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UNESCO HIV and Health Education Clearinghouse

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  1. School experiences of HIV-positive secondary school learners on ARV treatment in Namibia

    Although the provision of life-saving antiretroviral (ARV) treatment is central to the medical and policy response to the HIV pandemic, relatively little research in the SADC region and in Namibia particularly, attends to HIV-positive people's experiences and the social effects of taking ARV treatment, with children being least focused on. The study from which the paper is drawn contributes to this dearth by examining the experiences of HIV-positive high school learners on ARV treatment in Khomas Region, Namibia. …

  2. Antiretroviral drug access and behavior change

    Access to antiretroviral (ARV) drugs in Sub-Saharan Africa has rapidly expanded - from fewer than 10,000 people treated in 2000 to more than 8 million in 2011. To measure the impact of this expansion, it is necessary to identify the behavioral response of individuals to drug access. This paper combines geocoded information about the timing of introduction of ARVs in all Kenyan health facilities with two waves of geocoded population surveys to estimate the impact of proximity to an ARV provider on risky sexual behavior. …

  3. Economic impact of HIV and antiretroviral therapy on education supply in high prevalence regions

    Background: We set out to estimate, for the three geographical regions with the highest HIV prevalence, (sub-Saharan Africa [SSA], the Caribbean and the Greater Mekong sub-region of East Asia), the human resource and economic impact of HIV on the supply of education from 2008 to 2015, the target date for the achievement of Education For All (EFA), contrasting the continuation of access to care, support and Antiretroviral therapy (ART) to the scenario of universal access. …

  4. Facilitating HIV testing, care and treatment for orphans and vulnerable children aged five years and younger through community-based early childhood development playcenters in rural Zimbabwe

    Early diagnosis of children living with HIV is a prerequisite for accessing timely paediatric HIV care and treatment services and for optimizing treatment outcomes. Testing of HIV-exposed infants at 6 weeks and later is part of the national prevention of mother to child transmission (PMTCT) of HIV programme in Zimbabwe, but many opportunities to test infants and children are being missed. …

  5. HIV Status Disclosure and Retention in Care in HIV-Infected Adolescents on Antiretroviral Therapy (ART) in West Africa

    The authors assessed the effect of HIV status disclosure on retention in care from initiation of antiretroviral therapy (ART) among HIV-infected children ages 10 years or more in Cote d'Ivoire, Mali and Senegal. They conducted a multi-center cohort study within five pediatric clinics participating in the IeDEA West Africa collaboration. …

  6. Treatment outcomes in HIV-infected adolescents attending a community-based antiretroviral therapy clinic in South Africa

    As the HIV epidemic matures, survival of children with perinatally acquired HIV infection into adolescence is increasingly being documented in sub-Saharan African countries. In addition, the burden of HIV in the adolescent patient population in the region is also due to sexual transmission, with adolescents and young adults being particularly vulnerable to this mode of infection. HIV care and treatment services in the region need to adapt to adequately meet the specific needs of this expanding disease burden among adolescents. …

  7. Situational analysis on SRH/HIV integration in Zambia

    To contribute to the achievement of RH and HIV integration, SAfAIDS and Youth Vision Zambia in partnership with Population Action International commissioned a 15 days rapid situation analysis to establish the current national baseline of existing national policies, HIV and RH integration programmes and opportunities for advocacy for increased integration. …

  8. Adolescent HIV: cause for concern in Southern Africa

    There is a substantial burden of HIV infection in adolescents in southern Africa who acquired HIV perinatally. It is evident that they contribute substantially to hospital admissions and in-hospital deaths. There is an urgent need for services that will be able to provide accessible and appropriate HIV testing, counseling, and support, as well as facilitate access to ART and appropriate sexual risk-reduction interventions. …

  9. Needs, challenges and opportunities: adolescents and young people living with HIV in Zambia

    The aims of this qualitative study, carried out in 2010, were twofold. The first was to explore and document the psychosocial, sexual and reproductive health (SRH) needs of adolescents (10-19) living with HIV in Zambia. The second aim was to identify gaps between these needs and existing SRH and HIV-related initiatives and services currently available to young people.

  10. Les femmes à l'épreuve du VIH dans les pays du sud: genre et accès universel à la prise en charge

    Alors que les programmes de prévention et de traitement ont permis des avancées majeures dans les pays du Sud, les femmes vivant avec le VIH, majoritaires en Afrique, bénéficient-elles de ces progrès à égalité avec les hommes ? Mères et futures mères d'enfants exposés, quelle expérience ont-elles des systèmes de soins ? Les responsabilités qui leur incombent en matière de prévention et de charge des soins au sein des couples et des familles, associées aux exigences des programmes sanitaires sont-elles, pour elles, sources de difficultés supplémentaires ? …

  11. Educational attainment and HIV status among Ethiopian voluntary counseling and testing clients

    We examined the association between HIV infection and educational attainment level among a population of 34,512 voluntary counseling and testing (VCT) clients in Ethiopia, using client data from the Family Guidance Association of Ethiopia (FGAE). Overall, more than 50 percent of the VCT clients report at least secondary level educational attainment, and HIV prevalence is 8.5 percent for men and 14.3 percent for women. …

  12. Linking sexual and reproductive health and HIV/AIDS. Gateways to integration: a case study from Kenya

    The process of linking sexual and reproductive health and HIV/AIDS needs to work in both directions: this means that traditional sexual and reproductive health services need to integrate HIV/AIDS interventions, and also that programmes set up to address the AIDS epidemic need to integrate more general services for sexual and reproductive health. While there is broad consensus that strengthening linkages should be beneficial for clients, only limited evidence is published regarding real benefits, feasibility, costs and implications for health systems. …

  13. Estimates of the Impact of HIV and teacher ART take-up on the Education Sector on the achievement of EFA in Rwanda

    This impact analysis revealed that the number of HIV positive teachers is likely to increase, as could AIDS mortality and absenteeism. ART, particularly second-line ART could reduce these problems and save money. HIV prevalence in Rwandan teachers could reach 12% by 2015. Considerable effort is required to reduce pupil-teacher ratios and increase orphan school attendance. Rwanda can celebrate its successes in increasing net enrolment.

  14. Estimates of the Impact of HIV and teacher ART take-up on the Education Sector and the achievement of EFA in Kenya

    An analysis was carried out to indirectly estimate the imapct of HIV on the education sector in Kenyan provinces using the Ed-SIDA model which uses teacher demographic information and combines this with epidemiological projections to determine the number of teachers who are living with HIV, their AIDS absenteeism and associated mortality. The main results were that HIV prevalence among Kenyan teachers can be expected to be high, 15%, due to teachers belonging to vulnerable age groups. …

  15. OVC Programmes in South Africa funded by the U.S. president's emergency plan for AIDS relief. Summary report for 32 case studies

    Despite the magnitude and dire consequences of the growing number of orphans and vulnerable children (OVC) in South Africa, and elsewhere in sub-Saharan Africa, there is insufficient documentation of the strategies deployed to improve the well-being of these children. In an attempt to fill these knowledge gaps, the U.S. President's Emergency Plan for AIDS Relief (emergency plan)/South Africa commissioned Khulisa Management Services to research and write 32 case studies of emergency plan-funded OVC programmes in South Africa. …

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