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UNESCO HIV and Health Education Clearinghouse

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  1. Experimental evaluation of school-based HIV programs in sub-Saharan Africa

    School-based adolescent health education programs represent a durable strategy in reducing the spread of HIV because they can leverage pre-existing social and organizational structures to reach large fractions of students at critical life stages. Many evaluations of school-based HIV programs draw on multilevel study designs that assign schools to treatment conditions or assign students to treatment conditions within blocks defined by school membership. …

  2. The effectiveness of HIV/AIDS school-based sexual health education programmes in Nigeria: a systematic review

    HIV/AIDS is one of the most important public health challenges facing Nigeria today. Recent evidence has revealed that the adolescent population make up a large proportion of the 3.7% reported prevalence rate among Nigerians aged 15–49 years. School-based sexual health education has therefore become an important tool towards fighting this problem. This systematic review assesses the efficacy of these educational programmes and examines how future programmes and their evaluations can improve. …

  3. Length of secondary schooling and risk of HIV infection in Botswana: evidence from a natural experiment

    Background An estimated 2.1 million individuals are newly infected with HIV every year. Cross-sectional and longitudinal studies have reported conflicting evidence for the association between education and HIV risk, and no randomised trial has identified a causal effect for education on HIV incidence. We aimed to use a policy reform in secondary schooling in Botswana to identify the causal effect of length of schooling on new HIV infection. …

  4. Effects of school health nursing education interventions on HIV/AIDS-related attitudes of students in Akwa Ibom State, Nigeria

    Purpose: One of the greatest challenges facing school nurses is that of identifying and using appropriate strategies to meet the health education needs of adolescents in regard to prevention of human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS). This study examined the effects of HIV/AIDS preventive health education with parental involvement on students’ attitude toward HIV/AIDS prevention in Akwa Ibom State, Nigeria. Methods: The study population comprised students from three of nine secondary schools in the study area. …

  5. Pedagogic discourse: A review of the HIV and AIDS secondary schools curriculum in Kenya

    HIV and AIDS is an epidemic that has remained a serious health concern across the globe for more than a quarter of a century since it was first diagnosed in 1981. This is in spite of a myriad of health education and prevention programs that have been developed and are in use. Current studies in Kenya concur that information on HIV and AIDS prevention is readily available. Focus is now on quality and policies that guide implementation of prevention education programs. …

  6. Emma says: A case study of the use of comics for health education among women in the AIDS heartland

    The purpose of this paper is to examine one mass media AIDS education project, the Emma Says comic series. Created by an international health research organization based in the USA, the series was designed to educate women in rural Africa about the need to protect themselves from AIDS. The Emma Says series aimed to deliver powerful messages about AIDS in an easy-to-understand format using the caricature of an African woman working as a health educator in her community. …

  7. The provision of a health promoting environment for HIV/AIDS education: the case of Namibian senior secondary schools

    HIV/AIDS programmes in schools ultimately intend to decrease high risk sexual behaviour. One factor facilitating this outcome is a strong health promoting environment in the school. This paper reports a study surveying the health promoting environments supporting HIV/AIDS education in Namibian senior secondary schools. It develops a two dimensional model for classifying the strength of a school’s health promoting environment. The findings show that schools have different strengths of health promoting environments linked more to their size than to a rural or urban location. …

  8. Teaching and the HIV/AIDS Pandemic: A School Case Study

    Background: This paper reports case study findings on how a school in Tanzania is attempting to integrate HIV/AIDS education. Methods: Interviews were held with the principal, 8 teachers, 8 pupils, the school nurse and 4 parents; observation of school environment and document analysis of posters, text books and school calendar was carried out to see evidence of HIV/AIDS activities in the school. Results: HIV/AIDS is integrated in the school curricula and some teachers have incorporated participatory pedagogy. However teachers lack support and teaching materials. …

  9. Empowering teachers to change youth practices: evaluating teacher delivery and responses to the FLHE Programme in Edo State, Nigeria

    School-based programming is one of the most common approaches to HIV/AIDS prevention among youth. This paper presents the history and development of the Family Life and HIV Education (FLHE) programme in Edo State, Nigeria and results of evaluation of teacher actions and responses to training in its delivery. Results indicate that teachers benefited from the training, were aware of new and/or existing teaching resources and began to teach about HIV/AIDS. Teachers expressed that the programme facilitated open dialogue about HIV/AIDS. …

  10. Increased sexual abstinence among in-school adolescents as a result of school health education in Soroti district, Uganda

    A health education program conducted in primary schools in Soroti district, Uganda promoted increased access to information, better peer interactions and better quality of the health education system. A cross-sectional survey was conducted among students in their final year of primary school (average age 14 years) at baseline and two years after introduction of the intervention. The percentage of sexually active students decreased from 42.9% (123 out of 287) to 11.1% (31 out of 280) in the intervention arm, while no changes were observed in the control arm. …

  11. Young people's understanding of HIV: a qualitative study among school students in Mankweng, South Africa

    This article describes young people's interpretation of HIV, AIDS and sexually transmitted illness in a rural South African community in Mankweng, Limpopo Province. Method: The study was based on 19 focus group discussions with adolescents aged 12-14 years. Results: Our participants had limited knowledge about HIV from a biomedical perspective. Their understanding and interpretations of HIV and other sexually transmitted diseases were largely informed by traditional and religious belief systems that explain how and why people contract an illness via sexual intercourse. …

  12. HIV education in South African schools: the dilemma and conflicts of educators

    Educators within the school system are well placed to facilitate the dissemination of knowledge and skills in order for adolescents to be equipped for appropriate sexual decision-making. The aim of this research was to provide an understanding of educators' beliefs, attitudes and behaviours with regard to sexual and reproductive health promotion. Methods: Individual interviews were conducted with 15 educators from demographically diverse high schools in the Western Cape. One-off interviews were conducted with Grade 8 Life Orientation educators and principals. …

  13. As simple as ABC? How rural ABET Centres respond to HIV/AIDS

    This article investigates the ways in which two rural Adult Basic Education and Training (ABET) Centres in the Limpopo Province address the challenges of HIV/AIDS. Theories of social capital are used to explain the different responses of the Centres. The communities surrounding both Centres face similar structural problems of poverty, unemployment, migrancy, gender inequality, poor health and low levels of education. In one Centre, educators and learners denied that HIV/AIDS was a serious issue. …

  14. An impact evaluation of student teacher training in HIV/AIDS education in Zimbabwe

    Zimbabwe introduced a nation-wide program to teach AIDS education in 1994. This paper evaluates changes in student teachers' level of knowledge about transmission, symptoms and prevention of STDs and HIV/AIDS; their attitude towards persons living with AIDS; and their sensitivity to the impact of the epidemic and to discussing and teaching about these issues. There was an increase in knowledge of HIV prevention and in teachers' ability to discuss reproductive health and sexual issues. …

  15. A process evaluation of the scale up of a youth-friendly health services initiative in northern Tanzania

    The authors conducted a process evaluation of the 10-fold scale-up of an evaluated youth-friendly services intervention in Mwanza Region, Tanzania, in order to identify key facilitating and inhibitory factors from both user and provider perspectives. The intervention was scaled up in two training rounds lasting 6 and 10 months. …

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