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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. 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. A view from England and Wales

    This commentary outlines developments regarding Sex and Relationships Education (SRE, akin to Comprehensive Sex Education) in England and Wales over the past 15 years or so.

  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. Teen pregnancy and education: politics of knowledge, research, and practice

    This article explores the politics surrounding the education of pregnant/mothering students. Utilizing Title IX, which guarantees the rights of pregnant/mothering students to an education equal to her peers, as an analytical lens, the author specifically identifies how absences in knowledge, research, and practice about the education of pregnant/mothering students are constructed. These absences, which are not neutral, construct discourses that affect the provision of education to pregnant/mothering students. …

  7. WHO guidelines on preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries

    Adolescent pregnancy and its consequences represent a major public health concern in many low-middle income countries of the world. The World Health Organization has recently developed evidence-based guidelines addressing six areas: preventing early marriage; preventing early pregnancy through sexuality education, increasing education opportunities and economic and social support programs; increasing the use of contraception; reducing coerced sex; preventing unsafe abortion; and increasing the use of prenatal care childbirth and postpartum care. …

  8. 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. …

  9. Policy adoption in dynamic international environments: Evidence from national AIDS programs

    The policy adoption is often seen as a function of internal determinants, external determinants, or a combination of the two. In the years since the start of the HIV/AIDS epidemic nearly every country in the world has adopted of some nature a program to combat the epidemic. This article demonstrates the mixed mechanisms influencing the adoption of AIDS programs, in a quantitative study of 90 countries. Prior studies have claimed that multilateral organizations were vital to global action against the HIV/AIDS epidemic. …

  10. Challenges and opportunities in HIV/AIDS counseling: a case of Jharkhand

    The study highlights the challenges and opportunities in HIV/AIDS counseling. The major challenges are recruiting the right individuals and their capacity building and retention. The finding shows that most of the counselors are not befitting in terms of qualification and experience besides motivation, remuneration, and other issues. The study suggests that to ensure the effective counseling to reverse the epidemic, it is important to focus on such issues through appropriate policy interventions.

  11. Using research to influence sexual and reproductive health practice and implementation in Sub-Saharan Africa: a case-study analysis

    Research institutions and donor organizations are giving growing attention to how research evidence is communicated to influence policy. In the area of sexual and reproductive health (SRH) and HIV there is less weight given to understanding how evidence is successfully translated into practice. Policy issues in SRH can be controversial, influenced by political factors and shaped by context such as religion, ethnicity, gender and sexuality. …

  12. Gender violence: transgender experiences with violence and discrimination

    There is a pervasive pattern of discrimination and prejudice against transgendered people within society. Both economic discrimination and experiencing violence could be the result of a larger social climate that severely sanctions people for not conforming to society's norms concerning gender; as such, both would be strongly associated with each other. Questionnaires were distributed to people either through events or through volunteers, and made available upon the World Wide Web. A sample of 402 cases was collected over the span of 12 months (April 1996 - April 1997). …

  13. HIV/AIDS epidemiology and prevention in China

    This article presents a review on HIV/AIDS epidemic history, current situation and prevention policy in China. HIV/AIDS epidemic groups and trends for HIV transmission were also discussed. In January 2006, 650 000 people were estimated to be living with HIV in China. The overall HIV/AIDS epidemic is at a low level (0.05%) and concentrated in several at risk populations. However, the data show that new cases of HIV infection are growing every year and spreading from at risk populations to the general population. …

  14. Challenges and Opportunities: the Expanded Government-led HIV/AIDS Programs in China

    HIV/AIDS has posed an increasingly serious issue in China. In recent years, Chinese government has taken further intensified efforts to combat HIV/AIDS with high-level political commitment, supportive policy development, increased financial allocation, large-scale of government-led initiatives, expanded international cooperation and great involvement of non-governmental organizations. Meanwhile gaps and challenges coexist impacting the implementation and the results of national HIV/AIDS programs. …

  15. On the Right Track: Vietnam Adopts Rights-based Policies for HIV Prevention, Treatment and Care

    Due in part to U.S. assistance on the policy front, the Vietnamese National Assembly enacted a more progressive, health- and rights-oriented national law regarding HIV/AIDS in mid-2006. Significantly, the new law officially endorses an array of specific HIV prevention activities for groups with high-risk behaviors. Ultimately, the policy environment in which donors and NGOs operate appears to be improving dramatically and holds promise for managing the epidemic as long as there is improved coordination among all actors.

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