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UNESCO HIV and Health Education Clearinghouse

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  1. What HIV programs work for adolescent girls?

    Background: Adolescent girls face unique challenges in reducing their risk of acquiring HIV because of gender inequalities, but much of HIV programming and evaluation lacks a specific focus on female adolescents. Methods: This article, based on a review of 150 studies and evaluations from 2001 to June 2013, reviews evidence on programming for adolescents that is effective for girls or could be adapted to be effective for girls. Results: The evidence suggests specific interventions for adolescent girls across 3 critical areas: (1) an enabling environment, including keeping girls in school …

  2. Gendered perceptions of HIV risk among young women and men in a high-HIV-prevalence setting

    It has become evident that sexual health and HIV-risk behaviours cannot be addressed effectively without paying adequate attention to constructions of gender and sexuality. While the body of literature examining these themes is growing and becoming more nuanced, there is still a significant gap in our understanding of the relationship between gendered sexual identities and vulnerabilities to disease. In particular, few studies have explored how youths themselves perceive this relationship, and how these perceptions may differ among males and females. …

  3. Addressing sexual violence and HIV risk among married adolescent girls in rural Nyanza, Kenya

    HIV infection is much higher among adolescent girls in sub-Saharan Africa than among boys. In settings such as Nyanza Province, Kenya, rates of HIV infection are extremely high, and evidence is increasing in some settings that girls who are married are much more likely to be infected with HIV, compared with their unmarried sexually active counterparts. This brief describes a program addressing the problem of sexual violence and the risk of HIV transmission within marriage in Kenya's Nyanza Province. …

  4. HIV/AIDS Prevention among Youth: What Works?

    Young people are at the heart of the HIV/AIDS pandemic. Not only are they disproportionately represented in terms of new infections, but they are also key to overcoming the disease. Effective HIV prevention efforts that focus on youth are crucial to reversing the pandemic. The World Bank is one of the largest official financiers of HIV/AIDS programs in the world, with over $2.7 billion committed for HIV/AIDS prevention, care, support and treatment since 1988. …

  5. Reproductive health for refugees by refugees in Guinea IV: Peer education and HIV knowledge, attitudes, and reported practices

    Peer education has long been used to promote HIV awareness and reduce risk. However, little has been written about its use in refugee settings. This study aimed to assess whether refugee peer education could improve HIV knowledge, attitudes and practices among Guinean refugees. The study also assessed whether gender, age or formal education were more strongly associated to improved HIV outcomes than peer education. Data was collected through a cross-sectional survey of 889 men and women in 23 camps throughout the Forest Region, Guinea. …

  6. Keep them in school: the importance of education as a protective factor against HIV infection among young South African women

    This study aimed to identify risk factors for HIV infection among women aged 15-24 years who reported having one lifetime sexual partner in South Africa. A 2003 household survey of 11,904 15-24 year old women on sexual behavior and HIV testing was used. The analysis focuses on a sample of 1,708 women reporting one lifetime partner. Results show that 15% of the women reporting one lifetime partner were HIV positive. In multivariable analysis, completion of high school was associated withábeing HIV-negative (AOR 3.75; 95% CI 1.34-10.46). …

  7. Effects of neighbourhood-level educational attainment on HIV prevalence among young women in Zambia

    This study looked at linkages between neighborhood educational attainment and HIV prevalence among young women in urban and rural areas of Zambia. Using cross-sectional survey data from 2003, 1295 women were identified from 10 urban and 10 rural clusters. A neighbourhood-level educational attainment measure was constructed by aggregating individual-level years in school. Adjustment was made for certain variables (education, currently a student, marital status, ever given birth, sexual activity, lifetime sexual partners). …

  8. HIV in the Middle East

    HIV in the Middle East is a short article written by C. Makhlouf Obermeyer from the Department of HIV/AIDS of the WHO in Geneva, Switzerland, in 2006. It summarizes what is known about the HIV epidemic in the Middle East and north Africa region and examines the extent to which lower prevalence can be attributed to cultural factors, particularly those related to the practice of Islam and gender. …

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