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UNESCO HIV and Health Education Clearinghouse

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  1. Improving lives by accelerating progress towards the UN Sustainable Development Goals for adolescents living with HIV: a prospective cohort study

    Background: Low-income and middle-income countries (LMICs) face major challenges in achieving the UN's Sustainable Development Goals (SDGs) for vulnerable adolescents. We aimed to test the UN Development Programme's proposed approach of development accelerators—provisions that lead to progress across multiple SDGs—and synergies between accelerators on achieving SDG-aligned targets in a highly vulnerable group of adolescents in South Africa. …

  2. 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. …

  3. 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. …

  4. Scaling up prevention of mother-to-child HIV transmission programs in sub-Saharan African countries: a multilevel assessment of site-,program- and country-level determinants of performance

    This study seeks to look at the influence of program-level and contextual determinants that pose a challenge to the uptake of prevention of mother-to-child HIV transmission programs in sub-Saharan Africa. This study explore thes multilevel factors associated with "coverage in single dose nevirapine PMTCT programs." The study found that heterogeneity of nevirapine coverage between sites and programs was high- meaning that in these programs there was a high HIV prevalance, a higher proportion of persons with knowledge of PMTCT, and a lower percentage of rural population. …

  5. I washed and fed my mother before going to school: Understanding the psychosocial well-being of children providing chronic care for adults affected by HIV/AIDS in Western Kenya

    With improved accessibility to life-prolonging antiretroviral therapy, the treatment and care requirements of people living with HIV and AIDS resembles that of more established chronic diseases. As an increasing number of people living with HIV and AIDS in Kenya have access to ART, the primary caregivers of poor resource settings, often children, face the challenge of meeting the requirements of rigid ART adherence schedules and frequent relapses. …

  6. Priority interventions to reduce HIV transmission in sex work settings in sub-Saharan Africa and delivery of these services

    Introduction: Virtually no African country provides HIV prevention services in sex work settings with an adequate scale and intensity. Uncertainty remains about the optimal set of interventions and mode of delivery. Methods: We systematically reviewed studies reporting interventions for reducing HIV transmission among female sex workers in sub-Saharan Africa between January 2000 and July 2011. Medline (PubMed) and non-indexed journals were searched for studies with quantitative study outcomes. Results: We located 26 studies, including seven randomized trials. …

  7. Eliminating mother-to-child HIV transmission in South Africa

    This article discusses the effect that the WHO guidelines for the prevention of mother-to-child transmission of HIV has had on South Africa. South Africa initiated its PMTCT programme in 2002, however political support for it has increased since 2008. Since then the proportion of HIV-exposed infants who underwent PCR tests to detected early HIV transmission has increased, and the estimated HIV transmission rate has decreased. …

  8. 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. …

  9. Safety and tolerability of antiretroviral therapy among HIV-infected children and adolescents in Uganda

    The objective of this study was to determine the frequency and outcome of ART-related adverse events among patients ages 6 weeks to 18 years. The authors followed up a cohort of 378 HIV-infected children and adolescents who started ART at the Baylor-Uganda Clinic during the period of July 2004 to July 2009. Patients were started on zidovudine or stavudine, plus lamivudine, and efavirenz or nevirapine. Adverse events were recorded as they occurred. Descriptive analyses and Kaplan-Meier survival analysis were carried out. …

  10. 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. …

  11. 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. …

  12. Survival of HIV-infected adolescents on antiretroviral therapy in Uganda: findings from a nationally representative cohort in Uganda

    Adolescents have been identified as a high-risk group for poor adherence to and defaulting from combination antiretroviral therapy (cART) care. However, data on outcomes for adolescents on cART in resource-limited settings remain scarce. The authors developed an observational study of patients who started cART at The AIDS Service Organization (TASO) in Uganda between 2004 and 2009. Age was stratified into three groups: children (less than or equal to 10 years), adolescents (11-19 years), and adults (greater than or equal to 20 years). …

  13. 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. …

  14. Un engagement politique sans faille !!! Gratuité des ARV

    Un engagement politique sans faille !!! Gratuité des ARV est un bulletin trimestriel d'information, Info-SIDA, développé par le Secrétariat Exécutif Permanent du conseil National de Lutte contre le SIDA & les IST. Ce document se présente sous la forme d'un petit journal, dans lequel l'actualité relative au VIH et sida en République du Congo est présentée. Il permet ainsi de se tenir à jours concernant la réponse nationale congolaise au VIH/SIDA dans le cadre du processus de planification stratégique mis en oeuvre dès 2002.

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