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UNESCO HIV and Health Education Clearinghouse

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  1. Programa Geração Biz - Investing in youth: the story of a national SRH programme for adolescents and youths in Mozambique

    Story of a national program that has been a school for social, academic and professional development for thousands of peer educators and government employees and throughout the years, the program has freed local communities from the stranglehold of taboos on sex, education and the role of young people in society. …

  2. Urban adolescent SRH SBCC implementation kit

    This tool helps develop programs for urban adolescents on sexual and reproductive health and behavior change. It is divided into four parts: Part 1 provides the background and information on how to use the I-Kit. Part 2 includes the seven essential elements of program planning and interactive worksheets. Part 3 provides strategies to address program implementation challenges. Part 4 encourages to share what has been learned. Then, additional resources are provided for further information. The Help section includes acronyms, glossary, icon key, and references.

  3. 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. …

  4. 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. …

  5. Mediation analysis of an adolescent HIV/STI/pregnancy prevention intervention

    Most interventions designed to prevent HIV/STI/pregnancy risk behaviours in young people have multiple components based on psychosocial theories (e.g. social cognitive theory) dictating sets of mediating variables to influence to achieve desired changes in behaviours. Mediation analysis is a method for investigating the extent to which a variable X (e.g. intervention indicator) influences an outcome variable Y (e.g. unprotected sex) by first influencing an intermediate variable M (e.g. …

  6. 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. …

  7. What does not work in adolescent sexual and reproductive health: a review of evidence on interventions commonly accepted as best practices

    Youth centers, peer education, and one-off public meetings have generally been ineffective in facilitating young people's access to sexual and reproductive health (SRH) services, changing their behaviors, or influencing social norms around adolescent SRH. Approaches that have been found to be effective when well implemented, such as comprehensive sexuality education and youth-friendly services, have tended to flounder as they have considerable implementation requirements that are seldom met. …

  8. Kenya fast-track plan to end HIV and AIDS along adolescents and young people

    Goal: To fast-track the HIV response to end new HIV infections, AIDS related deaths and stigma and discrimination in adolescents and young people. Objectives of this fast-track plan: 1. To reduce new HIV infections among adolescents and young people by 40%; 2. To reduce AIDS related deaths among adolescent and young people by 15%; 3. To reduce stigma and discrimination by 25%. Target beneficiaries: The target beneficiary populations are adolescent boys and girls aged 10 – 19 years and young people, particularly women, aged 20 – 24 years. …

  9. Renforcement des capacités des jeunes pour répondre à l’épidémie du VIH/SIDA : rapport d’activités

    Dans le cadre de l’initiative mondiale sur l’Education et le VIH/SIDA (EDUSIDA), le Bureau de l’UNESCO – Bujumbura a conçu le projet « Renforcement des capacités des jeunes pour répondre à l’épidémie du VIH/SIDA sur financement du gouvernement japonais et le plan d’opérationnalisation de ce projet a été signé par le Ministre de l’Education nationale et de la culture et le Représentant de l’UNESCO au Burundi le 13 Mars 2006. …

  10. Drug prevention programmes in schools: what is the evidence?

    Key messages: Universal drug education programmes in schools have been shown to have an impact on the most common substances used by young people: alcohol, tobacco and cannabis. The approaches which appear to be most effective are those based on social influences and life skills, for example Life Skills Training and Unplugged. Interventions which are not drug-specific but focus on children and young people’s attachment to school can also be effective in reducing substance misuse. The Good Behaviour Game is one example of these. …

  11. Circle of life HIV/AIDS prevention for American Indian and Alaska native youth

    This article describes the objectives, theoretical bases, development process, and evaluation efforts to-date for the Circle of Life (COL) curricula, HIV/AIDS prevention interventions designed for American Indian and Alaska Native (AI/AN) youth. The curricula are based on Indigenous models of learning and behavior encompassing concepts of Western theories of health behavior change. The curricula underwent extensive national and community review. Subsequent advances include the development of a computer-based version of the intervention.

  12. 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. …

  13. Bridging theory and practice in HIV prevention for rural youth, Nigeria

    Thirty years into combating the spread of HIV through behaviour change interventions experience has grown in the application of multiple approaches from one-for-one counseling and small group workshops, information sessions, and activities to large-scale rallies and mass media campaigns with reducing the spread of HIV. These approaches have been variously guided by best field practice and theoretical frameworks developed to understand health-related behaviours and behaviour change. …

  14. 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. …

  15. Developmentally Based Interventions and Strategies: Promoting Reproductive Health and Reducing Risk among Adolescents

    This tool has been prepared by FOCUS on Young Adults primarily for those who design and deliver programs and who formulate policies concerned with the well-being of young people in the developing world. It specifically explores (a) adolescence as a distinct stage in the developmental process,(b) the defining characteristics of adolescence, (c) the variety of factors that influence it, and (d) its societal and cultural relevance. …

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