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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. 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.

  3. Teacher training and HIV/AIDS prevention in West Africa: regression discontinuity design evidence from the Cameroon

    The authors assess the impact on teenage childbearing as well as student knowledge, attitudes, and behavior of a typical HIV/AIDS teacher training program in the Cameroon. Applying a regression discontinuity design identification strategy based on the key administrative criterion that determined program deployment, they find that 15–17 year old girls in teacher training schools are between 7 and 10 percentage points less likely to have started childbearing, an objective proxy for the incidence of unprotected sex. …

  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. 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. …

  6. Gendered perceptions of HIV risk among young women and men in a high-HIV-prevalence setting

    It has become evident that sexual health and HIV-risk behaviours cannot be addressed effectively without paying adequate attention to constructions of gender and sexuality. While the body of literature examining these themes is growing and becoming more nuanced, there is still a significant gap in our understanding of the relationship between gendered sexual identities and vulnerabilities to disease. In particular, few studies have explored how youths themselves perceive this relationship, and how these perceptions may differ among males and females. …

  7. 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. …

  8. Fear appeals in HIV-prevention messages: young people's perceptions in northern Tanzania

    The aims of the study were to elicit the perceptions of young people in Tanzania on the role of fear appeals in HIV-prevention messages and to identify important contextual factors that may influence young people's perceptions of HIV-prevention posters. A total of 10 focus groups were conducted to investigate the role of fear appeals using the extended parallel process model (EPPM) as a guide. …

  9. 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. …

  10. 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. …

  11. Reproductive Health/HIV and AIDS in Kenya

    Since the year 2000, the German Development Service (DED) has increased its engagement to combat HIV and AIDS through supporting a multisectoral approach in the hardest hit countries in sub-Sahara Africa. 90% of the Kenyan population lack financial resources and local access to adequate Reproductive Health services. This report gives an overview of this situation and analyzes the impact of HIV and AIDS on the public and private sector.áá

  12. Malawi National HIV/AIDS Action Framework (2005-2009)

    The National HIV/AIDS Action Framework (NAF) for Malawi was developed to cover the period 2005-2009 and it is based on the findings of the End of Term (ETR) review of the National Strategic Framework (NSF) for HIV/AIDS that guided the response from 2000-2004. This NAF was carried out using a highly participatory and nationwide consultative approach under eight pillars. …

  13. Young people's sexual partnerships in KwaZulu-Natal, South Africa: patterns, contextual influences, and HIV risk

    This study is an article extracted from "Studies in Family Planning" published in December 2008. It examines young people's sexual partnerships in rural KwazuluNatal, South Africa, focusing attention on key aspects of relationship dynamics, including number of partners, age asymmetries, and duration and frequency of contact, using both survey and qualitative data. Using household survey and qualitative data, the study foud that one-third of the men surveyed reported multiple and/or concurrent partnering, and one-fourth of the women had partners who were five years older than they were. …

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