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UNESCO HIV and Health Education Clearinghouse

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  1. State of world population 2018: the power of choice: reproductive rights and the demographic transition

    The global trend towards smaller families is a reflection of people making reproductive choices to have as few or as many children as they want, when they want. When people lack choice, it can have a long-term impact on fertility rates, often making them higher or lower than what most people desire.

  2. The national HIV and AIDS stigma and discrimination index: summary report

    The National HIV and AIDS Stigma and Discrimination Study, was a cross-sectional survey which collected data from the 47 counties, grouped into 30 clusters selected based on observed regional variations in HIV prevalence, socio-cultural and economic characteristics. The stigma study, targeted the general population, key populations as well as PLHIV is a compilation of the thoughts and attitudes regarding HIV, and, far too frequently, painful experiences of people living with HIV.

  3. A Cultural approach to HIV/AIDS prevention and care: UNESCO/UNAIDS research project. Uganda’s experience: country report

    This document provides the findings of a country assessment carried out in Uganda in the first phase of the UNESCO/UNAIDS joint project "A Cultural Approach to HIV/AIDS: Prevention and Care". The purpose of this exercise was threefold: (i) to assess the evolution of the epidemic (HIV infection and PWA) and its cultural and societal impact in the context and perspective of sustainable development. (ii) to determine how and to which extent culture, features and resources of the population are being taken into consideration in the design, implementation and evaluation of HIV/AIDS interventions. …

  4. Parent-child communication about sexual and reproductive health in rural Tanzania: Implications for young people's sexual health interventions

    Background: Many programmes on young people and HIV/AIDS prevention have focused on the in-school and channeled sexual and reproductive health messages through schools with limited activities for the young people's families. The assumption has been that parents in African families do not talk about sexual and reproductive health (SRH) with their children. These approach has had limited success because of failure to factor in the young person's family context, and the influence of parents. …

  5. Social protection and cash transfers to strengthen families affected by HIV and AIDS

    Based on a review of over 300 documents, this monograph examines how social protection can be used to protect children and families affected by HIV and AIDS. It reviews evidence on the impacts of 10 unconditional cash transfer (UCT) programs in southern and East Africa and 10 conditional cash transfer (CCT) programs in Latin America. …

  6. 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. …

  7. Social cash transfers to support children and families affected by HIV/AIDS

    In response to the critical need of affected children and families, the compelling evidence for their benefits, and the receptive environment on the part of governments and donors, several local and international organizations are piloting cash transfers programmes as a mechanism to mitigate the impact of human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) on affected communities in sub- Saharan Africa. Few programmes, however, are conceptualized or implemented within a broader framework of social protection, socioeconomic development or human rights. …

  8. 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). …

  9. 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. …

  10. Looking within: creating community safety nets for vulnerable youth in Dar-es-Salaam, Tanzania

    This case study describes the work of a program implemented by Youth Alive Tanzania, a faith-based organization in Dar-es-Salaam, which created The Youth and Parents Crisis Counseling Center (YOPAC) in 1999. YOPAC was established by Youth Alive with the specific aim of helping children and youth protect their access to education, including primary and secondary education, as well as vocational training. YOPAC's other activities include home-based care, HIV testing and counseling, psychosocial care and support, education, and outreach programming. …

  11. 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. …

  12. A situational analysis on the status of women's and children's rights in Zimbabwe 2005-2010: A call for reducing disparities and improving equity

    The purpose of the Situation Analysis of Children and Women in Zimbabwe is to consider the situation facing children and women in 2010 and analyse how this affects the realisation of their rights. This Situation Analysis takes into account statistical trends, policies and budgets relating to the rights and welfare of girls, boys and women. While the report provides a brief review of the historical background, its primary focus is an analysis of the present situation with a view to assessing the future prospects for supporting children and women's rights.

  13. 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. …

  14. 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. …

  15. Understanding adolescent girls' protection strategies against HIV: an exploratory study in urban Lusaka

    Being young and female are two central aspects of vulnerability to HIV which intersect in the lives of adolescent girls. Both before and within marriage, girls and young women are especially vulnerable to contracting HIV as a result of both their biological susceptibility as well as their relative powerlessness within sexual relationships, the primary means of transmission. Girls and young women are disproportionally infected and affected by HIV and AIDS. …

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