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UNESCO HIV and Health Education Clearinghouse

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  1. Regional assessment on HIV-prevention needs of migrants and mobile populations in southern Africa

    Southern Africa continues to bear a disproportionate share of the global burden of HIV: 35% of HIV infections and 38% of AIDS-related deaths in 2007 occurred in this sub-region. Southern Africa also experiences high levels of population movement, voluntary or forced, and comprises a diversity of people, including contract labor migrants, irregular migrants, families of migrants, refugees, trafficked persons and mobile workers such as truck drivers and mine workers. Furthermore, migrants have loved ones back home, who may face their own vulnerabilities, as the family breadwinner is away. …

  2. 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. …

  3. 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. …

  4. The role of the health sector in strengthening systems to support children's healthy development in communities affected by HIV/AIDS: A review

    This document is a review of the scientic evidence and practice experience in providing what has come to be called psychosocial programming and support for children infected with and affected by HIV, and their caregivers. A great deal of attention is currently focused on psychosocial support programmes for children living in communities affected by HIV/AIDS. Efforts to promote the psychosocial well-being of vulnerable children require conditions and assistance that go beyond psychosocial support programmes. …

  5. HIV prevention in young people in sub-Saharan Africa: a systematic review

    This updated review will focus on interventions carried out and/or published from January 2005 - December 2008. Since the first Steady, Ready, Go! (SRG) review was carried out, the results of several major randomized controlled trials of adolescent HIV prevention interventions conducted in Africa have been reported. …

  6. Effects of Programs Supporting Orphans and Vulnerable Children: Key Findings, Emerging Issues, and Future Directions from Evaluations of Four Projects in Kenya and Tanzania

    This report provides a summary of key findings from evaluations of four programs, two in Kenya and two in Tanzania, supporting orphans and other vulnerable children (OVC). The overall aim of these evaluations was to ascertain the extent to which program interventions are effective in improving the well-being of OVC and their families, and the interventions' cost-effectiveness in achieving key outcomes. This report focuses on the overarching outcomes, emerging issues, and lessons learned from these evaluation studies of OVC programs. …

  7. Promoting and protecting the health of orphans and vulnerable children in Monkey Bay, Malawi

    Malawi has had a rising population of orphans and vulnerable children who are reported to lack care, food, educational opportunities and adult role models. Some of the coping strategies used by these children, such as early school dropout and child labour, combined with poor adult support, make them susceptible to risk of early onset of sex and to sexual and reproductive health problems, including HIV infection. …

  8. A Case Study: integrated AIDS program Thika, Kenya

    The global HIV and AIDS epidemic has affected sub-Saharan Africa more than any other region in the world. AIDS deaths in sub-Saharan Africa account for 72% of AIDS deaths worldwide. …

  9. The Socio-economic Impact of HIV/AIDS on Children in a Low Prevalence Context: the case of Senegal

    This chapter analyses the socio-economic impacts of HIV/AIDS on children in Senegal as well as the response policies implemented by the differnt actors. Data were collected at seven research sites across the country and complemented by a review of available reports and articles. Their analysis reveals an insignificant nationwide impact of HIV/AIDS in sectors of health, education, demography and economy.

  10. The Impact of HIV/AIDS on Orphans and Programme and Policy Responses

    As policymakers assess the growing weight of the orphans and children affected by the AIDS burden, there are key policy challenges apparent. This chapter will outline these challenges and attempt to offer some solutions, although the complexity of the debate makes such an analysis difficult.

  11. The Impact of HIV/AIDS on Children: Lights and Shadows in the "Successful Case" of Uganda

    This chapter analyses the socio-economic impact of HIV/AIDS on children in Uganda, with specific focus on their health, education and social welfare, and on the current and future policy/programme responses in the field of prevention, treatment and mitigation.

  12. The Current and Future Impact of the HIV/AIDS Epidemic on South Africa's Children

    This chapter has three aims. One, to investigate the impacts of the HIV/AIDS epidemic upon the children of South Africa with a focus on health, welfare and education implications. Two, to examine the responses of families, communities, civil society and governments to the crisis confronting the children. Three, to critique those responses and offer alternatives, which may assist in improving the impacts on children.

  13. Predicting the social consequences of orphanhood in South Africa

    This paper examines and questions the predictions found in the academic and policy literature of social breakdown in Southern Africa in the wake of anticipated high rates of orphanhood caused by the AIDS epidemic. Analysis of the logic underlying these predictions reveals four causal relationships necessary to fulfil such dramatic and apocalyptic predictions:1. High AIDS mortality rates will produce high numbers of orphans.2. These orphans will become children who do not live in appropriate social environments to equip them for adult citizenship.3. …

  14. One in Two: Children are the key to Africa's future

    Children make up half the population of many African countries, and the proportion is growing.Yet, when it comes to decisions about Africa's problems and its future, they are rarely central to the debate. The role of protecting the poorest and most vulnerable children is left to the poorest government ministries.The poorest families are forced to pay for - or go without - healthcare for their children. …

  15. HIV/AIDS, Lagging Policy Response and Impact on Children: the case of Côte d'Ivoire

    The broad objective of this study is to determine the impact of HIV/AIDS on the child's well-being with a view to identifying the appropriate methods for mitigating these effects and finding objective arguments for making a case for urgent action.These objectives will be met by collecting secondary data though a review of existing documents on the subject on one part and by collecting primary data by a series of field interviews on the other hand. …

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