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UNESCO HIV and Health Education Clearinghouse

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  1. AIDS at 35: a midlife crisis

    AIDS was first publicly reported on 5 June 1981 in the Morbidity and Mortality Weekly Report (MMWR) of the US Centers for Disease Control (CDC). Doctors in New York and San Francisco were seeing clusters of previously extremely rare diseases such as Pneumocystis carinii, and Kaposi’s sarcoma. These infections manifested in exceptionally serious forms, initially, within a narrowly defined risk group — young, homosexual men, and led to death within a short period. …

  2. Defeating AIDS—advancing global health

    After more than a decade of major achievements, the AIDS response is at a crucial juncture, both in terms of its immediate trajectory and its sustainability, as well as its place in the new global health and development agendas. In May, 2013, the UNAIDS–Lancet Commission— a diverse group of experts in HIV, health, and development, young people, people living with HIV and affected communities, activists, and political leaders— was established to investigate how the AIDS response could evolve in a new era of sustainable development. …

  3. The emerging face of the HIV epidemic in the Middle East and North Africa

    Purpose of review: A volume of quality HIV data has materialized recently in the Middle East and North Africa (MENA). This review provides a thematic narrative of the patterns of HIV infection transmission in this region in light of these data. Recent findings: Tens of integrated bio-behavioral surveillance surveys among hard-to-reach key populations at higher risk have been conducted in MENA in the recent years. Many of the studies reported appreciable and growing HIV prevalence. …

  4. Implementation of adolescent-friendly voluntary medical male circumcision using a school based recruitment program in rural KwaZulu-Natal, South Africa

    Background: Epidemiological data from South Africa demonstrate that risk of human immunodeficiency virus (HIV) infection in males increases dramatically after adolescence. Targeting adolescent HIV-negative males may be an efficient and cost-effective means of maximising the established HIV prevention benefits of voluntary medical male circumcision (VMMC) in high HIV prevalence–, low circumcision practice–settings. This study assessed the feasibility of recruiting male high school students for VMMC in such a setting in rural KwaZulu-Natal. …

  5. AIDS policy in Lesotho: Implementation challenges

    HIV/AIDS, dubbed by some analysts as "a looming threat to security in Southern Africa" has been spreading at phenomenal rates in Lesotho since the first AIDS case was reported in 1986; twelve years later (1998) the number of infected adults stood at 101,000. At the end of 2001 this figure had risen by over 78% to 180,000, while children orphaned by the death of their AIDS-infected parents numbered 73,000. For an underdeveloped country with a population of just over two million, these statistics are a cause for alarm. …

  6. Evidence, politics and Uganda's HIV success: moving forward with ABC and HIV prevention

    Uganda’s HIV success story has become increasingly focused around the idea of ‘ABC’ (Abstain, Be faithful or use Condoms). During the George W. Bush administration, the US Government has promoted one specific ABC model for its development agencies, with a particular emphasis on abstinence. Yet other actors have contested this view. To understand Uganda’s success, it is imperative to look at what ABC was in Uganda when critical changes in behaviour were occurring. …

  7. HIV/AIDS program in Jharkhand: a critical review

    This article is an attempt to present and elaborate the HIV/AIDS scenario in Jharkhand state of India, services available, key issues, challenges, and concerns at various levels to mitigate the epidemic. It also examines the role of different stakeholders and agencies in halting and reversing the epidemic. The findings show that there are various challenges that need immediate attention. The article critically examines these issues in detail and suggests the approach to address the epidemic.

  8. 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. …

  9. HIV decline in Zimbabwe due to reductions in risky sex? Evidence from a comprehensive epidemiological review

    Recent data from antenatal clinic (ANC) surveillance and general population surveys suggest substantial declines in human immunodeficiency virus (HIV) prevalence in Zimbabwe. We assessed the contributions of rising mortality, falling HIV incidence and sexual behaviour change to the decline in HIV prevalence. Comprehensive review and secondary analysis of national and local sources on trends in HIV prevalence, HIV incidence, mortality and sexual behaviour covering the period 1985-2007. …

  10. An HIV epidemic is ready to emerge in the Philippines

    The current behavioural, social and epidemiological conditions suggest that an HIV epidemic in the Philippines may be unavoidable in the near future. The number of diagnoses is increasing, particularly due to homosexual and bisexual contact; there are low condom-use rates; and the age at diagnosis is decreasing. The underlying cause of these symptoms needs to be addressed in order to prevent an emergent epidemic.

  11. A population based survey on HIV prevalence in Nagaland, India

    The primary aim of the present study was to determine the prevalence of HIV infection in Nagaland and to study knowledge and attitude of study participants towards HIV/AIDS and related Government programs. A population based survey was carried out during April-October, 2007. Stratified sampling technique was adopted with an anonymous, linked design for HIV testing using Dried Blood Spot Testing Method (Tri-Dot). A total of 1965 households were interviewed in which 5661 eligible respondents (male:15-54 years and female:15-49 years) completed the interview. …

  12. HIV/AIDS interventions in Bangladesh: What can application of a social exclusion framework tell us?

    Bangladesh has maintained a low HIV prevalence (of less than 1%) despite multiple risk factors. However, recent serological surveillance data have reported very high levels of HIV infection among a subgroup of male injecting drug-users (IDUs). This suggests that an HIV/AIDS epidemic could be imminent in Bangladesh. Although biomedical and behavioural change projects are important, they do not address the root causes of observed risky behaviours among high-risk groups. …

  13. O papel da mídia na prevenção do HIV/Aids e a representação da mulher no contexto da epidemia

    O presente artigo questiona o papel da mídia diante da epidemia do HIV/Aids. Toda a discussão é travada à luz da bioética, tentando sempre apreender os dilemas morais subjacentes nas mensagens de prevenção do HIV/Aids. Pautar se a mídia considerou os rumos da epidemia na medida em que essa ia se modificando; refletir se as campanhas educativas do HIV/Aids ponderavam as assimetrias de gênero, a sexualidade e os processos de socialização.

  14. Hacer frente al VIH/SIDA

    Este número de la revista, completamente dedicado al tema de VIH/SIDA, reporta en estilo periodístico, algunas experiencias significativas de todo el mundo: Botswana, Yemen, Tailandia, Caribe, Haití, Polonia, Rumania, Zimbabwe.

  15. Los jóvenes en primera línea

    Peter Piot, director ejecutivo del ONUSIDA, analiza las causas de la epidemia. A su juicio, la principal arma para cambiar el comportamiento sexual de los jóvenes sigue siendo la educación.

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