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UNESCO HIV and Health Education Clearinghouse

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  1. HIV prevention among vulnerable populations: the Pathfinder International approach

    This publication provides a background in the risks faced by populations especially vulnerable to HIV and AIDS. The document outlines strategies effective in prevention of HIV and AIDS among sex workers, men who have sex with other men, and injecting drug users. Programs described include peer education, comprehensive health services and quality of treatment, provider referral networks, and in-service training and sensitization.

  2. Theatre for a Change Ghana: Interim impact assessment of the Peace and Love Club project

    Theatre for a Change (TfaC) is a registered non-governmental organization in Ghana which works to reduce the risk of HIV infection among marginalized and vulnerable groups through the use of interactive, participatory learning techniques. The HIV prevalence rate in Ghana is 1.37% and 11.1% among female sex workers (FSWs). In September 2012, following a period of mobilisation, TfaC began working with a group of 10 FSWs living and working in Old Fadama, Accra’s largest illegal settlement, to form the Peace and Love Club. …

  3. 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. …

  4. 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. …

  5. 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. …

  6. Theatre for a Change teacher training college programme, Malawi. Baseline report 2010-2011

    Theatre for a Change (TfaC) is a registered non-governmental organization in Malawi that works to reduce the risk of HIV infection among marginalized and vulnerable groups through the use of interactive, participatory learning techniques. In Malawi, the HIV prevalence rate of teachers is 23%; almost double the national rate of 12% (National AIDS Commission 2009). TfaC’s Teacher Training College (TTC) programme is a behaviour change intervention that works with trainee teachers in Teacher Training Colleges nationwide to reduce the high risk of HIV infection among teachers in Malawi.

  7. Paying to prevent HIV infection in young women?

    Between a quarter and a third of young women in sub-Saharan Africa are infected with HIV by the time they reach their early 20s. Structural factors such as poor education, poverty, and gender and power inequalities are important determinants of young women’s vulnerability to HIV infection. In The Lancet, Sarah Baird and colleagues report the results of a randomised controlled trial done with adolescent girls in rural Malawi, examining the effects of a cash transfer programme on risk of HIV infection. …

  8. Programs to address child marriage: Framing the problem

    Child marriage violates girls’ human rights and adversely affects their health and well-being. While age at marriage is increasing in most regions of the developing world, early marriage persists for large populations. Worldwide, it is estimated that more than one out of three women aged 20–24 were married before age 18, and one out of seven were married before age 15. There is great variation in child marriage practices across and within regions and between ethnic and religious groups. Eradicating child marriage has long been on the agenda of the United Nations and of individual countries. …

  9. National teacher training HIV endline survey Malawi, 2009

    The first cohort of trainee teachers who participated in the Teacher Training College (TTC) programme finished in August 2009. Theatre for a Change (TfaC) contracted independent consultants to carry out an impact assessment on the TTC programme to identify its strengths and weaknesses. TfaC will use this impact assessment to inform the programme’s development. This report assesses the programme’s impact by comparing the results of the baseline survey, conducted at the beginning of the programme in October 2008, with the results of the endline survey, conducted in August 2009. …

  10. Lutte contre la stigmatisation et la discrimination des personnes vivant avec le VIH/SIDA au moyen de l'éducation non formelle dans les communes de Koilokoro et de Banamba en République du Mali

    L'éducation non formelle peut-elle être un moyen de lutte efficace contre la stigmatisation et la discrimination des personnes vivant avec le VIH/SIDA dans les localités de Koulikoro et de Banamba ? A cette interrogation se rattache une série de questions : Pourquoi les personnes vivant avec le VIH/SIDA souffrent-elles de stigmatisation et de discrimination ? Ce phénomène est-il spécifiquement lié au VIH/SIDA ou est-il le fait des rapports entre une collectivité et une minorité de la société ? …

  11. CEPEHRG and Maritime, Ghana: Engaging new partners and new technologies to prevent HIV among men who have sex with men

    Many African MSM are surprised to discover that the sex they have with other men puts them at risk for acquiring the virus. The media and most prevention programming in the region consistently describe HIV vulnerability in terms of heterosexual risk, and many African MSM do not realize that they too are vulnerable. The few programs that do target this population face significant challenges in reaching MSM with the information and services they need. …

  12. Impact of five years of peer-mediated interventions on sexual behavior and sexually transmitted infections among female sex workers in Mombasa, Kenya

    Background: Since 2000, peer-mediated interventions among female sex workers (FSW) in Mombasa Kenya have promoted behavioural change through improving knowledge, attitudes and awareness of HIV serostatus, and aimed to prevent HIV and other sexually transmitted infection (STI) by facilitating early STI treatment. Impact of these interventions was evaluated among those who attended peer education and at the FSW population level. Methods: A pre-intervention survey in 2000, recruited 503 FSW using snowball sampling. …

  13. The psychological effect of orphanhood in a matured HIV epidemic: an analysis of young people in Mukono, Uganda

    As the HIV pandemic progresses, the number of orphans is expected to rise. Uganda is one of the countries that has been most impacted by the pandemic. A few studies have explored the effects of orphanhood on psychological well-being; however, most of these studies have not explored potential pathways through which orphanhood could affect psychological well-being. Using a school-based sample, this study sought to examine the differences in depressive symptoms and hopelessness between orphans and non-orphans in Mukono District, Uganda. …

  14. A multi-sectoral approach to providing reproductive health and information services to young people in Western Kenya: Kenya Adolescent Reproductive Health Project

    Informing adolescents about appropriate and acceptable behaviours, and ways to protect themselves against unwanted and unprotected sex, has proved problematic in Kenya. Education programmes for in and out of school adolescents are lacking, there is controversy around providing services to sexually active adolescents, and a pervasive concern that sexuality education and contraceptive services leads to promiscuity. …

  15. Breaking barriers for orphans and vulnerable children in Kenya

    Breaking Barriers (BB) Project in Kenya was implemented by four partners supported by Plan. The project focus is support, prevention, treatment and care; education, food and nutritional support, school materials and encouragement for orphans and vulnerable children to complete basic education and facilitate access to income generating opportunities. …

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