education for HIV prevention has been widely implemented in developing countries, yet the effectiveness of this intervention has not been systematically evaluated. We conducted a systematic review and meta-analysis of peer education interventions in developing countries published between January 1990 and November 2006. Standardized methods of searching and data abstraction were utilized. Merged effect sizes were calculated using random effects models. Thirty studies were identified. …

  6. Condoms in sub-Saharan Africa

    Sub-Saharan Africa (SSA) is the region with the world’s highest rates of HIV and other sexually transmissible infections (STIs), yet numerous studies show that condom use is generally rare. This suggests a need for a better understanding of how condoms fit within sexual practices and relationships in SSA. This paper seeks to address this need by reviewing research published between the late 1980s and 2011 on use and factors influencing use of male condoms in SSA. …

  7. Linking sexual and reproductive health and HIV interventions: a systematic review

    Background: The international community agrees that the Millennium Development Goals will not be achieved without ensuring universal access to both sexual and reproductive health (SRH) services and HIV/AIDS prevention, treatment, care and support. Recently, there has been increasing awareness and discussion of the possible benefits of linkages between SRH and HIV programmes at the policy, systems and service delivery levels. However, the evidence for the efficacy of these linkages has not been systematically assessed. …

  8. A surprising prevention success: Why did the HIV epidemic decline in Zimbabwe?

    There is growing recognition that primary prevention, including behavior change, must be central in the fight against HIV/AIDS. The earlier successes in Thailand and Uganda may not be fully relevant to the severely affected countries of southern Africa. We conducted an extensive multi-disciplinary synthesis of the available data on the causes of the remarkable HIV decline that has occurred in Zimbabwe (29% estimated adult prevalence in 1997 to 16% in 2007), in the context of severe social, political, and economic disruption. …

  9. HIV prevention interventions in Trinidad and Tobago: mapping of work conducted in HIV prevention from 2004-2010

    The Human Immunodeficiency Virus (HIV) continues to be a major public health concern in Trinidad and Tobago. In keeping with the UNAIDS global thrust of examining HIV prevention in order to halt HIV transmission and "Scale-Up" the response, Trinidad and Tobago has conducted a review of its HIV prevention efforts for the period 2004-2010 to guide the way forward in HIV prevention.

  10. Awareness and knowledge of sexually transmitted diseases (STDs) among school-going adolescents in Europe: a systematic review of published literature

    This systematic review looks at levels of STI awareness, knowledge and perceived risk of school-going adolescents in Europe. Fifteen studies were included, all of which cross-sectional and conducted among 13 to 20 year olds. Awareness and knowledge varied depending on gender. Awareness on HIV/AIDS was high (over 90%) but low for HPV (5.4%-66%). While knowledge that condoms protect against STIs was high, adolescents viewed it as an interim contraception method before using the pill. In this study, knowledge did not translate into safer sex behavior change. …

  11. What works for women and girls: evidence for HIV/AIDS interventions

    The purpose of www.whatworksforwomen.org is to compile and summarize the base of evidence to support successful interventions in HIV programming for women and girls. National AIDS programs, government ministries, implementing partners, donors, civil society groups and others need an easy-to-understand format for identifying what works for women. …

  12. Assessing the Integration of gender and Human Rights in HIV Related Documents and Processes in Selected Southern African Countries. A rapid assessment

    This report presents the findings of a desk study undertaken to assess the integration of gender and human rights in HIV-related documents and processes in Botswana, Lesotho, Malawi, Mozambique, Namibia, South Africa, Swaziland, Zambia, and Zimbabwe. It highlights best practices, lessons learned, and areas for future action. The report implies an urgency to move from the status quo, whereby the centrality of gender equality and human rights in the pandemic regionally is underestimated. …

  13. Efectividad de las estrategias de prevencion de la transmision sexual del VIH/Sida basadas en la abstinencia, la pareja única y el condon. Revisión sistemática de la literatura

    Revisión de literatura científica sobre la eficacia de la abstinencia, el uso del preservativo masculino y la pareja única como métodos de prevención de contagio de VIH para ser utilizadas como eje de las políticas de salud del gobierno de Chile.

  14. Condoms and prevention of HIV

    Are essential and effective, but additional methods are also needed.

  15. National and sector HIV/AIDS policies in the member states of the Southern Africa Development Community

    This report is a summary of the existing HIV/AIDS national policies and plans among countries in SADC. It is intended to provide a snapshot of the current status of policy formulation in the region and to suggest future steps to strengthen the policy environment for an effective response to the epidemic. Much of the information in this report is derived from national HIV/AIDS policies, strategic plans, HIV/AIDS policies for specific sectors and work plans. National consultants in each country collected these documents and commented on the final report.

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