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UNESCO HIV and Health Education Clearinghouse

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  1. The effect of a conditional cash transfer on HIV incidence in young women in rural South Africa (HPTN 068): a phase 3, randomised controlled trial

    Cash transfers have been proposed as an intervention to reduce HIV-infection risk for young women in sub-Saharan Africa. However, scarce evidence is available about their effect on reducing HIV acquisition. The authors aimed to assess the effect of a conditional cash transfer on HIV incidence among young women in rural South Africa. Based on their research findings, the authors draw the conclusion that cash transfers conditional on school attendance did not reduce HIV incidence in young women. School attendance significantly reduced risk of HIV acquisition, irrespective of study group. …

  2. Effect of a cash transfer programme for schooling on prevalence of HIV and herpes simplex type 2 in Malawi: a cluster randomised trial

    Lack of education and an economic dependence on men are often suggested as important risk factors for HIV infection in women. The authors assessed the efficacy of a cash transfer programme for schooling to reduce the risk of sexually transmitted infections in young women. Based on their findings the authors conclude that cash transfer programmes can reduce HIV and HSV-2 infections in adolescent schoolgirls in low-income settings. Structural interventions that do not directly target sexual behaviour change can be important components of HIV prevention strategies.

  3. Accessing the ‘right’ kinds of material and symbolic capital: the role of cash transfers in reducing adolescent school absence and risky behaviour in South Africa

    This article investigates how well South Africa’s Child Support Grant (CSG) responds to the material and psychosocial needs of adolescents, and the resultant effects on schooling and risky behaviour. One driver of schooling decisions is shame related to poverty and the ‘social cost’ of school, where a premium must often be paid for fashionable clothes or accessories. The other driver relates to symbolic and consumptive capital gained through engaging in sexual exchange relationships. The anticipated impacts from the CSG are partial because of these non-material drivers of adolescent choices. …

  4. 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.

  5. Plan d’accélération de la riposte nationale au sida 2014 - 2017

    Les principes directeurs qui guideront la mise en œuvre du présent « Plan d’accélération de la riposte nationale au sida 2014 – 2017 » s’inscrivent dans les principes du PSN 2012-2015 qui sont les suivants : 1. Orientation des interventions vers les populations les plus exposées au risque et celles qui en ont le plus besoin. 2. Elargissement et renforcement de l’accessibilité aux services de prévention, de soins/traitement et de soutien à travers une meilleure disponibilité des services. 3. …

  6. HIV and AIDS policy 2014

    The overarching goal of this Policy is to provide broad guidelines for the coordination of all HIV and AIDS programmes in order to prevent new HIV infections and mitigate the impact of HIV and AIDS on the Education Sector. The Policy is guided by the 1992 Fourth Republican Constitution of Ghana, the National HIV and AIDS, STI Policy - 2013, the Education Strategic Plan (ESP) 2010 - 2020 and other government policies, international conventions and protocols, such as the ILO Recommendation concerning HIV and AIDS and the World of Work, 2010 (No. 200). …

  7. The government of Kenya cash transfer for orphaned and vulnerable children: cross-sectional comparison of household and individual characteristics of those with and without

    Background: The ‘Cash Transfer to Orphans and Vulnerable Children’ (CT-OVC) in Kenya is a government-supported program intended to provide regular and predictable cash transfers (CT) to poor households taking care of OVC. CT programs can be an effective means of alleviating poverty and facilitating the attainment of an adequate standard of living for people’s health and well-being and other international human rights. …

  8. 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.

  9. 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). …

  10. 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. …

  11. 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.

  12. 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. …

  13. 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. …

  14. 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. …

  15. Paying to prevent HIV infection in young women?

    Between a quarter and a third of young women in sub-Saharan Africa are infected with HIV by the time they reach their early 20s. Structural factors such as poor education, poverty, and gender and power inequalities are important determinants of young women’s vulnerability to HIV infection. In The Lancet, Sarah Baird and colleagues report the results of a randomised controlled trial done with adolescent girls in rural Malawi, examining the effects of a cash transfer programme on risk of HIV infection. …

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