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UNESCO HIV and Health Education Clearinghouse

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  1. Promoting sexual and reproductive health among adolescents in southern and eastern Africa (PREPARE): project design and conceptual framework

    Background: Young people in sub-Saharan Africa are affected by the HIV pandemic to a greater extent than young people elsewhere and effective HIV-preventive intervention programmes are urgently needed. The present article presents the rationale behind an EU-funded research project (PREPARE) examining effects of community-based (school delivered) interventions conducted in four sites in sub-Saharan Africa. One intervention focuses on changing beliefs and cognitions related to sexual practices (Mankweng, Limpopo, South Africa). …

  2. Long-Term Biological and Behavioural Impact of an Adolescent Sexual Health Intervention in Tanzania: Follow-up Survey of the Community-Based MEMA kwa Vijana Trial

    The ability of specific behaviour-change interventions to reduce HIV infection in young people remains questionable. Since January 1999, an adolescent sexual and reproductive health (SRH) intervention has been implemented in ten randomly chosen intervention communities in rural Tanzania, within a community randomised trial (see below; NCT00248469). The intervention consisted of teacher-led, peer-assisted in-school education, youth-friendly health services, community activities, and youth condom promotion and distribution. …

  3. Correlates of intention to use condoms among Sub-Saharan African youth: the applicability of the theory of planned behaviour

    Aims: To test the applicability of an extended version of the theory of planned behaviour for the study of condom use intentions among large samples of young people in South Africa and Tanzania. Methods: Baseline data of a randomized controlled trial of school-based HIV/AIDS prevention programmes were used. The setting comprised secondary schools in the regions of Cape Town, Polokwane and Dar es Salaam. Participants were 15,782 secondary school students. …

  4. National life skills education framework for Zanzibar

    This document describes the Zanzibar National Life Skills Education Framework (ZNLSEF) - a framework intended to provide guidance to different stakeholders and at different levels in Zanzibar on how to provide quality life skills education programs so as to attain positive behavioral changes among children and young people in Zanzibar for their own individual and societal benefits in relation to preventing HIV/AIDS infections, substance abuse, early pregnancies, gender based violence and lead more positive and productive lives. …

  5. The Questions Adolescents Ask Most Frequently About Healthy Relationships and Their Answers. Vol. 5

    The GTZ supported Reproductive Health Project of Tanzania developed youth-friendly education materials, with basic facts about human physiology and reproduction, sexuality, prevention of unwanted pregnancies and HIV/STIs, as well as about partnership and communication between partners. Based on the most frequently asked questions adolescents had on a range of sexual and reproductive health issues, a multidisciplinary team of specialists together with young people de-veloped six "question-and-answer" booklets. …

  6. Aborting and suspending pregnancy in rural Tanzania: an ethnography of young people's beliefs and pratices

    This study is an article extracted from "Studies in family Planning" published in December 2008. The objective of this study is to analyse abortion practices and beliefs among adolescents and young adults in Tanzania, where abortion is illegal. From 1999 to 2002, six researchers carried out participant observation in nine villages and conducted group discussions and interviews in three others. Most informants opposed abortion as illegal, immoral, dangerous, or unacceptable without without the man's consent, and many reported that ancestral spirits killed women who aborted clan descendants. …

  7. 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. …

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