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UNESCO HIV and Health Education Clearinghouse

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  1. Structural drivers and social protection: mechanisms of HIV risk and HIV prevention for South African adolescents

    Social protection is high on the HIV-prevention agenda for youth in sub-Saharan Africa. However, questions remain: How do unconditional cash transfers work? What is the effect of augmenting cash provision with social care? And can “cash plus care” social protection reduce risks for adolescents most vulnerable to infection? This study tackles these questions by first identifying mediated pathways to adolescent HIV risks and then examining potential main and moderating effects of social protection in South Africa.

  2. Co-financing HIV programmes improves overall development results

    This brief provides evidence-backed advice to policymakers on how to get greater impact from HIV financing. RethinkHIV is a new research initiative, funded by the Rush Foundation, that aims to conduct and evaluate cutting-edge research to inform long-term planning and resource-allocation for the treatment and management of HIV/AIDS.

  3. HIV and human rights: A mapping of donor priorities and trends in southern Africa

    Donors at every level are retreating on funding commitments to HIV, and organizations working at the intersection of AIDS and rights are facing overall funding challenges. This briefing paper reports the findings of a 2012 study on HIV and human rights donor trends in Southern Africa, commissioned by the Open Society Foundations. It identifies opportunities to leverage donor support for HIV and human rights organizations, and for donor collaboration that can support them in the current funding environment.

  4. Cash plus care: social protection cumulatively mitigates HIV-risk behaviour among adolescents in South Africa

    Objectives: It is not known whether cumulative ‘cash plus care’ interventions can reduce adolescent HIV-infection risks in sub-Saharan Africa. This study investigated whether parental AIDS and other environmental adversities increase adolescent HIVrisk behaviour and whether social protection provision of ‘cash’ or integrated ‘cash plus care’ reduces HIV-risk behaviour. Design: A prospective observational study with random sampling (<2.5% baseline refusal, 1-year follow-up, 96.8% retention). …

  5. The Government of Kenya’s Cash Transfer Program Reduces the Risk of Sexual Debut among Young People Age 15-25

    The aim of this study is to assess whether the Government of Kenya’s Cash Transfer for Orphans and Vulnerable Children (Kenya CT-OVC) can reduce the risk of HIV among young people by postponing sexual debut. The program provides an unconditional transfer of US$20 per month directly to the main caregiver in the household. An evaluation of the program was implemented in 2007–2009 in seven districts. Fourteen Locations were randomly assigned to receive the program and fourteen were assigned to a control arm. A sample of households was enrolled in the evaluation in 2007. …

  6. CARE Canada HIV/AIDS Strategy: Addressing the social, economic and health dimensions of the epidemic

    CARE travaille dans les pays les plus touchés par le VIH et le sida. Dans 25 pays, ses efforts pour combattre les nombreux effets de la maladie se concrétisent par des projets consacrés spécifiquement à la lutte contre le VIH/sida. Ces projets sont complétés par des initiatives, en matière de VIH/sida, qui s’inscrivent dans le cadre des douzaines d’autres projets menés dans plusieurs autres pays en de nombreux secteurs, notamment en agriculture et en éducation. En reconnaissance du fait que le Canada est également touché, CARE met en place des politiques et des programmes destinés à ses propres employés. Ce document présente précisement la stratégie de CARE sur le VIH/SIDA.

  7. Child-focused state cash transfers and adolescent risk of HIV infection in South Africa: a propensity-score-matched case-control study

    Background: Effective and scalable HIV prevention for adolescents in sub-Saharan Africa is needed. Cash transfers can reduce HIV incidence through reducing risk behaviours. However, questions remain about their effectiveness within national poverty-alleviation programmes, and their effects on different behaviours in boys and girls. Methods: In this case-control study, we interviewed South African adolescents (aged 10–18 years) between 2009 and 2012. …

  8. Financing the response to HIV in low- and middle-income countries: International assIstance from donor governments in 2012

    The Joint United Nations Programme on HIV/AIDS (UNAIDS) and the Kaiser Family Foundation have been tracking bilateral donor government assistance for HIV in low- and middle-income countries as well as contributions to the Global Fund to Fight AIDS, Tuberculosis and Malaria, and to UNITAID by the 24 donor government members of the Organization for Economic Co-operation and Development's Assistance Committee (DAC) since 2002 and this report presents the most recent data available. …

  9. Can money prevent the spread of HIV? A review of cash payments for HIV prevention

    Cash payments to improve health outcomes have been used for many years; however, their use for HIV prevention is new and the impact not yet well understood. We provide a brief background on the rationale behind using cash to improve health outcomes, review current studies completed or underway using cash for prevention of sexual transmission of HIV, and outline some key considerations on the use of cash payments to prevent HIV infections. We searched the literature for studies that implemented cash transfer programs and measured HIV or HIV-related outcomes. …

  10. 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. …

  11. Key findings from the Botswana HIV information needs assessment

    This programme, which is part of the Southern Africa HIV Knowledge Management Initiative, aims to increase the dissemination and use of accurate, evidence-based, and up-to-date information in order to improve HIV prevention in the region. The objectives of the 2009 Botswana needs assessment were to : explore current HIV knowledge management systems and resources at the national and regional levels; Identify areas for improvement; Contribute to an analysis of future opportunities and directions for the regional knowledge management initiative; HIV prevention was a special focus.

  12. Cash transfers in an epidemic context: the interaction of formal and informal support in rural Malawi

    This paper investigates the short-run consumption expenditure dynamics and the interaction of public and private arrangements of ultra-poor and labor-constrained households in Malawi using an original dataset from the Mchinjii social cash transfer pilot project (one of the first experiments of social protection policies based on unconditional cash transfers in Sub-Saharan Africa). …

  13. An action guide for gender equality in national HIV plans: catalyzing change through evidence-based advocacy

    A growing body of evidence links HIV risk with women's social and economic inequality, male norms that drive sexual risk, and the social marginalization of individuals whose sexual identity or behavior is perceived to fall outside accepted norms. In recognition of this, many international donor agencies are funding programs that aim to reduce gender inequality as a driver of the epidemic. HIV service providers are already responding with innovative and often courageous strategies for overcoming gender-based drivers of the epidemic. But more is needed at the national level. …

  14. HIV/AIDS: the Polish policy 1985-2005

    This publication, the Polish Policy on HIV/AIDS Prevention in 1985-2005 is the fruit of efforts of all groups which have been directly involved in the HIV/AIDS actions since the beginning of the epidemics. The authors are researchers, people working on social issues as well as representatives of non governmental organizations. The Policy gathers those, who day after day put their efforts in common to counteract HIV/ AIDS, which is not only a medical issue, but also a social, economical and for some countries a political challenge. …

  15. 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. …

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