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UNESCO HIV and Health Education Clearinghouse

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  1. Cost-effectiveness analysis: educational interventions that reduce the incidence of HIV/AIDS infection in Kenyan teenagers

    This paper demonstrates a comprehensive and thorough application of an education cost-effectiveness analysis. Two interventions implemented in Western Kenya aimed to reduce the incidence of HIV/AIDS contraction in middle school girls. The cost-effectiveness of each intervention is assessed, ex post facto, by combining the results of the two programs’ evaluations with their costs. As few education evaluations consider cost, this article highlights a sound and disciplined method to use when detailed cost information is both readily available and unavailable. …

  2. Co-financing HIV programmes improves overall development results

    This brief provides evidence-backed advice to policymakers on how to get greater impact from HIV financing. RethinkHIV is a new research initiative, funded by the Rush Foundation, that aims to conduct and evaluate cutting-edge research to inform long-term planning and resource-allocation for the treatment and management of HIV/AIDS.

  3. Discussion paper: Cash transfers and HIV prevention

    This discussion paper synthesizes the evidence for the effectiveness of cash transfers for HIV prevention and explores implications and opportunities for advancing research and policy agendas. Much of this evidence centres on girls and young women, who bear significant HIV burdens, particularly in sub-Saharan Africa, and often have less control over their sexual choices than do men. Many forms of transfers exist that may contribute to HIV prevention. …

  4. The cost and cost-effectiveness of gender-responsive interventions for HIV: a systematic review

    Introduction: Harmful gender norms and inequalities, including gender-based violence, are important structural barriers to effective HIV programming. We assess current evidence on what forms of gender-responsive intervention may enhance the effectiveness of basic HIV programmes and be cost-effective. Methods: Effective intervention models were identified from an existing evidence review (“what works for women”). Based on this, we conducted a systematic review of published and grey literature on the costs and cost-effectiveness of each intervention identified. …

  5. Norms and standards for HIV and AIDS prevention, treatment, care and support for higher education institutions in South Africa

    Norms and standards for the HIV and AIDS services or interventions provided at Higher Education Institutions (HEIs) are not available. A set of norms and standards essential for costing HIV and AIDS interventions were developed for both a comprehensive and minimum package of services (prevention, treatment, care and support) using current practice in the public and private healthcare sectors as well as those identified in the literature (UNESCO, International Labour Organisation and Association of African Universities). …

  6. Cost analysis of school-based sexuality education programs in six countries

    Policy-makers who are making decisions on sexuality education programs face important economic questions: what are the costs of developing sexuality education programs; and what are the costs of implementing and scaling them up? This study responds to these questions by assessing the costs of six school-based sexuality education programs (Nigeria, Kenya, Indonesia, India, Estonia and the Netherlands). Cost analyses were carried out in schools that were fully implementing a SE program, as this best reflects the resources needed to run an effective program. …

  7. Costs of interventions for AIDS orphans and vulnerable children

    Objective: To review the published and grey literature for information regarding the costs and cost effectiveness of interventions aimed at improving the welfare of orphans and vulnerable children owing to HIV ⁄ AIDS in low- and middle-income countries. Method: We carried out a search of the peer-reviewed literature through PubMed, EconLit, and Web of Science for the period January 2000 to December 2010. …

  8. HIV prevention cost-effectiveness: a systematic review

    Background: After more than 25 years, public health programs have not been able to sufficiently reduce the number of new HIV infections. Over 7,000 people become infected with HIV every day. Lack of convincing evidence of cost-effectiveness (CE) may be one of the reasons why implementation of effective programs is not occurring at sufficient scale. This paper identifies, summarizes and critiques the CE literature related to HIV-prevention interventions in low- and middle-income countries during 2005-2008. …

  9. Social protection and cash transfers to strengthen families affected by HIV and AIDS

    Based on a review of over 300 documents, this monograph examines how social protection can be used to protect children and families affected by HIV and AIDS. It reviews evidence on the impacts of 10 unconditional cash transfer (UCT) programs in southern and East Africa and 10 conditional cash transfer (CCT) programs in Latin America. …

  10. Together we will end AIDS

    This report contains the latest data on numbers of new HIV infections, numbers of people receiving antiretroviral therapy, AIDS-related deaths and HIV among children. It highlights new scientific opportunities and social progress which are bringing the world closer to UNAIDS vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. This publication also gives an overview of international and domestic HIV investments and the need for greater value for money and sustainability.

  11. An assessment of cost, quality and outcomes for five HIV prevention youth peer education programs in Zambia

    Research on the effectiveness of youth peer education programs (YPE) programs is scarce, and the wide variation in programs makes it difficult to generalize research findings. Measuring quality and comparing program effectiveness require the use of standardized instruments. In this study, the authors used standardized evidence-based instruments to compare program inputs, quality, outputs and outcomes for five YPE programs in Zambia. …

  12. Costing of Tanzania's national multi-sectoral strategic framework (NMSF) on HIV and AIDS 2008-2012 process report

    The report covers the costing of the National Multi-Sectoral Framework (2008-2012) under four themes namely; enabling environment; care, treatment and support, prevention and impact mitigation including monitoring, evaluation and research; organizational and institutional arrangements of the implementation of the national response at central, regional and LGAs levels; financial, human and technical resource framework of the response; and operationalization and implementations of the strategic framework.

  13. Lesotho national AIDS spending assessment (NASA) for the period 2005/06-2007/08

    The National AIDS Spending Assessment (NASA) is a tool designed to track the HIV and AIDS financial flows and actual expenditure at a country level. In essence, this systematic methodology captures all HIV expenditures, namely, health and non-health expenditures such as social mitigation, education, labour, justice and sectors related to HIV and AIDS. …

  14. Feasibility, acceptability, effectiveness and cost of models integrating HIV prevention and counseling and testing for HIV within family planning services in North West Province, South Africa

    In South Africa, care and support and antiretroviral (ARV) treatment for individuals infected with HIV is available at a few selected hospitals as a first step in the national treatment roll out. However, counseling and testing for HIV (C&T) is currently limited to antenatal care (ANC) settings and a few stand-alone centers. Uptake is limited, even within the ANC setting where C&T is systematically offered to clients for the prevention of mother to child transmission of HIV (PMTCT). C&T services have yet to be integrated into other reproductive health services. …

  15. Costs and choices: financing the long-term fight against AIDS

    In 2031 the AIDS pandemic will enter its 50th year. This report comes at a major crossroads in the history of the response to AIDS, as costs are rising rapidly at a time of economic uncertainty and tightening funds. This is the moment when wise policy decisions are needed, in order to contain spending, improve the efficiency of resource use, and ensure fair and sustainable financing for the global AIDS effort. …

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