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UNESCO HIV and Health Education Clearinghouse

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  1. Peer-based education and the integration of HIV and sexual and reproductive health services for young people in Vietnam: Evidence from a project evaluation

    Introduction: This paper reports changes in behavioral outcomes related to the use of HIV testing service of a project that employed peer-based education strategies and integration of HIV voluntary counseling and testing (VCT) and Sexual and Reproductive Health (SRH) services targeting young people aged 15–24 across 5 provinces in Vietnam. Methods: A pre-test/post-test, non-experimental evaluation design was used. …

  2. Effectiveness of a peer-led HIV prevention intervention in secondary schools in Rwanda: results from a non-randomized controlled trial

    While the HIV epidemic is levelling off in sub-Saharan Africa, it remains at an unacceptably high level. Young people aged 15-24 years remain particularly vulnerable, resulting in a regional HIV prevalence of 1.4% in young men and 3.3% in young women. This study assesses the effectiveness of a peer-led HIV prevention intervention in secondary schools in Rwanda on young people’s sexual behavior, HIV knowledge and attitudes. In a non-randomized longitudinal controlled trial, fourteen schools were selected in two neighboring districts in Rwanda Bugesera (intervention) and Rwamagana (control). …

  3. 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. …

  4. 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. …

  5. An assessment of cost, quality and outcomes for five HIV prevention youth peer education programs in Zambia

    Research on the effectiveness of youth peer education programs (YPE) programs is scarce, and the wide variation in programs makes it difficult to generalize research findings. Measuring quality and comparing program effectiveness require the use of standardized instruments. In this study, the authors used standardized evidence-based instruments to compare program inputs, quality, outputs and outcomes for five YPE programs in Zambia. …

  6. Fostering accurate HIV/AIDS knowledge among unmarried youths in Cameroon: Do family environment and peers matter?

    This report investigates the linkages between family structure, family and peer communication about sexuality and accurate knowledge of transmission and prevention strategies. Data from the Cameroon Family Life and Health Survey, conducted in 2002 were used. Respondents were aged 10 years and over and sampled 765 households from the 75 localities forming the administrative prefecture of Bandjoun. Details questionnaires were used to gather data for the survey and it had a 97% response rate. …

  7. I am not "umqwayito'': a qualitative study of peer pressure and sexual risk behaviour among young adolescents in Cape Town, South Africa

    Young people in South Africa are susceptible to HIV infection. They are vulnerable to peer pressure to have sex, but little is known about how peer pressure operates. The aim of the study was to understand how negative peer pressure increases high risk sexual behaviour among young adolescents in Cape Town, South Africa. Qualitative research methods were used. Eight focus groups were conducted with young people between the ages of 13 and 14 years. …

  8. HIV/AIDS prevention through peer education and support in secondary schools in South Africa

    The implementation and evaluation of a peer education and support programme in secondary schools to prevent and reduce high-risk sexual behaviour amongst adolescents is discussed.The aims of the programme were to provide accurate information about HIV/AIDS, discuss and reconsider peer group norms, and establish support for learners. In the programme that was implemented in 13 secondary schools in Tshwane, South Africa, peer educators were identified, trained and supported to implement the programme in their schools with the assistance of a teacher and postgraduate students as facilitators. …

  9. Peer education, gender and the development of a critical consciousnes: participatory HIV prevention by South African youth

    Despite the growing popularity of participatory peer education as an HIV-prevention strategy worldwide, our understandings of the processes underlying its impact on sexual norms are still in their infancy. Starting from the assumption that gender inequalities play a key role in driving the epidemic amongst young people, we outline a framework for conceptualising the processes underlying successful peer education. We draw on the inter-locking concepts of social identity, empowerment (with particular emphasis on Freire's account of critical consciousness) and social capital. …

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