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UNESCO HIV and Health Education Clearinghouse

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  1. Agenda item 12 thematic segment: Reducing the impact of AIDS on children and youth; background note

    This thematic segment background note analyses the impact of AIDS on children, adolescents and youth through the life course from childhood to adulthood by age range [0-4] [5-10] [11-14] [15-24]. It also identifies countries and specific thematic areas where notable successes/progress in HIV-related outcomes for children, adolescents, and youth have been achieved and discuss the key factors that led to those successes. …

  2. Young key populations and young people living with HIV and AIDS in Vietnam

    The aim of the program is to create enabling and empowering environment in the selected countries to enhance the engagement of young key populations in the Global Fund processes at country level, with following specific objectives: (i) To synthesize and generate strategic information in relation to HIV and young people to inform the National Strategic Plan review and Investment Cases; (ii) Ensure youth partners have the skills and knowledge to influence the country dialogue for adequately resourced HIV responses for young people; and (iii) Ensure programmes funded through the NFM targeting you …

  3. Policy analysis and advocacy decision model for services for key populations in Kenya

    From 2010–2012, the global Health Policy Project (funded by the United States Agency for International Development), in partnership with African Men for Sexual Health and Rights (AMSHeR), developed Policy Analysis and Advocacy Decision Model for HIV-Related Services: Males Who Have Sex with Males, Transgender People, and Sex Workers (Beardsley K., 2013), hereafter referred to as the Decision Model. …

  4. Lost in transitions: Current issues faced by adolescents living with HIV in Asia Pacific

    Across the Asia Pacific region, adolescents aged 10 – 19 years who are living with HIV face unique challenges as they transition from childhood to adolescence and into adulthood. This report aims to document and capture some of the experiences of adolescents living with HIV as they disclose their HIV status, deal with life-long antiretroviral treatment (ART), move from pediatric to adult health care services, navigate sexuality and relationships and build their independent lives. …

  5. La situación de los niños, niñas y adolescentes con VIH en Argentina: Un diagnóstico colectivo del estado de la respuesta en los servicios de salud

    Con el objetivo de mejorar el conocimiento sobre la situación epidemiológica de los niños, niñas y adolescentes con VIH en Argentina y ampliar el saber sobre el estado de la respuesta que se ofrece desde los servicios de salud, la Dirección de SIDA y ETS del Ministerio de Salud de la Nación (DS y ETS) y la Sociedad Argentina de Pediatría (SAP) organizaron un encuentro con los referentes de los servicios donde se atiende a la mayor parte de esa población, incluyendo a los principales laboratorios que participan del proceso de diagnóstico pediátrico. …

  6. Antiretroviral drug access and behavior change

    Access to antiretroviral (ARV) drugs in Sub-Saharan Africa has rapidly expanded - from fewer than 10,000 people treated in 2000 to more than 8 million in 2011. To measure the impact of this expansion, it is necessary to identify the behavioral response of individuals to drug access. This paper combines geocoded information about the timing of introduction of ARVs in all Kenyan health facilities with two waves of geocoded population surveys to estimate the impact of proximity to an ARV provider on risky sexual behavior. …

  7. Eliminating mother-to-child HIV transmission in South Africa

    This article discusses the effect that the WHO guidelines for the prevention of mother-to-child transmission of HIV has had on South Africa. South Africa initiated its PMTCT programme in 2002, however political support for it has increased since 2008. Since then the proportion of HIV-exposed infants who underwent PCR tests to detected early HIV transmission has increased, and the estimated HIV transmission rate has decreased. …

  8. Gender violence and HIV: Perceptions and experiences of violence and other rights abuses against women living with HIV in the Eastern Cape, KwaZulu Natal and Western Cape, South Africa

    The AIDS Legal Network (ALN), in collaboration with Her Rights Initiative (HRI), South Africa Positive Women Ambassadors (SAPWA), South Africa Partners, and the Mitchell’s Plain Network Opposing Abuse, engaged in a study to assess perceptions and experiences of violence and other rights abuses against women living with HIV. …

  9. Young People Living with HIV Around the World: Challenges to health and well-being persist

    Around the world, 5 million young people are living with HIV. Most live in the Global South in countries that lack the resources to meet their needs. They face widespread stigma in a world that still often misunderstands HIV and fears or blames those who have it – and the majority of HIV-positive youth are women, placing them at an even greater societal disadvantage in many countries. This brief provides an overview of HIV-positive youth: who is infected, treatment options and challenges, needs of positive youth, stigma and programs.

  10. Foundation for the future: meeting the psychosocial needs of children living with HIV in Africa

    This technical brief describes promising practices in critical services related to the psychological and social well-being of perinatally-infected children (aged 0 to 12 years) in Africa. These include the identification, testing, and counseling of children so that they are linked to appropriate support as early as possible, as well as the provision of ongoing PSS to help children and their families manage disclosure, stigma, and grief and bereavement processes. …

  11. Needs, challenges and opportunities: adolescents and young people living with HIV in Zambia

    The aims of this qualitative study, carried out in 2010, were twofold. The first was to explore and document the psychosocial, sexual and reproductive health (SRH) needs of adolescents (10-19) living with HIV in Zambia. The second aim was to identify gaps between these needs and existing SRH and HIV-related initiatives and services currently available to young people.

  12. Dignity denied: violations of the rights of HIV-positive women in Chilean health facilities

    Dignity Denied documents the systemic discrimination and abuse that HIV-positive women endure in Chilean health facilities. Based on women's testimonies and those of healthcare providers, this report exposes the discriminatory and often dehumanizing experiences that Chilean women living with HIV/AIDS face when seeking healthcare, including failures to protect patient confidentiality, lack of adequate pre- and post-test counseling, delayed or abusive treatment, pressure to not bear children, and coercive and forced sterilization.

  13. Positively caring: ensuring that positive choices can be made about the care of children affected by HIV

    This report examines the impacts of HIV on the care choices of children, exploring how HIV affects whether or not children can remain within parental care, and on the alternative care options open to them. It is based on qualitative research in Malawi, India and Ukraine, and on a global literature review. It is in response to alarming global evidence on the rising numbers of children outside of parental care, and growing global recognition that responses to HIV should centre on increased support to families as the best means of providing care and protection for children.

  14. Prognosis of patients with HIV-1 infection starting antiretroviral therapy in sub-Saharan Africa: a collaborative analysis of scale-up programmes

    Prognostic models have been developed for patients infected with HIV-1 who start combination antiretroviral therapy (ART) in high-income countries, but not for patients in sub-Saharan Africa. The article shows the development of two prognostic models to estimate the probability of death in patients starting ART in sub-Saharan Africa. Data for adult patients who started ART in four scale-up programmes in Côte d'Ivoire, South Africa, and Malawi from 2004 to 2007 are analised. Patients lost to follow-up in the first year were excluded. …

  15. Undiagnosed HIV Infections among Adolescents Seeking Primary Health Care in Zimbabwe

    Mother-to-child transmission of human immunodeficiency virus (HIV) infection was extremely common in southern Africa during the 1990s, and a substantial minority of infected infants have survived to reach adolescence undiagnosed. Studies have shown a high prevalence of HIV infection in hospitalized adolescents who have features associated with long-standing HIV infection, including stunting and frequent minor illnesses. Given this reality, the epidemiology of HIV infection at the primary care level is investigated. …

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