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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. 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. …

  3. 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. …

  4. Is peer education the best approach for HIV prevention in schools? Findings from a randomized controlled trial

    The purpose of the research was to evaluate the effectiveness of peer education when compared to teacher-led curricula in AIDS prevention programs conducted in schools in Rome, Italy. The only apparent benefit of the peer-led intervention, compared to that led by teachers, was a greater improvement in knowledge of HIV. Neither of the interventions induced changes in sexual behavior. However, the role of possible biases and methodological problems must be considered when interpreting these results.

  5. 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. …

  6. 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. …

  7. 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. …

  8. 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. …

  9. Effectiveness of peer education interventions for HIV prevention in developing countries: a systematic review and meta-analysis

    Peer education for HIV prevention has been widely implemented in developing countries, yet the effectiveness of this intervention has not been systematically evaluated. We conducted a systematic review and meta-analysis of peer education interventions in developing countries published between January 1990 and November 2006. Standardized methods of searching and data abstraction were utilized. Merged effect sizes were calculated using random effects models. Thirty studies were identified. …

  10. 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. …

  11. 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). …

  12. 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. …

  13. 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. …

  14. 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. …

  15. Peer-led versus teacher-led AIDS education for female high-school students in Yazd, Islamic Republic of Iran

    Peer-led programmes on AIDS prevention have shown a good level of effectiveness when tested among high-risk populations. This study compared peer-led and teacher-led methods of education about HIV/AIDS among female high-school students in Yazd city, Islamic Republic of Iran. In 2009 students in 3 high schools were trained by their classmates (peer-led), by the research team (teacher-led) or had no education (controls); 180 students completed a specially designed questionnaire based on the health belief model, before and after the intervention. …

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