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UNESCO HIV and Health Education Clearinghouse

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  1. Accessing the ‘right’ kinds of material and symbolic capital: the role of cash transfers in reducing adolescent school absence and risky behaviour in South Africa

    This article investigates how well South Africa’s Child Support Grant (CSG) responds to the material and psychosocial needs of adolescents, and the resultant effects on schooling and risky behaviour. One driver of schooling decisions is shame related to poverty and the ‘social cost’ of school, where a premium must often be paid for fashionable clothes or accessories. The other driver relates to symbolic and consumptive capital gained through engaging in sexual exchange relationships. The anticipated impacts from the CSG are partial because of these non-material drivers of adolescent choices. …

  2. Structural drivers and social protection: mechanisms of HIV risk and HIV prevention for South African adolescents

    Social protection is high on the HIV-prevention agenda for youth in sub-Saharan Africa. However, questions remain: How do unconditional cash transfers work? What is the effect of augmenting cash provision with social care? And can “cash plus care” social protection reduce risks for adolescents most vulnerable to infection? This study tackles these questions by first identifying mediated pathways to adolescent HIV risks and then examining potential main and moderating effects of social protection in South Africa.

  3. 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.

  4. 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. …

  5. Adapting a multifaceted U.S. HIV prevention education program for girls in Ghana

    We adapted a U.S. HIV prevention program to address knowledge gaps and cultural pressures that increase the risk of infection in adolescent Ghanaian girls. The theory-based nine-module HIV prevention program combines didactics and games, an interactive computer program about sugar daddies, and tie-and-dye training to demonstrate an economic alternative to transactional sex. The abstinence-based study was conducted in a church-affiliated junior secondary school in Nsawam, Ghana. Of 61 subjects aged 10-14 in the prevention program, over two thirds were very worried about becoming HIV infected. …

  6. Condoms in sub-Saharan Africa

    Sub-Saharan Africa (SSA) is the region with the world’s highest rates of HIV and other sexually transmissible infections (STIs), yet numerous studies show that condom use is generally rare. This suggests a need for a better understanding of how condoms fit within sexual practices and relationships in SSA. This paper seeks to address this need by reviewing research published between the late 1980s and 2011 on use and factors influencing use of male condoms in SSA. …

  7. 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. …

  8. Can we use young people’s knowledge to develop teachers and HIV-related education?

    Despite recent progress in meeting the goals of the Education for All agenda, certain groups of young people are particularly vulnerable to exclusion and underachievement, including children with HIV/AIDS, children living in poverty, and children with disabilities. HIV/AIDS has reduced many young people’s rights to access education, to live a full and healthy life, and to have a life as a child. …

  9. Dating violence among school students in Tanzania and South Africa: prevalence and socio-demographic variations

    Aims: To identify with whom in-school adolescents preferred to communicate about sexuality, and to study adolescents' communication on HIV/AIDS, abstinence and condoms with parents/guardians, other adult family members, and teachers. Data were obtained from a baseline questionnaire survey carried out in South Africa (Cape Town and Mankweng) and Tanzania (Dar es Salaam) in early 2004. We analysed data for 14,944 adolescents from 80 randomly selected schools. …

  10. As simple as ABC? How rural ABET Centres respond to HIV/AIDS

    This article investigates the ways in which two rural Adult Basic Education and Training (ABET) Centres in the Limpopo Province address the challenges of HIV/AIDS. Theories of social capital are used to explain the different responses of the Centres. The communities surrounding both Centres face similar structural problems of poverty, unemployment, migrancy, gender inequality, poor health and low levels of education. In one Centre, educators and learners denied that HIV/AIDS was a serious issue. …

  11. 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. …

  12. The impact of HIV/AIDS on poverty and education in Africa

    This article deals with the impact of the HIV/AIDS pandemic on poverty and education in Africa. It considers the scale and scope of the pandemic and its anticipated impact on education systems in heavily infected sub-Saharan African countries. It looks for lessons derived from twenty years of coping with HIV/AIDS in the Southern African Development Community (SADC) region. …

  13. The gendered impact of HIV/AIDS on education in South Africa and Swaziland: Save the Children's experiences

    Children are dropping out of school in large numbers in communities affected by HIV/AIDS, despite policies and programmes that are designed to support their continued attendance. Research carried out by Save the Children in South Africa and Swaziland concludes that factors influencing drop-out are poverty related, exacerbated by HIV/AIDS. These factors also play out in gendered ways. …

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