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UNESCO HIV and Health Education Clearinghouse

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  1. Measuring the quality of sexuality education implementation at the school level in low- and middle-income countries

    Comprehensive sexuality education (CSE) is a key component of efforts to improve sexual and reproductive outcomes for young people. While many governments have established policies and curricula for CSE, there are no quantitative measures of the quality of their implementation in schools. This article describes the construction of a school-level index to measure CSE implementation quality using data from Peru, Guatemala, Kenya and Ghana for validation. …

  2. Challenges to implementing national comprehensive sexuality education curricula in low- and middle-income countries: case studies of Ghana, Kenya, Peru and Guatemala

    School-based comprehensive sexuality education (CSE) can help adolescents achieve their full potential and realize their sexual and reproductive health and rights. This is particularly pressing in low- and middle-income countries (LMICs), where high rates of unintended pregnancy and STIs among adolescents can limit countries’ ability to capitalize on the demographic dividend. While many LMICs have developed CSE curricula, their full implementation is often hindered by challenges around program planning and roll-out at the national and local level. …

  3. Education, HIV, and early fertility: experimental evidence from Kenya

    A seven-year randomized evaluation suggests education subsidies reduce adolescent girls’ dropout, pregnancy, and marriage but not sexually transmitted infection (STI). The government’s HIV curriculum, which stresses abstinence until marriage, does not reduce pregnancy or STI. Both programs combined reduce STI more, but cut dropout and pregnancy less, than education subsidies alone. …

  4. 'Close to the bone'?: catalysts for integrating HIV and AIDS into the academic curriculum

    Integrating HIV and AIDS into the academic curriculum remains a challenge which, for various reasons, is not fully taken up by academics at universities. Although much is being done in the health arena, and education is often put forward as the 'antidote' for the epidemic, only a few academics have introduced HIV and AIDS into their curricula. In this article, the authors explore why some academics have integrated HIV and AIDS into their curricula; what the catalyst was for doing so; and how these academics see this integration. …

  5. Sexuality education in rural Lesotho schools: challenges and possibilities

    The aim of this paper is to present and discuss some of the obstacles to effective sexuality education in rural Lesotho schools and offer some suggestions that could facilitate positive change in the current status of sexuality education. The call for education as a ‘vaccine’ against new HIV infections places teachers at the forefront of the fight against the pandemic, and thus it is imperative to understand how they experience teaching about sexuality. …

  6. Learners perceptions and experience of the content and teaching of sexuality education: Implications for teacher education

    This article aims to explore Grade 11 learners perceptions and experience of the teaching of sexuality education. A total of 270 adolescent boys (n 121) and girls (n 149) from the Heidedal suburb of the greater Mangaung Municipality, South Africa, completed an anonymously written Teaching of Sexuality Education Attitude Scale (TSEAS). The questionnaire was constructed on a six-point Likert scale with response options ranging from 1 (highly disagree) to 6 (highly agree). …

  7. Investigation of teaching the integrated topics on drug abuse in secondary school curriculum

    The problem of this study was to investigate the teaching of the integrated topics on drug abuse in the secondary school curriculum as a strategy to wipe out the problem of drug abuse among students in Machakos District, Kenya. The specific objectives of the study were to: establish the prevalence of drug abuse at the secondary school level according to gender, locality (urban/rural), boarding or day and religious practice, and establish the effect of teaching integrated topics on prevalence rate of drug abuse. …

  8. Preparing teachers to deliver gender-focused sexuality/HIV education: a case study from Nigeria

    Evidence shows that a focus on gender and power in sexuality/HIV education increases the likelihood of achieving positive sexual health outcomes, and international agencies have called for a shift to a gender-focused approach. However, questions remain about the implementation of such programmes, including how best to prepare teachers to deliver such curricula. In the development of the national school-based HIV prevention curriculum in Nigeria, several state governments partnered with feminist (or like-minded) non-governmental organisations to collaborate on teacher training. …

  9. Responsible Design for Social Change: Designing HIV/AIDS Prevention Curriculum in Southern Africa

    This paper reports on a classroom-based mixed-methods research project for the design of an HIV/AIDS prevention curriculum for Swaziland. The aim was through education to transform Swazi worldviews and attitudes toward sexual practices. The curriculum, called iMatter, reaches elementary and middle school children while they are still forming their conceptual and cultural identity, and before they adopt sexual practices. …

  10. Integrating HIV and AIDS education in pre-service mathematics education for social justice

    Since 1999, many South African education policy documents have mandated integration of HIV & AIDS education in learning areas/disciplines. Policy document research has shown that although South African politicians and managers have produced volumes of eloquent and compelling legislation regarding provision for HIV & AIDS education, little of this is translated into action. The impact of HIV & AIDS permeates the social, economic and political arenas in South Africa. Integration of HIV & AIDS education across disciplines can serve as a strategy to further the ideals of social justice. …

  11. Checkmating HIV and AIDS: Using chess to break the silence in the classroom

    In this article, the author gives an account of his ‘Checkmating HIV&AIDS’ action research project, which was an attempt to break the ‘culture of silence’ concerning HIV&AIDS and sex and sexuality in his classroom. In this project, he focused specifically on one code of sport, namely chess, and he points out and discusses the potential of using chess as an educational tool in addressing HIV&AIDS. It was found that learners enjoy playing chess and that it can be used in the Life Orientation classroom to promote HIV&AIDS awareness. …

  12. An HIV/AIDS knowledge scale for adolescents: item response theory analyses based on data from a study in South Africa and Tanzania

    A 14-item human immunodeficiency virus/acquired immunodeficiency syndrome knowledge scale was used among school students in 80 schools in 3 sites in Sub-Saharan Africa (Cape Town and Mankweng, South Africa, and Dar es Salaam, Tanzania). For each item, an incorrect or don't know response was coded as 0 and correct response as 1. Exploratory factor analyses based on polychoric correlations showed two separate factors for all sites. …

  13. Can we use young people’s knowledge to develop teachers and HIV-related education?

    Despite recent progress in meeting the goals of the Education for All agenda, certain groups of young people are particularly vulnerable to exclusion and underachievement, including children with HIV/AIDS, children living in poverty, and children with disabilities. HIV/AIDS has reduced many young people’s rights to access education, to live a full and healthy life, and to have a life as a child. …

  14. Impact of HIV/AIDS education programmes on sexual behaviour of female students in Nigerian schools: Policy implications for scientific and technolgical development

    This study investigated the impact of HIV/AIDS education programmes on sexual behaviors of female students in senior secondary schools in Rivers State of Nigeria. The population for the study comprised of all senior secondary schools female students in Nigeria, which was divided into urban and rural schools. The sample size was 200 female students obtained by using stratified random sampling technique. …

  15. Teaching and the HIV/AIDS Pandemic: A School Case Study

    Background: This paper reports case study findings on how a school in Tanzania is attempting to integrate HIV/AIDS education. Methods: Interviews were held with the principal, 8 teachers, 8 pupils, the school nurse and 4 parents; observation of school environment and document analysis of posters, text books and school calendar was carried out to see evidence of HIV/AIDS activities in the school. Results: HIV/AIDS is integrated in the school curricula and some teachers have incorporated participatory pedagogy. However teachers lack support and teaching materials. …

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