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UNESCO HIV and Health Education Clearinghouse

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  1. A case study of school support and the psychological, emotional and behavioural consequences of HIV and AIDS on adolescents

    Various studies have reported a huge increase in the numbers of orphaned adolescents in Sub-Saharan Africa and its effects on their psychological, emotional and behavioural development. Yet, their needs are seldom recognised or adequately addressed in policy and programmes.This article uses a qualitative study to report the experiences of 11 orphaned adolescents (5 boys and 6 girls aged between 15 and 18 years) affected by HIV and AIDS in a secondary school (in Atteridgeville, Pretoria, South Africa) and the school support provided by them. …

  2. The government of Kenya cash transfer for orphaned and vulnerable children: cross-sectional comparison of household and individual characteristics of those with and without

    Background: The ‘Cash Transfer to Orphans and Vulnerable Children’ (CT-OVC) in Kenya is a government-supported program intended to provide regular and predictable cash transfers (CT) to poor households taking care of OVC. CT programs can be an effective means of alleviating poverty and facilitating the attainment of an adequate standard of living for people’s health and well-being and other international human rights. …

  3. The impact and cost of the HIV/AIDS investment framework for adolescents

    Background: In 2005, the resources needed to support orphans and vulnerable children in sub-Saharan Africa were estimated at US$1.1–4.1 billion. Approaches to support vulnerable children have changed considerably since then. This study updates previous estimates by including new types of support and information on support costs. Methods: We considered 16 types of support categorized as economic strengthening, education support, social care and community outreach, and program support. …

  4. AIDS in the family and community: The impact on child health in Malawi

    Pediatric HIV infections jeopardize children’s health and survival. Much less is known about how the experiences of being orphaned, living with chronically ill parents, or living in a severely affected community impact child health. Our study responds by examining which HIV/AIDS-related experiences place children at greatest risk for poor health. …

  5. ECD and the HIV/AIDS pandemic in Africa

    An unprecedented number of young children in Sub-Saharan Africa are being adversely affected by the HIV/AIDS pandemic, yet programs specifically designed to meet the developmental needs of orphaned and vulnerable children (OVC) from birth to age 8 are rare. This article summarizes the daunting array of challenges facing young OVC in Sub-Saharan Africa, and profiles research and action projects undertaken by four members of the inaugural graduate-level cohort of the ECDVU to promote high-quality developmentally appropriate ECD care for young OVC in their respective countries. …

  6. 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. …

  7. The socioeconomic impact of HIV/AIDS on education outcomes in Uganda: School enrolment and the schooling gap in 2002/2003

    Due to high prime-age mortality—a result of HIV/AIDS, the number of orphans in Uganda continues to rise. Using the 2002/2003 Uganda National Household Survey, this paper investigates how HIV/AIDS orphan status affects schooling enrolment and grade progression. Our results show that HIV/AIDS orphans are not significantly less likely to continue schooling but are by far more likely to fall below their appropriate grade. …

  8. The Impact of the HIV/AIDS and Economic Crises on Orphans and Other Vulnerable children in Zimbabwe

    Zimbabwe, like most of Sub-Saharian Africa, has been hard-hit by HIV/AIDS. National estimates reported by the Ministry of Health and Child Welfare put the prevalence rates of HIV in the age group between 15 and 49 at 15.3% (WHO, UNICEF, & UNAIDS, 2008). This is one of the highest HIV/AIDS prevalence rates in the world (UNAIDS, 2008). The impact of the pandemic has been so severe that current mitigation efforts fall short of alleviating the situation, especially as it pertains to the plight of children. …

  9. HIV infection and sexual risk behaviour among youth who have experienced orphanhood: systematic review and meta-analysis

    Background: Previous research has suggested that orphaned children and adolescents might have elevated risk for HIV infection. We examined the state of evidence regarding the association between orphan status and HIV risk in studies of youth aged 24 years and younger. Methods: Using systematic review methodology, we identified 10 studies reporting data from 12 countries comparing orphaned and non-orphaned youth on HIV-related risk indicators, including HIV serostatus, other sexually transmitted infections, pregnancy and sexual behaviours. …

  10. HIV and AIDS: responding to a threat to education for sustainable development

    The article seeks to sensitize the development community, particularly outside the education sector, about the issues surrounding education as a vehicle for promoting sustainable development in an AIDS environment in Africa. By illustrating how the epidemic impacts education sector staff as well as parents and students at all levels, the article intends to suggest how national authorities, NGOs and donor agencies can work out strategies to enhance the role of education in promoting sustainable development in Africa. …

  11. Scaling up and sustaining community-based care for preschool and schoolage children - successes and challenges in Malawi

    Community-based organizations (CBOs) are an important model for the care of orphans and other vulnerable children whose life and development are threatened by human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) and poverty. However, data are lacking on the challenges and solutions enabling successful expansion of these programs to the national level. This article presents some of the experiences encountered by Malawi in the expansion of their network of CBOs. …

  12. The psychological effect of orphanhood in a matured HIV epidemic: an analysis of young people in Mukono, Uganda

    As the HIV pandemic progresses, the number of orphans is expected to rise. Uganda is one of the countries that has been most impacted by the pandemic. A few studies have explored the effects of orphanhood on psychological well-being; however, most of these studies have not explored potential pathways through which orphanhood could affect psychological well-being. Using a school-based sample, this study sought to examine the differences in depressive symptoms and hopelessness between orphans and non-orphans in Mukono District, Uganda. …

  13. Community interventions supporting children affected by HIV in sub-Saharan Africa: a review to derive evidence-based principles for programming

    Approaching 20 years after the first studies drew attention to the issues faced by children and families affected by human immunodeficiency virus (HIV), evaluation data from programs addressing their circumstances remains limited and clustered, especially when considered in relation to the magnitude of donor spending. A review of evaluation evidence was conducted to derive programming principles for interventions supporting HIV-affected children in sub-Saharan Africa, including care and support, cash transfer and HIV-prevention interventions. …

  14. Orphan competent communities: a framework for community analysis and action

    Vulnerable children in Africa have traditionally been absorbed and supported by their communities. However, in the context of acquired immune deficiency syndrome (AIDS) and poverty, communities are increasingly stretched, compromising the quality of care available to children affected by AIDS. This calls for an understanding of the processes that best facilitate the capacity of communities to provide good quality care and support. In the interests of furthering debate and practice in this area, we seek to develop an analytical framework that builds upon two inter-linked strands. …

  15. Kenya's cash transfer program: protecting the health and human rights of orphans and vulnerable children

    In Kenya, as in other countries of sub-Saharan Africa heavily burdened by HIV/ AIDS, orphans and vulnerable children (OVC) face poverty and despair. There is an urgent need to provide a comprehensive response that supports families and communities in their efforts to care for children and safeguard their rights. The government of Kenya has established a cash transfer program that delivers financial and social support directly to the poorest households containing OVC, with special concern for those children with or affected by HIV/AIDS. …

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