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UNESCO HIV and Health Education Clearinghouse

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  1. Lessons learned from a decade implementing comprehensive sexuality education in resource poor settings: The World Starts With Me

    Today, more than half of the world population is under the age of 25 years and one in four is under age 18. The urgency of expanding access to Comprehensive Sexuality Education (CSE) notably for children and young people in Africa and Asia is greater than ever before. However, many challenges to the implementation and delivery of CSE in resource poor settings have been identified in the literature. CSE’s effectiveness could be strongly improved if these challenges were better met. …

  2. Unintended pregnancy and abortion in Uganda

    Unintended pregnancy is common in Uganda, leading to high levels of unplanned births, unsafe abortions, and maternal injury and death. Because most pregnancies that end in abortion are unwanted, nearly all ill health and mortality resulting from unsafe abortion is preventable. This report summarizes evidence on the context and consequences of unintended pregnancy and unsafe abortion in Uganda, points out gaps in knowledge, and highlights steps that can be taken to reduce levels of unintended pregnancy and unsafe abortion, and, in turn, the high level of maternal mortality.

  3. Gender Dynamics and Sexual Norms among Youth in Mali in the Context of HIV/AIDS Prevention

    Socially constructed ideas of gender norms and values attached to sexuality need to be considered when aiming to build the young people’s capacity to adopt HIV preventive behaviours. We conducted ten focus groups and sixteen individual interviews to explore sexual norms among youth in Bamako. Premarital sex, multiple partnering, condom use and transactional sex were discussed. The findings suggest that young people’s sexual norms are shaped by kin or authoritative elders as well as by external influences coming from Western culture. …

  4. 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. …

  5. Are there any disparities between girls and boys in the response of the education sector to HIV and AIDS? Assessment of educational HIV/AIDS prevention programmes applied by SACMEQ III countries

    This paper aims to assess whether the goals of the in-school programmes on prevention of HIV and AIDS that are taught in primary schools of 15 national ministries of education in Southern and Eastern Africa have been reached equitably between boys and girls by the end of primary education. One feature of most of these ministries is that they are in countries that are the hardest hit by a general HIV epidemic. More specifically, the paper aims to analyse schoolboys’ and schoolgirls’ general knowledge about HIV and AIDS. …

  6. Sexual risk behaviors among youth heads of household in Gikongoro, south province of Rwanda

    The purpose of this study was to: (a) identify risk behaviors that expose Rwandan young heads of household (YHH) to HIV infection, (b) determine gender-specific high-risk profiles and, (c) determine predictors of sexual onset. A household survey was conducted among 692 YHH, ages 12–24, all beneficiaries of a World Vision basic needs program in Gikongoro, Rwanda, from January to March 2004. Participants were interviewed using a structured questionnaire. Data were collected on socio-demographic variables, knowledge about HIV/AIDS prevention and sexual risk behaviors. …

  7. Sports for adolescent girls

    Adolescence is a time when gender disparities between boys and girls become more pronounced. While many boys stay focused on school, girls often have more responsibilities at home. These responsibilities limit girls’ opportunities for maintaining social networks, and social isolation can contribute to increasing the risk of dropping out of school, marrying early, and being in situations that leave them vulnerable to pregnancy and HIV infection. At their most recent annual meeting, the Interagency Youth Working Group focused on protecting and empowering adolescent girls. …

  8. Expanding reproductive rights knowledge and advocacy with HIV-positive women and their allies in Namibia: an action-oriented approach. Summary report

    Ipas and the International Community of Women Living with HIV (ICW) collaborated on a project to enhance the capacity of ICW members in Namibia to work on issues of gender, violence, HIV/AIDS and reproductive rights with members of their communities. This summary report discusses a follow-up initiative to a 2007 training-of-trainers course held in Namibia and offers concluding observations of successes and challenges of the initiative.

  9. Go Girls! Visual Briefs

    This booklet contains flipcharts on a variety of topics to help communities identify ways to make environment safer for girls.

  10. Sexual and Reproductive Health /HIV/AIDS/ Project for Adolescents and Youth

    Sexual and Reproductive Health /HIV/AIDS/Project for Adolescents and Youth is a small magazine developed by Geração Biz, a national, multi-sectoral adolescent program, including the Ministries of Health, Youth and Sports, and Education, and local NGOs, in Zambezia, Mozambique in 2001. It presents articles written to recall the importance to improve sexual and reproductive health among youth. It describes briefly the situation of the province of Zambezia, where the HIV prevalence is 13%, regarding early marriages, pregnancies, school attendance or knowledge of contraception. …

  11. Understanding and challenging HIV stigma. Toolkit for action. Module J. Young people and stigma

    This document is part of a toolkit written for and by HIV trainers. It has been designed to help trainers plan and organise educational sessions with community leaders or organised groups. The toolkit consists in a collection of participatory training exercises to help people at all levels understand stigma - what it means, why it is an important issue, what its root causes are - and develop strategies to challenge stigma and discrimination. The present document contains the Module J "Young people and stigma". …

  12. Our future: sexuality and life skills education for young people. Grades 4-5

    This toolkit shares the experiences of a project on sexuality and life skills led by the International HIV/AIDS Alliance started in 2003. The toolkit is based on a number of workshops and discussions with teachers and students. Throughout the development of the toolkit, students contributed questions, stories, problem letters and pictures. The result is a series of three books developed with teachers and learners in Grades 4 to 9 from 14 schools in the Chipata District of Zambia. …

  13. Gender and risk of HIV in Ghana and Uganda

    Using Demographic and Health Survey (DHS) data for Ghana and Uganda, this study examines the gender differentials in perceptions of HIV risk in the two countries, which have been hit by the HIV epidemic in a different way, as in Ghana the epidemic has just started. It identifies factors associated with high or low risk of HIV infection by using logistic regression methodology. Principal findings include strong gender differentials in perceptions of risk, especially in Uganda; women felt at greater risk of HIV infection than men. …

  14. Gender differentials in adolescent sexual activity and reproductive health risks in Cameroon

    This paper documents how young men and women in Cameroon vary in the way they conduct their sexual lives as well as in the reproductive health risks they take. Consideration is given to gender differentials in patterns of sexual initiation, number of regular and casual partners, and condom use. It also examines factors affecting male and female patterns of sexual and reproductive health behaviour. It evaluates and contrasts the health consequences of the sexual activity of both males and females, including the prevalence of sexually transmitted infections.

  15. Quantitative research instrument to measure school-related gender-based violence

    The Safe Schools Program has just released the Quantitative Research Instrument to Measure School-Related Gender-Based Violence, which details the sampling methodology, interview guidelines, and suggested preliminary data analysis of a recently conducted study to assess the knowledge, attitudes, practices, and experiences of boys and girls and teachers with gender-based physical, psychological and sexual violence at schools including in the classroom and on the school grounds as well as going to and from school. The study was carried out in Malawi by DevTech Systems, Inc. …

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