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UNESCO HIV and Health Education Clearinghouse

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  1. School-based sexual health education interventions to prevent STI/HIV in sub-Saharan Africa: a systematic review and meta-analysis

    The authors reviewed evaluations of school-based sexual health education interventions in sub-Saharan Africa to assess effectiveness in reducing sexually transmitted infections and promoting condom use.

  2. Effects of peer education intervention on HIV/AIDS related sexual behaviors of secondary school students in Addis Ababa, Ethiopia: a quasi-experimental study

    Background: Worldwide, about 50 % of all new cases of HIV occur in youth between age 15 and 24 years. Studies in various sub-Saharan African countries show that both out of school and in school adolescents and youth are engaged in risky sexual behaviors. School-based health education has been a cornerstone of youth-focused HIV prevention efforts since the early 1990s. In addition, peer-based interventions have become a common method to effect important health-related behavior changes and address the HIV/AIDS pandemic. …

  3. 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. …

  4. Let’s talk about sex: A qualitative study of Rwandan adolescents’ views on sex and HIV

    Objective: This qualitative study explored the views and experiences of adolescents with perinatally acquired HIV in Kigali, Rwanda, regarding sex, love, marriage, children and hope for the future. Design: The study enrolled 42 adolescents who had received combination antiretroviral therapy for at least 12 months, and a selection of their primary caregivers. Study methods included 3 multiple day workshops consisting of role-playing and focus group discussions (FGDs) with adolescents, 8 in-depth interviews with adolescents, and one FGD with caregivers. …

  5. Lessons learned from a review of interventions for adolescent and young key populations in Asia Pacific and opportunities for programming

    BACKGROUND: Over a third of new HIV infections globally are among 15-24 year-olds and over 20% among adolescents aged 10-19 years in Asia Pacific. The review was initiated to identify interventions in the region with demonstrated or potential impact for adolescent and young key populations (YKP) looking at the role of individual and structural factors in accessibility and delivery. The review is a component of a more comprehensive review undertaken by UNICEF and partners in the region. METHODS:This was a desk review of over 1000 articles, and 37 were selected. …

  6. Effects of peer education on AIDS knowledge and sexual behavior among youths on national service and secondary school students in Nigeria

    Young persons are disproportionately affected by the impact of HIV in Nigeria. This paper presents findings from an evaluation of a national youth HIV prevention program designed to determine the effects of HIV prevention intervention (HPI) on Youths on Compulsory National Service (YoCNS) and Adolescents in Secondary Schools (AiSS). Data were collected from 229 YoCNS who received training on HIV prevention and 231 of their counterparts who did not. Among AiSS, data were collected from 909 respondents who were trained as peer educators and among 1005 students who were not. …

  7. Effective approaches for programming to reduce adolescent vulnerability to HIV infection, HIV risk, and HIV-related morbidity and mortality: A systematic review of systematic reviews

    Background: In 2012, an estimated 2.1 million adolescents were living with HIV. Though there are effective interventions to prevent and treat HIV infection, adolescents face specific barriers in accessing them. As a result, new infections and poor outcomes among HIV-infected adolescents are common. HIV programming for adolescents should focus on interventions of proven effectiveness and address underlying factors driving incidence and lack of effective treatment and care in this age group. …

  8. Commentary: Innovations in Programming for HIV Among Adolescents: Towards an AIDS-Free Generation

    In the effort to halt and reverse the spread of HIV and AIDS among adolescents, public health and medical experts, moral and political authorities across the globe have implemented a combination of interventions. …

  9. Circle of life HIV/AIDS prevention for American Indian and Alaska native youth

    This article describes the objectives, theoretical bases, development process, and evaluation efforts to-date for the Circle of Life (COL) curricula, HIV/AIDS prevention interventions designed for American Indian and Alaska Native (AI/AN) youth. The curricula are based on Indigenous models of learning and behavior encompassing concepts of Western theories of health behavior change. The curricula underwent extensive national and community review. Subsequent advances include the development of a computer-based version of the intervention.

  10. Differences among male/female adolescents participating in a school-based teenage education program (STEP) focusing on HIV prevention in India

    With the rising threat of HIV in India, youth are an important group to reach for prevention education. This pilot study tested the efficacy of STEP (School-based Teenage Education Program focusing on HIV Prevention) for school children. This pilot study randomized 25 schools in Mumbai. …

  11. Nothing as practical as good theory? The theoretical basis of HIV prevention interventions for young people in sub-Saharan Africa: A systematic review

    This paper assesses the extent to which HIV prevention interventions for young people in sub-Saharan Africa are grounded in theory and if theory-based interventions are more effective. Three databases were searched for evaluation studies of HIV prevention interventions for youth. Additional articles were identified on websites of international organisations and through searching references. 34 interventions were included; 25 mentioned the use of theory. …

  12. Young people and sexual agency in rural Uganda

    Drawing on definitions of agency from within the international development literature, the author focuses on decision-making processes leading to young people's involvement in relationships; actions undertaken to maintain secret relationships in contexts where young people's sexual agency is generally prohibited; transactional and gendered negotiations between young people involved within a relationship; and a range of outcomes arising from young people's sexual activity. …

  13. Do teenagers respond to HIV risk information? Evidence from a field experiment in Kenya

    We use a randomized experiment to test whether and what information changes teenagers' sexual behavior in Kenya. Providing information on the relative risk of HIV infection by partner's age led to a 28 percent decrease in teen pregnancy, an objective proxy for the incidence of unprotected sex. Self-reported sexual behavior data suggests substitution away from older (riskier) partners and toward same-age partners. In contrast, the official abstinence-only HIV curriculum had no impact on teen pregnancy. …

  14. Evaluation of an AIDS education programme for young adults

    The aim of this randomized, pre-post test study was to evaluate the impact of AIDS education programs (Streetwize UK) on adolescents. Participants were identfied from six youth training centers in Nottingham, England. The participants were aged 16-19 years and each centre ws randomly allocated to experimental (n=173) or control (n=164) group. Sixty-six percent of the sample was sexually active. No differences were observed between groups at pre-test. …

  15. HIV/AIDS-Related Knowledge, Attitudes and Sexual Behaviors as Predictors of Condom Use Among Young Adults in Croatia

    This report looks at data from a multistage probability sample of 1,093 Croatian youth aged 18-24 years in 2005. Regression was used to investigate relationships between HIV-related knowledge, attitudes and sexual behavior and condom use at first and last sexual encounter and consistent use of condoms. Results found that positive attitudes towards condoms and condom use at first intercourse were predictors for condom use at most recent intercourse and overall consistent use of condoms (OR: 1.3). Sex education programs should be given to youth before they become sexually active.

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