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UNESCO HIV and Health Education Clearinghouse

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  1. Young people's sexual health in South Africa: HIV prevalence and sexual behaviors from a nationally representative household surevy

    Objectives: To determine the prevalence of HIV infection, HIV risk factors, and exposure to national HIV prevention programs, and to identify factors associated with HIV infection among South African youth, aged 15–24 years. Design: A cross-sectional, nationally representative, household survey. Methods: From March to August 2003 we conducted a national survey of HIV prevalence and sexual behavior among 11 904 15–24 year olds. Multivariable models for HIV infection were restricted to sexually experienced youth. …

  2. A future of possibilities: Educating children living in HIV impacted households

    Close to one and a half million Kenyans reportedly live with HIV/AIDS. Using qualitative in-depth interviews this study explores the ways in which parents living with HIV/AIDS navigate their social and economic environment to provide educational opportunities for their children. Barriers identified include the economic costs of a free primary education, and the emotional implications of living in an HIV affected household. Respondents demonstrate a persistent utilization of internal and external resources in navigating these barriers. …

  3. HIV/AIDS orphans in homes/orphanages and the community. Are we missing something? A situational/special needs assessment

    The study sought to unearth the special needs of HIV/AIDS orphans in orphanages and homes with emphasis on education, food, shelter, clothing and affection and guidance and counselling needs. It also tried to make recommendations on how these needs could be met. It was carried out orphanages mainly in the Manya Krobo, and New Juaben districts in the Eastern Region of Ghana, which are noted for their high death rates resulting from AIDS. The sample consisted of 77 children aged between 6 to 15 years from the two districts (23 from Manya Krobo and 54 from New Juaben) and their caregivers. …

  4. South African national HIV prevalence, incidence, behaviour and communication survey, 2008: the health of our children

    The main rationale for this study was to better understand the health status of South African children in relation to HIV. Children have not been adequately included in national health surveys such as the Demographic and Health Survey (DHS), and this study allowed for the assessment of progress towards the realisation of the Millennium Development Goals (MDGs) and the attainment of the National Strategic Plan targets in South Africa. …

  5. Mortality, mobility, and schooling outcomes among orphans. Evidence from Malawi

    More than 30 percent of school-aged children have lost at least one parent in Malawi. Lack of investments in human capital and adverse conditions during childhood are often associated with lower living standards in the future. Therefore, if orphans face an increased risk of poverty, exploitation, malnutrition, and poorer access to health care and schooling, early intervention is critical so as to avoid the potential poverty trap. …

  6. 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.

  7. The Impact of a Growing HIV/AIDS Epidemic on the Kenyan Children

    This document gives an overview of the impact of HIV/AIDS on children in Kenya as well as looking at HIV/AIDS interventions. The results presented in this chapter are based on secondary data from relevant institutions, three mini surveys and simulation models. The analysis shows that prevention programmes implemented so far have not been very effective in changing risky behaviours. Data from ministries suggest a slight decline in the quantity of education services and that health services are being overwhelmed by HIV/AIDS patients.

  8. The Effect of Orphanhood on Primary School Attendance Reconsidered: the power of female-headed households in Tanzania. Project Results Workshop, University of Dar es Salaam, 10-12 March, 2003

    The common presumption that orphans are less likely to attend school than non-orphans is re-examined using survey data from two regions in Tanzania. It is argued that orphans should not be compared simply with non-orphans since there are other vulnerable groups of children. Further, with particular reference to place of residence, it is argued that orphans should not be viewed as a homogeneous group. …

  9. 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. …

  10. Orphanhood and schooling in South Africa: trends in the vulnerability of orphans between 1993 and 2005

    Using eleven nationally representative surveys conducted between 1993 and 2005 this paper assesses the extent to which the vulnerability of orphans to poorer educational outcomes has changed over time as the AIDS crisis deepens in South Africa. This paper seeks to establish whether the fear that extended families are no longer effective safety nets may be overstated or whether traditional coping strategies are indeed breaking down. Patterns of care giving for orphans do appear to be shifting over time but these changes are taking place within the extended family safety net. …

  11. 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. …

  12. From single parents to child-headed households: the case of children orphaned by AIDS in Kisumu and Siaya districts in Kenya

    The socio-economic consequences of the HIV/AIDS epidemic are felt in a growing number of countries and increasing mortality rates among adults are threatening economic and social well-being.This study looks at the status, needs and skills of orphans, especially those orphaned by AIDS and shows that: when a husband dies of AIDS in a family, the mother is also often living with HIV/AIDS and dies shortly thereafter, leaving children as orphans most parents, even if they are aware of their terminal illness, do not attempt to make any alternative living arrangements for their children before their  …

  13. Contrasting Primary School Outcomes of Paternal and Maternal Orphans in Manicaland, Zimbabwe

    Fewer orphans are enrolled in school than other children but the extent of disadvantage-after allowing for their older average age- is small in most countries. Crosscountry analyses show variation in the size and strength of associations between orphanhood and education according to the form of parental loss experienced. However, maternal death is usually more detrimental to children's education chances than paternal death and double orphans are typically the least likely to be in school. These differences are not fully accounted for by differences in household socio-economic circumstances. …

  14. Children 'in need of care' or in need of cash? Questioning social security provisions for orphans in the context of the South African AIDS pandemic

    In the face of international pressure and local concern regarding the repercussions of the AIDS pandemic for children in South Africa, as well as the review underway of both social assistance and children's legislation in the country, there is much debate regarding appropriate social security provision for children in the context of HIV/AIDS. To date, the focus has primarily been on exploring different mechanisms for the provision of cash grants to children who have been orphaned. …

  15. Africa's orphaned generations

    The HIV/AIDS epidemic in sub-Saharan Africa has already orphaned a generation of children - and now seems set to orphan generations more.Today, over 11 million children under the age of 15 living in sub-Saharan Africa have been robbed of one or both parents by HIV/AIDS. Seven years from now, the number is expected tp have grown to 20 million. At that point, anywhere from 15 per cent to over 25 per cent of the children in a dozen sub-Saharan African countries will be orphans - the vast majority of them will have been orphaned by HIV/AIDS. …

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