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UNESCO HIV and Health Education Clearinghouse

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  1. AIDS in the family and community: The impact on child health in Malawi

    Pediatric HIV infections jeopardize children’s health and survival. Much less is known about how the experiences of being orphaned, living with chronically ill parents, or living in a severely affected community impact child health. Our study responds by examining which HIV/AIDS-related experiences place children at greatest risk for poor health. …

  2. Very young children affected and infected by HIV/AIDS: How are they living? A case study from Namibia

    This paper describes a recent study conducted jointly by the authors in the Khomas Region of Namibia. The study developed and trialled research and documentation methods regarding very young children who had been infected or affected by the HIV/AIDS pandemic. Because of the stigma attached to the disease, effective methods for assessing ‘real’ needs of the target population have been elusive in Namibia and elsewhere. …

  3. Children’s representations of school support for HIV-affected peers in rural Zimbabwe

    Background: HIV has left many African children caring for sick relatives, orphaned or themselves HIV-positive, often facing immense challenges in the absence of significant support from adults. With reductions in development funding, public sector budgetary constraints, and a growing emphasis on the importance of indigenous resources in the HIV response, international policy allocates schools a key role in ‘substituting for families’ (Ansell, 2008) in supporting child health and well-being. …

  4. Getting in line: coordinating responses for children affected by HIV and AIDS in sub-Saharan Africa

    Only one in every eight households containing orphans and vulnerable children (OVC) in African countries received any support from an external source (UNICEF, 2008). This is a reflection of how governments, both rich and poor, have ignored obligations ratified in conventions to ensure the social protection of vulnerable children (United Nations, 1989). Consequently, a disproportionate proportion of the financial burden of care of vulnerable children is borne by affected families and communities. …

  5. Community interventions supporting children affected by HIV in sub-Saharan Africa: a review to derive evidence-based principles for programming

    Approaching 20 years after the first studies drew attention to the issues faced by children and families affected by human immunodeficiency virus (HIV), evaluation data from programs addressing their circumstances remains limited and clustered, especially when considered in relation to the magnitude of donor spending. A review of evaluation evidence was conducted to derive programming principles for interventions supporting HIV-affected children in sub-Saharan Africa, including care and support, cash transfer and HIV-prevention interventions. …

  6. Orphan competent communities: a framework for community analysis and action

    Vulnerable children in Africa have traditionally been absorbed and supported by their communities. However, in the context of acquired immune deficiency syndrome (AIDS) and poverty, communities are increasingly stretched, compromising the quality of care available to children affected by AIDS. This calls for an understanding of the processes that best facilitate the capacity of communities to provide good quality care and support. In the interests of furthering debate and practice in this area, we seek to develop an analytical framework that builds upon two inter-linked strands. …

  7. Orphaned and vulnerable children in Zambia: the impact of the HIV/AIDS epidemic on basic education for children ar risk

    There is an emerging corpus of work on the impact of the HIV/AIDS epidemic on education in sub-Saharan Africa. This mainly employs demographic models to make projections of student enrolments and teacher requirements. However, there is a paucity of research in basic schools to examine the experiences of AIDS-affected teachers and students. This study explored staff and student perceptions of the impact of the HIV/AIDS epidemic on the education of affected children in high-prevalence districts of the Copperbelt province of Zambia. …

  8. Orphans and schooling in Africa: a longitudinal analysis

    AIDS deaths could have a major impact on economic development by affecting the human capital accumulation of the next generation. We estimate the impact of parent death on primary school participation using an unusual five-year panel data set of over 20,000 Kenyan children. There is a substantial decrease in school participation following a parent death and a smaller drop before the death (presumably due to pre-death morbidity). Estimated impacts are smaller in specifications without individual fixed effects, suggesting that estimates based on cross-sectional data are biased toward zero. …

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