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UNESCO HIV and Health Education Clearinghouse

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  1. Experiences of pregnant adolescents - voices from Wakiso district, Uganda

    Background: In Uganda, morbidity and mortality among adolescent mothers and their children are high. Social factors behind this problem need to be better understood. Objective: To explore problems that pregnant adolescents face in order to design appropriate policies and interventions. Methods: This was a descriptive study that utilized qualitative methods for data collection. The study population comprised of pregnant adolescents, adolescent mothers, opinion leaders, In-charge of health unit, and Traditional Birth Attendants (TBAs) in Wakiso district, Uganda. …

  2. 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. …

  3. The intergenerational impact of the African orphans crisis: a cohort study from an HIV/AIDS affected area

    Background: In sub-Saharan Africa, the prevalence of orphanhood among children has been greatly exacerbated by the HIV/AIDS pandemic. If orphanhood harms a child’s development and these effects perpetuate into adult life, then the African orphan crisis could seriously jeopardize the continent’s future generations. Whether or not there exists an adverse, causal and intergenerational effect of HIV/AIDS on development is of crucial importance for setting medical priorities. …

  4. Schools Against AIDS: Secondary School Enrollment and Cross-National Disparities in AIDS Death Rates

    Although AIDS is a leading cause of death worldwide, the consequences of the pandemic are remarkably unequally distributed cross-nationally. This unequal global distribution of AIDS deaths should be of interest to sociologists because of the potential role of structural forces in accounting for these disparities. Yet, there has been relatively little sociological research on this topic. Using underutilized cross national data on AIDS deaths, this study examines the macro-level sources of variation in AIDS death rates across 115 countries. …

  5. Economic impact of HIV and antiretroviral therapy on education supply in high prevalence regions

    Background: We set out to estimate, for the three geographical regions with the highest HIV prevalence, (sub-Saharan Africa [SSA], the Caribbean and the Greater Mekong sub-region of East Asia), the human resource and economic impact of HIV on the supply of education from 2008 to 2015, the target date for the achievement of Education For All (EFA), contrasting the continuation of access to care, support and Antiretroviral therapy (ART) to the scenario of universal access. …

  6. Access to safe abortion: building choices for women living with HIV and AIDS

    In many areas of the world where HIV prevalence is high, rates of unintended pregnancy and unsafe abortion have also been shown to be high. Of all pregnancies worldwide in 2008, 41% were reported as unintended or unplanned, and approximately 50% of these ended in abortion. …

  7. Treatment outcomes in HIV-infected adolescents attending a community-based antiretroviral therapy clinic in South Africa

    As the HIV epidemic matures, survival of children with perinatally acquired HIV infection into adolescence is increasingly being documented in sub-Saharan African countries. In addition, the burden of HIV in the adolescent patient population in the region is also due to sexual transmission, with adolescents and young adults being particularly vulnerable to this mode of infection. HIV care and treatment services in the region need to adapt to adequately meet the specific needs of this expanding disease burden among adolescents. …

  8. A review of the impact of HIV/AIDS on education, the workforce and workplace: the African experience

    The impact of HIV/AIDS cuts across all sectors of economic activities and social life. For example it not only reduces the stock of human capital but also the capacity to maintain the required turnover of many sought after skills and trainining like engineers, doctors, teachers, artisans and others. In the educational sphere, it leads to among other things a decrease in potential clientele for education, resources and even donor support. On the workforce, its impact increases expenditure on the one hand and decreases productivity on the other. …

  9. 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. …

  10. VCT uptake and associated factors among teachers from Harari Administrative Region

    Background: Although HIV/AIDS is affecting most productive segments of the population, the basic education sector which is vital to the creation of human capital is also equally affected. The loss of skilled and experienced teachers due to the problem is increasingly compromising the provision of quality education in most African countries and thus, needs appropriate intervention measures that reverse the current trend. Objectives: To assess the prevalence and determining factors of VCT uptake among teachers of Harari Administrative Region. …

  11. Adolescent' girls' life aspirations and reproductive health in Nepal

    The study described in this paper takes a participatory and positive approach to improving adolescent reproductive health in a rural and urban community in Nepal. It shows that adolescent girls in these communities have dreams and aspirations for a better future and that adults acknowledge and support these ideals. However, social norms and institutions are restrictive, especially for girls, who are often unable to realise their hopes for continuing education, finding better-paid work or delaying marriage and childbearing, and this directly impacts reproductive outcomes. …

  12. Why Nigerian adolescents seek abortion rather than contraception: evidence from focus-group discussions

    The need to educate adolescents about the mechanism of action of contraceptive agents and about their side effects in relation to unsafe sex is paramount if contraceptive use is to be improved among Nigerian adolescents.

  13. New population policies: advancing women's health and rights

    This issue of Population Bulletin reviews the evolution of national population policies, particularly following the historic 1994 Cairo conference. It describes the new focus on improving reproductive health and women's rights and how governments have tried to incorporate this new approach in their policies and programs. The Bulletin also looks at possible new directions for population policies.

  14. The AIDS epidemic in Sub-Saharan Africa: are teachers a high-risk group?

    This article assesses the extent to which teachers in Sub-Saharan Africa are a ‘high-risk’ group with respect to HIV infection and AIDS-related mortality. The main conclusion that is drawn from this review is that little hard evidence exists to support the contention that teachers are more vulnerable to the epidemic than other occupational groups.

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