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UNESCO HIV and Health Education Clearinghouse

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  1. Is the sexual behaviour of young people in sub-Saharan Africa influenced by their peers? A systematic review

    Adolescents in sub-Saharan Africa are highly vulnerable to HIV, other sexually transmitted infections (STIs) and unintended pregnancies. Evidence for the effectiveness of individual behaviour change interventions in reducing incidence of HIV and other biological outcomes is limited, and the need to address the social conditions in which young people become sexually active is clear. Adolescents' peers are a key aspect of this social environment and could have important influences on sexual behaviour. There has not yet been a systematic review on the topic in sub-Saharan Africa. …

  2. 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. …

  3. Creating Futures: lessons from the development of a livelihood-strengthening curriculum for young people in eThekwini's informal settlements

    Comprehending praxis is a critical step in developing interventions that can have a real-world impact on people's lives. In this paper, we reflect on the lessons learned in the development of a curriculum for young people living in informal settlements in eThekwini, who are exposed to numerous vulnerabilities, including HIV-related risks associated with precarious urban livelihoods. Behavioural interventions have not led to commensurate reductions in HIV incidence, and the impact of these approaches remains regulated by numerous contextual conditions affecting those participating. …

  4. Young people's sexual health in South Africa: HIV prevalence and sexual behaviors from a nationally representative household surevy

    Objectives: To determine the prevalence of HIV infection, HIV risk factors, and exposure to national HIV prevention programs, and to identify factors associated with HIV infection among South African youth, aged 15–24 years. Design: A cross-sectional, nationally representative, household survey. Methods: From March to August 2003 we conducted a national survey of HIV prevalence and sexual behavior among 11 904 15–24 year olds. Multivariable models for HIV infection were restricted to sexually experienced youth. …

  5. Nothing as practical as good theory? The theoretical basis of HIV prevention interventions for young people in sub-Saharan Africa: A systematic review

    This paper assesses the extent to which HIV prevention interventions for young people in sub-Saharan Africa are grounded in theory and if theory-based interventions are more effective. Three databases were searched for evaluation studies of HIV prevention interventions for youth. Additional articles were identified on websites of international organisations and through searching references. 34 interventions were included; 25 mentioned the use of theory. …

  6. National plan of action for scaling up SRH and HIV prevention initiatives for young people

    This plan provides a framework for improving the sexual reproductive health of young people, and protecting them from HIV. The plan consists of five sections: background, policy and programming, goals and guiding principles, institutional framework and monitoring and evaluation. A detailed list of likely activities and budgets is proposed. The overall goal of the National Plan of Action is improved sexual and reproductive health and prevention of new HIV infections among young people aged 10-24 in Malawi. The plan is organized around six strategic objectives. …

  7. South African national HIV prevalence, incidence, behaviour and communication survey, 2008. A turning tide among teenagers

    South Africa's first national, household sero-prevalence survey of HIV and AIDS was conducted in 2002. A second survey was completed in 2005 and this, the third, in 2008. This report provides an analysis of trends across the three surveys and begins to map the ways in which the shape of the pandemic in South Africa has changed since 2002. Indicators for assessing mid-term progress made in implementing South Africa's National Strategic Plan on HIV and AIDS, 2007-2011 are also provided. …

  8. Rethinking how to prevent HIV in young people: evidence from two large randomised controlled trials in Tanzania and Zimbabwe

    The MEMA kwa Vijana (Tanzania) and Regai Dzive Shiri (Zimbabwe) adolescent sexual and reproductive health intervention trials focused on developing skills and changing attitudes and self-efficacy to change behaviours. The trials show a clear gap between young people's knowledge, and their reported attitudes and behaviour. …

  9. Risky Business: South African youths and HIV/AIDS prevention

    This article presents and discusses the results of a survey that investigated the relationship between sexual risk taking and attitudes to HIV/AIDS precautions due to the concern about the potential vulnerability of youth (age range of 17-21 years) to HIV/AIDS in South Africa. The findings of the study showed that training in isolation can jeopardize the way forward, especially when it proves ineffective to answer questions that are not dependent on a training solution. …

  10. Intervention Strategies that Work for Youth: Summary of FOCUS on Young Adults - End of program Report

    This paper reports on programs that have helped young people in developing countries practise healthier behaviours, including delaying sexual debut, reducing the number of sexual partners, and increasing the use of methods of preventing pregnancy and sexually transmitted infections (STIs), including HIV/AIDS. It is addressed to program planners, administrators, policymakers, and donors interested in developing evidence-based strategies and programs to promote better health for youth.

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