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UNESCO HIV and Health Education Clearinghouse

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  1. Sexuality education in rural Lesotho schools: challenges and possibilities

    The aim of this paper is to present and discuss some of the obstacles to effective sexuality education in rural Lesotho schools and offer some suggestions that could facilitate positive change in the current status of sexuality education. The call for education as a ‘vaccine’ against new HIV infections places teachers at the forefront of the fight against the pandemic, and thus it is imperative to understand how they experience teaching about sexuality. …

  2. Learners perceptions and experience of the content and teaching of sexuality education: Implications for teacher education

    This article aims to explore Grade 11 learners perceptions and experience of the teaching of sexuality education. A total of 270 adolescent boys (n 121) and girls (n 149) from the Heidedal suburb of the greater Mangaung Municipality, South Africa, completed an anonymously written Teaching of Sexuality Education Attitude Scale (TSEAS). The questionnaire was constructed on a six-point Likert scale with response options ranging from 1 (highly disagree) to 6 (highly agree). …

  3. Engaging school personnel in making schools safe for girls in Botswana, Malawi, and Mozambique

    Girls are vulnerable to HIV in part because the social systems in which they live have failed to protect them. This study evaluates a program aimed at making schools safe for girl learners in order to reduce girls’ vulnerability to HIV in Botswana, Malawi, and Mozambique. In addition to an extensive process evaluation with school personnel program participants, program facilitators, and community members, a cross-sectional post-intervention survey was conducted among adolescent girls in the three countries. The total sample size was 1249 adolescent girls (ages 11–18). …

  4. Preparing teachers to deliver gender-focused sexuality/HIV education: a case study from Nigeria

    Evidence shows that a focus on gender and power in sexuality/HIV education increases the likelihood of achieving positive sexual health outcomes, and international agencies have called for a shift to a gender-focused approach. However, questions remain about the implementation of such programmes, including how best to prepare teachers to deliver such curricula. In the development of the national school-based HIV prevention curriculum in Nigeria, several state governments partnered with feminist (or like-minded) non-governmental organisations to collaborate on teacher training. …

  5. Population Brief

    Articles from this issue : Making sexuality and HIV education programs more effective | Reducing adolescent girls’ vulnerability to sexual violence in sub-Saharan Africa | Developing a highly acceptable contraceptive vaginal ring | Creating a database of HIV prevention clinical trial terminology and translations.

  6. Intersectionality of HIV stigma and masculinity in eastern Uganda: implications for involving men in HIV programmes

    Background: Stigma is a determinant of social and health inequalities. In addition, some notions of masculinity can disadvantage men in terms of health outcomes. However, few studies have explored the extent to which these two axes of social inequality intersect to influence men’s health outcomes. This paper investigates the intersection of HIV stigma and masculinity, and its perceived impact on men’s participation in and utilisation of HIV services in Uganda. Methods: Interviews and focus group discussions were conducted in Mbale and Jinja districts of Uganda between June and October 2010. …

  7. Preventing sexual violence and HIV in children

    BACKGROUND: Evidence linking violence against women and HIV has grown, including on the cycle of violence and the links between violence against children and women. To create an effective response to the HIV epidemic, it is key to prevent sexual violence against children and intimate partner violence (IPV) against adolescent girls. …

  8. Inviting Backchat: How schools and communities in Ghana, Swaziland and Kenya support children to contextualise knowledge and create agency through sexuality education

    Education about sex, relationships and HIV and AIDS in African contexts is riddled with socio-cultural complexity. In this paper the authors argue that in extreme contexts education can lead change further by developing young people as significant actors in their own lives and in the lives of the community by bringing about change in attitudes in the community, as well as practices in schools. …

  9. Emma says: A case study of the use of comics for health education among women in the AIDS heartland

    The purpose of this paper is to examine one mass media AIDS education project, the Emma Says comic series. Created by an international health research organization based in the USA, the series was designed to educate women in rural Africa about the need to protect themselves from AIDS. The Emma Says series aimed to deliver powerful messages about AIDS in an easy-to-understand format using the caricature of an African woman working as a health educator in her community. …

  10. Conflicting discourses of church youths on masculinity and sexuality in the context of HIV in Kinshasa, Democratic Republic of Congo

    Masculinity studies are fairly new and young churchgoers are an under-researched group in the current Congolese church context. In response to this knowledge gap, this paper attempts to explore discourses of young churchgoers from deprived areas of Kinshasa regarding masculinity and sexuality in the era of HIV. A series of 16 semi-structured interviews were conducted with unmarried young churchgoers from the Salvation Army, Protestant and Revival churches. The interviews were tape-recorded, transcribed verbatim and analysed using discourse analysis. …

  11. ‘‘AIDS is rape!’’ Gender and sexuality in children’s responses to HIV and AIDS

    This paper examines young African school children’s understanding of HIV and AIDS. Based on focus group interviews with children aged 7–8 in KwaZulu-Natal province, South Africa, it explores the ways in which gender and sexuality feature in their responses to the disease. Data were collected between 2003 and 2004 through 26 focus groups involving 55 boys and 64 girls. The paper argues that younger children are active agents in giving meaning to the disease. …

  12. Talk what others think you can’t talk: HIV/AIDS clubs as peer education in Ugandan schools

    In this article, we make the case that HIV/AIDS clubs in Ugandan schools provide valuable information to students who may not have easy access to health services. As one club motto suggests, the clubs ‘talk what others think you can’t talk’. The innovative peer education methods, which include drama, popular culture and community outreach all have great appeal to youth, and provide unique opportunities for female students to raise gender issues and develop leadership skills. …

  13. Gender Dynamics and Sexual Norms among Youth in Mali in the Context of HIV/AIDS Prevention

    Socially constructed ideas of gender norms and values attached to sexuality need to be considered when aiming to build the young people’s capacity to adopt HIV preventive behaviours. We conducted ten focus groups and sixteen individual interviews to explore sexual norms among youth in Bamako. Premarital sex, multiple partnering, condom use and transactional sex were discussed. The findings suggest that young people’s sexual norms are shaped by kin or authoritative elders as well as by external influences coming from Western culture. …

  14. If I buy the Kellogg’s then he should [buy] the milk: young women’s perspectives on relationship dynamics, gender power and HIV risk in Johannesburg, South Africa

    Ideals of masculinity and femininity may limit South African women's decision making power in relationships and increase their risk of HIV infection. The authors conducted 30 in-depth interviews with 18-24-year-old women in inner-city Johannesburg with the aim of understanding young women's expectations of intimate relationships with men, their perceptions of gender and power and how this influences HIV risk. …

  15. Youth in a void: sexuality, HIV/AIDS and communication in Kenyan public schools

    The disappearance of traditional sex education during rites of passage in African societies has left many youth uncertain of where to look for information. Against this backcloth, the objectives of this study were to identify knowledge gaps amongst adolescents in Kenya regarding sexuality, HIV/AIDS and reproductive health. A thematic analysis was conducted of questions posed by 735 school youth aged 12–18 years from Meru and Kajiado Districts. Results show that many questions showed curiosity and anxiousness. …

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