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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. 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.

  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. 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. …

  6. 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. …

  7. 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. …

  8. 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. …

  9. 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. …

  10. Consumer e-health education in HIV/AIDS: a pilot study of a web-based video workshop

    In this qualitative study, members of the HIV and AIDS community were recruited through AIDS service organizations to test whether web environments could serve as educational platforms on treatment-related topics. The research team collected demographic characteristics andádata on Internet use. Group interviews were used to gather data on usability of the study environment, preferences for information formats, use of the message forum, and other sources for learning on treatment information. …

  11. 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. …

  12. Community Innovation: Achieving sexual and reproductive health and rights for women and girls through the HIV response

    Compiled by UNAIDS and the ATHENA Network, it presents case studies, from across sub-Saharan Africa, South Asia, Europe and Central Asia, Latin America and North America, pioneering community undertakings to advance women's sexual and reproductive health and rights through the HIV response and vice-versa, from different community perspectives. This report recognizes that women face unique challenges to access and fulfill their sexual and reproductive health and rights, including gender-based violence, and therefore have less access to HIV prevention, care and support services.

  13. People Living with HIV Stigma Index - Asia Pacific Regional Analysis, 2011

    This report provides findings from the rollout of the People Living with HIV Stigma Index (PLHIV Stigma Index) in nine countries in Asia and the Pacific (Bangladesh, Cambodia, China, Fiji, Myanmar, Pakistan, Philippines, Sri Lanka, Thailand). It provides the first large-scale regional comparison of standardized human immunodeficiency virus (HIV)-related stigma indicators. It shows that stigma and discrimination have profound implications for HIV prevention, treatment, care and support. …

  14. 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.

  15. Positively caring: ensuring that positive choices can be made about the care of children affected by HIV

    This report examines the impacts of HIV on the care choices of children, exploring how HIV affects whether or not children can remain within parental care, and on the alternative care options open to them. It is based on qualitative research in Malawi, India and Ukraine, and on a global literature review. It is in response to alarming global evidence on the rising numbers of children outside of parental care, and growing global recognition that responses to HIV should centre on increased support to families as the best means of providing care and protection for children.

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