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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. University-based peer health education in China: The Shantou experience

    Objective: University-based peer health education is a recent development in China. The authors evaluated a newly implemented program in the Guangdong province. Participants and Methods: In September 2006, the authors conducted a crosssectional study using self-administered questionnaires on 30 peer educators and 247 students. Results: All peer educators and the majority of student respondents positively evaluated the program. Although students preferred to seek health information online, approximately one-quarter of the student respondents would contact peer educators. …

  3. Promoting sexual and reproductive health among adolescents in southern and eastern Africa (PREPARE): project design and conceptual framework

    Background: Young people in sub-Saharan Africa are affected by the HIV pandemic to a greater extent than young people elsewhere and effective HIV-preventive intervention programmes are urgently needed. The present article presents the rationale behind an EU-funded research project (PREPARE) examining effects of community-based (school delivered) interventions conducted in four sites in sub-Saharan Africa. One intervention focuses on changing beliefs and cognitions related to sexual practices (Mankweng, Limpopo, South Africa). …

  4. Global perspectives on peer sex education for college students

    According to the World Health Organization, sexually transmitted diseases and infections continue to be a public health problem across the globe, with most infected persons being between the ages of 15 and 49. A large percentage of those affected by AIDS are 15-24 year olds, an age group which includes college students. Peer sex education is being espoused by non-governmental organizations and administrators as a viable solution to this problem. Peer education strategies and approaches to evaluation differ across programs. …

  5. 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. …

  6. 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. …

  7. 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. …

  8. Using Drama for School-Based Adolescent Sexuality Education in Zaria, Nigeria

    This paper describes the use of drama and participatory methods in a girls-only secondary school in Zaria, Nigeria, as a means of sexuality education, carried out by the Nigerian Popular Theatre Alliance and the Second Chance Organization of Nigeria. The issues addressed had to come from the students, to allow them to develop critical thinking and learn useful lessons. The topics that concerned the group of 15 girls who participated from the school included abortion, premarital sex and pregnancy, teacher–student relationships and lesbianism. …

  9. 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.

  10. 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. …

  11. 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. …

  12. West African youth initiative: Outcome of a reproductive health education program

    Purpose: To describe the implementation and evaluation of an adolescent reproductive health peer education program in West Africa. The program, known as the West African Youth Initiative (WAYI), was developed to improve knowledge of sexuality and reproductive health, and promote safer sex behaviors and contraceptive use among sexually active adolescents in Nigeria and Ghana. …

  13. 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. …

  14. Impact of a School-based Peer Sexual Health Intervention on Normative Beliefs, Risk Perceptions, and Sexual Behavior of Zambian Adolescents

    To determine whether adolescents’ normative beliefs about abstinence and condoms, their personal risk perception, and safer sex practices changed after the implementation of a peer sexual health education intervention implemented in Zambian secondary schools.

  15. 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. …

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