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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. 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.

  3. 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. …

  4. 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). …

  5. 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. …

  6. 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. …

  7. 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. …

  8. 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. …

  9. 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. …

  10. Addressing sexual violence and HIV risk among married adolescent girls in rural Nyanza, Kenya

    HIV infection is much higher among adolescent girls in sub-Saharan Africa than among boys. In settings such as Nyanza Province, Kenya, rates of HIV infection are extremely high, and evidence is increasing in some settings that girls who are married are much more likely to be infected with HIV, compared with their unmarried sexually active counterparts. This brief describes a program addressing the problem of sexual violence and the risk of HIV transmission within marriage in Kenya's Nyanza Province. …

  11. Education status among orphans and non-orphans in communities affected by AIDS in Tanzania and Burkina Faso

    The AIDS pandemic has created an estimated 15 million orphans who may face elevated risk of poor health and social outcomes. This paper compares orphans and non-orphans regarding educational status and delay using data collected in three low-income communities affected by AIDS in Tanzania and Burkina Faso. Orphans were significantly more likely not to attend school than were non-orphans and also to be delayed when in school, though, after controlling for confounders, the risk was borderline and non-significant. …

  12. 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. …

  13. These days virginity is just a feeling: heterosexuality and change in young urban Vietnamese men

    This paper argues that young Vietnamese men's beliefs around women's changing sexual identities and habits generate some anxiety around their own heterosexual abilities, while contributing to growing doubts around 'traditional' masculine advantage within sexual relations. It explores this notion in regard to eight Vietnamese men aged 18-30 years, interviewed over 13 months of fieldwork in Hanoi, Vietnam. …

  14. Delaying sexual debut amongst out-of-school youth in rural southwest Uganda

    This paper focuses on sexual debut among out-of-school youth in Masaka District, Uganda; factors influencing its timing; and assistance young people feel they need to delay sexual initiation. Data were drawn from a needs assessment using applied anthropological techniques with young people ages 13-19 years. Parents, guardians, and community leaders were also consulted. All participants felt that young people begin their sexual lives too early. Young men feel under pressure from friends and older men to prove their masculinity. …

  15. Community participation in HIV prevention: problems and prospects for community-based strategies among female sex workers in Madras

    This paper examines the concept of strengthening community action within the context of HIV prevention. There is evidence of the potential role of community participation in HIV/AIDS prevention and care efforts. This paper examines problems and prospects for participation in HIV prevention strategies among commercial sex workers in Madras. It is based on the experiences of a pilot project established by the Tamil Nadu State Government AIDS Cell and WHO.

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