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UNESCO HIV and Health Education Clearinghouse

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  1. A life-skills-based HIV/AIDS prevention education for rural students of primary schools in China: What changed? What have we learned?

    Objective: To evaluate a four-hour life-skills-based HIV/AIDS prevention curriculum among 5th grade students in rural primary schools of Hainan province. Methods: The study included two stages. Stage one (September 2006-May 2007) was a pre-post-quasi experimental design; a total of 2 413 students aged 9 to 14 years from fifth grade classes of nine primary schools completed a baseline survey (1 720 students were in the intervention group, 693 in the control group), and over 98% of them took part in a short survey. The experimental curriculum was provided to the intervention group. …

  2. Gender, peer and partner influences on adolescent HIV risk in rural South Africa

    In preparation for a school-based intervention in KwaZulu-Natal, South Africa, the authors conducted a cross-sectional survey of potential HIV risk factors in youth ages 14–17 (n=983). Boys were significantly more likely than girls to report lifetime sexual activity (37.7% v. 13.8%, P<0.01). Among boys and girls, 46.1% reported condom use at last sex. Discussion of condom use with a partner was the strongest predictor of condom use (boys, odds ratio (OR)=7.39; girls, OR=5.58, P<0.0001). …

  3. The association between school attendance, HIV infection and sexual behaviour among young people in rural South Africa

    Objectives: To investigate whether the prevalence of HIV infection among young people, and sexual behaviours associated with increased HIV risk, are differentially distributed between students and those not attending school or college. Design: A random population sample of unmarried young people (916 males, 1003 females) aged 14–25 years from rural South Africa in 2001. Methods: Data on school attendance and HIV risk characteristics came from structured face-to-face interviews. HIV serostatus was assessed by oral fluid ELISA. …

  4. Out-of-school and at risk? Socio-demographic characteristics, AIDS knowledge and risk perception among young people in Northern Tanzania

    This paper investigates the reasons why young people in urban and rural Kilimanjaro, Tanzania do not attend school, their socio-demographic characteristics, AIDS knowledge and risk perception. A structured face-to-face interview was conducted with 1007 young people between the ages of 13 and 18. Findings suggest that non-attendance is the product of a complex interaction of economic, individual, family and school-related factors. Boys have more AIDS knowledge than girls, and those from urban areas are more knowledgeable than their rural counterparts. …

  5. Evaluation of HIV/AIDS secondary school peer education in rural Nigeria

    This study used a comparative case series (n=250), a cross-sectional structured survey (n=135) and focus group discussions (n=80) to assess whether HIV peer education can influence knowledge, misconceptions and behavior among adolescents in rural Nigeria. A questionnaire was designed to look at socio-demographics, transmission and prevention knowledge on HIV, access to various sources of HIV/AIDS information, stigmatization and sexual behavior. …

  6. Culturally-adapted and audio-technology assisted HIV/AIDS awareness and education program in rural Nigeria: a cohort study

    This prospective, 14-week cohort study sought to identify changes in HIV knowledge using a culturally-adapted, technology assisted educational approach in three rural Nigerian villages. One group of people were given seminar-based education, while another were given a portable, digial audio technology-based educational program, which drew on the rural culture of oral learning. The majority of the participants were Muslim (99%), male (53.3%) and lacked formal education (55%). HIV knowledge was improved by a larger degree in the technology facilitated group than the seminar-based group. …

  7. Young people's understanding of HIV: a qualitative study among school students in Mankweng, South Africa

    This article describes young people's interpretation of HIV, AIDS and sexually transmitted illness in a rural South African community in Mankweng, Limpopo Province. Method: The study was based on 19 focus group discussions with adolescents aged 12-14 years. Results: Our participants had limited knowledge about HIV from a biomedical perspective. Their understanding and interpretations of HIV and other sexually transmitted diseases were largely informed by traditional and religious belief systems that explain how and why people contract an illness via sexual intercourse. …

  8. Influence of religious affiliation and education on HIV knowledge and HIV-related sexual behaviors among unmarried youth in rural central Mozambique

    The interactions among religious affiliation, education, HIV knowledge, and HIV-related sexual behaviors among African church youth are poorly understood. In this sociodemographic study, 522 unmarried youth 12-28 years old in rural central Mozambique were surveyed with a structured questionnaire. Using binary logistic regression analysis, the authors used religious affiliation and education to measure influence on (1) HIV transmission and prevention knowledge and attitudes and (2) HIV-related sexual behaviors among youth. …

  9. Sexual behavior and STI/HIV status among adolescents in rural Malawi. An evaluation of the effect of interview mode on reporting

    This study is an article extracted from "Studies in family Planning", special issue on Adolescent Sexual and Reproductive Health in Sub-Saharan Africa, published in December 2008. The inconsistency between reported sexual behavior and HIV incidence has prompted some epidemiologists to question the conventional explanation for the African AIDS pandemic. This study represents one effort to investigate the reporting of premarital sex in rural southern Malawi. It summarizes the results from an interview-mode experiment conducted with unmarried young women aged 15-21. …

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