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UNESCO HIV and Health Education Clearinghouse

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  1. Situational analysis of young people at high risk of HIV exposure in Thailand: Synthesis report

    The main goals of this project are to review the situation of young key affected populations (YKAP) HIV risk behaviours in Thailand, review the present policy and programmatic response for YKAP, identify gaps and promising practices for YKAP, and determine strategic future policy and programming interventions for YKAP. …

  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. 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. …

  4. 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. …

  5. Experiences from the field: HIV prevention among most at risk adolescents in Central and Eastern Europe and the Commonwealth of Independent States

    In recent years, UNICEF has worked together with national and local authorities and civil society partners in a number of countries in Eastern Europe and Central Asia to develop and implement HIV prevention programmes intended to reduce risks and vul¬nerabilities among most-at-risk adolescents (MARA.) This docu¬ment presents programming experiences from seven countries: Albania, Bosnia and Herzegovina (BiH), Moldova, Montenegro, Romania, Serbia and Ukraine. …

  6. The global HIV epidemics among people who inject drugs

    This publication addresses research questions related to an increase in the levels of access and utilization for four key interventions that have the potential to significantly reduce HIV infections among People Who Inject Drugs (PWID) and their sexual and injecting partners, and hence morbidity and mortality in low and middle-income countries (LMIC). These interventions are drawn from nine consensus interventions that comprise a 'comprehensive package' for PWID. …

  7. Cost-effective interventions that focus on most-at-risk populations

    This paper explores the most cost-effective approaches to AIDS interventions in countries with low and concentrated epidemics. These epidemics are traditionally driven by populations that are classified as "Most at Risk". The populations that make up this group are sex workers, men who have sex with men and intervenous drug users. These groups are heavily marginalized, and governments are often reluctant to allocate resources to programs that target these groups. …

  8. The global state of harm reduction: towards an integrated response

    The Global State of Harm Reduction 2012 presents the major developments in harm reduction policy adoption and programme implementation that have occurred since 2010. …

  9. Women who inject drugs: a review of their risks, experiences and needs

    This report summarises the existing peer reviewed and grey literature describing evidence on the nature and degree of risks and experiences of women who inject drugs and women whose partners inject. In collecting this literature, a range of search strategies were used in tandem with expert consultations across the key themes. This report explores how women enter into drug use, how they use drugs, the relationships that shape and drive their drug use and their experiences in accessing services and treatment.

  10. Injection drug use in Ukraine: the challenges of providing HIV prevention and care

    This report provides: - an overview of people who inject drugs and the HIV and AIDS situation in Ukraine; the Ukrainian Government policies and approaches; the role of the Global Fund to Fight AIDS, Tuberculosis, and Malaria; the US role in Ukraine; recommendations to address prevention, care, and treatment needs among people who inject drugs and their sexual contacts.

  11. Key populations, key responses: a gap analysis for key populations and HIV in South Africa, and recommendations for the National Strategic Plan for HIV/AIDS, STIs and TB (2012-2016)

    In June 2011, South Africa signed the United Nations Political Declaration on HIV/AIDS: Intensifying our Efforts to Eliminate HIV/AIDS which explicitly outlined commitment for all UN member states to address the inadequacy of HIV prevention strategies, focusing on men who have sex with men (MSM), injecting drug users (IDU) and sex workers (SW) and to improve access to HIV prevention, treatment, care and support services for migrant populations. …

  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. 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. …

  15. The Role of Nonformal Education in Combating the HIV Epidemic in the Philippines and Taiwan

    This study compares the approaches of Taiwan and the Philippines in mitigating their HIV epidemics using non-formal educational programs. The Philippines has an HIV prevalence of 6,000-11,000 cases out of a population of 91 million. Their approach was to target female sex workers and their managers, before expanding to men in the community, and relying heavily on NGOs to provide sex education. Taiwan was a prevalence of 40,000 cases out of a 23 million person population. …

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