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UNESCO HIV and Health Education Clearinghouse

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  1. AIDS in the family and community: The impact on child health in Malawi

    Pediatric HIV infections jeopardize children’s health and survival. Much less is known about how the experiences of being orphaned, living with chronically ill parents, or living in a severely affected community impact child health. Our study responds by examining which HIV/AIDS-related experiences place children at greatest risk for poor health. …

  2. Education status among orphans and non-orphans in communities affected by AIDS in Tanzania and Burkina Faso

    The AIDS pandemic has created an estimated 15 million orphans who may face elevated risk of poor health and social outcomes. This paper compares orphans and non-orphans regarding educational status and delay using data collected in three low-income communities affected by AIDS in Tanzania and Burkina Faso. Orphans were significantly more likely not to attend school than were non-orphans and also to be delayed when in school, though, after controlling for confounders, the risk was borderline and non-significant. …

  3. Kenya OVC support for Orphans and Vulnerable Children Affected by HIV/AIDS: Track 2011, final report

    The USAID-funded Support for Orphans and Vulnerable Children affected by HIV/AIDS project (referred to as Kenya OVC Track I from here onwards) was a six-month follow-on award to the five-year Breaking Barriers Project, implemented in Kenya, Uganda, and Zambia, that ended in September 2010. Kenya OVC Track 1 continued to build on the Breaking Barrier project in Kenya to support orphans and vulnerable children (OVC) in Nairobi, Siaya, and Kisumu counties in the country. …

  4. Out of sight, out of mind? Children affected by HIV/AIDS and community responses

    The situation of millions of children whose lives continue to be blighted by the impacts of HIV/AIDS seems still to be 'under the radar' of national and global policymakers (Foster, 2005). Sub-Saharan Africa has two-thirds of all people living with HIV worldwide, but is home to over three-quarters of children orphaned by AIDS and to a staggering 91% of all new pediatric infections. Infants and children are considerably less likely to receive lifesaving antiretroviral treatment (ART) than adults (Joint United Nations Programme on HIV/AIDS, 2009). …

  5. Getting in line: coordinating responses for children affected by HIV and AIDS in sub-Saharan Africa

    Only one in every eight households containing orphans and vulnerable children (OVC) in African countries received any support from an external source (UNICEF, 2008). This is a reflection of how governments, both rich and poor, have ignored obligations ratified in conventions to ensure the social protection of vulnerable children (United Nations, 1989). Consequently, a disproportionate proportion of the financial burden of care of vulnerable children is borne by affected families and communities. …

  6. The psychological effect of orphanhood in a matured HIV epidemic: an analysis of young people in Mukono, Uganda

    As the HIV pandemic progresses, the number of orphans is expected to rise. Uganda is one of the countries that has been most impacted by the pandemic. A few studies have explored the effects of orphanhood on psychological well-being; however, most of these studies have not explored potential pathways through which orphanhood could affect psychological well-being. Using a school-based sample, this study sought to examine the differences in depressive symptoms and hopelessness between orphans and non-orphans in Mukono District, Uganda. …

  7. Orphan competent communities: a framework for community analysis and action

    Vulnerable children in Africa have traditionally been absorbed and supported by their communities. However, in the context of acquired immune deficiency syndrome (AIDS) and poverty, communities are increasingly stretched, compromising the quality of care available to children affected by AIDS. This calls for an understanding of the processes that best facilitate the capacity of communities to provide good quality care and support. In the interests of furthering debate and practice in this area, we seek to develop an analytical framework that builds upon two inter-linked strands. …

  8. Breaking barriers project: Kenya, Uganda and Zambia. End-term evaluation report

    Breaking Barriers Project (BB) is a US$ 11,500,000 program implemented over five years in Kenya, Uganda and Zambia. The Strategic Objective of the Breaking Barriers project is: To expand sustainable, effective, quality OVC programs in education, psychosocial support and community-based care for children and families affected by HIV and AIDS, using an extensive network of schools (both formal and informal) and religious institutions as a coordinated platform for rapid scale up and scale out. …

  9. Foundation for the future: meeting the psychosocial needs of children living with HIV in Africa

    This technical brief describes promising practices in critical services related to the psychological and social well-being of perinatally-infected children (aged 0 to 12 years) in Africa. These include the identification, testing, and counseling of children so that they are linked to appropriate support as early as possible, as well as the provision of ongoing PSS to help children and their families manage disclosure, stigma, and grief and bereavement processes. …

  10. Assessing implementation of Botswana's program for orphans and vulnerable children

    Botswana's 2008 National Guidelines on the Care of Orphans and Vulnerable Children define a vulnerable child as any child under the age of 18 years who lives in an abusive environment, a poverty-stricken family unable to access basic services, or a child-headed household; a child who lives with sick parents or outside family care; or who is HIV positive. Due to challenges in creating an effective response that corresponds to this broad definition, there are no available estimates of the number of children rendered vulnerable as a result of HIV, poverty, and other causes in Botswana. …

  11. Rethinking HIV/AIDS in South Africa: has the response been overmedicalized?

    This paper examines the potential impact of HIV/AIDS on different levels of South African society (individual, household, and national) over time. Using differences in demographic projections to guide the analysis, the prospective implications of HIV/AIDS on households, society, economy and nation are discussed and issues that could influence or mitigate those possible impacts are examined. …

  12. National plan of action for orphans and vulnerable children Ghana June 2010-2012

    The National Plan of Action for Orphans and Vulnerable Children (OVC) is a three-year plan subject to review and focuses on children who are the most vulnerable and at risk in Ghanaian society. There has not been a recent comprehensive assessment of OVC in Ghana and the first part of the plan attempts a brief assessment of OVC in relation to their care and protection. …

  13. No small issue: Children and families. Universal Action Now

    In 2007, an estimated total of 2 million children were living with HIV - eight times more than in 1990 - while both new infections and deaths among children have grown three-fold globally since 1990. Around 90% of these children live in sub-Saharan Africa, where 12.1 million children are estimated to have lost one or both parents to AIDS. This plenary presentation argues that children and families have been severely neglected in responses to HIV and AIDS. …

  14. Toolkit for positive change: providing family-focused results-driven and cost-effective programming for orphans and vulnerable children

    The Positive Change: Children, Communities and Care (PC3) Program is a five-year (2004-2009) integrated and comprehensive program designed to provide care and support to more than half a million orphaned and vulnerable children and their families throughout the country of Ethiopia. The Program emphasizes community-based, results-oriented, and family-focused efforts which reduce the negative impact of HIV and AIDS on children, families and communities and increases capacity of local organizations and communities to positively respond to the needs of OVC. …

  15. Como Edificar a Resiliência das Crianças Afectadas por HIV e SIDA

    Como Edificar a Resiliência das Crianças Afectadas por HIV e SIDA esta um manual elaborado por Irmã Silke-Andrea Mallman com a colaboração da Ação Católica de Apoio ao AIDS, Maskew Miller Longman e UNESCO em 2004. Não é necessário que as crianças adoeçam ou que sejam infectadas pelo vírus de HIV para que também sejam afectadas pelas suas consequências. O documento é um guia prático destinado a ajudar a crianças afectadas pelos HIV e AIDS a edificar a sua própria resiliência e equipá-las para melhor controlarem o seu próprio destino. …

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