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UNESCO HIV and Health Education Clearinghouse

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  1. Population size estimation of key populations

    This population size estimation (PSE) was undertaken in order to inform HIV prevention programming for key populations in the fight against HIV in Sierra Leone. This PSE focused on female sex workers (FSWs), men who have sex with men (MSM) and people who inject drugs (PWID) because these groups are typically the first and hardest affected by HIV, and addressing their needs to prevent HIV can prevent or diminish the effect of HIV/AIDS on the general population. …

  2. Education and risky sex in Africa: Unraveling the link between women’s education and reproductive health behaviors in Kenya

    Much research attention has been devoted to understanding the relationship between education and riskier sex-related behaviors and HIV/AIDS in sub-Saharan Africa. While in the early 1990s researchers found that increases in education were associated with a higher incidence of HIV/AIDS, this relationship appears to have reversed and better educated people, especially women, appear less likely to engage in riskier sex-related behaviors and have a lower incidence rate of HIV/AIDS. …

  3. Priority interventions to reduce HIV transmission in sex work settings in sub-Saharan Africa and delivery of these services

    Introduction: Virtually no African country provides HIV prevention services in sex work settings with an adequate scale and intensity. Uncertainty remains about the optimal set of interventions and mode of delivery. Methods: We systematically reviewed studies reporting interventions for reducing HIV transmission among female sex workers in sub-Saharan Africa between January 2000 and July 2011. Medline (PubMed) and non-indexed journals were searched for studies with quantitative study outcomes. Results: We located 26 studies, including seven randomized trials. …

  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. Transactional sexual relationships, sexually transmitted infection risk, and condom use among young Black Women in peri-urban areas of the Western Cape Province of South Africa

    This study evaluated the relationship between having a history of transactional sexual relationships with condom use and STI risk. Participants completed a behavioral questionnaire and provided self-collected vaginal swabs which were tested for chlamydia trachomatis, neisseria gonorrhea, and trichomonas vaginalis. Multinomial logistic regression was used to compare condom use rates and STI risk among women with a history of transactional sexual relationships to women with a history of casual sexual relationships and those with no history of casual sexual relationships. …

  6. National teacher training HIV endline survey Malawi, 2009

    The first cohort of trainee teachers who participated in the Teacher Training College (TTC) programme finished in August 2009. Theatre for a Change (TfaC) contracted independent consultants to carry out an impact assessment on the TTC programme to identify its strengths and weaknesses. TfaC will use this impact assessment to inform the programme’s development. This report assesses the programme’s impact by comparing the results of the baseline survey, conducted at the beginning of the programme in October 2008, with the results of the endline survey, conducted in August 2009. …

  7. CEPEHRG and Maritime, Ghana: Engaging new partners and new technologies to prevent HIV among men who have sex with men

    Many African MSM are surprised to discover that the sex they have with other men puts them at risk for acquiring the virus. The media and most prevention programming in the region consistently describe HIV vulnerability in terms of heterosexual risk, and many African MSM do not realize that they too are vulnerable. The few programs that do target this population face significant challenges in reaching MSM with the information and services they need. …

  8. Impact of five years of peer-mediated interventions on sexual behavior and sexually transmitted infections among female sex workers in Mombasa, Kenya

    Background: Since 2000, peer-mediated interventions among female sex workers (FSW) in Mombasa Kenya have promoted behavioural change through improving knowledge, attitudes and awareness of HIV serostatus, and aimed to prevent HIV and other sexually transmitted infection (STI) by facilitating early STI treatment. Impact of these interventions was evaluated among those who attended peer education and at the FSW population level. Methods: A pre-intervention survey in 2000, recruited 503 FSW using snowball sampling. …

  9. 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.

  10. 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.

  11. 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. …

  12. 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. …

  13. Life or lunch, what do we choose? HIV/AIDS in the workplace

    This paper illustrates how HIV/AIDS is affecting teachers as individuals and as professionals. Teachers are expected to play a major role in combating HIV/AIDS, but at the same time, the results of this study show that they are also being affected by the disease. And unless the difficulties that they face in their workplace and at home are dealt with, it is likely that the gravity of the disease may become unbearable for some of them. As a result, they will be unable to fully develop their role as communicators about the disease. …

  14. HIV/AIDS in Namibia: Behavioral and Contextual Factors Driving the Epidemic

    This report identifies and describes what current evidence indicates are the main behavioral and contextual factors that are driving the HIV epidemic in Namibia. The report is intended to assist in the development of a national prevention strategy for combating the HIV/AIDS epidemic. Data from several sources are triangulated to assess which factors are most likely to contribute to the spread of HIV across the population. In the absence of a national seroprevalence survey, the following were examined to identify the main drivers of the Namibian HIV epidemic: 1. …

  15. Toolkit for targeted HIV/AIDS prevention and care in sex work settings

    This toolkit was published in 2005 by the WHO. This toolkit is intended for use by anyone involved in HIV prevention initiatives in sex work settings. The purpose of this toolkit is to make both published and unpublished information more accessible to a wider audience, and so to contribute to global efforts to develop and scale up effective HIV interventions in sex work settings. Most of the items in this toolkit focus on HIV prevention in such settings. Less information is available on treatment, care and support for sex workers living with HIV. …

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