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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. Risk information, risk salience, and adolescent sexual behavior: experimental evidence from Cameroon

    Results from a randomized experiment conducted with teenage schoolgirls in Cameroon suggest that HIV prevention interventions can be effective at reducing the incidence of teen pregnancy in the following 9-12 months by over 25 percent.

  3. Project evaluation: HIV/AIDS Prevention and Promotion of Adolescent Sexual Reproductive Health

    In Ethiopia Save the Children Sweden (SCS) works to promote children's rights through advocacy, direct support, capacity building, research and awareness raising. In line with this, it has been supporting six local partner organisations whose implementation area is in Addis Ababa. Hiwot Ethiopia is one of the local partners of SCS working on HIV prevention and promotion of adolescent sexual reproductive health with the major objective of inducing behavioral change among in and out of school youth. …

  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. A surprising prevention success: Why did the HIV epidemic decline in Zimbabwe?

    There is growing recognition that primary prevention, including behavior change, must be central in the fight against HIV/AIDS. The earlier successes in Thailand and Uganda may not be fully relevant to the severely affected countries of southern Africa. We conducted an extensive multi-disciplinary synthesis of the available data on the causes of the remarkable HIV decline that has occurred in Zimbabwe (29% estimated adult prevalence in 1997 to 16% in 2007), in the context of severe social, political, and economic disruption. …

  7. 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. …

  8. 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. …

  9. 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. …

  10. 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. …

  11. Stay healthy: a gender-transformative HIV prevention curriculum for youth in Namibia

    The overall goal of Stay Healthy: A Gender-Transformative HIV Prevention Curriculum for Youth in Namibia is to prevent HIV infection among Namibian youth aged 13-18. Stay Healthy focuses on changing three key behaviors directly related to HIV infection by accomplishing the following: (1) delaying the onset of sexual intercourse, (2) increasing the correct and consistent use of the male condom among sexually active youth, and (3) decreasing multiple concurrent partners among sexually active youth. …

  12. Systematic review of the effectiveness of mass communication programs to change HIV/AIDS-related behaviors in developing countries

    This systematic review analyzes 24 mass media campaigns' effect on HIV knowledge, attitudes and behaviors. The studies were published between 1990 and 2004 about developing countries and compared outcomes by reviewing pre-and post-intervention data; intervention vs. control groups or post-intervention data across levels of exposure. …

  13. 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. …

  14. 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. …

  15. Social mobilization for prevention and control of HIV and AIDS: behavioral change communication material development guideline

    This behavioral change communication material development guideline has been developed by the Federal HIV/AIDS Prevention and Control Office (FHAPCO) in collaboration with the Ethiopian health sector development partners working on communication in HIV. The document offers step-by-step guidelines for developing/producing accurate, useful, and action oriented behavioral change communication materials to meet the communication needs of HIV/AIDS prevention, treatment and care and support programs. The document is divided into three major sections. …

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