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UNESCO HIV and Health Education Clearinghouse

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  1. Leaving no one behind in the health and education sectors: an SDG stocktake in Ghana

    Ghana has been widely acknowledged as one of sub-Saharan Africa’s ‘rising stars’ during the era of the Millennium Development Goals, and has made substantial progress in improving access to health care and education over the past two decades. However, a step change is now needed to ‘reach the furthest behind first’, as committed in Agenda 2030, if Ghana is to leave no one behind in its progress towards the Sustainable Development Goals. …

  2. The demographic dividend in Africa relies on investments in the reproductive health and rights of adolescents and youth: policy brief

    A demographic dividend can occur during a window of opportunity created by reductions in child mortality and a demographic shift to fewer dependent people relative to working-age individuals. The full realization of the sexual and reproductive health and rights (SRHR) of adolescents and youth (ages 10 to 24) can facilitate gains in their health, well-being, and educational attainment. …

  3. Zimbabwe's national AIDS levy: a case study

    Background: The authors conducted a case study of the Zimbabwe National AIDS Trust Fund (‘AIDS Levy’) as an approach to domestic government financing of the response to HIV and AIDS. Methods: Data came from three sources: a literature review, including a search for grey literature, review of government documents from the Zimbabwe National AIDS Council (NAC), and key informant interviews with representatives of the Zimbabwean government, civil society and international organizations. Findings: The literature search yielded 139 sources, and 20 key informants were interviewed. …

  4. Cost analysis of school-based sexuality education programs in six countries

    Policy-makers who are making decisions on sexuality education programs face important economic questions: what are the costs of developing sexuality education programs; and what are the costs of implementing and scaling them up? This study responds to these questions by assessing the costs of six school-based sexuality education programs (Nigeria, Kenya, Indonesia, India, Estonia and the Netherlands). Cost analyses were carried out in schools that were fully implementing a SE program, as this best reflects the resources needed to run an effective program. …

  5. The fiscal dimension of HIV/AIDS in Botswana, South Africa, Swaziland and Uganda

    The purpose of this study is to refine the analysis of the fiscal burden of HIV/AIDS on national governments and assess the fiscal risks associated with scaling-up national HIV/AIDS responses. The study complements and contributes to the agenda on identifying and creating fiscal space for HIV/AIDS and other development expenditures. The findings from this study, and the analytical tools developed in it, could help governments in defining policy objectives, improving fiscal planning, and conducting their dialogue with donor agencies. …

  6. 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. …

  7. AIDS is Money: how donor preferences reconfigure local realities

    There is growing concern that the global response to AIDS in sub-Saharan Africa is compromising the region's human development more broadly. Through a case study of Malawi, I examine the impact of AIDS prioritization by international donors on the country's NGOs and analyze why AIDS wields such influence on development work. In the last 20 years the Malawian NGO sector has evolved to favor AIDS above all else. AIDS has come to possess prestige and legitimacy that other development sectors are denied. …

  8. Is there an association between PEPFAR funding and improvement in national health indicators in Africa? A retrospective study

    The US President's Emergency Plan for AIDS Relief (PEPFAR) was reauthorized in June 2008 with a threefold increase in funds, and a broader, more explicit mandate to improve health in the low- and middle-income countries that it funded. However, the ability of a disease-specific, or vertical, programme to have a spill-over effect and improve health outcomes has been questioned. …

  9. Cost and cost effectiveness analysis of school-based sexuality education in six countries: full report + School-based sexuality education programmes: a cost and cost-effectiveness analysis in six countries. Executive summary

    Costing and cost-effectiveness data for HIV prevention programmes are important tools for decision-makers. In many countries, HIV prevention efforts for young people have increasingly focused on schools, with many ministries of education in the process of scaling up school-based sexuality education programmes. However, most ministries of education are implementing programmes without an adequate understanding of how much the programmes cost per learner or per HIV/STIs or unintended pregnancy averted. …

  10. Are Funding Decisions Based on Performance?

    This study is a comparison of approaches as practiced by the Global Fund to Fight AIDS, Tuberculosis and Malaria, the U.S. President's Emergency Plan for AIDS Relief, and the World Bank's Multi-Country AIDS Program for Africa in Mozambique, Uganda, and Zambia. To what extent do the major funders of HIV/AIDS programs in developing countries use past performance to guide decisions about future funding? …

  11. Economic Inequality and HIV in Malawi

    The relationship between economic inequality and HIV infection among young Malawian women is estimated with multi-level logit models of the individual probability of being infected. Two community levels are considered: the immediate neighbourhood, and Malawi's districts. We find a strong positive association between communal inequality and the risk of HIV infection. The relationship between economic status and HIV status, at communal and individual levels, is less clear-cut, but individual absolute poverty does not increase the risk of HIV infection. …

  12. The short-term impacts of a schooling conditional cash transfer program on the sexual behaviour of young women

    Recent evidence suggests that conditional cash transfer programs for schooling are effective in raising school enrollment and attendance. However, there is also reason to believe that such programs can affect other outcomes, such as the sexual behavior of their young beneficiaries. Zomba Cash Transfer Program is a randomized, ongoing conditional cash transfer intervention targeting young women in Malawi that provides incentives (in the form of school fees and cash transfers) to current schoolgirls and recent dropouts to stay in or return to school. …

  13. Getting in line: coordinating responses of donors, civil society and government for children affected by HIV and AIDS

    In 2007, a nine-country study in East and Southern Africa was commissioned to map involvement and define roles and responsibilities of civil society in expanded national AIDS responses to orphans and children made vulnerable by AIDS. Getting in Line analyses these country studies and provides recommendations to increase engagement between civil society, external agencies and government and assist their alignment with the vision, principles and strategies contained in national plans of action.

  14. Understanding the institutional dynamics of Zimbabwe's response to the HIV/AIDS pandemic

    This study examines the institutional arrangements established to address the challenges of HIV and AIDS in Zimbabwe. The first part of the study looks specifically at the Zimbabwe National AIDS Council (ZNAC) - its organisational structure and, to a limited extent, its programmes - while the second part of the study looks at selected non-governmental organisations (NGOs). This comparison is about clarifying the multi-sectoral approach with an attempt to understand the different and unique roles of each institution. …

  15. The impact of the HIV/AIDS epidemic on the University of the Free State: magnitude, implications and management

    The project aims to determine the magnitude of the impact on and the implications of the HIV/AIDS epidemic on the University of the Free State (UFS), while, in the process informing its response to the epidemic. …

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