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Interventions to keep adolescent girls and young women in school, or support their return to school, are hypothesised to also reduce HIV risk. Such interventions are included in the DREAMS combination package of evidence-based interventions. Although there is evidence of reduced risky sexual behaviours, the impact on HIV incidence is unclear. We used nationally representative surveys to investigate the association between being in school and HIV prevalence.
Comment on a study published in The Lancet Global Health by Audrey Pettifor and colleagues on cash transfers, school attendance and the reduction of HIV risk behaviours in adolescent girls.
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. …
This study investigated the impact of HIV/AIDS education programmes on sexual behaviors of female students in senior secondary schools in Rivers State of Nigeria. The population for the study comprised of all senior secondary schools female students in Nigeria, which was divided into urban and rural schools. The sample size was 200 female students obtained by using stratified random sampling technique. …
Education, HIV and gender equality are deeply inter related aspects of personal and global development. This booklet presents new thinking and emerging research alongside a series of case studies and examples of new and time-tested programmes on the issues of gender equality, HIV and education and the interrelation between them. It includes discussion papers, which explore issues and emerging evidence in greater depth, as well as case study examples of programmes and interventions from a range of countries. …
Peer-led programmes on AIDS prevention have shown a good level of effectiveness when tested among high-risk populations. This study compared peer-led and teacher-led methods of education about HIV/AIDS among female high-school students in Yazd city, Islamic Republic of Iran. In 2009 students in 3 high schools were trained by their classmates (peer-led), by the research team (teacher-led) or had no education (controls); 180 students completed a specially designed questionnaire based on the health belief model, before and after the intervention. …
This book, which was originally written as a dissertation, broadens the approach to gender equality in primary education by exploring the magnitude of complex interactions between schools and rural livelihood household processes in the context of HIV/AIDS. The arguments are based on recent ethnographic research using dimensions of rural pupils', parents', and teachers' responses to the socio-economic impact of HIV/AIDS on their livelihoods. It gives insight into some of the current debates that have been generated in the field of education, HIV/AIDS and rural livelihoods.
Adolescent girls imprisoned in state reformatories were recruited (N=246) to an 18-month health education or HIV prevention program. A randomized block design was used to assign girls to one of the two programs. Girls in the HIV prevention program had improved risk reduction and condom use skills. At 9 months of follow-up, girls in both groups reported less sex under the influence of alcohol or drugs and less unprotected sex.
This cross-sectional study conducted in 2007 in South Delhi, India aimed to assess adolescent school girls' knowledge, attitudes and perceptionsátowards STIs/HIV and safer sex practices and sex education and to explore current sexual behavior. Two hundred and fifty-one female students from two senior secondary schools completed self-administered questionnaires. Over 33% of students did nto have accurate knowledge of the symptoms of STIs other than HIV. …
This Research Dossier supports the Report Card on HIV Prevention for Girls and Young Women in Kenya produced by the United Nations Global Coalition on Women and AIDS (GCWA). It documents the detailed research coordinated for the GCWA by the International Planned Parenthood Federation (IPPF), with the support of the United Nations Population Fund (UNFPA), United Nations Program on AIDS (UNAIDS) and Young Positives. The Report Card provides an "at a glance" summary of the current status of HIV prevention strategies and services for girls and young women in Kenya. …
This paper's focuses on areas of relatively poorly addressed or understood aspects of young people's sexual and reproductive health. The authors propose to argue for the need to supplement our knowledge and programmatic interventions with regard to three specific issues related to young people's lives that need attention: (a) an overlooked sub-population of married adolescent girls; (b) an overlooked behavior of sex without consent; (c) programmatic interventions that work (or do not) in enhancing young people's health and development.
Since the year 2000, the German Development Service (DED) has increased its engagement to combat HIV and AIDS through supporting a multisectoral approach in the hardest hit countries in sub-Sahara Africa. 90% of the Kenyan population lack financial resources and local access to adequate Reproductive Health services. This report gives an overview of this situation and analyzes the impact of HIV and AIDS on the public and private sector.áá
Recent evidence suggests that conditional cash transfer programs for schooling are effective in raising school enrollment and attendance. However, there is also reason to believe that such programs can affect other outcomes, such as the sexual behavior of their young beneficiaries. Zomba Cash Transfer Program is a randomized, ongoing conditional cash transfer intervention targeting young women in Malawi that provides incentives (in the form of school fees and cash transfers) to current schoolgirls and recent dropouts to stay in or return to school. …
This case study is based on in-depth qualitative research conducted over six months by Concern Worldwide in the central province of Manica. It looks at how Concern Mozambique has addressed issues related to HIV and AIDS within its education programme. Specifically it outlines how school councils can help create a safer and more supportive environment particularly for girls using a methodology called Circles of Support. …
In Ethiopia, in 2003, 2.9 million adults and 250 000 children are living with HIV/AIDS. About 90% of the reported AIDS cases are between the age 20 and 49 and this age group is among the productive sector. However, research has revealed (UNESCO Prospect Vol. XXXIII No. 2 June, 2002) that education about sex, AIDS and health in general particularly with children and young people, does not result in increased sexual activity but, on the contrary, leads to protective behaviour. The objectives of this study are as follows: 1. …
