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UNESCO HIV and Health Education Clearinghouse

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  1. Defeating AIDS—advancing global health

    After more than a decade of major achievements, the AIDS response is at a crucial juncture, both in terms of its immediate trajectory and its sustainability, as well as its place in the new global health and development agendas. In May, 2013, the UNAIDS–Lancet Commission— a diverse group of experts in HIV, health, and development, young people, people living with HIV and affected communities, activists, and political leaders— was established to investigate how the AIDS response could evolve in a new era of sustainable development. …

  2. HIV and adolescents: focus on young key populations

    Adolescents and young adults are at increased risk for HIV due to the many developmental, psychological, social, and structural transitions that converge in this period of the lifespan. In addition, adolescent deaths resulting from HIV continue to rise despite declines in other age groups. There are also young key populations (YKPs) that bear disproportionate burdens of HIV and are the most vulnerable, including young men who have sex with men (MSM), transgender youth, young people who inject drugs, and adolescent and young adult sex workers. …

  3. Lessons learned from a review of interventions for adolescent and young key populations in Asia Pacific and opportunities for programming

    BACKGROUND: Over a third of new HIV infections globally are among 15-24 year-olds and over 20% among adolescents aged 10-19 years in Asia Pacific. The review was initiated to identify interventions in the region with demonstrated or potential impact for adolescent and young key populations (YKP) looking at the role of individual and structural factors in accessibility and delivery. The review is a component of a more comprehensive review undertaken by UNICEF and partners in the region. METHODS:This was a desk review of over 1000 articles, and 37 were selected. …

  4. An overview of gay, lesbian and bisexual issues in Botswana

    In Botswana, homosexuality is criminalized, stigmatized, and considered by some to be “un-African.” Unsurprisingly in this context there has been scant research on lesbian, gay, and bisexual (LGB) issues. This paper reviews what research has been done in the areas of HIV risk, substance abuse, and mental health; explores the issues facing LGBs in Botswana; and offers recommendations for policy and future research. …

  5. Gender inequality and HIV transmission: a global analysis

    Introduction: The HIV pandemic disproportionately impacts young women. Worldwide, young women aged 15–24 are infected with HIV at rates twice that of young men, and young women alone account for nearly a quarter of all new HIV infections. The incommensurate HIV incidence in young – often poor – women underscores how social and economic inequalities shape the HIV epidemic. Confluent social forces, including political and gender violence, poverty, racism, and sexism impede equal access to therapies and effective care, but most of all constrain the agency of women. …

  6. Effective approaches for programming to reduce adolescent vulnerability to HIV infection, HIV risk, and HIV-related morbidity and mortality: A systematic review of systematic reviews

    Background: In 2012, an estimated 2.1 million adolescents were living with HIV. Though there are effective interventions to prevent and treat HIV infection, adolescents face specific barriers in accessing them. As a result, new infections and poor outcomes among HIV-infected adolescents are common. HIV programming for adolescents should focus on interventions of proven effectiveness and address underlying factors driving incidence and lack of effective treatment and care in this age group. …

  7. Life skills for national development in Lesotho: Can ODL do it?

    Regardless of their diversity in culture, economic conditions and social and political structures, developing countries share a set of common and well defined goals. The introduction of Life skills education at both basic and tertiary education was meant among other things to improve all aspects of the quality education, ensuring equitable access to appropriate learning and facilitating Education for All (EFA) and Millennium Development Goals (MDG) initiatives. …

  8. Methadone maintenance treatment and mortality in HIV-positive people who inject opiods in China

    The objective of the study was to examine the effect of methadone maintenance treatement on mortality in people who inject opiods and who also recieve ART for the treatment of HIV in China. The study took place between December 3, 2002 and December 31, 2011. Mortality, disease and treatment characteristics were compared in patients who received either ART and MMT or only ART. Overall, mortaliy 6 months after starting ART was lwer with ART and MMT than with only ART. …

  9. New Treatment gives hope to East Africa's drug users

    This article is about the national methadone project launched in the United Republic of Tanzania -- the first mainland sub-Saharan country to launch such a program -- as part of a battle to fight heroin addiction and HIV infection. Heroin users contribute to the HIV pandemic in Tanzania by needle sharing, therefore, the idea behind the methadone project is to safely ween heroin users off of the drug. The program is funded by the US President's Emergency Plan for AIDS Relief, as a response to Tanzania's growing epidemic of people who inject drugs. …

  10. Resource flows and levels of spending for the response to HIV and AIDS in Belarus

    Background: Belarus has a focused HIV epidemic concentrated among injecting drug users, female sex workers and men who have sex with men. However, until 2008, Belarus had no way of evaluating HIV spending priorities. In 2008, Belarus committed to undertaking a comprehensive National AIDS Spending Assessment (NASA) in order to analyze HIV spending priorities. NASA was used to ‘follow the money’ from the funding sources to agents and providers, and eventually to beneficiary populations. …

  11. Effectiveness of peer education interventions for HIV prevention in developing countries: a systematic review and meta-analysis

    Peer education for HIV prevention has been widely implemented in developing countries, yet the effectiveness of this intervention has not been systematically evaluated. We conducted a systematic review and meta-analysis of peer education interventions in developing countries published between January 1990 and November 2006. Standardized methods of searching and data abstraction were utilized. Merged effect sizes were calculated using random effects models. Thirty studies were identified. …

  12. Ineffectiveness of AIDS education and HIV antibody testing in reducing high-risk behaviors among injection drug users

    This study assessed the effectiveness of education in reducing high-risk HIV-related behaviors in 313 injecting drug users. Participants were recruited and high risk behavior evaluated at baseline and four months following intervention, based on a structured interview. Participants were allocated to one of three groups: AIDS education, AIDS education with optional HIV testing, or a wait list. While no significant differences in high risk behaviors were found between the different arms of the study, overall the entire sample decreased its high risk behavior.

  13. 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. …

  14. Effects of drug relief hospital-based AIDS educational methods on drug users

    This study aimed to identify effective methods to train medical personnel to educate drug users on HIV prevention. One hundred and sixty-one participants from 13 provinces were recruited at a drug relief hospital in Beijing, China. Average age was about 35.21 years, years of drug addiction was 7, and number of drug relief treatments received in past was 5.5. Participants knowledge of HIV transmission and prevention was tested before and after the HIV awareness training. Results show that there was a statistically significant increase in knowledge on these issues after education. …

  15. 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. …

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