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UNESCO HIV and Health Education Clearinghouse

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  1. Learners’ perspectives on the provision of condoms in South African public schools

    A stubborn health challenge for learners in South African public schools concerns sexual and reproductive health and rights (SRHR). In 2015, the Department of Basic Education (DBE) proposed the provision of condoms and SRHR-services to learners in schools. This study aimed to contribute to the finalisation and implementation of DBE’s policy by exploring learners’ perspectives on the provision of condoms and SRHR-services in schools. …

  2. Change the context not the girls: improving efforts to reduce teenage pregnancy in Sierra Leone

    Concerns about significant increases in Sierra Leone’s already high rates of teenage pregnancy during the Ebola crisis have led to redoubled efforts among policy-makers and development practitioners to address this problem. The startling health and education impacts on teenage girls -twice as many mothers aged 15-19 die in childbirth compared to those over 20 while teen pregnancy is one of the leading causes of school dropouts - underline the importance of these efforts. …

  3. HIV prevention in Southern Africa for young people with a focus on young women and girls in Botswana

    This review focuses on the major factors that drive HIV infection and explores interventions that have demonstrated effectiveness, as well as illustrating important learnings for programme development. Findings inform understanding of sex and sexuality in relation to HIV risk and the potentials for interventions in the Botswana context.

  4. Out of the box: Queer youth in South Africa today: case study

    This Atlantic-commissioned case study provides a snapshot of what life is like for young lesbian, gay, bi-sexual, transgendered and intersex people (LGBTIs) in South Africa today – 17 years after the Constitution outlawed discrimination based on sexual orientation. It explores if democracy has brought greater tolerance and celebration of diversity for today’s young LGBTIs. …

  5. Reducing sexual risk taking behaviors among adolescents who engage in transactional sex in post-conflict Liberia

    Transactional sex (TS) has been correlated with HIV/STD infection, pregnancy, early marriage, and sexual violence in sub-Saharan Africa (SSA). Few Western-based HIV prevention programs adapted for SSA have examined intervention impacts for this group. This article examines whether an HIV prevention intervention, delivered to sixth-grade students in Liberia (age range 14–17) and found to increase condom use and other mediators for the larger sample, significantly impacted sexual behaviors and mediators for those who engaged in TS. …

  6. Exploratory study of the social contexts, practices and risks of men who sell sex in Southern and Eastern Africa

    The aim of the research presented in this report was to explore the social contexts, life experiences, vulnerabilities and sexual risks experienced by men who sell sex in Southern and Eastern Africa, with a focus on five countries; Kenya, Namibia, South Africa, Uganda and Zimbabwe (an in particular with research activities in the Kenya and Namibia). …

  7. The response of higher education institutions in Africa to the HIV and AIDS epidemic: synthesis of four sub-regional surveys in sub-Saharan Africa

    The Association of African Universities (AAU) runs an HIV and AIDS Programme dubbed 'African Universities Responding to HIV and AIDS' which aims at ensuring that the higher education community in Africa uses all available means to prevent the spread, mitigate the impact and manage the HIV and AIDS epidemic. …

  8. Stay healthy: a gender-transformative HIV prevention curriculum for youth in Namibia

    The overall goal of Stay Healthy: A Gender-Transformative HIV Prevention Curriculum for Youth in Namibia is to prevent HIV infection among Namibian youth aged 13-18. Stay Healthy focuses on changing three key behaviors directly related to HIV infection by accomplishing the following: (1) delaying the onset of sexual intercourse, (2) increasing the correct and consistent use of the male condom among sexually active youth, and (3) decreasing multiple concurrent partners among sexually active youth. …

  9. Adolescent sexual and reproductive health in Malawi: a synthesis of research evidence

    The primary goal of this report is to summarize what is known about adolescent sexual and reproductive health in Malawi and to identify knowledge and program gaps requiring further research and program action. …

  10. Social outcome expectations regarding delayed sexual debut among adolescents in Mankweng, South Africa

    Aims: To describe outcome expectations related to delayed sexual transition, to examine the dimensionality and internal consistency of such expectations, and to examine variations in social outcome expectations across subgroups defined by demographic variables, indicators of socioeconomic status and predictors related to school and educational ambitions. Methods: Data stem from a survey among school students (grades 8-12) in Mankweng, Limpopo, South Africa (n=5,697). …

  11. Kenya national HIV and AIDS communication strategy for youth, 2007

    This Communication Strategy provides a broad framework that will guide communication on youth and HIV and AIDS in Kenya for the next three years. It intends to address needs and gaps in communication programming identified in the areas of knowledge, skills and self-efficacy, capacity, coordination, policy support and utilisation of services. These issues were identified through a situation analysis conducted at the beginning of developing this strategy, and from consultations with stakeholders implementing HIV and AIDS programmes among the youth.

  12. Reducing HIV Infection in Young Women in Southern Africa: The Key to Altering Epidemic Trajectories in a Generalized, Hyperendemic Setting

    This paper gives an overview of the HIV prevention battle in Southern Africa and supports the development of more balanced and innovative HIV prevention portfolio that adresses the real, immediate, and substantial risk facing young women from sub-Saharan African countries.

  13. A Multi-level Model of Sexual Behavior among Young people in Nyanza, Kenya

    Using data collected from 3645 sexually active grade 6 and 7 students from 160 schools and applying hierarchical linear models, this study estimates the impact of individual, school and community level variables on condom use among sexually experienced young people in Nyanza, Kenya. Based on the findings, the document recommends that AIDS prevention interventions take account not only of individual-level factors, but also school and community influences on the sexual behaviours of youth.

  14. Intimate partner violence, relationship power inequity, and incidence of HIV infection in young women in South Africa: a cohort study

    Cross-sectional studies have shown that intimate partner violence and gender inequity in relationships are associated with increased prevalence of HIV in women. Yet temporal sequence and causality have been questioned, and few HIV prevention programmes address these issues. The article assessed whether intimate partner violence and relationship power inequity increase risk of incident HIV infection in South African women. …

  15. Adolescent Sexual and Reproductive Health Behaviour in Dodowa, Ghana

    This report presents findings from a study of sexual and reproductive health status of inschool and out-of-school adolescents in Dodowa, Ghana, carried out in 2001. The research aim was to help design a program to address adolescents' unmet needs and promote safer behaviours. The research design used both qualitative and quantitative methods, including focus group discussions, PLA techniques and surveys. Students of Junior and Senior Secondary Schools, out-of-school adolescents, teachers, parents and community opinion leaders were included in the study.

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