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UNESCO HIV and Health Education Clearinghouse

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  1. Towards comprehensive sexuality education: a comparative analysis of the policy environment surrounding school-based sexuality education in Ghana, Peru, Kenya and Guatemala

    The successful implementation of comprehensive sexuality education (CSE) programmes in schools depends on the development and implementation of strong policy in support of CSE. This paper offers a comparative analysis of the policy environment governing school-based CSE in four low- and middle-income countries at different stages of programme implementation: Ghana, Peru, Kenya and Guatemala. …

  2. The evolution of school health and nutrition in the education sector 2000-2015 in sub-Saharan Africa

    The objective of the study is to document the progression of school health and nutrition and its integration within the education sector in sub-Saharan Africa between 2000 and 2015. It analyses the education sector plans (ESPs) in terms of the Focusing Resources on Effective School Health (FRESH) framework and the World Bank Systems Approach for Better Education Results (SABER) School Health survey from a set of countries in sub-Saharan Africa. …

  3. A review of interventions addressing structural drivers of adolescents' sexual and reproductive health vulnerability in sub-Saharan Africa: implications for sexual health programming

    Background: Young people particularly women are at increased risk of undesirable sexual and reproductive health (SRH) outcomes. Structural factors have been reported as driving some of these risks. Although several interventions have targeted some of the structural drivers for adolescent’s SRH risk, little has been done to consolidate such work. This would provide a platform for coordinated efforts towards adolescent’s SRH. …

  4. Training for health services and systems research in Sub-Saharan Africa - a case study at four East and Southern African Universities

    Background: The need to develop capacity for health services and systems research (HSSR) in low and middle income countries has been highlighted in a number of international forums. However, little is known about the level of HSSR training in Sub-Saharan Africa (SSA). We conducted an assessment at four major East and Southern African universities to describe: a) the numbers of HSSR PhD trainees at these institutions, b) existing HSSR curricula and mode of delivery, and c) motivating and challenging factors for PhD training, from the trainees’ experience. …

  5. Opportunities for technology-based HIV prevention programming among high school students in Cape Town, South Africa

    One in three new cases of HIV in South Africa is among adolescents. Given that adolescents are particularly affected, scalable, and cost-effective prevention programs are urgently needed. This study aims to identify opportunities to integrate technology into youth HIV prevention efforts. In 2012, 1107 8th–11th graders completed a paper-and-pencil survey. Respondents were enrolled in one of three public high schools in Langa, a lower income community in Cape Town, South Africa. Eighty-nine percent of respondents have used text messaging (SMS) and 86% have gone online. …

  6. Pedagogic discourse: A review of the HIV and AIDS secondary schools curriculum in Kenya

    HIV and AIDS is an epidemic that has remained a serious health concern across the globe for more than a quarter of a century since it was first diagnosed in 1981. This is in spite of a myriad of health education and prevention programs that have been developed and are in use. Current studies in Kenya concur that information on HIV and AIDS prevention is readily available. Focus is now on quality and policies that guide implementation of prevention education programs. …

  7. Factors associated with teachers’ implementation of HIV/AIDS education in secondary schools in Cape Town, South Africa

    This study investigated the factors influencing whether high school teachers implemented HIV/AIDS education. The independent variables included constructs derived from expectancy value theories, teachers’ generic dispositions, their training experience, characteristics of their interactive context and the school climate. We conducted a postal survey of 579 teachers responsible for AIDS education in all 193 public high schools in Cape Town. Questionnaires were completed and returned by 324 teachers (56% response rate) from 125 schools. …

  8. A critical review of the evidence on the effectiveness of HIV/AIDS education programs for youth in Sub-Saharan Africa

    This paper critically examines the evidence from recent experimental design evaluations on the impact of HIV/AIDS prevention through youth education programs in sub-Saharan Africa. It pre-specifies the study inclusion criteria, the search strategy and the methods for summarizing findings. This paper also identifies recurring flaws in the research and suggests several methods for avoiding these shortcomings in future studies. Our initial search produced 139 potential articles for review, but only six met the pre-stated study inclusion criteria. …

  9. The World Starts With Me: using intervention mapping for the systematic adaptation and transfer of schoolbased sexuality education from Uganda to Indonesia

    Evidence-based health promotion programmes, including HIV/AIDS prevention and sexuality education programmes, are often transferred to other cultures, priority groups and implementation settings. Challenges in this process include the identification of retaining core elements that relate to the programme’s effectiveness while making changes that enhances acceptance in the new context and for the new priority group. This paper describes the use of a systematic approach to programme adaptation using a case study as an example. …

  10. Teachers' confidence in teaching HIV/AIDS and sexuality in South African and Tanzanian schools

    Aims: This study aimed to investigate how confident and comfortable teachers at Tanzanian and South African urban and rural schools are in teaching HIV/AIDS and sexuality. It also aimed at identifying factors associated with teacher confidence and investigated how reported confidence was associated with the implementation of educational programmes on HIV/AIDS and sexuality. Methods: A survey was conducted among South African grade 8 and 9 Life Orientation teachers, and among science teachers for grade 5 to 7 in public primary schools in Tanzania. …

  11. 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. …

  12. What Tanzanian young people want to know about sexual health; implications for school-based sex and relationships education

    It is very important that sex and relationships education (SRE) programme developers attempt to elicit, understand and incorporate young people's views in the SRE development and implementation processes. This paper reports the findings of a study that sought to identify young people's self-identified learning needs and priorities regarding sexual health that should be included in school-based SRE. Seven hundred and fifteen primary and secondary students aged between eight years and over 20 years old completed a survey between June and September 2007. …

  13. Sexual and HIV/AIDS education in South African secondary schools

    Teaching sexual and HIV and AIDS education in schools has been the subject of debate and discussion for a while now southern Africa. The debates have mainly centred around three key issues – at what stage to introduce it, what kind of curricula is appropriate and who is qualified to provide such teaching. South Africa is one the few countries in the region that have made attempts to introduce sexual and HIV and AIDS education at the secondary school level. Although this has had benefits, it has not been without its challenges. …

  14. Risk factor or social vaccine? The historical progression of the role of education in HIV and AIDS infection in sub-Saharan Africa

    Numerous epidemiological studies from the early years of the tragic HIV and AIDS pandemic in sub-Saharan Africa identified formal education as a risk factor increasing the chance of infection. Instead of playing its usual role as a preventative factor, as has been noted in many other public health cases, until the mid-1990s educated African men and women had a higher risk of contracting HIV than their less educated peers. This led to ambivalent policy about the efficacy of education as a possible social vaccine against new infections in this region. …

  15. Evaluation of a comprehensive school-based AIDS education programme in rural Masaka, Uganda

    This study aimed to evaluate a one-year, comprehensive, school-based HIV and AIDS education program in rural, southwestern Uganda. Twenty intervention schools (1274 students) and 11 control schools (803 students) completed baseline and follow-up questionnaires. Twelve focus groups were conducted among five of the intervention schools (93 students). Very few effects of the intervention were observed. Focus group data indicates that programmes were not implemented comprehensively and certain activities (how to use condoms, role playing) were only superficially used. …

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