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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. 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. …

  3. 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.

  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. 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. …

  6. The long run costs and financing of HIV/AIDS in South Africa

    The aids2031-South Africa project aimed to estimate the influence of several factors on the magnitude, nature, costs and impacts of the national response to HIV/AIDS in South Africa. …

  7. Southern African HIV/AIDS and tuberculosis plan of action, 2010-2011 for Botswana, Lesotho, Namibia, South Africa, and Swaziland

    This paper for senior World Bank management and staff describes the current status and impact of the HIV (human immunodeficiency virus) and tuberculosis (TB) epidemic in southern Africa, the strategic role the Bank has played to date, and puts forward an action plan for deeper Bank engagement with the middle-income countries (MICs) in this subregion, especially in light of the new political commitment by the government of South Africa.

  8. Government's social development response to children made vulnerable by HIV/AIDS: Identifying gaps in policy and budgeting

    According to figures released by the Department of Health of South Africa in 2005, an estimated 6.29-6.57 million people were HIV positive in 2004. South Africa is home to approximately 17.7 million children. HIV/AIDS produces and compounds different forms of vulnerability among children. First, children are being made directly vulnerable by infection (mostly caused by mother to child transmission) and related ill-health. The number and proportion of infections due to child abuse is increasing. Secondly, HIV/AIDS is causing vulnerability among children by leaving them orphaned. …

  9. Gender-based violence and HIV/AIDS in South Africa: organisational responses

    The linkages between HIV/AIDS and gender-based violence have been identified in a recent literature review (Kistner 2003). …

  10. An audit of HIV/AIDS policies in Botswana, Lesotho, Mozambique, South Africa, Swaziland and Zimbabwe

    Prior to this report, little scientific documentation existed on HIV/AIDS policies, legislation, financing and programme implementation in Southern African Development Community countries. This study reviews the HIV/AIDS policy and related issues in six southern African countries and provides recommendations on how best to strengthen policy in these areas.

  11. A Comparative Analysis of the Financing of HIV/AIDS Programmes in Botswana, Lesotho, Mozambique, South Africa, Swaziland and Zimbabwe

    This comparative analysis aims to assess the readiness and ability of the countries to respond to the HIV/AIDS epidemic. The key issues adressed in this analysis are: Is the allocation to health, as a per cent of total government expenditure sufficient? Is enough allocated to deal with HIV/AIDS, given the magnitude of the problem.

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