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UNESCO HIV and Health Education Clearinghouse

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  1. Gender inequality and HIV transmission: a global analysis

    Introduction: The HIV pandemic disproportionately impacts young women. Worldwide, young women aged 15–24 are infected with HIV at rates twice that of young men, and young women alone account for nearly a quarter of all new HIV infections. The incommensurate HIV incidence in young – often poor – women underscores how social and economic inequalities shape the HIV epidemic. Confluent social forces, including political and gender violence, poverty, racism, and sexism impede equal access to therapies and effective care, but most of all constrain the agency of women. …

  2. Gender Dynamics and Sexual Norms among Youth in Mali in the Context of HIV/AIDS Prevention

    Socially constructed ideas of gender norms and values attached to sexuality need to be considered when aiming to build the young people’s capacity to adopt HIV preventive behaviours. We conducted ten focus groups and sixteen individual interviews to explore sexual norms among youth in Bamako. Premarital sex, multiple partnering, condom use and transactional sex were discussed. The findings suggest that young people’s sexual norms are shaped by kin or authoritative elders as well as by external influences coming from Western culture. …

  3. If I buy the Kellogg’s then he should [buy] the milk: young women’s perspectives on relationship dynamics, gender power and HIV risk in Johannesburg, South Africa

    Ideals of masculinity and femininity may limit South African women's decision making power in relationships and increase their risk of HIV infection. The authors conducted 30 in-depth interviews with 18-24-year-old women in inner-city Johannesburg with the aim of understanding young women's expectations of intimate relationships with men, their perceptions of gender and power and how this influences HIV risk. …

  4. The Youth to Youth Initiative – an assessment of results in Ethiopia and Kenya

    This report, commissioned by the Gesellschaft für International Zusammenarbeit GmbH (GIZ), brings out findings of an external assessment of the Youth-to-Youth (Y2Y) Initiative in Ethiopia and Kenya. The aim was to assess the results of the Y2Y-Initiative for young people with an emphasis on gender equality in the project regions both at individual level for participating young women and men as well as at the level of potentially changed perceptions of, and attitudes towards young people, in particular women, in their social environment.

  5. Sexual risk behaviors among youth heads of household in Gikongoro, south province of Rwanda

    The purpose of this study was to: (a) identify risk behaviors that expose Rwandan young heads of household (YHH) to HIV infection, (b) determine gender-specific high-risk profiles and, (c) determine predictors of sexual onset. A household survey was conducted among 692 YHH, ages 12–24, all beneficiaries of a World Vision basic needs program in Gikongoro, Rwanda, from January to March 2004. Participants were interviewed using a structured questionnaire. Data were collected on socio-demographic variables, knowledge about HIV/AIDS prevention and sexual risk behaviors. …

  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. 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. …

  8. Using participatory research and action to address the HIV-related vulnerabilities of adolescent girls in Tanzania

    Globally, girls and young women are more likely to be HIV positive than their male peers, due in large part to an array of gender inequalities that negatively impact their mental and physical well being. Protecting girls from this multi-dimensional risk requires first understanding how the girls experience vulnerability in their daily lives and developing solutions that are actionable within the community context. …

  9. Stay healthy: a gender-transformative HIV prevention curriculum for youth in Namibia

    The overall goal of Stay Healthy: A Gender-Transformative HIV Prevention Curriculum for Youth in Namibia is to prevent HIV infection among Namibian youth aged 13-18. Stay Healthy focuses on changing three key behaviors directly related to HIV infection by accomplishing the following: (1) delaying the onset of sexual intercourse, (2) increasing the correct and consistent use of the male condom among sexually active youth, and (3) decreasing multiple concurrent partners among sexually active youth. …

  10. The short-term impacts of a schooling conditional cash transfer program on the sexual behaviour of young women

    Recent evidence suggests that conditional cash transfer programs for schooling are effective in raising school enrollment and attendance. However, there is also reason to believe that such programs can affect other outcomes, such as the sexual behavior of their young beneficiaries. Zomba Cash Transfer Program is a randomized, ongoing conditional cash transfer intervention targeting young women in Malawi that provides incentives (in the form of school fees and cash transfers) to current schoolgirls and recent dropouts to stay in or return to school. …

  11. The voices of young Zimbabweans. Gender and sexual identities and HIV/AIDS in education

    The Government of Zimbabwe has prioritised the need for better adolescent reproductive health (ARH) to combat HIV/AIDS transmission, reduce teenage pregnancies and the proportion of school dropouts, and ensure equality of health provision to the country's youth. In view of the paucity of information on the identities of adolescents as they construct and experience them themselves, UNICEF ESARO in 2001 commissioned this study on young people in Zimbabwe. …

  12. Gendering prevention practices: a practical guide to working with gender in sexual safety and HIV and AIDS awareness education

    This manual is based on an action research project that explored gender relations in HIV and AIDS education in Estonia. It contains practical resources for educators or trainers seeking to take a gendered approach to HIV and AIDS awareness raising activities with young people. The manual aims at providing some concrete suggestions for activities that can allow and encourage people to enter the debates about gender issues, examine gender systems in their own society and connect the gender issues they identify to key challenges of sexual transmission of HIV and AIDS. …

  13. Mobilising gender issues: Report from the Living for Tomorrow project on youth, gender and HIV/AIDS prevention

    This report presents an overview of the work undertaken by the NIKK Living for Tomorrow project. The project was based at NIKK in Oslo and ran for three years from 1998-2000 with central collaboration with participants in Estonia. The report presents and discusses. …

  14. Integrating gender into HIV/AIDS programmes: expert consultation 3-5 June 2002, Geneva

    This Review Paper aimed to provide participants to the Expert Consultation with background information and a suggested framework for considering the issues and challenges of integrating gender into programmatic and policy action. It also offers some programmatic examples of successful HIV/AIDS interventions that have addressed gender issues in a meaningful and significant way. …

  15. Gender and the HIV epidemic: adolescent sexuality, gender and the HIV epidemic

    This document highlights factors which increase the risk of HIV infection for young people and concludes with a number of principles for success for future work to prevent HIV infection among young people in developing countries.

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