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UNESCO HIV and Health Education Clearinghouse

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  1. Step up the pace: towards an AIDS-free generation in West and Central Africa

    The West and Central Africa region has one of the world’s highest HIV burdens among children and adolescents, second only to that of Eastern and Southern Africa. Yet, due to its lower HIV prevalence rate, the epidemic has received less attention than in other regions. …

  2. 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. …

  3. Situation analysis of legal and regulatory aspects of HIV and AIDS in Seychelles: final report

    This analysis of legal and regulatory aspects in the context of HIV and AIDS seeks to clarify how existing laws, policies and practices and their implementation and enforcement either support or undermine an effective HIV response in the country. This is important to ensure an effective HIV response that protects and promotes the human rights of people living with HIV and of most at risk and vulnerable populations. …

  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. A comparative analysis of national HIV policies in six African countries with generalized epidemics

    Objective: To compare national human immunodeficiency virus (HIV) policies influencing access to HIV testing and treatment services in six sub-Saharan African countries. Methods: We reviewed HIV policies as part of a multi-country study on adult mortality in sub-Saharan Africa. A policy extraction tool was developed and used to review national HIV policy documents and guidelines published in Kenya, Malawi, South Africa, Uganda, the United Republic of Tanzania and Zimbabwe between 2003 and 2013. Key informant interviews helped to fill gaps in findings. …

  6. Effective laws to end HIV and AIDS: Next steps for parliaments

    With the global AIDS response becoming increasingly hampered by the criminalization of key populations, this study aims to encourage and assist parliamentary scrutiny of legislation that impedes effective HIV interventions. It highlights the various processes in selected parliaments that led to the adoption of laws with a positive impact on the AIDS response. Although such outcomes were not always easy to achieve, they were mainly the result of inspired leadership by parliamentarians able to overcome the moral obstacles that had stifled socially sensitive issues in political debate.

  7. Getting to zero: HIV in eastern and southern Africa

    This report provides an overview of the HIV epidemics in eastern and southern Africa and of the region’s response and progress towards meeting the 2011 Political Declaration targets, while identifying noteworthy achievements and challenges. The report draws on the most recently available data from the Global AIDS Response Reporting System, national HIV estimation exercises, data gathered and generated by UNAIDS, its co-sponsors and national partners, and the many recent studies and surveys that have been conducted in the region. …

  8. Turning a crisis into an opportunity: Strategies for scaling up the national response to the HIV/AIDS pandemic in Lesotho

    The way we interpret and understand HIV/AIDS influences our choice for programmatic interventions. Therefore, this report begins by providing conceptual starting points for a comprehensive understanding of the HIV/AIDS epidemic. Chapter 1 sets the national historic context, which serves as a backdrop to the heritage which we seek to preserve, and the will of the people to win. …

  9. Promoting synergies between child protection and social protection

    In this report, the fifth in a series of regional thematic reports produced for a study on social protection and children in West and Central Africa, we focus on children’s vulnerabilities and risks related to an absence of protection from violence, abuse and neglect, and the ways in which measures to address such vulnerabilities and risks can be more effectively integrated into social protection policy frameworks. Many of the vulnerabilities identified stem from social factors such as family violence, break-up or illness and death (e.g. …

  10. The fiscal dimension of HIV/AIDS in Botswana, South Africa, Swaziland and Uganda

    The purpose of this study is to refine the analysis of the fiscal burden of HIV/AIDS on national governments and assess the fiscal risks associated with scaling-up national HIV/AIDS responses. The study complements and contributes to the agenda on identifying and creating fiscal space for HIV/AIDS and other development expenditures. The findings from this study, and the analytical tools developed in it, could help governments in defining policy objectives, improving fiscal planning, and conducting their dialogue with donor agencies. …

  11. HIV/AIDS and the health-related Millennium Development Goals: the experience in Ethiopia

    Ethiopia’s AIDS response is distinguished by its ‘integrated health system strengthening approach’ to expanding health service delivery. This approach is believed to have contributed to the significant strides the country has made towards the health MDGs. At the global level, in a drive to maximize efficiencies and demonstrate the impact of the substantial investments made in health over the last decade, there has been growing literature examining the positive bi-directional linkages between the response to AIDS and the MDGs. …

  12. HIV/AIDS and conflicts: micro evidence from Burundi

    This paper studies the relationship between civil war and HIV/AIDS in Burundi. It contributes to the empirical literature by providing micro level evidence using an identication strategy based on original data on the dynamics of rebel movements. The presence of exit and entry points from and to rebel safe havens is used to generate exogenous variation in con ict intensity. These points are plausibly assumed to serve as starting or end points for rebel attack, but are not directly related to HIV/AIDS or correlated with unobservables. …

  13. The long run costs and financing of HIV/AIDS in South Africa

    The aids2031-South Africa project aimed to estimate the influence of several factors on the magnitude, nature, costs and impacts of the national response to HIV/AIDS in South Africa. …

  14. Socio-economic effects of HIV/AIDS in African countries

    This desk study of HIV/AIDS was prepared by the Chr. Michelsen Institute under a contract with NORAD. The objectives of the study were to: - review and summarise the main and most recent literature analysing the socio-economic consequences of HIV/AIDS in sub-Saharan Africa and identify the main challenges for public policy; - compile and analyse relevant studies and policy documents from Malawi, Mozambique, Tanzania, Uganda, and Zambia; - identify particular issues of importance for Norway's longer term country assistance in sub-Saharan Africa, in view of the AIDS pandemic. …

  15. Study of Family Planning and HIV Integrated Services in Five Countries

    In the past several years, there has been a growing international dialogue on the feasibility and desirability of providing integrated family planning (FP) and HIV services. The reasons for offering joint, complementary services are many. Adding FP services to counseling and testing might provide an opportunity to reach populations that do not typically attend FP clinics, such as the sexually active young and unmarried, men, and members of high-risk groups such as sex workers. …

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