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UNESCO HIV and Health Education Clearinghouse

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  1. Change the context not the girls: improving efforts to reduce teenage pregnancy in Sierra Leone

    Concerns about significant increases in Sierra Leone’s already high rates of teenage pregnancy during the Ebola crisis have led to redoubled efforts among policy-makers and development practitioners to address this problem. The startling health and education impacts on teenage girls -twice as many mothers aged 15-19 die in childbirth compared to those over 20 while teen pregnancy is one of the leading causes of school dropouts - underline the importance of these efforts. …

  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. West African youth initiative: Outcome of a reproductive health education program

    Purpose: To describe the implementation and evaluation of an adolescent reproductive health peer education program in West Africa. The program, known as the West African Youth Initiative (WAYI), was developed to improve knowledge of sexuality and reproductive health, and promote safer sex behaviors and contraceptive use among sexually active adolescents in Nigeria and Ghana. …

  4. Responsible Design for Social Change: Designing HIV/AIDS Prevention Curriculum in Southern Africa

    This paper reports on a classroom-based mixed-methods research project for the design of an HIV/AIDS prevention curriculum for Swaziland. The aim was through education to transform Swazi worldviews and attitudes toward sexual practices. The curriculum, called iMatter, reaches elementary and middle school children while they are still forming their conceptual and cultural identity, and before they adopt sexual practices. …

  5. Application of the information, motivation and behavioural skills model for targeting HIV risk behaviour amongst adolescent learners in South Africa

    This paper discusses the application of an information, motivation and behavioural skills (IMB) model in a school-based programme for the reduction of HIV risk behaviour among 259 Grade 11 learners in two high schools in Alexandra township, Johannesburg. School 1 was the Experimental group, while School 2 was the Control group. After a baseline study (Time 1) at both schools, a 3-week intervention programme was conducted at School 1. A post-test (Time 2) was conducted at both schools. The intervention was repeated at School 2, followed by another post-test (Time 3) at both schools. …

  6. 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. …

  7. Antiretroviral drug access and behavior change

    Access to antiretroviral (ARV) drugs in Sub-Saharan Africa has rapidly expanded - from fewer than 10,000 people treated in 2000 to more than 8 million in 2011. To measure the impact of this expansion, it is necessary to identify the behavioral response of individuals to drug access. This paper combines geocoded information about the timing of introduction of ARVs in all Kenyan health facilities with two waves of geocoded population surveys to estimate the impact of proximity to an ARV provider on risky sexual behavior. …

  8. The impact of television and radio on reproductive behavior and on HIV/AIDS knowledge and behavior

    This is a study of the association of radio and television exposure with different aspects of reproductive behavior and with knowledge, attitudes, and behavior in connection with HIV/AIDS. The measures of mass media are limited to the frequency that women and men report listening to the radio and watching television, which are standard questions in the Demographic and Health Surveys (DHS). Only the frequency is assessed; the DHS does not obtain information on programmatic content. …

  9. 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. …

  10. Adolescents' knowledge, attitude and practice concerning HIV/AIDS in Sierra-Leone : Survey Report

    The key objective of the survey was to ascertain adolescents HIV/AIDS knowledge, attitude and practice, determine their access to the media in so far as getting vital information on HIV/AIDS, and ascertain their acceptance and credibility of the information they receive. The responses were to be analyzed by differentials of age, sex and spatial variations. …

  11. 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. …

  12. 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. …

  13. 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.

  14. The determinants of HIV infection and related sexual behaviours: evidence from Lesotho

    This paper analyzes the socioeconomic determinants of HIV infection and related sexual behaviors using the 2004 Lesotho Demographic and Health Survey. The authors find that in Lesotho education appears to have a protective effect: it is negatively associated with HIV infection (although not always significantly) and it strongly predicts preventive behaviors. The findings also show that married women who have extra-marital relationships are less likely to use a condom than non-married women. This is an important source of vulnerability that should be addressed in prevention efforts. …

  15. Meeting the Needs of Men Who Have Sex With Men in Senegal

    Presents findings from a study in Senegal that investigated the needs, behaviors, knowledge, and attitudes of men who have sex with men. Research summar (2002) also available. Both formats are available in English or French.

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