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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. 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.

  3. 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. …

  4. HIV sero-behavioural study in six universities in Uganda

    There is inadequate information on the burden of HIV infection, and on the prevalence of the risk factors for HIV transmission among University students in Uganda. Routine sources of data such as HIV surveillance and national population-based AIDS Indicator surveys do not provide information on institutional populations such as University students. Moreover, these sub-populations require interventions to address the risk factors that expose them to HIV infection in their unique settings. …

  5. HIV sero-behavioural study in six universities in Kenya

    Universities and institutions of higher learning in general consist mainly of young people in the 17-24 year old category, most of whom are sexually active, and therefore most vulnerable to HIV infection. And though studies such as KAIS (2007) and KDHS (2003, 2008) have been conducted on the general Kenyan population, studies specific to institutions of higher learning are scanty, in particular, sero-prevalence data on this target group is lacking. …

  6. Young people's perspectives on the adoption of preventive measures for HIV/AIDS, malaria and family planning in South-West Uganda: focus group study

    The aim of the study was to explore young people's understanding and knowledge about why protective measures against HIV/AIDS, malaria and unplanned pregnancy are not taken by those at risk in Uganda. The study results were that the participants (all from secondary school in Kanungu Uganda) could identify reasons why preventive action was not taken. These reasons included misconceptions, the inpracticability of abstinence, and fear of side effects of several key interventions. The article argues that there is an apportunity to improve preventive measures by tackling these issues. …

  7. Positive Action for HIV in Schools in Kenya

    Although many sub-Saharan African countries that are affected by HIV and AIDS have developed education sector policies in response to the epidemic, there are still challenges in effectively addressing the issue in schools. These challenges include lack of appropriate leadership and coordination at the school level, limited training and skills update on HIV and AIDS among school-based caregivers (teachers, school nurses and matrons), absence of appropriate guidelines in some settings, and lack of coordination between the education, health and other sectors. …

  8. Men, masculinities and HIV/AIDS: strategies for action

    The purpose of this paper is to provide practical guidance to policymakers and program managers on how to engage men and address harmful male norms in seven key areas of intervention in relation to HIV/AIDS: 1 Social and Behaviour Change in Men; 2 Violence against women; 3 Men, Sex Work and Transactional Sex; 4 Men, Substance abuse and HIV/AIDS; 5 Male Circumcision; 6 Men, VCT and Treatment; 7 Male Norms and the Caregiving for People Living with and Affected by HIV/AIDS. …

  9. Fear appeals in HIV-prevention messages: young people's perceptions in northern Tanzania

    The aims of the study were to elicit the perceptions of young people in Tanzania on the role of fear appeals in HIV-prevention messages and to identify important contextual factors that may influence young people's perceptions of HIV-prevention posters. A total of 10 focus groups were conducted to investigate the role of fear appeals using the extended parallel process model (EPPM) as a guide. …

  10. University students and HIV in Namibia: an HIV prevalence survey and a knowledge and attitude survey

    With an overall adult HIV prevalence of 15.3%, Namibia is facing one of the largest HIV epidemics in Africa. Young people aged 20 to 34 years constitute one of the groups at highest risk of HIV infection in Namibia. However, little is known about the impact of HIV on this group and its access to healthcare. The purpose of this study was to estimate HIV prevalence, to assess the knowledge of and attitudes towards HIV/AIDS, and to assess access to healthcare among university students in Namibia.

  11. 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. …

  12. Courage and Hope. African teachers living positively with HIV

    122,000 teachers in sub-Saharan Africa are estimated to be living with HIV, most of who do not know their status. Stigma remains their greatest challenge. In 2007, a network of African journalists compiled a book entitled “Courage and Hope” telling the first-hand stories of African teachers who are HIV positive and living healthy, active lives as teachers. This film shows some of the stories those journalists discovered. The teachers went through stigma and discrimination and each used their experience to teach a new generation of teachers, what it means to live positively.

  13. The impact of abstinence and comprehensive sex and STD/HIV education programs on adolescent sexual behavior

    In an effort to reduce unintended pregnancy and sexually transmitted disease (STD) in adolescents, both abstinence and comprehensive sex and STD/HIV education programs have been proffered. Based on specified criteria, the author searched for and reviewed 56 studies that assessed the impact of such curricula (8 that evaluated 9 abstinence programs and 48 that evaluated comprehensive programs) on adolescents’ sexual behavior. Study results indicated that most abstinence programs did not delay initiation of sex and only 3 of 9 had any significant positive effects on any sexual behavior. …

  14. Effects and effectiveness of life skills education for HIV prevention in young people

    For 20 years, “life skills” education has been advocated as a key component of HIV and AIDS education for young people. But what do terms such as life skills imply, and what evidence is there that a life skills-based approach really works? This article reviews the literature on the effects and effectiveness of life skills-based education for HIV prevention. Evaluated interventions were identified by using three search strategies. The review identified a surprising number of rigorously designed and evaluated interventions from Africa, Latin America, Asia, and the Pacific. …

  15. 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. …

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