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UNESCO HIV and Health Education Clearinghouse

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  1. A case study of school support and the psychological, emotional and behavioural consequences of HIV and AIDS on adolescents

    Various studies have reported a huge increase in the numbers of orphaned adolescents in Sub-Saharan Africa and its effects on their psychological, emotional and behavioural development. Yet, their needs are seldom recognised or adequately addressed in policy and programmes.This article uses a qualitative study to report the experiences of 11 orphaned adolescents (5 boys and 6 girls aged between 15 and 18 years) affected by HIV and AIDS in a secondary school (in Atteridgeville, Pretoria, South Africa) and the school support provided by them. …

  2. Gender tales from Africa: voices of children and women against discrimination

    The collection of these tales aims to provide relevant and experiential case studies for participants in gender-related courses in schools, colleges and universities, as well as in non-formal education settings. Most of the tales were written and tested by facilitators and learners during the annual 'Gender and Development in Southern Africa' course between 1998 and 2000. Several were also tested in a UNICEF workshop on 'Gender, Sexuality and HIV/ AIDS in Education', which was held in Malawi in July 2001. …

  3. Rising school enrollment and declining HIV and pregnancy risk among adolescents in Rakai district, Uganda, 1994–2013

    Background: Poverty, family stability, and social policies influence the ability of adolescents to attend school. Likewise, being enrolled in school may shape an adolescent’s risk for HIV and pregnancy. We identified trends in school enrollment, factors predicting school enrollment (antecedents), and health risks associated with staying in or leaving school (consequences). Methods: Data from the Rakai Community Cohort Study (RCCS) were examined for adolescents 15–19 years (n = 21,735 person-rounds) from 1994 to 2013. …

  4. Orphans and vulnerable children: national plan of action 2006-2010

    This five-year costed National Plan of Action addresses the survival, protection, care and support needs of the most vulnerable children in Nigeria. It was developed through consultative and participatory approaches among all stakeholders, including adults and children. The voices of children were heard, and their contributions were taken into account. The Plan adopts a rights-based approach in the development of the framework that will accelerate and provide guidance for the national response on orphans and vulnerable children.

  5. Improved access to education for orphans or vulnerable children affected by HIV/AIDS

    Children and youth affected by HIV/AIDS face many stressors and competing priorities regarding family, health, education, protection and economic stability. The policy environment created by the Dakar Framework for Action–Education for All created an entry point for governments to respond to the educational needs of orphans and vulnerable children based on locally driven context. The international community has made financial and programming resources available to support education for orphans and vulnerable children affected by HIV/AIDS at the country level. …

  6. Discussion paper: Cash transfers and HIV prevention

    This discussion paper synthesizes the evidence for the effectiveness of cash transfers for HIV prevention and explores implications and opportunities for advancing research and policy agendas. Much of this evidence centres on girls and young women, who bear significant HIV burdens, particularly in sub-Saharan Africa, and often have less control over their sexual choices than do men. Many forms of transfers exist that may contribute to HIV prevention. …

  7. The government of Kenya cash transfer for orphaned and vulnerable children: cross-sectional comparison of household and individual characteristics of those with and without

    Background: The ‘Cash Transfer to Orphans and Vulnerable Children’ (CT-OVC) in Kenya is a government-supported program intended to provide regular and predictable cash transfers (CT) to poor households taking care of OVC. CT programs can be an effective means of alleviating poverty and facilitating the attainment of an adequate standard of living for people’s health and well-being and other international human rights. …

  8. The cost and cost-effectiveness of gender-responsive interventions for HIV: a systematic review

    Introduction: Harmful gender norms and inequalities, including gender-based violence, are important structural barriers to effective HIV programming. We assess current evidence on what forms of gender-responsive intervention may enhance the effectiveness of basic HIV programmes and be cost-effective. Methods: Effective intervention models were identified from an existing evidence review (“what works for women”). Based on this, we conducted a systematic review of published and grey literature on the costs and cost-effectiveness of each intervention identified. …

  9. Education sector policy for orphans and vulnerable children

    The goal of this policy is to ensure that an increased number of OVC are able to access, remain in, and complete general education of good quality. The objective of this policy is to ensure that all OVC of school-going age attend school and are not deterred from full participation through lack of financial means, material or psychosocial need, stigma, discrimination or any other constraints, and to ensure that out-of school OVC are brought back into school or provided with appropriate alternative educational opportunities.

  10. The impact and cost of the HIV/AIDS investment framework for adolescents

    Background: In 2005, the resources needed to support orphans and vulnerable children in sub-Saharan Africa were estimated at US$1.1–4.1 billion. Approaches to support vulnerable children have changed considerably since then. This study updates previous estimates by including new types of support and information on support costs. Methods: We considered 16 types of support categorized as economic strengthening, education support, social care and community outreach, and program support. …

  11. South Africa’s response to orphans and vulnerable children: A literature review

    This literature review sought to understand how the South African Education Department and its stakeholders have responded to the plight of OVC.

  12. ECD and the HIV/AIDS pandemic in Africa

    An unprecedented number of young children in Sub-Saharan Africa are being adversely affected by the HIV/AIDS pandemic, yet programs specifically designed to meet the developmental needs of orphaned and vulnerable children (OVC) from birth to age 8 are rare. This article summarizes the daunting array of challenges facing young OVC in Sub-Saharan Africa, and profiles research and action projects undertaken by four members of the inaugural graduate-level cohort of the ECDVU to promote high-quality developmentally appropriate ECD care for young OVC in their respective countries. …

  13. Children’s representations of school support for HIV-affected peers in rural Zimbabwe

    Background: HIV has left many African children caring for sick relatives, orphaned or themselves HIV-positive, often facing immense challenges in the absence of significant support from adults. With reductions in development funding, public sector budgetary constraints, and a growing emphasis on the importance of indigenous resources in the HIV response, international policy allocates schools a key role in ‘substituting for families’ (Ansell, 2008) in supporting child health and well-being. …

  14. The Government of Kenya’s Cash Transfer Program Reduces the Risk of Sexual Debut among Young People Age 15-25

    The aim of this study is to assess whether the Government of Kenya’s Cash Transfer for Orphans and Vulnerable Children (Kenya CT-OVC) can reduce the risk of HIV among young people by postponing sexual debut. The program provides an unconditional transfer of US$20 per month directly to the main caregiver in the household. An evaluation of the program was implemented in 2007–2009 in seven districts. Fourteen Locations were randomly assigned to receive the program and fourteen were assigned to a control arm. A sample of households was enrolled in the evaluation in 2007. …

  15. 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. …

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