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UNESCO HIV and Health Education Clearinghouse

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  1. HIV prevention on the U.S.-Mexico border: addressing the needs of most-at-risk populations

    Situated on major drug trafficking routes that bring heroin, cocaine, and methamphetamine from Mexico into the United States, Tijuana and Juarez experience high rates of local drug use and rank first and second, respectively, in prevalence of illicit drug use within the country. Sex tourism is another feature shared by Tijuana and Juarez. Both cities have 'tolerance zones' where sex work is openly practiced and, in the case of Tijuana, even regulated by the authorities

  2. Behavioral Outcomes of AIDS Educational Interventions for Drug Users in Short-Term Treatment

    This study compares the behavioral impact of informational vs enhanced small-group educational interventions among 407 drug users in a 21-day detoxification and rehabilitation program in Massachusetts, U.S.A. Sexual and drug-related behavior were analyzed using logistic regression at a follow-up visit after the program. Among users at lower risk, the enhanced approach was more effective at reducing injection-related risks associated with HIV transmission. Among users at higher risk, the informational approach was more effective. …

  3. The perspectives of injection drug users regarding safer injecting education delivered through a supervised injecting facility

    Unsafe injection practices can lead to HIV and HCV transmission as well as other bacterial and viral infections. Vancouver established North America's first supervised injection facility (SIF) to address such harms among injecting drug users (IDU). This study looks at their experiences receiving safer injecting education within the SIF. Through semi-structured, qualitative interviews, the experiences of 50 IDU were collected. Their testimonies indicate that gaps in knowledge exist among local IDU, often leading to unsafe injecting. …

  4. Pasa la Voz (Spread the Word): Using Women's Social Networks for HIV Education and Testing

    Pasa la Voz (spread the word) is a methodology used to prevent HIV using respondent-driven sampling to reach hard to access women. An organization in Ciudad Juarez (Programa Companeros) initiated a one-to-one approach to reaching at-risk and hard to reach women in the area using promotoras (outreach workers) from September 2005 to January 2006. The implementation of Pasa la Voz came on its heels and had success in increasing the number of women agreeing to get tested for HIV (11.9% to 49.9%) and decreasing testing time from 22.70 hours to 3.68 hours per test.

  5. Toolkit for targeted HIV/AIDS prevention and care in sex work settings

    This toolkit was published in 2005 by the WHO. This toolkit is intended for use by anyone involved in HIV prevention initiatives in sex work settings. The purpose of this toolkit is to make both published and unpublished information more accessible to a wider audience, and so to contribute to global efforts to develop and scale up effective HIV interventions in sex work settings. Most of the items in this toolkit focus on HIV prevention in such settings. Less information is available on treatment, care and support for sex workers living with HIV. …

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