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UNESCO HIV and Health Education Clearinghouse

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  1. The fifth South African national HIV prevalence, incidence, behaviour and communication survey, 2017 (SABSSM V)

    The Fifth South African National HIV Prevalence, Incidence, Behaviour and Communication Survey, (SABSSM V), a population-based cross-sectional survey of households in South Africa, was designed to assess the prevalence and trends of key HIV–related indicators. The survey was conducted between January and December 2017 by the Human Sciences Research Council (HSRC) and provides information on national and sub-national progress toward HIV epidemic control in the country. This report summarizes the HIV epidemic and impact of South Africa’s national HIV response.

  2. Revealing the full extent of households’ experiences of HIV and AIDS in rural South Africa

    Households experience HIV and AIDS in a complex and changing set of environments. These include health and welfare treatment and support services, HIV-related stigma and discrimination, and individual and household social and economic circumstances. This paper documents the experiences of 12 households directly affected by HIV and AIDS in rural KwaZulu Natal, South Africa, between 2002 and 2004. The households were observed during repeated visits over a period of more than a year by ethnographically trained researchers. …

  3. Child-focused state cash transfers and adolescent risk of HIV infection in South Africa: a propensity-score-matched case-control study

    Background: Effective and scalable HIV prevention for adolescents in sub-Saharan Africa is needed. Cash transfers can reduce HIV incidence through reducing risk behaviours. However, questions remain about their effectiveness within national poverty-alleviation programmes, and their effects on different behaviours in boys and girls. Methods: In this case-control study, we interviewed South African adolescents (aged 10–18 years) between 2009 and 2012. …

  4. 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. …

  5. 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. …

  6. 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. …

  7. Cash transfers in an epidemic context: the interaction of formal and informal support in rural Malawi

    This paper investigates the short-run consumption expenditure dynamics and the interaction of public and private arrangements of ultra-poor and labor-constrained households in Malawi using an original dataset from the Mchinjii social cash transfer pilot project (one of the first experiments of social protection policies based on unconditional cash transfers in Sub-Saharan Africa). …

  8. Food crisis, household welfare and HIV/AIDS treatment: evidence from Mozambique

    Using panel data from Mozambique collected in 2007 and 2008, the authors explore the impact of the food crisis on the welfare of households living with HIV/AIDS. The analysis finds that there has been a real deterioration of welfare in terms of income, food consumption, and nutritional status in Mozambique between 2007 and 2008, among both HIV and comparison households. However, HIV households have not suffered more from the crisis than others. …

  9. Evolving Men: Initial Results from the International Men and Gender Equality Survey (IMAGES)

    This report summarizes multi-country findings from the International Men and Gender Equality Survey (IMAGES), a comprehensive household questionnaire on men's attitudes and practices - along with women's opinions and reports of men's practices - on a wide variety of topics related to gender equality. From 2009 to 2010, household surveys were administered to more than 8,000 men and 3,500 women ages 18 to 59 in Brazil, Chile, Croatia, India, Mexico and Rwanda. …

  10. Rethinking HIV/AIDS in South Africa: has the response been overmedicalized?

    This paper examines the potential impact of HIV/AIDS on different levels of South African society (individual, household, and national) over time. Using differences in demographic projections to guide the analysis, the prospective implications of HIV/AIDS on households, society, economy and nation are discussed and issues that could influence or mitigate those possible impacts are examined. …

  11. Zambia sexual behaviour survey 2009

    The main objective of the ZSBS 2009 is to obtain national estimates of a number of key indicators (including international standardized indicators) important to monitoring progress of the national HIV/AIDS/STDs programme. The survey provides a rich set of indicators on HIV/AIDS/STI-related Knowledge, Attitudes, and Sexual Behaviour, as well as information on Orphans and Vulnerable Children, and assistance to households and communities affected by the HIV/AIDS pandemic. …

  12. 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. …

  13. A study of the association of HIV infection with wealth in sub-Saharan Africa

    This study examines the association between wealth and HIV serostatus to identify what specific characteristics and behaviors of the wealthier are associated with HIV infection, and to what extent confounding factors such as place of residence and other risk factors mediate this association. This study finds that, contrary to evidence for other infectious diseases and theoretical expectations, in sub-Saharan Africa HIV prevalence is not disproportionately higher among adults living in poorer households. …

  14. Demographic and socioeconomic patterns of HIV/AIDS prevalence in Africa

    Understanding the demographic and socioeconomic patterns of the prevalence and incidence of HIV/AIDS in Sub-Saharan Africa is crucial for developing programs and policies to combat HIV/AIDS. This paper looks critically at the methods and analytical challenges to study the links between socioeconomic and demographic status and HIV/AIDS. Some of the misconceptions about the HIV/AIDS epidemic are discussed and unusual empirical evidence from the existing body of work is presented. Several important messages emerge from the results. …

  15. AIDS and the accumulation and utilization of human capital in Africa

    Education is among the most prominent of the great challenges of development. This paper outlines the likely effects of the AIDS pandemic in Africa on the continent's ability to produce education and use it effectively for growth and poverty reduction. Four channels are explored. First, a supply effect: The deaths of millions of adults, and among them hundreds of thousands of teachers, will bring an increase in Africa's already relatively high fiscal burden of teacher salaries or the need to reduce the educational requirements of teachers. …

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