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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. 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. …

  3. 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. …

  4. Life skills-based HIV education and Education for All

    Education including life skills-based education has a positive role to play in contexts where messages have been accurate, HIV education coverage in schools has been high, and implementation has been sustained and to scale. At best however – and importantly – school-based HIV education is just one component of what UNAIDS calls combination HIV prevention, in which a range of actions provide a comprehensive mix of approaches. HIV education remains work in progress. …

  5. 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. …

  6. Positive Action for HIV in Schools in Kenya

    Although many sub-Saharan African countries that are affected by HIV and AIDS have developed education sector policies in response to the epidemic, there are still challenges in effectively addressing the issue in schools. These challenges include lack of appropriate leadership and coordination at the school level, limited training and skills update on HIV and AIDS among school-based caregivers (teachers, school nurses and matrons), absence of appropriate guidelines in some settings, and lack of coordination between the education, health and other sectors. …

  7. 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. …

  8. Sexual and reproductive health for youth: review of evidence for prevention

    This report systematizes existing knowledge of effective interventions in the area of juvenile sexual and reproductive health. Its goal is to provide information for designing effective programs, particularly those related to teen pregnancy, sexually transmitted diseases and risky sexual behaviors in Latin America and the Caribbean. Drawing on rigorous evidence, this innovative tool is designed to support operations by focusing on the identification and analysis of promising practices. …

  9. WHO guidelines on preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries

    These guidelines provide recommendations on action and research for a) preventing early pregnancy: by preventing marriage before 18 years of age; by increasing knowledge and understanding of the importance of pregnancy prevention; by increasing the use of contraception; and by preventing coerced sex; and b) preventing poor reproductive outcomes: by reducing unsafe abortions; and by increasing the use of skilled antenatal, childbirth and postnatal care. …

  10. 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). …

  11. My Story My Life

    This book is designed to help in-school students learn about the health risks involved in pre-marital sex and to improve their life skills. The material is presented in story form, in hopes that young people will identify with the characters. The topics and concepts of this booklet were drawn from studies conducted with youth in Kogi and Cross River states of Nigeria. The issues highlighted revolve around young people's ability to abstain or delay pre-marital sex in order to reduce their risk of HIV infection. …

  12. The effects of peer education on reduction of the HIV/sexually transmitted infection risk behaviors among Turkish university students

    This study investigated how HIV/sexually transmitted infection peer education (PE) affected HIV knowledge, perceived prevention self-efficacy, and risky sexual behaviors among Turkish university students (N = 118) who were sexually active but did not use condoms. A methodological and pre-/posttest controlled study design was used, with data collected before PE, just after PE, 3 months after PE, and 6 months after PE. …

  13. Sexual risk behaviors among youth heads of household in Gikongoro, south province of Rwanda

    The purpose of this study was to: (a) identify risk behaviors that expose Rwandan young heads of household (YHH) to HIV infection, (b) determine gender-specific high-risk profiles and, (c) determine predictors of sexual onset. A household survey was conducted among 692 YHH, ages 12–24, all beneficiaries of a World Vision basic needs program in Gikongoro, Rwanda, from January to March 2004. Participants were interviewed using a structured questionnaire. Data were collected on socio-demographic variables, knowledge about HIV/AIDS prevention and sexual risk behaviors. …

  14. Gendered perceptions of HIV risk among young women and men in a high-HIV-prevalence setting

    It has become evident that sexual health and HIV-risk behaviours cannot be addressed effectively without paying adequate attention to constructions of gender and sexuality. While the body of literature examining these themes is growing and becoming more nuanced, there is still a significant gap in our understanding of the relationship between gendered sexual identities and vulnerabilities to disease. In particular, few studies have explored how youths themselves perceive this relationship, and how these perceptions may differ among males and females. …

  15. Do peer educators make a difference? An evaluation of a youth-led HIV prevention model in Zambian schools

    Restless Development's youth-led model places trained Volunteer Peer Educators (VPEs), aged 18-25 years, in schools to teach HIV prevention and reproductive health (RH). VPEs also run youth centers, extracurricular and community-based activities. This evaluation assesses program effects on students' HIV/RH knowledge, attitudes and behaviors using a non-randomized quasi-experimental design among 2133 eighth and ninth grade students in 13 intervention versus 13 matched comparison schools and program costs. …

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