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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. Families and children affected by HIV/AIDS and other vulnerable children in Papua New Guinea: a national situation analysis

    This study provides an overview of the situation of children and families affected by HIV/AIDS, and of other vulnerable children. Its purpose is to assist the Government, civil society organisations and development partners in the development of policies and programmes for on-going support, and in the monitoring of community-based assistance to families and children affected by HIV/AIDS. The study is a joint project of the Department for Community Development and the National AIDS Council, supported by civil society organisations and UNICEF.

  6. An assessment: the situation of children made vulnerable or orphaned in Guyana

    The social and economic factors contributing to children of Guyana becoming orphaned or made vulnerable have been cause for major concern. Increasingly, children suffer in various ways; some from abuse, others are exposed to various forms of violence, neglected or abandoned, and also have to face the challenge of them or their parents dealing with life threatening diseases such as cancer and HIV. …

  7. Orphanhood and the living arrangements of children in Sub-Saharan Africa

    Increasing adult mortality due to AIDS in sub-Saharan Africa raises considerable concerns about the welfare of surviving children. Studies have found substantial variability across countries in the negative impacts of orphanhood on child health and education. One hypothesis for this variability is the resilience of the extended family network in some countries to care for orphans - networks under increasing pressure by the sheer number of orphans in many settings. …

  8. 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. …

  9. Cambodian household male behavioral surveillance survey, IV 2000

    The objectives of the BSS IV are to: describe sexual behaviour of general population of Cambodian men; compare risk for HIV/AIDS between urban and rural Cambodian men; and compare male sentinel groups to general population.

  10. The social and economic impact of HIV/AIDS on families with adolescents and children in Cambodia

    Cambodia is among the countries most severely affected by the HIV/AIDS epidemic in Asia. In 2003, an estimated 123,100 adults in Cambodia were living with HIV/AIDS and 60,000 children were affected by HIV/AIDS. In responding to the epidemic, donors, policymakers, and program planners have had little country-specific information regarding the impact of HIV/AIDS and the effectiveness of interventions, impeding their ability to make decisions regarding resource allocation and program design. …

  11. 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.

  12. 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.

  13. 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. …

  14. 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. …

  15. 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. …

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