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With an overall adult HIV prevalence of 15.3%, Namibia is facing one of the largest HIV epidemics in Africa. Young people aged 20 to 34 years constitute one of the groups at highest risk of HIV infection in Namibia. However, little is known about the impact of HIV on this group and its access to healthcare. The purpose of this study was to estimate HIV prevalence, to assess the knowledge of and attitudes towards HIV/AIDS, and to assess access to healthcare among university students in Namibia.
Using data collected from 3645 sexually active grade 6 and 7 students from 160 schools and applying hierarchical linear models, this study estimates the impact of individual, school and community level variables on condom use among sexually experienced young people in Nyanza, Kenya. Based on the findings, the document recommends that AIDS prevention interventions take account not only of individual-level factors, but also school and community influences on the sexual behaviours of youth.