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UNESCO HIV and Health Education Clearinghouse

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  1. The association between being currently in school and HIV prevalence among young women in nine eastern and southern African countries

    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.

  2. A sexual and reproductive health peer education programme for girls in grades 7 to 9. Mentor’s manual

    This sexual and reproductive health (SRH) peer education programme was developed as part of the Department of Basic Education’s (DBE) Leveraging Partnerships to Achieve the Goals of South Africa’s HIV & AIDS and STI National Strategic Plan 2012–16, otherwise known as Keeping Girls in School. The aim of this component of the programme is to shift social norms and change sexual behaviour by reinforcing and supporting the SRH messages received via the curriculum in order to increase retention and reduce the risk of HIV infection and teenage pregnancy.

  3. 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. …

  4. Effect of a cash transfer programme for schooling on prevalence of HIV and herpes simplex type 2 in Malawi: a cluster randomised trial

    Lack of education and an economic dependence on men are often suggested as important risk factors for HIV infection in women. The authors assessed the efficacy of a cash transfer programme for schooling to reduce the risk of sexually transmitted infections in young women. Based on their findings the authors conclude that cash transfer programmes can reduce HIV and HSV-2 infections in adolescent schoolgirls in low-income settings. Structural interventions that do not directly target sexual behaviour change can be important components of HIV prevention strategies.

  5. Engaging school personnel in making schools safe for girls in Botswana, Malawi, and Mozambique

    Girls are vulnerable to HIV in part because the social systems in which they live have failed to protect them. This study evaluates a program aimed at making schools safe for girl learners in order to reduce girls’ vulnerability to HIV in Botswana, Malawi, and Mozambique. In addition to an extensive process evaluation with school personnel program participants, program facilitators, and community members, a cross-sectional post-intervention survey was conducted among adolescent girls in the three countries. The total sample size was 1249 adolescent girls (ages 11–18). …

  6. 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.

  7. Addressing cross-generational sex: A desk review of research and programs

    Current interest in cross-generational sex is largely due to the feminization of the HIV and AIDS epidemic. Young women 15-24 years of age in sub-Saharan Africa are three times more likely to be infected with HIV than young men of the same age, four times more likely in Zambia, and a staggering five times more likely in Zimbabwe. But, in fact, ministries of education and others have had curricula and materials addressing the “sugar daddy” phenomenon for many years. …

  8. Adapting a multifaceted U.S. HIV prevention education program for girls in Ghana

    We adapted a U.S. HIV prevention program to address knowledge gaps and cultural pressures that increase the risk of infection in adolescent Ghanaian girls. The theory-based nine-module HIV prevention program combines didactics and games, an interactive computer program about sugar daddies, and tie-and-dye training to demonstrate an economic alternative to transactional sex. The abstinence-based study was conducted in a church-affiliated junior secondary school in Nsawam, Ghana. Of 61 subjects aged 10-14 in the prevention program, over two thirds were very worried about becoming HIV infected. …

  9. Education and risky sex in Africa: Unraveling the link between women’s education and reproductive health behaviors in Kenya

    Much research attention has been devoted to understanding the relationship between education and riskier sex-related behaviors and HIV/AIDS in sub-Saharan Africa. While in the early 1990s researchers found that increases in education were associated with a higher incidence of HIV/AIDS, this relationship appears to have reversed and better educated people, especially women, appear less likely to engage in riskier sex-related behaviors and have a lower incidence rate of HIV/AIDS. …

  10. Impact of HIV/AIDS education programmes on sexual behaviour of female students in Nigerian schools: Policy implications for scientific and technolgical development

    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. …

  11. Good policy and practice in HIV and health education. Booklet 7: Gender equality, HIV and education

    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. …

  12. Combat for gender equality in education: rural livelihood pathways in the context of HIV/AIDS

    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.

  13. Go Girls! Visual Briefs

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

  14. Research dossier: HIV prevention for girls and young women in Kenya

    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. …

  15. Reducing HIV Infection in Young Women in Southern Africa: The Key to Altering Epidemic Trajectories in a Generalized, Hyperendemic Setting

    This paper gives an overview of the HIV prevention battle in Southern Africa and supports the development of more balanced and innovative HIV prevention portfolio that adresses the real, immediate, and substantial risk facing young women from sub-Saharan African countries.

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