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UNESCO HIV and Health Education Clearinghouse

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  1. 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). …

  2. 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. …

  3. Transitioning care, support, and treatment services for adolescents living with HIV: Regional Technical Consultation Report, February 7–10, 2012, Gaborone, Botswana

    Advances in antiretroviral therapy (ART) and improved health services mean that increasing numbers of children infected with HIV perinatally will survive into adulthood. …

  4. Individual and community-level tolerance of spouse abuse and the association with the circumstances of first sex among youth from six sub-Saharan African countries

    Youth who engage in early and premarital sex are at risk of HIV and sexually transmitted infections. Most prevention programs ignore the mediating influence of the threat and experience of violence on these outcomes. Using nationally representative data from Lesotho, Malawi, Zimbabwe, Kenya, Tanzania, and Uganda, the autors used multivariate analyses to examine the association between individual- and community-level tolerance of spouse abuse on the age and circumstances of sexual debut among female youth. The youth sample sizes ranged from a high of 5007 in Malawi to a low of 3050 in Lesotho. …

  5. Movie: Into the hands of women

    Fulaas is one of our community based distributors. He’s also a volunteer. This film follows him as he dispenses family planning advice and contraceptives to villagers in Oromo, Ethiopia. Without Fulaas, and others like him, there would be very little access to contraception in rural Ethiopia. Development depends on getting the right supplies - contraceptives, condoms, medicines, and equipment – to the people who need them most. And that depends on our volunteers. They are part of the largest voluntary organization in sexual and reproductive health and rights. …

  6. 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. …

  7. 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. …

  8. 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. …

  9. 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. …

  10. UNAIDS guidance for partnerships with civil society, including people living with HIV and key populations

    This document provides guidance on how The Joint United Nations Programme on HIV/AIDS (UNAIDS), its Cosponsors and Secretariat (working at national, regional and global levels) should strengthen and operationalize meaningful and respectful partnership work with civil society. It should enable the UN to deliver the targets and elimination commitments agreed in the 2011 Political Declaration on HIV/AIDS. …

  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. Looking within: creating community safety nets for vulnerable youth in Dar-es-Salaam, Tanzania

    This case study describes the work of a program implemented by Youth Alive Tanzania, a faith-based organization in Dar-es-Salaam, which created The Youth and Parents Crisis Counseling Center (YOPAC) in 1999. YOPAC was established by Youth Alive with the specific aim of helping children and youth protect their access to education, including primary and secondary education, as well as vocational training. YOPAC's other activities include home-based care, HIV testing and counseling, psychosocial care and support, education, and outreach programming. …

  13. Breaking barriers project: Kenya, Uganda and Zambia. End-term evaluation report

    Breaking Barriers Project (BB) is a US$ 11,500,000 program implemented over five years in Kenya, Uganda and Zambia. The Strategic Objective of the Breaking Barriers project is: To expand sustainable, effective, quality OVC programs in education, psychosocial support and community-based care for children and families affected by HIV and AIDS, using an extensive network of schools (both formal and informal) and religious institutions as a coordinated platform for rapid scale up and scale out. …

  14. Innovations in education: the role of the education sector in combating HIV/AIDS

    From 2002-2005 Africare implemented the Community Based Care, Protection and Empowerment (COPE) for Children Affected by AIDS (CABA) project in Mutasa District of Zimbabwe. The goal of the project was to encourage shared responsibility for orphans and vulnerable children by increasing community capacity to respond to the needs of orphans and vulnerable children (OVC). …

  15. A situational analysis on the status of women's and children's rights in Zimbabwe 2005-2010: A call for reducing disparities and improving equity

    The purpose of the Situation Analysis of Children and Women in Zimbabwe is to consider the situation facing children and women in 2010 and analyse how this affects the realisation of their rights. This Situation Analysis takes into account statistical trends, policies and budgets relating to the rights and welfare of girls, boys and women. While the report provides a brief review of the historical background, its primary focus is an analysis of the present situation with a view to assessing the future prospects for supporting children and women's rights.

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