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UNESCO HIV and Health Education Clearinghouse

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  1. Sexual behaviour and knowledge regarding sexually transmitted infections among undergraduate students in Durban, South Africa

    The objective of this cross-sectional study was to identify the sexual behavior and knowledge of sexually transmitted infections (STIs) amongst 752 undergraduate university students in South Africa, using self-administered questionnaires. More than half reported presently being sexually active, the majority used contraceptives and especially used condoms. Almost a third of the sample, had multiple sexual partners, and more than a quarter of them reported to have sex under the influence of alcohol. …

  2. A situation-response analysis of the education sector’s response to HIV, drugs and sexual health in the Philippines

    This study gives an overview of HIV, drug and sexual health education (HDSHE) in the Philippines and analyzes the education sector’s response in six areas: organizational structure; policy, planning and leadership; partnerships, coordination and mainstreaming; program response; monitoring and evaluation; and resource mobilization. …

  3. Effectiveness of school-based education on HIV/AIDS knowledge, attitude and behaviour among secondary school students in Wuhan, China

    Background: Human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) are among the most complex health problems in the world. Young people are at high risk of HIV and AIDS infections and are, therefore, in need of targeted prevention. School-based HIV/AIDS health education may be an effective way to prevent the spread of AIDS among adolescents. Methods: The study was a school-based intervention conducted in three middle schools and two high schools in Wuhan, China, which included 702 boys and 766 girls, with ages from 11 to 18 years old. …

  4. Rapid assessment most-at-risk adolescents and young people to HIV in Lao PDR

    The Lao People’s Democratic Republic (Lao PDR) has a 'latent' HIV epidemic, with rates of HIV estimated at just 0.2 per cent of the total population aged between 15-49 years of age. However, because of its location in the heart of the Mekong, surrounded by countries with high rates of HIV in concentrated epidemics, Lao PDR is believed to be "in danger of an expanding epidemic". More than 50 per cent of the population of Lao PDR is below the age of 20 and adolescents and young people engaged in highrisk behaviour for HIV are an emerging priority across Asia and the Pacific. …

  5. A systematic review of HIV/AIDS knowledge measures

    HIV/AIDS knowledge measures are widely used to determine the efficacy of HIV/AIDS prevention and education efforts. While much research has looked at the interventions, less attention has been paid to the quality of the measures themselves. Objectives: To identify HIV/AIDS knowledge measures created for use with adults; to determine the extent to which these measures have been psychometrically tested. This article systematically reviews the use of psychometric testing of HIV/AIDS knowledge measures. …

  6. HIV prevalence among high school learners - opportunities for schools-based HIV testing programmes and sexual reproductive health services

    Young girls in sub Saharan Africa are reported to have higher rates of human immunodeficiency virus (HIV) infection compared to boys in the same age group. Knowledge of HIV status amongst high schools learners provides an important gateway to prevention and treatment services. This study aimed at determining the HIV prevalence and explored the feasibility of HIV testing among high school learners. Between September 2010 and February 2011, a linked, anonymous cross-sectional survey was conducted in two public sector high schools in the rural KwaZulu-Natal midlands. …

  7. Integrated biological and behavioural surveillance survey among migrant female sex workers in Nairobi, Kenya

    Kenya is currently experiencing both a generalized and a concentrated HIV epidemic. It has a national HIV prevalence of 6.3 per cent and 1.3 million people between the ages of 15 to 64 across the country are living with HIV. According to the Kenya National AIDS Control Council (NACC), female sex workers (FSW) and their clients account for 14.1% of new infections. The Kenyan national response has recently started targeting research and programming efforts towards key population groups, and specifically FSW. However, migrants have not been targeted as a distinct category. …

  8. Psychosocial processes and sexual initiation among Ghanaian youth

    This study modeled primary abstinence and age at first sex in a cross-sectional sample of Ghanaian youth ages 17 to 22 years. The aim was to examine how reproductive knowledge and social cognitive factors jointly affect the choice to initiate sex. Among males, the authors found that reproductive knowledge is negatively associated with abstinence. Its negative association, however, is moderated by the extent of adult support a respondent receives. Among females, reproductive knowledge is positively associated with abstinence. …

  9. 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). …

  10. Assessing knowledge, attitude, and practice of emergency contraception: a cross-sectional study among Ethiopian undergraduate female students

    The importance of Emergency contraception (EC) is evident in preventing unintended pregnancies and its ill consequences like unintended child delivery or unsafe abortion, which are the most common causes of maternal mortality. Knowing that Ethiopia is one of the countries with highest maternal mortality rate, this study aimed to assess the knowledge, attitude and practice of EC, and to further elucidate the relationship between these factors and some socioeconomic and demographic characteristics among female undergraduate students of Addis Ababa University. …

  11. University students and HIV in Namibia: an HIV prevalence survey and a knowledge and attitude survey

    With an overall adult HIV prevalence of 15.3%, Namibia is facing one of the largest HIV epidemics in Africa. Young people aged 20 to 34 years constitute one of the groups at highest risk of HIV infection in Namibia. However, little is known about the impact of HIV on this group and its access to healthcare. The purpose of this study was to estimate HIV prevalence, to assess the knowledge of and attitudes towards HIV/AIDS, and to assess access to healthcare among university students in Namibia.

  12. Education and vulnerability: the role of schools in protecting young women and girls from HIV in southern Africa

    Education has a potentially important role to play in tackling the spread of HIV, but is there evidence that this potential is realized? This analysis combines the results of previous literature reviews and updates them with the findings of recent randomized controlled trials and a discussion of possible mechanisms for the effect of schooling on vulnerability to HIV infection. There is a growing body of evidence that keeping girls in school reduces their risk of contracting HIV. …

  13. 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. …

  14. Systematic review exploring time trends in the association between educational attainment and risk of HIV infection in sub-Saharan Africa

    Objective: To assess the evidence that the association between educational attainment and risk of HIV infection is changing over time in sub-Saharan Africa. Design and methods: Systematic review of published peer-reviewed articles. Articles were identified that reported original data comparing individually measured educational attainment and HIV status among at least 300 individuals representative of the general population of countries or regions of sub-Saharan Africa. …

  15. Children’s school participation and HIV/AIDS in rural Malawi: the role of parental knowledge and perceptions

    Studies of the relationship between HIV/AIDS and children’s educational attainment largely focus on the direct impacts of parental illness and death, overlooking the potential indirect impact that parental knowledge and perceptions of their HIV status may have on children’s school enrollment. Drawing on both quantitative and qualitative evidence from Malawi, this paper finds that women’s real and perceived anticipation of future health shocks has a positive impact on their children’s educational attainment. …

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