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UNESCO HIV and Health Education Clearinghouse

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  1. Strengthening sexual and reproductive health and HIV prevention among children and young people through promoting comprehensive sexuality education in Eastern and Southern Africa: End-term evaluation report 2013-2015

    Increasing children’s and young people’s knowledge on sexual and reproductive health and rights (SRHR) is seen as a critical component in reducing a large number of challenges in Eastern and Southern Africa (ESA), including HIV and AIDS, teenage marriage, and teenage pregnancy in particular. While access to education remains a challenge for many children in the region, the provision of comprehensive sexuality education (CSE) in school settings is considered an effective way to educate children and young people on SRHR. …

  2. Impact evaluation of a school-based sexuality and HIV prevention education activity in South Africa: baseline survey report

    Gaining the knowledge and skills necessary to make healthy choices about sexual behavior as adolescent learners transition to young adulthood is key to controlling the potentially devastating effects of the HIV/AIDS epidemic. …

  3. Kenya: Healthy Outcomes through Prevention Education (HOPE). Final evaluation

    In Kenya, high poverty, insecurity, poor health outcomes, substance abuse and low levels of education make young people, especially girls, vulnerable to a variety of risks such as Human Immunodeficiency Virus (HIV) infection, Acquired Immunodeficiency Syndrome (AIDS), other Sexually Transmitted Infections (STIs) and Diseases (STDs), and Sexual and Gender-Based Violence (SGBV). …

  4. The unfinished nature of rights-informed HIV- and AIDS-related education: an analysis of three school-based initiatives

    Over the past 25 years, there has been growing investment in concepts of rights in the areas of HIV prevention, care and treatment, including HIV- and AIDS-related education delivered in schools. Despite this increasing commitment to the notion of rights, few efforts appear to have been made to understand the varying conceptions of rights that underpin different kinds of initiatives. …

  5. Risk information, risk salience, and adolescent sexual behavior: experimental evidence from Cameroon

    Results from a randomized experiment conducted with teenage schoolgirls in Cameroon suggest that HIV prevention interventions can be effective at reducing the incidence of teen pregnancy in the following 9-12 months by over 25 percent.

  6. The World Starts With Me: using intervention mapping for the systematic adaptation and transfer of schoolbased sexuality education from Uganda to Indonesia

    Evidence-based health promotion programmes, including HIV/AIDS prevention and sexuality education programmes, are often transferred to other cultures, priority groups and implementation settings. Challenges in this process include the identification of retaining core elements that relate to the programme’s effectiveness while making changes that enhances acceptance in the new context and for the new priority group. This paper describes the use of a systematic approach to programme adaptation using a case study as an example. …

  7. Addressing sexual health and HIV in school. Four initiatives from sub-Saharan Africa and Latin America

    This publication describes three German-supported initiatives in Africa (specifically in Guinea, Mozambique and Tanzania) and one in Latin America (a six-country regional initiative). All integrate sexual health and HIV prevention within school systems. The three African initiatives operate within generalized epidemics driven largely by unprotected sex between men and women. In Latin America general prevalence in the countries described here is well below one percent, and much less among young people. …

  8. Evaluation of the impact of the life orientation programme on HIV/AIDS in Gauteng schools - pilot study

    The primary aim of this pilot research was to develop an instrument to evaluate the impact of the Life Orientation Programme (LOP) on sex, sexuality and HIV/AIDS in Gauteng schools at secondary level and if possible at primary level. …

  9. My future is my choice [evaluation]

    The overall purpose of the research was to evaluate My Future is My Choice (MFMC), a national peer education HIV prevention life skills programme in Namibia, and to provide recommendations for programme improvement and strengthening. An official extra-curricular life skills program of the Ministry of Education at secondary and combined schools, the MFMC programme seeks to protect young people from HIV infection and sexually transmitted diseases as well as prevent unintended pregnancies.

  10. Sexual and HIV/AIDS education in South African secondary schools

    Teaching sexual and HIV and AIDS education in schools has been the subject of debate and discussion for a while now southern Africa. The debates have mainly centred around three key issues – at what stage to introduce it, what kind of curricula is appropriate and who is qualified to provide such teaching. South Africa is one the few countries in the region that have made attempts to introduce sexual and HIV and AIDS education at the secondary school level. Although this has had benefits, it has not been without its challenges. …

  11. Empowering teachers to change youth practices: evaluating teacher delivery and responses to the FLHE Programme in Edo State, Nigeria

    School-based programming is one of the most common approaches to HIV/AIDS prevention among youth. This paper presents the history and development of the Family Life and HIV Education (FLHE) programme in Edo State, Nigeria and results of evaluation of teacher actions and responses to training in its delivery. Results indicate that teachers benefited from the training, were aware of new and/or existing teaching resources and began to teach about HIV/AIDS. Teachers expressed that the programme facilitated open dialogue about HIV/AIDS. …

  12. Effectiveness of a peer-led HIV prevention intervention in secondary schools in Rwanda: results from a non-randomized controlled trial

    While the HIV epidemic is levelling off in sub-Saharan Africa, it remains at an unacceptably high level. Young people aged 15-24 years remain particularly vulnerable, resulting in a regional HIV prevalence of 1.4% in young men and 3.3% in young women. This study assesses the effectiveness of a peer-led HIV prevention intervention in secondary schools in Rwanda on young people’s sexual behavior, HIV knowledge and attitudes. In a non-randomized longitudinal controlled trial, fourteen schools were selected in two neighboring districts in Rwanda Bugesera (intervention) and Rwamagana (control). …

  13. National teacher training HIV endline survey Malawi, 2009

    The first cohort of trainee teachers who participated in the Teacher Training College (TTC) programme finished in August 2009. Theatre for a Change (TfaC) contracted independent consultants to carry out an impact assessment on the TTC programme to identify its strengths and weaknesses. TfaC will use this impact assessment to inform the programme’s development. This report assesses the programme’s impact by comparing the results of the baseline survey, conducted at the beginning of the programme in October 2008, with the results of the endline survey, conducted in August 2009. …

  14. A school-based AIDS education programme for secondary school students in Nigeria: a review of effectiveness

    This study aimed to evaluate the effectiveness of health education initiatives to increase knowledge and improve attitudes and behaviors in response to rising HIV incidence. In this study, 223 students who received comprehensive health education were compared to 217 control group students who did not receive this education. …

  15. Process evaluation of a school-based HIV/AIDS intervention in South Africa

    This paper presents a process evaluation that assessed the fidelity and quality of implementation, as well as the acceptability and subjective evaluations of a HIV/AIDS intervention among students and teachers. Methods: The process evaluation was conducted as part of a cluster randomized controlled trial of a theory- and evidence-based school HIV/AIDS intervention in Cape Town. The intervention was designed for grade 8 high school students and delivered by teachers over a six-month period. Twenty-six schools participated in the trial, 13 in the intervention group and 13 in the control group. …

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