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UNESCO HIV and Health Education Clearinghouse

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  1. Our time to be heard: stories giving voice to young people and their experience of HIV

    This publication is a collection of stories about young people living with HIV written by citizen journalists from the Key Correspondents network. The authors hope that they bring the experiences, thoughts and reflections of young people to the growing global debates on adolescent health and HIV. Key Correspondents is a network of citizen journalists around the world writing on HIV, health and human rights, helping get the voices of those most affected into global debates.

  2. Public discourse on HIV/AIDS: an archival analysis of national newspaper reporting in Uganda, 1996–2011

    Uganda is recognised as an early success story in the HIV epidemic at least in part due to an open and vigorous national dialogue about HIV prevention. This study examined the national discourse about HIV, AIDS, and young people in New Vision, Uganda's leading national newspaper between 1996 and 2011, building from a previous archival analysis of New Vision reporting by Kirby (1986-1995). We examined the continuing evolution in the public discourse in Uganda, focusing on reporting about young people. …

  3. E-discussion - Young people and HIV

    E-discussion questions included: 1.What do you see as the challenges for young people in accessing services such as HIV testing and how can we overcome this? 2.Given that CAFOD’s HIV prevention approach is to give ‘full and accurate information on all forms on the effectiveness and limitations of all means of reducing the risks of HIV infection’ – what challenges does this lead to when working with young people? What HIV prevention work have you or partners done with young people? 3.Where is the best place for young people to access information on HIV and AIDS? …

  4. What they really want to know. Developing booklets for young people on growing up and sexuality

    A large proportion of young people worldwide are sexually active, and this exposes them to the risk of contracting sexually transmitted infections (STIs), including HIV, and to the risk of unintended pregnancies. In 2008, 16 million girls aged 15 to 19 gave birth and approximately 40% of these pregnancies were unintended. Young people between the ages of 15 and 24 years account for more than one third of all new HIV infections, with some 3,000 young people becoming infected with HIV each day. …

  5. Effectiveness of a peer-led HIV prevention intervention in secondary schools in Rwanda: results from a non-randomized controlled trial

    While the HIV epidemic is levelling off in sub-Saharan Africa, it remains at an unacceptably high level. Young people aged 15-24 years remain particularly vulnerable, resulting in a regional HIV prevalence of 1.4% in young men and 3.3% in young women. This study assesses the effectiveness of a peer-led HIV prevention intervention in secondary schools in Rwanda on young people’s sexual behavior, HIV knowledge and attitudes. In a non-randomized longitudinal controlled trial, fourteen schools were selected in two neighboring districts in Rwanda Bugesera (intervention) and Rwamagana (control). …

  6. Lifting the curtain on the conditions of sexual initiation among youth in Ethiopia

    Deriving accurate estimates of the level of sexual coercion is challenging because of the stigma that is attached to the experience. This study examined the effectiveness of a nonverbal response-card method to reduce social desirability bias in reports of the conditions of sexual initiation among youth in southwestern Ethiopia. The conditions surrounding sexual initiation were examined using data from a pilot survey and a final survey of youth ages 13–24 years. …

  7. My Story My Life

    This book is designed to help in-school students learn about the health risks involved in pre-marital sex and to improve their life skills. The material is presented in story form, in hopes that young people will identify with the characters. The topics and concepts of this booklet were drawn from studies conducted with youth in Kogi and Cross River states of Nigeria. The issues highlighted revolve around young people's ability to abstain or delay pre-marital sex in order to reduce their risk of HIV infection. …

  8. Predictors of sexual behaviour among church-going youths in Nairobi, Kenya: a cross-denominational study

    The autors surveyed church-going youths in Nairobi, Kenya, to investigate denominational differences in their sexual behaviour and to identify factors related to those differences. In comparison with youths attending mainline churches, the youths surveyed at Pentecostal/evangelical churches were less likely to have ever had sex. Furthermore, although male youths in the mainline churches were more likely than their female counterparts to have ever had sex, no such difference emerged between the male and female youths attending Pentecostal/evangelical churches. …

  9. Do peer educators make a difference? An evaluation of a youth-led HIV prevention model in Zambian schools

    Restless Development's youth-led model places trained Volunteer Peer Educators (VPEs), aged 18-25 years, in schools to teach HIV prevention and reproductive health (RH). VPEs also run youth centers, extracurricular and community-based activities. This evaluation assesses program effects on students' HIV/RH knowledge, attitudes and behaviors using a non-randomized quasi-experimental design among 2133 eighth and ninth grade students in 13 intervention versus 13 matched comparison schools and program costs. …

  10. Impact of school-based HIV prevention program in post-conflict Liberia

    This paper presents findings of a feasibility study to adapt and evaluate the impact of an evidence-based HIV prevention intervention on sexual risk behaviors of in-school 6th grade youth in post-conflict Liberia (n = 812). The study used an attention-matched, group randomized controlled trial. Four matched pairs of elementary/middle schools in Monrovia, Liberia, were randomly assigned to either an adapted eight-module HIV prevention or a general health curriculum. Three- and nine-month impacts of the intervention on sexual risk behaviors and on mediating variables are presented. …

  11. Condom Use Increases Among Namibian Youths Following HIV Training

    Namibian adolescents who received an HIV training curriculum experienced significant changes in attitudes, knowledge, intentions and behaviors concerning sexual activity and HIV. Adolescents who received training were more likely than their peers to know how pregnancy occurs and how to use a condom correctly. They also were more likely to believe that they could be intimate with a partner without having sex and that they could have a girlfriend or boyfriend for a long time without having sex. …

  12. HIV-related knowledge, attitudes, behaviors, and practices of young people in Cross River State and Kogi State, Nigeria

    Communication for Change (C-Change) works around the world to improve the effectiveness and sustainability of social and behavior change communication (SBCC) across program areas, including health, environment, economic growth and poverty alleviation, and democracy and governance. In Nigeria, C-Change supports health and HIV prevention objectives of the USAID Mission. The project is building SBCC capacity for country-driven interventions that aim to prevent new HIV infections, reduce HIV prevalence among high-risk groups, and stabilize HIV prevalence within the general population. …

  13. Do stigma, blame and stereotyping contribute to unsafe sexual behaviour? A test of claims about the spread of HIV/AIDS arising from social representation theory and the AIDS risk reduction model

    In the context of social representation theory and the AIDS risk reduction model, it has been claimed that stigmatizing, blaming and stereotyping attitudes make people feel less at risk of contracting HIV/AIDS, and that this, in turn, results in them taking fewer precautions in their sexual behaviour. Previous research has failed to provide convincing evidence to support these claims. The present study provided a test of the claims that addressed some of the methodological issues identified in the earlier research. …

  14. A Multi-level Model of Sexual Behavior among Young people in Nyanza, Kenya

    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.

  15. Youth and the Global HIV/AIDS Crisis: A Toolkit for Action

    This Tool-kit for Action has two components. In Part One, you will hear from a sample of youth and youth workers (based in Ottawa) on what prevention, education, and awareness strategies have reached them, what they think about these strategies, and their own ideas for effective youth-centred HIV/AIDS actions for their communities. Part Two looks at a range of for- and by-youth public education initiatives from Kenya, the US, South Africa, Bangladesh, and Canada. …

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