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UNESCO HIV and Health Education Clearinghouse

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  1. Water, sanitation, and primary school attendance: a multi-level assessment of determinants of household-reported absence in Kenya

    This cross-sectional analysis examined the influence of school and household water, sanitation, and hygiene (WASH) conditions on recent primary school absence in light of other individual, household, and school characteristics in western Kenya. School latrine cleanliness was the only school WASH factor associated with reduced odds of absence. The marginal effect of household characteristics, such as distance to water source, child involvement in water collection, and presence of a latrine, differed by gender. …

  2. Kenya demographic and health survey 2014

    he 2014 Kenya Demographic and Health Survey (KDHS) was designed to provide information to monitor and evaluate the population and health situations in Kenya and to be a follow-up to the previous KDHS surveys. In addition, it provides information on indicators previously not collected in KDHS surveys, such as fistula and men’s experience of domestic violence. Finally, the 2014 KDHS is the first such survey to provide estimates for selected demographic and health indicators at the county level. …

  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. Sexual risk behaviors among youth heads of household in Gikongoro, south province of Rwanda

    The purpose of this study was to: (a) identify risk behaviors that expose Rwandan young heads of household (YHH) to HIV infection, (b) determine gender-specific high-risk profiles and, (c) determine predictors of sexual onset. A household survey was conducted among 692 YHH, ages 12–24, all beneficiaries of a World Vision basic needs program in Gikongoro, Rwanda, from January to March 2004. Participants were interviewed using a structured questionnaire. Data were collected on socio-demographic variables, knowledge about HIV/AIDS prevention and sexual risk behaviors. …

  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. Kenya's cash transfer program: protecting the health and human rights of orphans and vulnerable children

    In Kenya, as in other countries of sub-Saharan Africa heavily burdened by HIV/ AIDS, orphans and vulnerable children (OVC) face poverty and despair. There is an urgent need to provide a comprehensive response that supports families and communities in their efforts to care for children and safeguard their rights. The government of Kenya has established a cash transfer program that delivers financial and social support directly to the poorest households containing OVC, with special concern for those children with or affected by HIV/AIDS. …

  8. 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. …

  9. 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. …

  10. Levels and spread of HIV seroprevalence and associated factors: evidence from national household surveys

    This report summarizes HIV prevalence and the associations between HIV serostatus and key characteristics and behaviors of adult women and men in 22 developing countries, primarily in sub- Saharan Africa. Data come from Demographic and Health Surveys (DHS) and AIDS Indicator Surveys (AIS) conducted between 2001 and 2006. In most of these surveys, nationally representative samples of women age 15-49 and men age 15-59 were tested for HIV. …

  11. 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. …

  12. Working-age adult mortality and primary school attendance in rural Kenya

    The rapid increase in adult mortality due to the AIDS epidemic in sub-Saharan Africa raises great concern about potential intergenerational effects on children. This article estimates the impact of AIDS-related adult mortality on primary school attendance in rural Kenya using a panel of 1,266 households surveyed in 1997, 2000, and 2002. The paper distinguishes between effects on boys' and girls' education to understand potential gender differences resulting from adult mortality. We also estimate how adult mortality affects child schooling before as well as after the death occurs. …

  13. The effect of HIV/AIDS on educational attainment

    Using data from Demographic and Health Surveys for eleven countries in sub-Saharan Africa,the authorestimates the effect of local HIV prevalence on individual human capital investment. The authorfinds that the HIV/AIDS epidemic has reduced human capital investment: living in an area with higher HIV prevalence is associated with lower levels of completed schooling and slower progress through school. These results are consistent with a model of human capital investment in which parents and children respond to changes in the expected return to schooling driven by mortality risk.

  14. 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.

  15. The social demand for schooling in HIV/AIDS affected populations in Tanzania: summary results from a field survey

    This paper justifies and explores the results of a social demand survey for primary school enrolment in Tanzania. This records and analyses the evidence derived from a structured household-based survey in rural and urban school catchments in two regions of the country (Iringa and Dodoma) with children and their guardians which explores the social demand for primary schooling, especially in relation to household poverty indices and changing labour in households affected by prolonged illness and death. …

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