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UNESCO HIV and Health Education Clearinghouse

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  1. Rethinking HIV-prevention for school-going young people based on current behaviour patterns

    The aim of the research was to gain increased knowledge regarding the sexual risk behaviour of school-going young people in South Africa after two decades of HIV-education in schools, to contribute to the development of improved HIV prevention strategies. In collaboration with the Department of Education, a sample of 5305 learners (between 10 and 18 years in Grades 5–12) from high-risk communities were identified. …

  2. Evaluation de la réponse du secteur de l'enseignement face à l'épidémie du VIH en milieu scolaire au Togo: rapport d'étude

    L’objectif de l’étude est d’évaluer la réponse du secteur de l’éducation à l’épidémie du VIH en milieu scolaire.

  3. Risk information, risk salience, and adolescent sexual behavior: experimental evidence from Cameroon

    Results from a randomized experiment conducted with teenage schoolgirls in Cameroon suggest that HIV prevention interventions can be effective at reducing the incidence of teen pregnancy in the following 9-12 months by over 25 percent.

  4. Is peer education the best approach for HIV prevention in schools? Findings from a randomized controlled trial

    The purpose of the research was to evaluate the effectiveness of peer education when compared to teacher-led curricula in AIDS prevention programs conducted in schools in Rome, Italy. The only apparent benefit of the peer-led intervention, compared to that led by teachers, was a greater improvement in knowledge of HIV. Neither of the interventions induced changes in sexual behavior. However, the role of possible biases and methodological problems must be considered when interpreting these results.

  5. Efficacy of an American alcohol and hiv prevention curriculum adapted for use in South Africa: results of a pilot study in five township schools

    The high prevalence of HIV among young people in African countries underscores a pressing need for effective prevention interventions. Adapting school–based prevention programs developed in the United States for use in African schools may present an alternative to the time–consuming process of developing home–grown programs. The researchers report the results of a pretest–posttest field trial of an alcohol/ HIV prevention curriculum adapted from an American model and delivered to ninth-grade students in five South African township schools. …

  6. Impact of a School-based Peer Sexual Health Intervention on Normative Beliefs, Risk Perceptions, and Sexual Behavior of Zambian Adolescents

    To determine whether adolescents’ normative beliefs about abstinence and condoms, their personal risk perception, and safer sex practices changed after the implementation of a peer sexual health education intervention implemented in Zambian secondary schools.

  7. The association between sex education and youth’s engagement in sexual intercourse, age at first intercourse, and birth control use at first sex

    Purpose: Sex education is intended to provide youth with the information and skills needed to make healthy and informed decisions about sex. This study examined whether exposure to formal sex education is associated with three sexual behaviors: ever had sexual intercourse, age at first episode of sexual intercourse, and use of birth control at first intercourse. Methods: Data used were from the 2002 National Survey of Family Growth, a nationally representativesurvey. The sample included 2019 never-married males and females aged 15–19 years. …

  8. Application of the information, motivation and behavioural skills model for targeting HIV risk behaviour amongst adolescent learners in South Africa

    This paper discusses the application of an information, motivation and behavioural skills (IMB) model in a school-based programme for the reduction of HIV risk behaviour among 259 Grade 11 learners in two high schools in Alexandra township, Johannesburg. School 1 was the Experimental group, while School 2 was the Control group. After a baseline study (Time 1) at both schools, a 3-week intervention programme was conducted at School 1. A post-test (Time 2) was conducted at both schools. The intervention was repeated at School 2, followed by another post-test (Time 3) at both schools. …

  9. The World Starts With Me: using intervention mapping for the systematic adaptation and transfer of schoolbased sexuality education from Uganda to Indonesia

    Evidence-based health promotion programmes, including HIV/AIDS prevention and sexuality education programmes, are often transferred to other cultures, priority groups and implementation settings. Challenges in this process include the identification of retaining core elements that relate to the programme’s effectiveness while making changes that enhances acceptance in the new context and for the new priority group. This paper describes the use of a systematic approach to programme adaptation using a case study as an example. …

  10. Efficacy of a theory-based abstinence-only intervention over 24 months: A randomized controlled trial with young adolescents

    Objective: To evaluate the efficacy of an abstinence-only intervention in preventing sexual involvement in young adolescents. Design:Randomized controlled trial. Setting: Urban public schools. Participants:A total of 662 African American students in grades 6 and 7. …

  11. Sexuality education in South Africa: Three essential questions

    Sex education is the cornerstone on which most HIV/AIDS prevention programmes rest and since the adoption of Outcomes-Based Education (OBE), has become a compulsory part of the South African school curriculum through the Life Orientation learning area. However, while much focus has been on providing young people with accurate and frank information about safe sex, this paper questions whether school based programmes sufficiently support the needs of young people. …

  12. Long-Term Biological and Behavioural Impact of an Adolescent Sexual Health Intervention in Tanzania: Follow-up Survey of the Community-Based MEMA kwa Vijana Trial

    The ability of specific behaviour-change interventions to reduce HIV infection in young people remains questionable. Since January 1999, an adolescent sexual and reproductive health (SRH) intervention has been implemented in ten randomly chosen intervention communities in rural Tanzania, within a community randomised trial (see below; NCT00248469). The intervention consisted of teacher-led, peer-assisted in-school education, youth-friendly health services, community activities, and youth condom promotion and distribution. …

  13. Assessment life-skills based curriculum in Lao PDR

    According to the 2010 UNGASS Country Progress Report, Lao PDR is the only country in the Greater Mekong Region with a continuing low HIV prevalence. However, the report makes it clear that the country is “continuously vulnerable to an expanding epidemic” and that a key reason for this is increasing high-risk behaviour among the youth, in particular the use of drugs and alcohol. …

  14. Condom Use Increases Among Namibian Youths Following HIV Training

    Namibian adolescents who received an HIV training curriculum experienced significant changes in attitudes, knowledge, intentions and behaviors concerning sexual activity and HIV. Adolescents who received training were more likely than their peers to know how pregnancy occurs and how to use a condom correctly. They also were more likely to believe that they could be intimate with a partner without having sex and that they could have a girlfriend or boyfriend for a long time without having sex. …

  15. HIV prevention for South African youth: which interventions work? A systematic review of current evidence

    South Africa's HIV prevalence among 15-24 year olds is one of the highest in the world. This systematic review looks at the evidence for youth HIV prevention in the country since 2000 and critically assesses interventions across four domains: study design and outcomes; intervention design; thematic focus and HIV causal pathways; and intervention delivery. Eight interventions were included in the review, all similar regarding content and objectives, but with variouis thematic foci, causal pathways, theoretical bases, delivery methods, intensity and duration. …

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