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UNESCO HIV and Health Education Clearinghouse

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  1. What HIV programs work for adolescent girls?

    Background: Adolescent girls face unique challenges in reducing their risk of acquiring HIV because of gender inequalities, but much of HIV programming and evaluation lacks a specific focus on female adolescents. Methods: This article, based on a review of 150 studies and evaluations from 2001 to June 2013, reviews evidence on programming for adolescents that is effective for girls or could be adapted to be effective for girls. Results: The evidence suggests specific interventions for adolescent girls across 3 critical areas: (1) an enabling environment, including keeping girls in school …

  2. Application of the information, motivation and behavioural skills model for targeting HIV risk behaviour amongst adolescent learners in South Africa

    This paper discusses the application of an information, motivation and behavioural skills (IMB) model in a school-based programme for the reduction of HIV risk behaviour among 259 Grade 11 learners in two high schools in Alexandra township, Johannesburg. School 1 was the Experimental group, while School 2 was the Control group. After a baseline study (Time 1) at both schools, a 3-week intervention programme was conducted at School 1. A post-test (Time 2) was conducted at both schools. The intervention was repeated at School 2, followed by another post-test (Time 3) at both schools. …

  3. HIV prevention among vulnerable populations: the Pathfinder International approach

    This publication provides a background in the risks faced by populations especially vulnerable to HIV and AIDS. The document outlines strategies effective in prevention of HIV and AIDS among sex workers, men who have sex with other men, and injecting drug users. Programs described include peer education, comprehensive health services and quality of treatment, provider referral networks, and in-service training and sensitization.

  4. 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. …

  5. Experiences from the field: HIV prevention among most at risk adolescents in Central and Eastern Europe and the Commonwealth of Independent States

    In recent years, UNICEF has worked together with national and local authorities and civil society partners in a number of countries in Eastern Europe and Central Asia to develop and implement HIV prevention programmes intended to reduce risks and vul¬nerabilities among most-at-risk adolescents (MARA.) This docu¬ment presents programming experiences from seven countries: Albania, Bosnia and Herzegovina (BiH), Moldova, Montenegro, Romania, Serbia and Ukraine. …

  6. Health and family life education. Regional curriculum framework. Ages 11 years to 16 years

    This Curriculum Framework for Secondary Schools is based on the initial Health and Family Life Education Regional Curriculum Framework for Ages 9-14. This document provided the basic guidance required to develop the relevant Standards and Core Outcomes for the various age groups. Consequently the background information and the guidance for the use of the Framework is derived from this document. The Framework combines health promotion and problem prevention in an attempt to not only reduce risky behaviours but equally promote healthy decision making, development and lifestyles. …

  7. Regional issues brief: rights of children and young people to access HIV-related services

    This Regional Issues Brief has been written to provide an overview of an area of enquiry that the Global Commission on HIV and the Law is examining – issues of law and HIV pertaining to young people. It has been undertaken through a literature review of laws and documentation of their enforcement in the context of Asia and the Pacific. It serves as an information resource and complements the report of the Regional Dialogue for Asia and the Pacific that was held under the auspices of the Global Commission on HIV and the Law in Bangkok on 16 and 17 February 2011.

  8. High income countries issue brief: rights of children and young people to access HIV-related services

    This brief focuses on the rights of children (minors under the age of 18 years) in high-income countries to access health services related to HIV prevention – in particular sexual and reproductive health services, and harm reduction services and drug treatment services. …

  9. Understanding the focus on young people from key affected populations in concentrated and low prevalence HIV epidemics

    This course has been developed to provide guidance around youth-specific HIV programming and support staff working across the Asia Pacific region to meet the specific needs and rights of young people from key affected populations. …

  10. My Story My Life

    This book is designed to help in-school students learn about the health risks involved in pre-marital sex and to improve their life skills. The material is presented in story form, in hopes that young people will identify with the characters. The topics and concepts of this booklet were drawn from studies conducted with youth in Kogi and Cross River states of Nigeria. The issues highlighted revolve around young people's ability to abstain or delay pre-marital sex in order to reduce their risk of HIV infection. …

  11. Impact of school-based HIV prevention program in post-conflict Liberia

    This paper presents findings of a feasibility study to adapt and evaluate the impact of an evidence-based HIV prevention intervention on sexual risk behaviors of in-school 6th grade youth in post-conflict Liberia (n = 812). The study used an attention-matched, group randomized controlled trial. Four matched pairs of elementary/middle schools in Monrovia, Liberia, were randomly assigned to either an adapted eight-module HIV prevention or a general health curriculum. Three- and nine-month impacts of the intervention on sexual risk behaviors and on mediating variables are presented. …

  12. HIV/AIDS Prevention among Youth: What Works?

    Young people are at the heart of the HIV/AIDS pandemic. Not only are they disproportionately represented in terms of new infections, but they are also key to overcoming the disease. Effective HIV prevention efforts that focus on youth are crucial to reversing the pandemic. The World Bank is one of the largest official financiers of HIV/AIDS programs in the world, with over $2.7 billion committed for HIV/AIDS prevention, care, support and treatment since 1988. …

  13. The perspectives of injection drug users regarding safer injecting education delivered through a supervised injecting facility

    Unsafe injection practices can lead to HIV and HCV transmission as well as other bacterial and viral infections. Vancouver established North America's first supervised injection facility (SIF) to address such harms among injecting drug users (IDU). This study looks at their experiences receiving safer injecting education within the SIF. Through semi-structured, qualitative interviews, the experiences of 50 IDU were collected. Their testimonies indicate that gaps in knowledge exist among local IDU, often leading to unsafe injecting. …

  14. Reproductive health for refugees by refugees in Guinea IV: Peer education and HIV knowledge, attitudes, and reported practices

    Peer education has long been used to promote HIV awareness and reduce risk. However, little has been written about its use in refugee settings. This study aimed to assess whether refugee peer education could improve HIV knowledge, attitudes and practices among Guinean refugees. The study also assessed whether gender, age or formal education were more strongly associated to improved HIV outcomes than peer education. Data was collected through a cross-sectional survey of 889 men and women in 23 camps throughout the Forest Region, Guinea. …

  15. HIV knowledge, risk perception, and safer sex practices among female sex workers in Port Moresby, Papua New Guinea

    This qualitative study aimed to understand how knowledge of HIV and risk perceptiosn influence safer sex practices among female sex workers in Port Moresby, Papua New Guinea. Focus group discussions and semistructured interviews were used to gather data on female sex workers (FSW) (n=174) from 19 sites. FSWs also completed a structured, demographic questionnaire. Although some FSWs had misconceptions, the majority knew about HIV risk, transmission and prevention methods. …

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