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UNESCO HIV and Health Education Clearinghouse

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  1. Sex and HIV education programs: Their impact on sexual behaviors of young people throughout the world

    This paper reviews 83 studies that measure the impact of curriculum-based sex and HIV education programs on sexual behavior and mediating factors among youth under 25 years anywhere in the world. Two thirds of the programs significantly improved one or more sexual behaviors. The evidence is strong that programs do not hasten or increase sexual behavior but, instead, some programs delay or decrease sexual behaviors or increase condom or contraceptive use. …

  2. Evaluation of HIV/AIDS prevention through peer education, counselling, health care, training and urban refuges in Ghana

    Since 1996, Ireland Aid has supported UNICEF Ghana in the implementation of five activities that promote behaviour change to limit the spread of HIV/AIDS and STIs. The interventions are run by different local organisations, and have provided over 75,000 in and out-of-school youth and commercial sex workers with preventive education. People retained the information given, are knowledgeable about how HIV is transmitted, and can name key preventive methods. They pass on the information to their friends. Commercial sex workers were empowered to support one another in negotiating for safer sex. …

  3. Teacher training and HIV/AIDS prevention in West Africa: regression discontinuity design evidence from the Cameroon

    The authors assess the impact on teenage childbearing as well as student knowledge, attitudes, and behavior of a typical HIV/AIDS teacher training program in the Cameroon. Applying a regression discontinuity design identification strategy based on the key administrative criterion that determined program deployment, they find that 15–17 year old girls in teacher training schools are between 7 and 10 percentage points less likely to have started childbearing, an objective proxy for the incidence of unprotected sex. …

  4. Addressing sexual health and HIV in school. Four initiatives from sub-Saharan Africa and Latin America

    This publication describes three German-supported initiatives in Africa (specifically in Guinea, Mozambique and Tanzania) and one in Latin America (a six-country regional initiative). All integrate sexual health and HIV prevention within school systems. The three African initiatives operate within generalized epidemics driven largely by unprotected sex between men and women. In Latin America general prevalence in the countries described here is well below one percent, and much less among young people. …

  5. My future is my choice [evaluation]

    The overall purpose of the research was to evaluate My Future is My Choice (MFMC), a national peer education HIV prevention life skills programme in Namibia, and to provide recommendations for programme improvement and strengthening. An official extra-curricular life skills program of the Ministry of Education at secondary and combined schools, the MFMC programme seeks to protect young people from HIV infection and sexually transmitted diseases as well as prevent unintended pregnancies.

  6. The application of Intervention Mapping in developing and implementing school-based sexuality and HIV/AIDS education in a developing country context: the case of Tanzania

    Effective sexuality and HIV/AIDS education programmes are needed to protect young people against HIV/AIDS and teenage pregnancy in Tanzania and other Sub-Saharan African countries. Using a theory- and evidence-based approach and adapting the programmes to local contexts, increases the effectiveness of these programmes. This paper describes and discusses the challenges and opportunities concerning the application of Intervention Mapping (IM) in the development and implementation of a sexuality and HIV/AIDS education programme targeting young people aged 12-14 in Tanzania. …

  7. Educational access and HIV prevention: Making the case for education as a health priority in sub-Saharan Africa

    There is much evidence showing an association between sexual behavior and both attendance and attainment. Experimental evidence that school attendance leads to safer sexual behavior is currently under review. Studies suggest several pathways through which sexual behavior, and consequently the risk of HIV infection, may be influenced by schooling. Students attending school have a smaller sexual network and a stronger motivation to avoid the consequences of unprotected sex - both pregnancy and HIV infection - than their out-of-school peers.

  8. Safer choices: preventing HIV, other STD and pregnancy

    This is an in-school HIV, STI and pregnancy prevention programme targeting high-school students. It aims to help young people delay sex initiation and, if they have sex, to use condoms and minimise the number of sexual partners. An important feature of Safer Choices is its school-wide approach. The programme is not limited to an in-class curriculum but also involves teachers, parents, community members and students through a peer leader component. …

  9. Draw the line/respect the line: setting limits to prevent HIV, STD and pregnancy. Grade 8

    This publication is focused on providing students with the skills to define their own sexual limits and to have these limits respected in case of pressure. These "healthy sexual limits" are intended to help keep young people safe from HIV, STIs and pregnancy. The programme is divided into 19 one-hour sessions distributed over three grade levels (Grades 6, 7 and 8) and is designed for in-school use either by a school-teacher or an outside educator. It is especially targeted at Latino students, but has nee used with students of all races/ethnicities. …

  10. Making proud choices! A safer-sex approach to HIV/STDs and teen pregnancy prevention

    This is an eight hour curriculum mainly targeted at minority young people between the ages of 11 and 13. It is divided into eight modules featuring interactive activities such as games, role-play, brainstorming and videos. Developed by a team of experts from the University of Pennsylvania, it is recommended by the United States Centers for Disease Control and Prevention (CDC). This curriculum promotes sexual abstinence as the most effective way to prevent STIs, HIV and teenage pregnancy, but it also places emphasis on safer sex practices and condom use. …

  11. Finding our voices. Gender and sexual identities and HIV/AIDS in education

    Of the 8,600,000 young people living with HIV/AIDS in sub-Saharan Africa, 67 percent are young women and 33 percent are young men (Young People and HIV/AIDS: Opportunity in Crisis, UNICEF, UNAIDS, WHO, 2001). The Girls' Education Programme recognises 'gender' as the features associated in specific cultures with masculinity and femininity, and acknowledges that not all societies and cultures share the same ideas of what it means to be male or female. …

  12. The voices of young Kenyans. Gender and sexual identities and HIV/AIDS in education

    The purpose of the study was to provide information on the gendered and sexual identities of boys and girls, the influence of these identities on their sexual behaviour, and the status of HIV/AIDS education and life skills materials in Kenya's primary schools. The information gathered will feed into AGEI programmes and HIV/AIDS projects in several sectors, particularly those concerned with improving and strengthening AIDS education in Kenyan schools. The study was conducted in two districts: Garissa in Kenya's remote North Eastern Province, and the capital city Nairobi. …

  13. Programming for HIV prevention among college students in Thailand : research summary

    The Thai Ministry of Education, the Program for Appropriate Technology in Health (PATH), and the Horizons Program embarked on a study to examine the outcomes of a school-based HIV/AIDS programme called "Teens on Smart Sex" for Thai college students. The programme, developed by PATH in cooperation with the Thai Ministry of Education, is based on the Theory of Reasoned Action Behavior Change model, which posits that young people must first learn and practice behaviours in order to successfully use them at the appropriate time. …

  14. HIV/AIDS prevention guidance for reproductive health professionals in developing-country settings

    This document is designed to provide an overview of the issues of HIV/AIDS, challenges, and opportunities around integrating a broad range of HIV/AIDS interventions into existing reproductive and sexual health programmes and services, and to provide some practical examples of interventions that have been successful.

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