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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. 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.

  3. 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). …

  4. 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. …

  5. 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). …

  6. 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. …

  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. The Impact of a Comprehensive Microfinance Intervention on Depression Levels of AIDS-Orphaned Children in Uganda

    The relationship between poverty and mental health functioning is well documented. Poverty affects not only families’ ability to physically care for children, but also families’ stability, functioning, and psychosocial well-being. In this article, we examine the impact of a comprehensive microfinance intervention, intended to reduce the risk of poverty, on depression among adolescent youth who have lost either one or both parents to AIDS.A child who has been affected by AIDS is more likely to have increased levels of anxiety, depression, and reduced self-esteem. …

  9. Report on supporting care providers to improve lives of children orphaned or made vulnerable by HIV/AIDS

    This report presents the findings of a study on how communities lead the response to orphans and other vulnerable children (OVC) in different regions of Malawi - focusing on the districts of Kasungu and Lilongwe in the central region, Mulanje in the south, and Mzimba in the north. These are districts where Plan Malawi implements OVC care and support interventions. The overall goal of the study was to determine the effectiveness of support being provided by care givers to the well being of OVC made vulnerable by HIV and AIDS. …

  10. 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. …

  11. Kenya's cash transfer program: protecting the health and human rights of orphans and vulnerable children

    In Kenya, as in other countries of sub-Saharan Africa heavily burdened by HIV/ AIDS, orphans and vulnerable children (OVC) face poverty and despair. There is an urgent need to provide a comprehensive response that supports families and communities in their efforts to care for children and safeguard their rights. The government of Kenya has established a cash transfer program that delivers financial and social support directly to the poorest households containing OVC, with special concern for those children with or affected by HIV/AIDS. …

  12. Orphans and vulnerable children (OVC) programming in Global Fund HIV/AIDS grants in Kenya

    The USAID Health Policy Initiative, Task Order 1, conducted a comprehensive desk review to better understand the nature and extent of OVC in Global Fund HIV/AIDS grants and the processes involved. The project then supported a study in Kenya to explore the country situation influencing these processes. Information for the activity came from a review of proposal and grant-related documents available through the Global Fund website and interviews with key informants in Kenya. Kenya was chosen due to its high HIV prevalence rate, OVC burden, and a succession of proposals and grants over time. …

  13. Innovations in education: the role of the education sector in combating HIV/AIDS

    From 2002-2005 Africare implemented the Community Based Care, Protection and Empowerment (COPE) for Children Affected by AIDS (CABA) project in Mutasa District of Zimbabwe. The goal of the project was to encourage shared responsibility for orphans and vulnerable children by increasing community capacity to respond to the needs of orphans and vulnerable children (OVC). …

  14. A costing analysis of selected orphans and vulnerable children (OVC) programs in Botswana

    The number of children under the age of 18 in Sub-Saharan Africa (SSA) who have lost one or both parents to AIDS has increased dramatically in the last five years. The number of children orphaned by AIDS in SSA is estimated to be around 12 million (UNICEF, 2006). Many more children live with one or more chronically ill or dying parents and or live in poverty stricken and food insecure households. …

  15. A cash transfer program reduces HIV infections among adolescent girls

    A large randomized trial in Malawi shows that schoolgirls whose families received monthly cash transfers had a significantly lower HIV infection rate than the control group. The two-year experiment in Zomba, a district in southern Malawi, offered cash to households with schoolgirls aged 13-22 who had never been married. Some of the offers were conditional on regular school attendance, while others were unconditional. Eighteen months after the program began, the HIV prevalence among program beneficiaries was 60% lower than the control group (1.2% vs. 3.0%). …

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