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UNESCO HIV and Health Education Clearinghouse

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  1. Building the foundations for sustainable development: a case for global investment in the capabilities of adolescents

    Investment in the capabilities of the world's 1·2 billion adolescents is vital to the UN's Sustainable Development Agenda. The study examined investments in countries of low income, lower-middle income, and upper-middle income covering the majority of these adolescents globally to derive estimates of investment returns given existing knowledge. Investments in health and education will not only transform the lives of adolescents in resource-poor settings, but will also generate high economic and social returns. These returns were robust to substantial variation in assumptions. …

  2. Defeating AIDS—advancing global health

    After more than a decade of major achievements, the AIDS response is at a crucial juncture, both in terms of its immediate trajectory and its sustainability, as well as its place in the new global health and development agendas. In May, 2013, the UNAIDS–Lancet Commission— a diverse group of experts in HIV, health, and development, young people, people living with HIV and affected communities, activists, and political leaders— was established to investigate how the AIDS response could evolve in a new era of sustainable development. …

  3. An overview of gay, lesbian and bisexual issues in Botswana

    In Botswana, homosexuality is criminalized, stigmatized, and considered by some to be “un-African.” Unsurprisingly in this context there has been scant research on lesbian, gay, and bisexual (LGB) issues. This paper reviews what research has been done in the areas of HIV risk, substance abuse, and mental health; explores the issues facing LGBs in Botswana; and offers recommendations for policy and future research. …

  4. A review of generalist and specialist community health workers for delivering adolescent health services in sub-Saharan Africa

    The health of adolescents is increasingly seen as an important international priority because the world’s one point eight billion young people (aged 10 to 24 years) accounts for 15.5% of the global burden of disease and are disproportionately located in low- and middle-income countries (LMICs). Furthermore, an estimated 70% of premature adult deaths are attributable to unhealthy behaviors often initiated in adolescence (such as smoking, obesity, and physical inactivity). …

  5. Social and economic determinants of unequal HIV care access among people living with HIV in Peru

    Equity in access to health care among people living with HIV has not been extensively studied in Peru. This research aims to assess the extent to which health care provision for persons living with HIV was equitable and where there was lower access, and the factors associated with lower access. The study was conducted among adult PLHA in four cities in Peru. Between September 2008 and January 2009, 863 individuals from four cities in Peru were enrolled. The study found that transgender identity and age younger than 35 years old, were associated with lower access to health care. …

  6. Methadone maintenance treatment and mortality in HIV-positive people who inject opiods in China

    The objective of the study was to examine the effect of methadone maintenance treatement on mortality in people who inject opiods and who also recieve ART for the treatment of HIV in China. The study took place between December 3, 2002 and December 31, 2011. Mortality, disease and treatment characteristics were compared in patients who received either ART and MMT or only ART. Overall, mortaliy 6 months after starting ART was lwer with ART and MMT than with only ART. …

  7. New Treatment gives hope to East Africa's drug users

    This article is about the national methadone project launched in the United Republic of Tanzania -- the first mainland sub-Saharan country to launch such a program -- as part of a battle to fight heroin addiction and HIV infection. Heroin users contribute to the HIV pandemic in Tanzania by needle sharing, therefore, the idea behind the methadone project is to safely ween heroin users off of the drug. The program is funded by the US President's Emergency Plan for AIDS Relief, as a response to Tanzania's growing epidemic of people who inject drugs. …

  8. The health and wellbeing of young people in sub-Saharan Africa: an under-researched area?

    A third of sub-Saharan Africa’s (SSA) population comprises persons aged 10–24 years. These youth are growing up in a context marked by pervasive poverty, limited educational opportunities, high HIV/AIDS prevalence, widespread conflict, and weak social controls. Published research on the broad issues that affect youth health and wellbeing in SSA is limited and centers heavily on sexual and reproductive health. …

  9. 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. …

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