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UNESCO HIV and Health Education Clearinghouse

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  1. School-based sexual health education interventions to prevent STI/HIV in sub-Saharan Africa: a systematic review and meta-analysis

    The authors reviewed evaluations of school-based sexual health education interventions in sub-Saharan Africa to assess effectiveness in reducing sexually transmitted infections and promoting condom use.

  2. Rwandan young people's perceptions on sexuality and relationships: Results from a qualitative study using the ‘mailbox technique’

    This study aimed to gain more insight into young Rwandans' perceptions on sex and relationships, which is essential for formulating effective sexual and reproductive health (SRH) promotion interventions. Using a 'mailbox technique', this paper studies the spontaneous thoughts of Rwandan young people on sexuality. Mailboxes were installed in five secondary schools in the Bugesera district and students were invited to write about their ideas, secrets, wishes, desires and fears on sexuality and relationships. Of the 186 letters collected, 154 addressed SRH topics. …

  3. The Government of Kenya’s Cash Transfer Program Reduces the Risk of Sexual Debut among Young People Age 15-25

    The aim of this study is to assess whether the Government of Kenya’s Cash Transfer for Orphans and Vulnerable Children (Kenya CT-OVC) can reduce the risk of HIV among young people by postponing sexual debut. The program provides an unconditional transfer of US$20 per month directly to the main caregiver in the household. An evaluation of the program was implemented in 2007–2009 in seven districts. Fourteen Locations were randomly assigned to receive the program and fourteen were assigned to a control arm. A sample of households was enrolled in the evaluation in 2007. …

  4. Young people's sexual health in South Africa: HIV prevalence and sexual behaviors from a nationally representative household surevy

    Objectives: To determine the prevalence of HIV infection, HIV risk factors, and exposure to national HIV prevention programs, and to identify factors associated with HIV infection among South African youth, aged 15–24 years. Design: A cross-sectional, nationally representative, household survey. Methods: From March to August 2003 we conducted a national survey of HIV prevalence and sexual behavior among 11 904 15–24 year olds. Multivariable models for HIV infection were restricted to sexually experienced youth. …

  5. Scrutinize campaign: a youth HIV prevention campaign addressing multiple and concurrent partnerships

    Launched on South African television in June 2008, the Scrutinize Campaign was a year-long series of HIV prevention ads targeting multiple and concurrent sexual partnerships. Irreverent and humorous, with strong, colorful visuals, the campaign's ads were markedly different from previous South African HIV prevention campaigns for youth. Rather than telling the audience what to do, the Scrutinize campaign messaging encouraged those in the audience to scrutinize their own behavior, resulting in dramatic uptake of key HIV prevention messages.

  6. Children's access to information on behaviour change, sexuality and reproductive rights: a myth or reality

    The overall objective of this baseline survey was to help determine access to information on 1) HIV and AIDS prevention; 2) sexuality and 3) reproductive rights for in-school childre. The specific objectives were to: document existing behaviour change communication (BCC) materials and programs for children; document the BCC methods to children including the packaging of information and dissemination; establish the relevance of BCC materials to children; compile empirical evidence on the impact of BCC materials on children in Swaziland.

  7. Policy and institutional frameworks: mainstreaming adolescent reproductive health (ARH) and gender in HIV/AIDS programs: examples from Ethiopia and Uganda

    This document is divided into six parts (Part I-VI). Part I covers (a) the study background including objectives, methodologies and activities; and (b) an overview of the HIV situation among young people and adolescents in the Africa region. Part II and III present key findings from Ethiopia and Uganda, including a review of policies and the institutional environment in both countries in regards to gender, youth, ARH and HIV/AIDS. Part IV includes key findings of six country assessments of youth issues in the Multi-Sector Programs on HIV/AIDS of the World Bank. …

  8. Influence of religious affiliation and education on HIV knowledge and HIV-related sexual behaviors among unmarried youth in rural central Mozambique

    The interactions among religious affiliation, education, HIV knowledge, and HIV-related sexual behaviors among African church youth are poorly understood. In this sociodemographic study, 522 unmarried youth 12-28 years old in rural central Mozambique were surveyed with a structured questionnaire. Using binary logistic regression analysis, the authors used religious affiliation and education to measure influence on (1) HIV transmission and prevention knowledge and attitudes and (2) HIV-related sexual behaviors among youth. …

  9. A Multi-level Model of Sexual Behavior among Young people in Nyanza, Kenya

    Using data collected from 3645 sexually active grade 6 and 7 students from 160 schools and applying hierarchical linear models, this study estimates the impact of individual, school and community level variables on condom use among sexually experienced young people in Nyanza, Kenya. Based on the findings, the document recommends that AIDS prevention interventions take account not only of individual-level factors, but also school and community influences on the sexual behaviours of youth.

  10. Improving the reproductive health of sub-Saharan Africa's youth: a route to achieve the Millennium Development Goals

    This chartbook aims to provide policymakers, program managers, and the interested public in sub-Saharan Africa and around the world with a better understanding of the needs and experiences of youth in the region and how investments in youth can help achieve the MDGs. The data is drawn primarily from the Demographic and Health Surveys.

  11. Adolescent Sexual and Reproductive Health Behaviour in Dodowa, Ghana

    This report presents findings from a study of sexual and reproductive health status of inschool and out-of-school adolescents in Dodowa, Ghana, carried out in 2001. The research aim was to help design a program to address adolescents' unmet needs and promote safer behaviours. The research design used both qualitative and quantitative methods, including focus group discussions, PLA techniques and surveys. Students of Junior and Senior Secondary Schools, out-of-school adolescents, teachers, parents and community opinion leaders were included in the study.

  12. Social marketing for health and family planning: Building on tradition and popular culture in Niger

    Publication qui décrit un projet de marketing social au Niger. Le marketing social applique des méthodes de marketing commercial pour améliorer les connaissances, modifier les comportements et encourager certaines pratiques, notamment l'utilisation de contraceptifs pour améliorer la santé publique. L'article passe en revue les méthodes et activités du projet.

  13. HIV prevention in young people in sub-Saharan Africa: a systematic review

    This updated review will focus on interventions carried out and/or published from January 2005 - December 2008. Since the first Steady, Ready, Go! (SRG) review was carried out, the results of several major randomized controlled trials of adolescent HIV prevention interventions conducted in Africa have been reported. …

  14. Trends in primary and secondary abstinence among Kenyan youth

    Promoting sexual abstinence among never-married youth is an important component of HIV/AIDS prevention campaigns for youth in countries with generalized epidemics. The objective of this study was to examine trends in primary and secondary abstinence among never-married youth age 15-24 in Kenya over a ten-year period and to explore the role of HIV prevention knowledge, schooling, and contextual factors in affecting abstinence behavior. Data were from Kenya Demographic and Health Surveys conducted in 1993, 1998, and 2003. Primary abstinence was defined as never-married youth who never had sex. …

  15. Young people's sexual partnerships in KwaZulu-Natal, South Africa: patterns, contextual influences, and HIV risk

    This study is an article extracted from "Studies in Family Planning" published in December 2008. It examines young people's sexual partnerships in rural KwazuluNatal, South Africa, focusing attention on key aspects of relationship dynamics, including number of partners, age asymmetries, and duration and frequency of contact, using both survey and qualitative data. Using household survey and qualitative data, the study foud that one-third of the men surveyed reported multiple and/or concurrent partnering, and one-fourth of the women had partners who were five years older than they were. …

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