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UNESCO HIV and Health Education Clearinghouse

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  1. A road map for school health promotion, a model for cognitive-oriented school health policy making and implementing policies for schools

    Background: School health promotion programs implemented in different countries have experienced varying degrees of success. Their success rate depends on various factors such as adaptation with the local charactristics of communities. Objectives: This paper aims to provide an experimental model for school health policy making in a large group of non-governmental schools in Iran. Materials and Methods: To institutionalize school health policies, appropriate organizational structure was established at the headquarters. …

  2. HIV and sexual and reproductive health programming: innovative approaches to integrated service delivery

    This compendium has profiled and analysed 11 case studies on integrated service delivery in the context of EMTCT from 9 countries in sub-Saharan Africa. All of the examples demonstrate a general trend towards the implementation of integrated service delivery models supported by policy frameworks adopted in country and by service organizations at the facility level. These promising practices are by no means exhaustive or geographically representative. They do, however, contain valuable and practical vignettes of integrated service delivery in countries with generalized HIV epidemics. …

  3. Old enough to know: Consulting children about sex and AIDS education in Africa

    This compelling study, comprising of a sample of eight schools in three countries in sub-Saharan Africa -Kenya, South Africa and Tanzania - examines the sources, contents and processes of children´s community-based sexual knowledges and asks how these knowledges interact with AIDS education programmes in school. Old enough to know showcases the possibilities of consulting pupils using engaging, interactive and visual methods including digital still photography, mini-video documentaries, as well as interviews and observations. …

  4. Is peer education the best approach for HIV prevention in schools? Findings from a randomized controlled trial

    The purpose of the research was to evaluate the effectiveness of peer education when compared to teacher-led curricula in AIDS prevention programs conducted in schools in Rome, Italy. The only apparent benefit of the peer-led intervention, compared to that led by teachers, was a greater improvement in knowledge of HIV. Neither of the interventions induced changes in sexual behavior. However, the role of possible biases and methodological problems must be considered when interpreting these results.

  5. Talk what others think you can’t talk: HIV/AIDS clubs as peer education in Ugandan schools

    In this article, we make the case that HIV/AIDS clubs in Ugandan schools provide valuable information to students who may not have easy access to health services. As one club motto suggests, the clubs ‘talk what others think you can’t talk’. The innovative peer education methods, which include drama, popular culture and community outreach all have great appeal to youth, and provide unique opportunities for female students to raise gender issues and develop leadership skills. …

  6. A review of generalist and specialist community health workers for delivering adolescent health services in sub-Saharan Africa

    The health of adolescents is increasingly seen as an important international priority because the world’s one point eight billion young people (aged 10 to 24 years) accounts for 15.5% of the global burden of disease and are disproportionately located in low- and middle-income countries (LMICs). Furthermore, an estimated 70% of premature adult deaths are attributable to unhealthy behaviors often initiated in adolescence (such as smoking, obesity, and physical inactivity). …

  7. HIV/AIDS in the workplace: a case study from higher education

    Purpose – This paper seeks to highlight the nature and possible effect of the South African higher education (HE) sector’s human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) workplace programmes response and progress. Design/methodology/approach – A discourse approach is employed within the contextualization of the role of the South African higher education institution (HEI) in addressing the HIV/AIDS pandemic. Findings – The focus of wellness is rapidly becoming part of any corporate landscape and institutions of HE are an integral part of this landscape. …

  8. The role of the education sector in providing care and support for orphans and vulnerable children in Lesotho and Swaziland

    The propose of the study was to probe in greater depth, and within the more systematic frame of a research methodology, the dynamics of two current initiatives aiming to provide support to vulnerable children in both Lesotho and Swaziland. Each of the four interventions had within their programme designs a main emphasis on enabling school enrolment and sustaining school attendance. At the same time, the interventions looked to support the more comprehensive needs of vulnerable children and, by doing so, to enhance their overall life situation. …

  9. The impact of belonging to a High School Gay/Straight Alliance

    This qualitative investigation studies the impact of belonging to a high school Gay/Straight Alliance (GSA or Alliance) on the lives of seven students. Individual and focus group interviews were conducted over a two-year time period. The author used voices of gay, lesbian, bi-sexual and straight students to relate the experiences unique to each participant. In addition, data from media and spoken transcripts, video tapes of news reports, grade records, and the GSA advisor's personal observations were analyzed and organized into a framework of seven categories of impact. …

  10. Community-level successes and challenges to implementing adolescent sex education programs

    Best practices for adolescent sex education recommend science-based approaches. However, little is known about the capacity and needs of organizations who implement sex education programs on the local level. The purpose of this research was to describe successes and challenges of community organizations in implementing science-based sex education. Using qualitative methods, we interviewed program directors and educators in 17 state funded adolescent pregnancy prevention/sex education programs as part of a larger mixed methods evaluation. …

  11. Experiences in socio-cultural approaches to HIV prevention education and empowerment in the Caribbean

    This booklet gives a snap shot of the different socio-cultural approaches to HIV/AIDS prevention in the Caribbean. It presents edu-drama, theatre in education and other alternative media interventions that are geared towards empowering youth, their parents and community leaders to live a healthy lifestyle and create a safe environment within their communities.

  12. A Review of Socio-Economic Empowerment Initiatives for Women Living with HIV in Asia

    This review of socio-economic empowerment initiatives for women living with HIV in Asia complements the assessment of the Women and Wealth Project (WWP), supported by the United Nations Development Programme Asia-Pacific Regional Centre and implemented by the Population and Community Development Association of Thailand. The purpose of this review is to compare the approach used in the WWP with those employed in other ten similar initiatives in Cambodia, China, India, Myanmar, Thailand and Vietnam and make recommendations based upon the findings of the WWP assessment and the review.

  13. Treatment outcomes in HIV-infected adolescents attending a community-based antiretroviral therapy clinic in South Africa

    As the HIV epidemic matures, survival of children with perinatally acquired HIV infection into adolescence is increasingly being documented in sub-Saharan African countries. In addition, the burden of HIV in the adolescent patient population in the region is also due to sexual transmission, with adolescents and young adults being particularly vulnerable to this mode of infection. HIV care and treatment services in the region need to adapt to adequately meet the specific needs of this expanding disease burden among adolescents. …

  14. 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. …

  15. When Girls' Lives Matter: Ending Forced and Early Marriage in Cameroon

    The past decade has witnessed a dramatic increase in awareness about early and forced marriage of girls as a widespread violation of human rights. In short, early and forced marriage exacerbate gender inequality and the likelihood of poor outcomes throughout life. Combining public education about the negative effects of early and forced marriage with positive preventive strategies is valuable. The Association for the Struggle Against Violence Against Women (ALVF) in Cameroon is one such example. …

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