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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. 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. …

  3. 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. …

  4. 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.

  5. Very young children affected and infected by HIV/AIDS: How are they living? A case study from Namibia

    This paper describes a recent study conducted jointly by the authors in the Khomas Region of Namibia. The study developed and trialled research and documentation methods regarding very young children who had been infected or affected by the HIV/AIDS pandemic. Because of the stigma attached to the disease, effective methods for assessing ‘real’ needs of the target population have been elusive in Namibia and elsewhere. …

  6. 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. …

  7. Towards an AIDS-free generation. Children and AIDS sixth stocktaking report, 2013

    Focusing on the first and second decades of life, the Children and AIDS: Sixth Stocktaking Report, 2013: reviews the HIV burden among children and adolescents and the progress being made; identifies key strategies to accelerate access to HIV prevention, treatment, protection, care and support for children and adolescents; summarizes opportunities arising from recent scientific advances, new technology and emerging practice innovations; seeks to mobilize national and international efforts to keep children HIV-free and ensure that children living with HIV remain AIDS-free.

  8. The impact of HIV on children's education in eastern Zimbabwe

    Little is known about how HIV impacts directly and indirectly on receiving, or particularly succeeding in, education in sub-Saharan Africa. To address this gap, we used multivariable logistic regression to determine the correlation between education outcomes in youth (aged 15–24) (being in the correct grade-for-age, primary school completion and having at least five “O” level passes) and being HIV-positive; having an HIV-positive parent; being a young carer; or being a maternal, paternal or double orphan, in five rounds (1998–2011) of a general population survey from eastern Zimbabwe. …

  9. Building Protection and Resilience: Synergies for child protection systems and children affected by HIV and AIDS

    This paper seeks to identify which HIV-specific issues are of relevance to child protection programming, and vice versa. …

  10. Orphans and vulnerable children: Trends in school access and experience in Eastern and Southern Africa

    Across sub-Saharan Africa, the AIDS pandemic has impacted children in a myriad of ways, from parental loss, to HIV infection, to increased poverty and marginalization. These children have been labeled orphans and vulnerable children (OVC) in the international development literature, and a range of interventions have provided services aiming to mitigate the impact of the crisis on human development outcomes, including education. …

  11. The role of the education sector in providing care and support for orphans and vulnerable children in Lesotho and Swaziland

    The propose of the study was to probe in greater depth, and within the more systematic frame of a research methodology, the dynamics of two current initiatives aiming to provide support to vulnerable children in both Lesotho and Swaziland. Each of the four interventions had within their programme designs a main emphasis on enabling school enrolment and sustaining school attendance. At the same time, the interventions looked to support the more comprehensive needs of vulnerable children and, by doing so, to enhance their overall life situation. …

  12. SADC Minimum Standards for child and adolescent HIV, TB and malaria continuum of care and support (2013-2017)

    The Minimum Standards serve as a framework to guide the regional harmonisation of approaches for a continuum of care and support in HIV, TB and malaria for children and adolescents in the SADC region. This is necessary to improve the effectiveness of national and community efforts to accelerate child survival and achieve comprehensive developmental outcomes for children and adolescents. …

  13. The debilitating cycle of HIV, food insecurity, and malnutrition. Including a menu of common food security and nutrition interventions for orphans and vulnerable children

    This document aims to facilitate an understanding of the bi-directional relationship between HIV and food and nutrition security. It illustrates the causes of HIV-related food and nutrition insecurity, and points to a list of programmatic interventions and resources to consider for addressing each cause in detail.

  14. Saving lives for a lifetime: Supporting orphans and vulnerable children impacted by HIV/AIDS

    President's Emergency Plan for AIDS Relief (PEPFAR's) response to the millions of children impacted by HIV/AIDS was to designate 10% of its budget to securing their futures, making it the leading supporter of programs reaching orphan and vulnerable children (OVC) programs globally. This article describes the evolution of PEPFAR's OVC response based on programmatic lessons learned and an evergrowing understanding of the impacts of HIV/AIDS. …

  15. The essential package: Holistically addressing the needs of young vulnerable children and their caregivers affected by HIV and AIDS

    The Essential Package is a comprehensive set of tools and guides for policy makers, program managers and service providers to address the unique needs and competencies of young children, particularly those affected or infected by HIV/AIDS, in an integrated and holistic way. Materials have been developed based on a comprehensive literature review of the effects of HIV and AIDS on young children and caregivers and a review of current programs and materials addressing the needs of vulnerable children, and specifically in relation to ECD.

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