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UNESCO HIV and Health Education Clearinghouse

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  1. We've got the power: women, adolescent girls and the HIV response

    This publication marks the 25th anniversary of the Beijing Declaration and Platform for Action, the most comprehensive and progressive global policy road map for fulfilling the human rights of women and girls and achieving gender equality. Progress has been made in key areas, the report shows, however, that many of the promises made to improve the lives of women and girls around the world have not been kept. It points out how the HIV epidemic holds a mirror up to these inequalities and injustices, and how the gaps in rights and services for women and girls are exacerbating the epidemic. …

  2. Reproductive Health Survey Russia 2011: executive summary

    Specific objectives of the RURHS11 were: to assess current levels and trends in fertility, abortion, contraception, and various other reproductive health indicators; to enable policy makers, program managers, and researchers to evaluate existing reproductive health programs and develop new strategies; to study factors that affect fertility, contraceptive use, and maternal and infant health, such as geographic and sociodemographic factors, breastfeeding patterns, use of induced abortion, and availability of family planning services; to identify characteristics of women at increased risk of uni …

  3. Education, HIV, and early fertility: experimental evidence from Kenya

    A seven-year randomized evaluation suggests education subsidies reduce adolescent girls’ dropout, pregnancy, and marriage but not sexually transmitted infection (STI). The government’s HIV curriculum, which stresses abstinence until marriage, does not reduce pregnancy or STI. Both programs combined reduce STI more, but cut dropout and pregnancy less, than education subsidies alone. …

  4. The sexual and reproductive health and rights of young people in India: a review of the situation

    This paper synthesises the evidence on sexual and reproductive health situation of young people in India, sheds light on those sub-populations of young people who are most vulnerable to adverse sexual and reproductive outcomes, and assesses the barriers that compromise the sexual and reproductive health and rights of young people at the individual and family levels, as well as at the programme delivery level.

  5. The cost and cost-effectiveness of gender-responsive interventions for HIV: a systematic review

    Introduction: Harmful gender norms and inequalities, including gender-based violence, are important structural barriers to effective HIV programming. We assess current evidence on what forms of gender-responsive intervention may enhance the effectiveness of basic HIV programmes and be cost-effective. Methods: Effective intervention models were identified from an existing evidence review (“what works for women”). Based on this, we conducted a systematic review of published and grey literature on the costs and cost-effectiveness of each intervention identified. …

  6. Strengthening the enabling environment for women and girls: what is the evidence in social and structural approaches in the HIV response?

    There is growing interest in expanding public health approaches that address social and structural drivers that affect the environment in which behaviour occurs. Half of those living with HIV infection are women. The sociocultural and political environment in which women live can enable or inhibit their ability to protect themselves from acquiring HIV. …

  7. Preventing sexual violence and HIV in children

    BACKGROUND: Evidence linking violence against women and HIV has grown, including on the cycle of violence and the links between violence against children and women. To create an effective response to the HIV epidemic, it is key to prevent sexual violence against children and intimate partner violence (IPV) against adolescent girls. …

  8. 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. …

  9. Education, HIV, and early fertility: experimental evidence from Kenya

    We provide experimental evidence on the relationships between education, HIV/AIDS education, risky behavior and early fertility in Kenya. We exploit randomly assigned variation in the cost of schooling and in exposure to the national HIV/AIDS prevention curriculum for a cohort of over 19,000 adolescents in Western Kenya, originally aged 13.5 on average. We collected data on the schooling, marriage, and fertility out-comes of these students over 7 years, and tested them for HIV and Herpes (HSV2) after 7 years. …

  10. 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. …

  11. Assessment of comprehensive HIV/AIDS knowledge level among in-school adolescents in eastern Ethiopia

    This study tries to assess the level of comprehensive knowledge of HIV/AIDS and the factors associated with it among in-school adolescents in eastern Ethiopia. The reason for this study is that there are more adolescents in school today, in Ethiopia, than ever before. This is a cross-sectional school-based study in which respondents were students attending regular school in 14 high schools located in 14 different districts of eastern Ethiopia. The proportion of in-school adolescents with comprehensive HIV/AIDS knowledge was computed and compared by sex. …

  12. Women hold up half the sky - and half the burden of the HIV epidemic

    The HIV burden on women is dramatically higher in some regions, certain age groups and among marginalized groups, such as female sex workers. Women’s vulnerability to HIV is exacerbated by gender inequality and domestic violence. The global effort towards elimination of paediatric HIV and keeping mothers alive deserves applause. However, the needs of women go beyond their child-bearing age or potentials and/or reproductive desires and must be recognized in the global HIV agenda. In particular, more female-controlled prevention tools are urgently required to allow women to protect themselves.

  13. Impact of HIV/AIDS education programmes on sexual behaviour of female students in Nigerian schools: Policy implications for scientific and technolgical development

    This study investigated the impact of HIV/AIDS education programmes on sexual behaviors of female students in senior secondary schools in Rivers State of Nigeria. The population for the study comprised of all senior secondary schools female students in Nigeria, which was divided into urban and rural schools. The sample size was 200 female students obtained by using stratified random sampling technique. …

  14. Promoting Health-Seeking Behaviours and Quality of Care among Men who have Sex with Men and Transgender Women: Evidence from 5 Provinces in Thailand

    The study was commissioned by UNESCO Bangkok and aims to increase understanding about the health-seeking behavior of MSM/TG women in Thailand, including perceptions of illness, sources of information on sexual health, types of health services accessed, and constraints and obstacles in accessing healthcare; and to evaluate whether existing sexual health services meet the needs of MSM and TG women in the current Thai context, and develop recommendations for community groups/organizations, policy-makers (in light of Thailand’s revised National AIDS strategy), health service providers and developi …

  15. Women and HIV in Viet Nam: Meeting the Needs. Report summary

    This report introduces current knowledge on the particular situation that Vietnamese women face with regard to HIV. Women are a critical population within the epidemic, not only in terms of sheer numbers, but as this report emphasizes, in terms of the disproportionate toll that HIV can take on their lives. Even as the rate of infection begins to stabilize among high-risk men, transmission continues from these men to their wives and regular partners. …

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