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UNESCO HIV and Health Education Clearinghouse

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  1. Does schooling protect sexual health? The association between three measures of education and STIs among adolescents in Malawi

    While multiple studies have documented shifting educational gradients in HIV prevalence, less attention has been given to the effect of school participation and academic skills on infection during adolescence. …

  2. 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. …

  3. Experimental evaluation of school-based HIV programs in sub-Saharan Africa

    School-based adolescent health education programs represent a durable strategy in reducing the spread of HIV because they can leverage pre-existing social and organizational structures to reach large fractions of students at critical life stages. Many evaluations of school-based HIV programs draw on multilevel study designs that assign schools to treatment conditions or assign students to treatment conditions within blocks defined by school membership. …

  4. Opportunities for technology-based HIV prevention programming among high school students in Cape Town, South Africa

    One in three new cases of HIV in South Africa is among adolescents. Given that adolescents are particularly affected, scalable, and cost-effective prevention programs are urgently needed. This study aims to identify opportunities to integrate technology into youth HIV prevention efforts. In 2012, 1107 8th–11th graders completed a paper-and-pencil survey. Respondents were enrolled in one of three public high schools in Langa, a lower income community in Cape Town, South Africa. Eighty-nine percent of respondents have used text messaging (SMS) and 86% have gone online. …

  5. What can a teacher do with a cellphone? Using participatory visual research to speak back in addressing HIV and AIDS

    The ubiquity of cellphones in South Africa, a country ravaged by HIV and AIDS, makes cellphones an easily accessible tool to use in participatory approaches to addressing HIV (Human Immunodeficiency Virus) and AIDS (Acquired Immunodeficiency Syndrome) issues, particularly in school contexts. In this article we explore a participatory visual approach undertaken with a group of rural teachers, to uncover and address HIV and AIDS related issues. Drawing on our experience in using participatory video, we used cellphones to produce cellphilms about youth and risk in the context of HIV and AIDS. …

  6. 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. …

  7. Synthesis of multi-country study on the impact of HIV and AIDS on teachers and teaching in formal and non formal education in Benin, Ghana, Guinea and Niger

    This multi-country study on the impact of HIV and AIDS on the education sector was carried out in four countries in order to identify current practices and to explore their strengths and weaknesses. The study revealed that the various stakeholders in the education system had limited knowledge of national HIV and AIDS and education policies and as a result actions aimed at mitigating the impact of HIV and AIDS were largely ineffective. HIV and AIDS affect the offer, demand and quality of education due to an absence of administrative measures to manage infected and affected persons. …

  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. An HIV/AIDS knowledge scale for adolescents: item response theory analyses based on data from a study in South Africa and Tanzania

    A 14-item human immunodeficiency virus/acquired immunodeficiency syndrome knowledge scale was used among school students in 80 schools in 3 sites in Sub-Saharan Africa (Cape Town and Mankweng, South Africa, and Dar es Salaam, Tanzania). For each item, an incorrect or don't know response was coded as 0 and correct response as 1. Exploratory factor analyses based on polychoric correlations showed two separate factors for all sites. …

  10. HIV/AIDS programmes: what do learners want?

    We describe how selected adolescent learners experience their current HIV/AIDS programmes in school. The rationale of the instrumental case study was that knowing, appreciating and understanding learners' preferences and experiences should inform future HIV/AIDS curriculum design. Research was conducted at three specifically selected secondary schools (cases). Focus groups and written essays were used as methods for data collection from 90 Grade 11 participants. …

  11. A novel economic intervention to reduce HIV risks among school-going AIDS orphans in rural Uganda

    This study tested an economic intervention to reduce HIV risks among AIDS-orphaned adolescents. Adolescents (n = 96) were randomly assigned to receive the intervention or usual care for orphans in Uganda. All adolescents in the study received usual care for AIDS orphans in Uganda, which included peer counseling, health education, and scholastic materials. In addition, experimental adolescents received a family economic intervention, which included a Child/Youth Development Account (CDA) and six 2-hour classes on career planning, career goals, microfinance, and financial well-being. …

  12. 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. …

  13. AIDS education in Tanzania: promoting risk reduction among primary school children

    This randomized controlled community trial aimed to see whether an education program could reduce children's risk of contracting HIV and improve their tolerance of people living with HIV and AIDS. Results showed improved outcomes among students in the intervention group relating to exposure to AIDS information and communication, AIDS knowledge, attitudes toward people with AIDS, and subjective norms and behavioral intentions toward having sexual intercourse. It was feasible and effective to train local teachers and health workers to provide health education on HIV and AIDS.

  14. Increased sexual abstinence among in-school adolescents as a result of school health education in Soroti district, Uganda

    A health education program conducted in primary schools in Soroti district, Uganda promoted increased access to information, better peer interactions and better quality of the health education system. A cross-sectional survey was conducted among students in their final year of primary school (average age 14 years) at baseline and two years after introduction of the intervention. The percentage of sexually active students decreased from 42.9% (123 out of 287) to 11.1% (31 out of 280) in the intervention arm, while no changes were observed in the control arm. …

  15. Influence of educational status and other variables on human immunodeficiency virus risk perception among military personnel: a large cohort finding

    HIV risk perception is a determinant of HIV transmission. This prospective cohort followed 2,213 Nigerian military personnel to assess the association between higher educational attainment and increased HIV risk perception. Multivariable regression revealed that there was an inverse correlation between increasing educational level and HIV risk perception (POR, 0.70, 95% CI=0.56-0.88). There was also a correlation between alcohol and marijuana use and HIV risk perception (p 0.05). There waws no association between casual sex and gender and HIV risk perception. …

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