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UNESCO HIV and Health Education Clearinghouse

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  1. Towards comprehensive sexuality education: a comparative analysis of the policy environment surrounding school-based sexuality education in Ghana, Peru, Kenya and Guatemala

    The successful implementation of comprehensive sexuality education (CSE) programmes in schools depends on the development and implementation of strong policy in support of CSE. This paper offers a comparative analysis of the policy environment governing school-based CSE in four low- and middle-income countries at different stages of programme implementation: Ghana, Peru, Kenya and Guatemala. …

  2. Determining preferences related to HIV counselling and testing services among high school learners in KwaZulu-Natal: a discrete choice experiment

    A key strategy of the South African national response to HIV is the scale-up of HIV counselling and testing (HCT) in the 15–49 years age group. The integrated school health policy aims to guide the roll out of youth-friendly health services including the provision of HCT in schools. Using a discrete choice experiment to examine preferences regarding the attributes of HCT service packages, this study identifies barriers to and facilitators of HCT among high school learners. …

  3. HIV/AIDS national strategic plans of Sub-Saharan African countries: an analysis for gender equality and sex-disaggregated HIV targets

    National Strategic Plans (NSPs) for HIV/AIDS are country planning documents that set priorities for programmes and services, including a set of targets to quantify progress toward national and international goals. The inclusion of sex- disaggregated targets and targets to combat gender inequality is important given the high disease burden among young women and adolescent girls in Sub-Saharan Africa, yet no comprehensive gender-focused analysis of NSP targets has been performed. …

  4. Zimbabwe's national AIDS levy: a case study

    Background: The authors conducted a case study of the Zimbabwe National AIDS Trust Fund (‘AIDS Levy’) as an approach to domestic government financing of the response to HIV and AIDS. Methods: Data came from three sources: a literature review, including a search for grey literature, review of government documents from the Zimbabwe National AIDS Council (NAC), and key informant interviews with representatives of the Zimbabwean government, civil society and international organizations. Findings: The literature search yielded 139 sources, and 20 key informants were interviewed. …

  5. Scaling up comprehensive sexuality education in Nigeria: from national policy to nationwide application

    Nigeria is one of few countries that reports having translated national policies on school-based comprehensive sexuality education (CSE) into near-nationwide implementation. We analysed data using the World Health Organization-ExpandNet framework, which provides a systematic structure for planning and managing the scaling up of health innovations. We examined how Nigeria's nationwide programme was designed and executed. Since 2002, Nigeria has developed a well thought through strategy to scale up CSE. …

  6. Development of a nationally coordinated evaluation plan for the Ghana National Strategy for Key Populations

    Objective: Just as HIV prevention programs need to be tailored to the local epidemic, so should evaluations be country-owned and country-led to ensure use of those results in decision making and policy. The objective of this paper is to describe the process undertaken in Ghana to develop a national evaluation plan for the Ghana national strategy for key populations. Methods: This was a participatory process that involved meetings between the Ghana AIDS Commission (GAC), other partners in Ghana working to prevent HIV among key populations, and MEASURE Evaluation. …

  7. South African teachers' responses to teenage pregnancy and teenage mothers in schools

    South African law forbids excluding pregnant teenagers from school and permits young parents to continue with their schooling. However, the existence of progressive policy and law does not by itself ensure that pregnant teenagers and young parents remain in school or experience as little disruption to their studies as possible. Two of the factors influencing the experiences that pregnant girls and young parents have are the attitudes and practices of teachers. We explore how teachers in diverse South African secondary schools respond to young women's pregnancy and parenting. …

  8. School health in South Africa: reflections on the past and prospects for the future

    School health has received unprecedented attention in South Africa over the past five years and has consequently evolved from relative obscurity into a priority programme on the agendas of both the Department of Health (DoH) and of Basic Education (DBE). In the Department of Health, school health is one of three priority streams in the re-engineering of Primary Health Care (PHC). In the Department of Basic Education, progress with school health now forms a regular part of the DBE annual report. …

  9. The government of Kenya cash transfer for orphaned and vulnerable children: cross-sectional comparison of household and individual characteristics of those with and without

    Background: The ‘Cash Transfer to Orphans and Vulnerable Children’ (CT-OVC) in Kenya is a government-supported program intended to provide regular and predictable cash transfers (CT) to poor households taking care of OVC. CT programs can be an effective means of alleviating poverty and facilitating the attainment of an adequate standard of living for people’s health and well-being and other international human rights. …

  10. Sexual behavior among persons living with HIV in Uganda: Implications for policy and practice

    Introduction: HIV epidemics are sustained and propagated by new cases of infection which result from transmission from infected persons to uninfected susceptible individuals. People living with HIV (PLHIV) play a critical role in prevention if they adopt safer sexual behaviors. This study estimated the prevalence of and factors associated with safer sexual behaviors among PLHIV seeking care from civil society organizations (CSOs). …

  11. Adolescent health, global guidelines versus local realities: the Sub-Saharan Africa experience

    As the field of adolescent sexual and reproductive health (ASRH) evolves, further discussion and documentation of national policy and aspects of its implementation is needed to ensure effectiveness of interventions. Further research is required to foster beneficial shifts in policy advocacy, including resource allocation, and in the prioritization of adolescent programs in health and education systems, in communities and in workplaces. Adolescents are exposed to diverse interventions across all the countries under discussion; however there exist obstacles to realization of ASRH goals. …

  12. The Government of Kenya’s Cash Transfer Program Reduces the Risk of Sexual Debut among Young People Age 15-25

    The aim of this study is to assess whether the Government of Kenya’s Cash Transfer for Orphans and Vulnerable Children (Kenya CT-OVC) can reduce the risk of HIV among young people by postponing sexual debut. The program provides an unconditional transfer of US$20 per month directly to the main caregiver in the household. An evaluation of the program was implemented in 2007–2009 in seven districts. Fourteen Locations were randomly assigned to receive the program and fourteen were assigned to a control arm. A sample of households was enrolled in the evaluation in 2007. …

  13. AIDS policy in Lesotho: Implementation challenges

    HIV/AIDS, dubbed by some analysts as "a looming threat to security in Southern Africa" has been spreading at phenomenal rates in Lesotho since the first AIDS case was reported in 1986; twelve years later (1998) the number of infected adults stood at 101,000. At the end of 2001 this figure had risen by over 78% to 180,000, while children orphaned by the death of their AIDS-infected parents numbered 73,000. For an underdeveloped country with a population of just over two million, these statistics are a cause for alarm. …

  14. New Treatment gives hope to East Africa's drug users

    This article is about the national methadone project launched in the United Republic of Tanzania -- the first mainland sub-Saharan country to launch such a program -- as part of a battle to fight heroin addiction and HIV infection. Heroin users contribute to the HIV pandemic in Tanzania by needle sharing, therefore, the idea behind the methadone project is to safely ween heroin users off of the drug. The program is funded by the US President's Emergency Plan for AIDS Relief, as a response to Tanzania's growing epidemic of people who inject drugs. …

  15. Child consent in South African law: Implications for researchers, service providers and policy-makers

    Children under 18 are legal minors who, in South African law, are not fully capable of acting independently without assistance from parents/legal guardians. However, in recognition of the evolving capacity of children, there are exceptional circumstances where the law has granted minors the capacity to act independently. …

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