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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. We want to learn about good love: findings from a qualitative study assessing the links between comprehensive sexuality education and violence against women and girls

    Comprehensive sexuality education (CSE) – including learning about relationships, gender and gender-based violence (GBV), sex, sexuality, and sexual and reproductive health and rights (SRHR) – can empower young people to make informed, autonomous decisions regarding their current and future relationships. CSE may also influence a positive shift in social norms which underpin violence against women and girls (VAWG), such as harmful notions of masculinity, and rigid gender roles and stereotypes – both in schools and the wider community. …

  3. Cost analysis of school-based sexuality education programs in six countries

    Policy-makers who are making decisions on sexuality education programs face important economic questions: what are the costs of developing sexuality education programs; and what are the costs of implementing and scaling them up? This study responds to these questions by assessing the costs of six school-based sexuality education programs (Nigeria, Kenya, Indonesia, India, Estonia and the Netherlands). Cost analyses were carried out in schools that were fully implementing a SE program, as this best reflects the resources needed to run an effective program. …

  4. Impact of five years of peer-mediated interventions on sexual behavior and sexually transmitted infections among female sex workers in Mombasa, Kenya

    Background: Since 2000, peer-mediated interventions among female sex workers (FSW) in Mombasa Kenya have promoted behavioural change through improving knowledge, attitudes and awareness of HIV serostatus, and aimed to prevent HIV and other sexually transmitted infection (STI) by facilitating early STI treatment. Impact of these interventions was evaluated among those who attended peer education and at the FSW population level. Methods: A pre-intervention survey in 2000, recruited 503 FSW using snowball sampling. …

  5. Children's access to information on behaviour change, sexuality and reproductive rights: a myth or reality

    The overall objective of this baseline survey was to help determine access to information on 1) HIV and AIDS prevention; 2) sexuality and 3) reproductive rights for in-school childre. The specific objectives were to: document existing behaviour change communication (BCC) materials and programs for children; document the BCC methods to children including the packaging of information and dissemination; establish the relevance of BCC materials to children; compile empirical evidence on the impact of BCC materials on children in Swaziland.

  6. Levers of success: case studies of national sexuality education programmes

    A growing body of evidence exists to demonstrate what constitutes an effective school-based sexuality education programme. The factors that contribute to successful implementation of effective school-based sexuality education at regional, country or local levels - so-called "levers of success" - are less clear. These are the focus of this publication. The term levers of success is used to describe the conditions and actions that have been found to be conducive to the introduction or implementation of sexuality education. Such levers are both general and specific. …

  7. Changes in HIV-related knowledge and behaviors in sub-Saharan Africa

    The purpose of this study is to provide strategic information on key HIV-related indicators for program managers and policymakers to monitor and evaluate prevention programs and to design new strategies. The report summarizes levels and recent changes in 69 indicators of HIV-related knowledge, attitudes, and behaviors of women and men age 15-49 in 23 countries in sub-Saharan Africa. Data come from the two most recent rounds of population-based, nationally representative Demographic and Health Surveys (DHS) conducted between 1992 and 2006. …

  8. Are Africans practicing safer sex: evidence from demographic and health surveys for eight countries

    The authors use repeated rounds of Demographic and Health Survey data from eight african countries to examine changes in and determinants of three HIV risk behaviors: age at first intercourse; number of current sexual partners, and use of condoms. They find some evidence of changes in sample composition, which is easily handled in a multivariate framework, and find evidence as well of changes in how people respond to questions about HIV behavior. …

  9. Peer approach in adolescent reproductive health education: some lessons learned

    This package is one of a series of repackaged products aimed at alerting users on highly valuable educational resources that exist in the field of adolescent reproductive sexual health. It focuses on the impact of peer education in promoting necessary changes among adolescents in attitudes and behaviour with regard to reproductive and sexual health and is targeted at teachers, trainers, curriculum developers and school administrators. …

  10. Transitions to Adulthood in the Context of AIDS in South Africa: The Impact of Exposure to Life Skills Education on Adolescent Knowledge, Skills, and Behavior

    Presents the findings of a prospective study of reproductive and sexual health of adolescents in KwaZulu Natal Province. Research summary (2004), research update (2004), and report of baseline findings (2001) also available.

  11. HIV/AIDS and sex education among the youth in Zambia: towards behavioural change

    This article addresses how sex education in Zambia has changed over the course of time, particularly due to the spread of HIV/AIDS. The article is based on fieldwork conducted by the author in Zambia during six periodsbetween 1992 and 2003, and additional literature on HIV/AIDS education. The research conducted by the author between 1992 and 2001 focused primarily on female initiation rites, while that of 2002-2003 focused on the knowledge of HIV/AIDS among Zambian youth and how the knowledge is passed on by teachers at primary schools, but also by health workers, peer educators, and parents. …

  12. HIV and AIDS knowledge, attitudes, practices and behaviour (KAPB) study in Namibia

    UNICEF’s Education for HIV Prevention and Mitigation Programme (EHPM) focuses on strengthening the capacity of adolescents and communities to fulfill their rights to correct information and appropriate skills enabling them to make correct choices for HIV prevention. EHPM will contribute to a reduction in risk-behaviour among adolescents through provision of life skills education for HIV prevention and mitigate the effects of HIV/AIDS on children’s access to basic education through the development and implementation of national level systems and promotion of school-community support systems. …

  13. Construction of safety and risk factors by learners in the Limpopo Province, South Africa: Results of a baseline survey of learners in the Sekhukhune, Bohlabela and Vhembe districts

    In 2004, the University of Pretoria was contracted by the United Nations' Children's Fund (UNICEF) and the Limpopo Department of Education (LDoE) to conduct research in Limpopo, South Africa, examining issues related to safety and threats for learners at the foundational (Grade R-3), intermediate (Grade 4-7) and senior (Grade 8-12) phases. The purpose of the research was to provide baseline data and potential strategies for longer term school-based and community-based programmes to develop Child Friendly Schools (CFS) and Schools as Centres for Care and Support in Limpopo. …

  14. From Policy to Practice: Sexual Health Education in Zimbabwean Secondary Schools

    This study explores the path from policy to practice of sexual health education in Zimbabwe, in order to identify the barries to programme implementation and key elements of success. Zimbabwe relatively high secondary school enrollment rates make secondary school a potential source for providing young people with the knowledge and skills they need to protect themselves from risks and lead healthy lifestyles.

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