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UNESCO HIV and Health Education Clearinghouse

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  1. How effective is comprehensive sexuality education in preventing HIV?

    This brief discusses the effectiveness of comprehensive sexuality education (CSE) in preventing HIV, and lists key findings and recommendations. It concludes that CSE is effective in decreasing HIV risk factors in adolescents and young people, and improving sexual and reproductive health (SRH) in general, including creating demand for SRH services. …

  2. The case for addressing gender and power in sexuality and HIV education: a comprehensive review of evaluation studies

    CONTEXT: Curriculum-based sexuality and HIV education is a mainstay of interventions to prevent STIs, HIV and unintended pregnancy among young people. Evidence links traditional gender norms, unequal power in sexual relationships and intimate partner violence with negative sexual and reproductive health outcomes. However, little attention has been paid to analyzing whether addressing gender and power in sexuality education curricula is associated with better outcomes. …

  3. 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. …

  4. Social mobilization for prevention and control of HIV and AIDS: behavioral change communication material development guideline

    This behavioral change communication material development guideline has been developed by the Federal HIV/AIDS Prevention and Control Office (FHAPCO) in collaboration with the Ethiopian health sector development partners working on communication in HIV. The document offers step-by-step guidelines for developing/producing accurate, useful, and action oriented behavioral change communication materials to meet the communication needs of HIV/AIDS prevention, treatment and care and support programs. The document is divided into three major sections. …

  5. Addressing gender and rights in your sex/HIV education curriculum: a starter checklist

    Attitudes and roles regarding gender are an important determinant of sexual health outcomes (including age at first sex, number of sexual partners, frequency of adolescent intercourse, use of condoms and contraceptives, and HIV infection). Fostering young people's critical reflection about gender role socialization has been proven to change attitudes and to lead to healthier sexual behavior. This checklist can help you assess how effectively your curriculum is addressing these issues and help you identify changes that can strengthen your curriculum. …

  6. Sexuality and HIV education: time for a paradigm shift

    While we have learned a good deal about effective sexuality and HIV education, we can do much better. Several areas of research suggest that it is time to develop and test a "social studies" approach to sex and HIV education - one that starts earlier and fosters critical thinking skills, gender equality, and human rights. Such an effort may have important lessons for improved sexual and reproductive health outcomes and contribute to other aspects of young people's preparation for active, informed participation in civil society.

  7. ¿Qué sirve mejor en la enseñanza sobre la sexualidad y el VIH?

    Los programas educativos sobre la sexualidad y el VIH tienen varias metas: disminuir los embarazos no planeados, reducir las enfermedades de transmisión sexual (ETS) incluyendo la del VIH y mejorar la salud sexual de los jóvenes. Algunos de los numerosos factores que influyen en la conducta sexual y el uso de protección entre los adolescentes tienen poco que ver con las relaciones sexuales, por ejemplo: la crianza en una comunidad desfavorecida, la falta de apego a los padres o el fracaso escolar. …

  8. Evaluation of the Pilot Health and Family Life Education Curriculum Schools

    Between January and June 2006, the Ministry of Education, supported by UNICEF and the Global Fund through the Ministry of Health, conducted the delivery of a pilot curriculum for Health and Family Life Education [HFLE] in 21 of 24 selected schools. The HFLE curriculum which was pilot tested was developed in the context of an existing National Policy for Health and Family Life Education in Jamaica. The Policy was revised in 1999. The spread of HIV/AIDS has led to the special inclusion of HIV/AIDS education as a special focus of HFLE. …

  9. The Impact of Sex and HIV Education Programs in Schools and Communities on Sexual Behaviors among Young Adults

    Sex and HIV education programs that are based on a written curriculum and that are implemented among groups of youth in schools, clinics, or other community settings are a promising type of intervention to reduce adolescent sexual risk behaviors. This paper summarizes a review of 83 evaluations of such programs in developing and developed countries. The programs typically focused on pregnancy or HIV/STI prevention behaviors, not on broader issues of sexuality such as developmental stages, gender roles, or romantic relationships. …

  10. Strengthening health and family life education in the region: the implementation, monitoring and evaluation of HFLE in four CARICOM countries

    Globally, several studies have pointed to the positive impact that life skills-based health education programmes have on the attitudes and behaviours of young people, but no such evaluation had been conducted in the Caribbean. With the development of a Regional Curriculum Framework to support the delivery of Health and Family Life Education (HFLE) in CARICOM countries, it was considered an opportune time to not only monitor the implementation of the Framework but to also assess its impact on students. …

  11. Standards for curriculum-based reproductive health and HIV education programs

    This manual is based on the findings of a systematic review published by Family Health International (FHI) on the Impact of Sex and HIV Education Programs on Sexual Behaviours of Youth in Developing Countries (Kirby et al., 2005) and deliberations from an expert consultation meeting convened by FHI in January 2006. One of the results of the research was a list of 24 characteristics of effective curriculum-based programmes. Twenty of the standards are adapted from the systematic review and four of the standards emerged from the technical meeting. …

  12. Sex and HIV Education Programs for Youth: Their Impact and Important Characteristics

    Sex and HIV Education Programs for Youth: Their Impact and Important Characteristics is a review document developed by D. Kirby, B. A Laris and L. Rolleri from ETR Associates (Education, Training and Research Associates) with the support of USAID (United States Agency for International Development) through FHI (Family Health International)/YouthNet Project, in 2006. This current review report reviews the existing literature on the effects of these curriculum-and group-based sex and HIV education programs on sexual risk behavior among young people in both developed and developing countries. …

  13. Systematic review of effectiveness of school-based sexual health interventions to prevent STI/HIV in sub-Saharan Africa

    Background: The HIV/AIDS epidemic remains of global significance and there is a need to target (a) the adolescent age-groups in which most new infections occur; and (b) sub-Saharan Africa where the greatest burden of the epidemic lies. A focused systematic review of school-based sexual health interventions in sub-Saharan Africa to prevent HIV/AIDS and Sexually Transmitted Infections (STI) in this age group was therefore conducted. Methods: Searches were conducted in Medline, Embase, Cinahl and PsychINFO according to agreed a priori criteria for studies published between 1986 and 2006. …

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