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UNESCO HIV and Health Education Clearinghouse

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  1. Effects of peer education intervention on HIV/AIDS related sexual behaviors of secondary school students in Addis Ababa, Ethiopia: a quasi-experimental study

    Background: Worldwide, about 50 % of all new cases of HIV occur in youth between age 15 and 24 years. Studies in various sub-Saharan African countries show that both out of school and in school adolescents and youth are engaged in risky sexual behaviors. School-based health education has been a cornerstone of youth-focused HIV prevention efforts since the early 1990s. In addition, peer-based interventions have become a common method to effect important health-related behavior changes and address the HIV/AIDS pandemic. …

  2. Effects of peer education on AIDS knowledge and sexual behavior among youths on national service and secondary school students in Nigeria

    Young persons are disproportionately affected by the impact of HIV in Nigeria. This paper presents findings from an evaluation of a national youth HIV prevention program designed to determine the effects of HIV prevention intervention (HPI) on Youths on Compulsory National Service (YoCNS) and Adolescents in Secondary Schools (AiSS). Data were collected from 229 YoCNS who received training on HIV prevention and 231 of their counterparts who did not. Among AiSS, data were collected from 909 respondents who were trained as peer educators and among 1005 students who were not. …

  3. Talk what others think you can’t talk: HIV/AIDS clubs as peer education in Ugandan schools

    In this article, we make the case that HIV/AIDS clubs in Ugandan schools provide valuable information to students who may not have easy access to health services. As one club motto suggests, the clubs ‘talk what others think you can’t talk’. The innovative peer education methods, which include drama, popular culture and community outreach all have great appeal to youth, and provide unique opportunities for female students to raise gender issues and develop leadership skills. …

  4. Evaluation of HIV/AIDS prevention through peer education, counselling, health care, training and urban refuges in Ghana

    Since 1996, Ireland Aid has supported UNICEF Ghana in the implementation of five activities that promote behaviour change to limit the spread of HIV/AIDS and STIs. The interventions are run by different local organisations, and have provided over 75,000 in and out-of-school youth and commercial sex workers with preventive education. People retained the information given, are knowledgeable about how HIV is transmitted, and can name key preventive methods. They pass on the information to their friends. Commercial sex workers were empowered to support one another in negotiating for safer sex. …

  5. Practical approaches to HIV/AIDS education

    Education needs to look at the development of individuals, their ability to think and reason, build up self-respect, as well as respect for others, think ahead and plan their future. These psychosocial abilities are the life skills that help people think, feel, act and interact as individuals and as participating members of society. …

  6. Knowledge, Behaviour, Perceptions and Attitudes of University of Ghana Students towards HIV/AIDS: What does Behavioural Surveillance Survey Tell us?

    This study assesses knowledge, attitudes and behaviour in respect of risk of HIV infection of students through behavioral surveillance survey. The study used the systematic sampling approach to select 375 students. Interviews and focus group discussions were conducted to solicit information from respondents. The study found out that the students engaged in pre-marital sex, although this was more common among the male than female students. Students did not use condoms consistently and were not likely to use condoms when the relationship was considered as stable because of trust. …

  7. Teaching and the HIV/AIDS Pandemic: A School Case Study

    Background: This paper reports case study findings on how a school in Tanzania is attempting to integrate HIV/AIDS education. Methods: Interviews were held with the principal, 8 teachers, 8 pupils, the school nurse and 4 parents; observation of school environment and document analysis of posters, text books and school calendar was carried out to see evidence of HIV/AIDS activities in the school. Results: HIV/AIDS is integrated in the school curricula and some teachers have incorporated participatory pedagogy. However teachers lack support and teaching materials. …

  8. 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). …

  9. 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. …

  10. 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. …

  11. Reproductive health for refugees by refugees in Guinea IV: Peer education and HIV knowledge, attitudes, and reported practices

    Peer education has long been used to promote HIV awareness and reduce risk. However, little has been written about its use in refugee settings. This study aimed to assess whether refugee peer education could improve HIV knowledge, attitudes and practices among Guinean refugees. The study also assessed whether gender, age or formal education were more strongly associated to improved HIV outcomes than peer education. Data was collected through a cross-sectional survey of 889 men and women in 23 camps throughout the Forest Region, Guinea. …

  12. The Social Conditions for Successful Peer Education: A Comparison of Two HIV Prevention Programs Run by Sex Workers in India and South Africa

    Peer education is increasingly being used to combat the spread of HIV and AIDS. However, results are inconsistent. This study systematically compares the context and implementation of two peer educational approaches among sex workers in India and South Africa, which had contrasting outcomes, to identify factors leading to success or failure. The Indian intervention's success was enabled by: a stable, supportive social, material and political context; and an ethos of community development which committed resources to sex worker empowerment, ownership and involvement. …

  13. Evaluation of an HIV/AIDS peer education programme in a South African workplace

    This paper describes an evaluation of a workplace HIV/AIDS peer-educational program. A cross-sectional study of 900 employees was conducted in 2001 across three areas in South Africa and measured the impact of a peer-education program on knowledge, attitudes towards people living with HIV/AIDS, perceptions of risk and condom use. Peer-education had no impact on any outcome. Some 59% of subjects had good knowledge, 62% positive attitude towards people living with HIV/AIDS, 34% reported frequently using condoms, 73% perceived themselves at low risk for infection. …

  14. Evaluation of HIV/AIDS secondary school peer education in rural Nigeria

    This study used a comparative case series (n=250), a cross-sectional structured survey (n=135) and focus group discussions (n=80) to assess whether HIV peer education can influence knowledge, misconceptions and behavior among adolescents in rural Nigeria. A questionnaire was designed to look at socio-demographics, transmission and prevention knowledge on HIV, access to various sources of HIV/AIDS information, stigmatization and sexual behavior. …

  15. 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. …

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