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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. Off Label: AIDS Review 2012

    In this Review – Off label – the experience of participants in a microcode trial is analysed, operating from the idea that “as condoms and gels are employed (or not employed) in people’s everyday lives, these technologies acquire their own unique signification. In some cases, these meanings could be quite different to those intended by health care professionals”. …

  3. Effectiveness of HIV prevention for youth in sub-Saharan Africa: systematic review and meta-analysis of randomized and nonrandomized trials

    Objective: Systematically assess the effectiveness of HIV-prevention interventions in changing sexual behaviour of young people (10–25 years) in sub-Saharan Africa. Methods: Three online databases were searched using prespecified terms. Additional articles were identified on websites of international organizations and by searching bibliographies. Randomized and nonrandomized trials of interventions aiming to reduce risk behaviour were included as well as single-arm studies reporting effects of differential exposure to an intervention. …

  4. Condoms in sub-Saharan Africa

    Sub-Saharan Africa (SSA) is the region with the world’s highest rates of HIV and other sexually transmissible infections (STIs), yet numerous studies show that condom use is generally rare. This suggests a need for a better understanding of how condoms fit within sexual practices and relationships in SSA. This paper seeks to address this need by reviewing research published between the late 1980s and 2011 on use and factors influencing use of male condoms in SSA. …

  5. A surprising prevention success: Why did the HIV epidemic decline in Zimbabwe?

    There is growing recognition that primary prevention, including behavior change, must be central in the fight against HIV/AIDS. The earlier successes in Thailand and Uganda may not be fully relevant to the severely affected countries of southern Africa. We conducted an extensive multi-disciplinary synthesis of the available data on the causes of the remarkable HIV decline that has occurred in Zimbabwe (29% estimated adult prevalence in 1997 to 16% in 2007), in the context of severe social, political, and economic disruption. …

  6. 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. …

  7. 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. …

  8. The sexual behaviour of adolescents in sub-Saharan Africa: patterns and trends from national surveys

    Objectives: To describe the sexual and reproductive behaviour of adolescents in sub-Saharan Africa, particularly 15- to 19-year-olds. Methods: Using DHS/AIS data (2000–2010), nine indicators of adolescent behaviour and one of adult attitudes towards condom education for adolescents were described for 24 countries. Indicators were disaggregated by gender, urban/rural residency and educational status, and time trends were described. Results: Up to 25% of 15- to 19-year-olds reported sex before age 15; this proportion shrank over time in many countries. …

  9. International and local good practice in workplace HIV and AIDS programme: a desktop review, 2009

    This report aims to identify and describe what is considered good practice as regards workplace HIV programmes. It is anticipated that the findings will feed into the national-level Higher Education Workplace HIV and AIDS Programme Framework and down into the Higher Education Institution (HEI)-specific workplace programmes.

  10. Assessing the Integration of gender and Human Rights in HIV Related Documents and Processes in Selected Southern African Countries. A rapid assessment

    This report presents the findings of a desk study undertaken to assess the integration of gender and human rights in HIV-related documents and processes in Botswana, Lesotho, Malawi, Mozambique, Namibia, South Africa, Swaziland, Zambia, and Zimbabwe. It highlights best practices, lessons learned, and areas for future action. The report implies an urgency to move from the status quo, whereby the centrality of gender equality and human rights in the pandemic regionally is underestimated. …

  11. National and sector HIV/AIDS policies in the member states of the Southern Africa Development Community

    This report is a summary of the existing HIV/AIDS national policies and plans among countries in SADC. It is intended to provide a snapshot of the current status of policy formulation in the region and to suggest future steps to strengthen the policy environment for an effective response to the epidemic. Much of the information in this report is derived from national HIV/AIDS policies, strategic plans, HIV/AIDS policies for specific sectors and work plans. National consultants in each country collected these documents and commented on the final report.

  12. Does knowledge equal change? HIV/AIDS education and behaviour change

    This paper sets out to demonstrate that clear links exist between HIV/AIDS education, both inside and outside the education system, and levels of awareness and knowledge about HIV/AIDS and associated risk behaviour. It also examines evidence of consequent behaviour change in relation to such information and linked understanding of the risks posed by HIV/AIDS.

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