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UNESCO HIV and Health Education Clearinghouse

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  1. Sexual behavior among persons living with HIV in Uganda: Implications for policy and practice

    Introduction: HIV epidemics are sustained and propagated by new cases of infection which result from transmission from infected persons to uninfected susceptible individuals. People living with HIV (PLHIV) play a critical role in prevention if they adopt safer sexual behaviors. This study estimated the prevalence of and factors associated with safer sexual behaviors among PLHIV seeking care from civil society organizations (CSOs). …

  2. Let’s talk about sex: A qualitative study of Rwandan adolescents’ views on sex and HIV

    Objective: This qualitative study explored the views and experiences of adolescents with perinatally acquired HIV in Kigali, Rwanda, regarding sex, love, marriage, children and hope for the future. Design: The study enrolled 42 adolescents who had received combination antiretroviral therapy for at least 12 months, and a selection of their primary caregivers. Study methods included 3 multiple day workshops consisting of role-playing and focus group discussions (FGDs) with adolescents, 8 in-depth interviews with adolescents, and one FGD with caregivers. …

  3. Having sex, becoming somebody: A qualitative study assessing (sexual) identity development of adolescents living with HIV/AIDS

    A growing number of adolescents are living with HIV/AIDS. For their well-being and for prevention, age- and culturally appropriate interventions become increasingly important. This qualitative study was conducted as the first step to develop a sexual and reproductive health (SRH) intervention. The study's objective was to assess the impact of HIV and related contextual conditions on identity formation of adolescents living with HIV/AIDS (ALH) in the domains of physical, cognitive, social, and sexual development. Data were collected using focus group discussions (FGDs). …

  4. Silenced and forgotten: HIV and AIDS agenda setting paper for women living with HIV, sex workers and LGBT individuals in southern African and Indian Ocean states

    The impact of the HIV and AIDS epidemic is felt hardest by the individuals who are infected or affected by the disease, and in particular by individuals who are especially vulnerable to HIV infection due to stigma and discrimination, poverty, a lack of access to education, health and other services that promote HIV awareness. However, the impact of HIV and AIDS goes beyond the individual or household level – it affects nations as a whole. …

  5. The experiences and needs of LGBTI living with HIV in Johannesburg, South Africa

    This is a report on a study conducted with Lesbian, Gay, Bisexual, Transgender and Intersex (LGBTI) people to explore their sexual and reproductive health and rights experiences and needs. The research exercise involved HIV positive LGBTI people and LGBTI NGOs in the greater Johannesburg area in Gauteng, South Africa. The main objective of the research was to collect data on sexual and reproductive health needs and experiences of LGBTI community, especially among people who are living with HIV.

  6. Antiretroviral drug access and behavior change

    Access to antiretroviral (ARV) drugs in Sub-Saharan Africa has rapidly expanded - from fewer than 10,000 people treated in 2000 to more than 8 million in 2011. To measure the impact of this expansion, it is necessary to identify the behavioral response of individuals to drug access. This paper combines geocoded information about the timing of introduction of ARVs in all Kenyan health facilities with two waves of geocoded population surveys to estimate the impact of proximity to an ARV provider on risky sexual behavior. …

  7. HIV/AIDS and its impact on education in sub-Saharan Africa: policy initiatives and challenges

    Impact mitigation strategies in sub-Saharan Africa on HIV/AIDS in the education sector involved initially the development of education sector policies. This study traces the policy development initiatives, level of implementation, progress made and existing challenges. The study is based on a close (textual) reading of authoritative literature from United Nations Programme on HIV/AIDS (UNAIDS), World Bank, UNESCO and UNICEF for the last decade on global monitoring of HIV/AIDS and statistical data. …

  8. Addressing sexual violence and HIV risk among married adolescent girls in rural Nyanza, Kenya

    HIV infection is much higher among adolescent girls in sub-Saharan Africa than among boys. In settings such as Nyanza Province, Kenya, rates of HIV infection are extremely high, and evidence is increasing in some settings that girls who are married are much more likely to be infected with HIV, compared with their unmarried sexually active counterparts. This brief describes a program addressing the problem of sexual violence and the risk of HIV transmission within marriage in Kenya's Nyanza Province. …

  9. Maisha Newsletter December 2011

    Maisha+ focuses on sharing experiences and lessons in reaching out to the hard-to-reach community populations in Sub Saharan African with HIV and AIDS interventions. In this issue: -Towards zero HIV infections, discrimination and AIDS deaths for hard to reach communities -Violence against women contributing to spread of HIV -Supporting Associations of people living with HIV in Uganda -Challenges in addressing traditional beliefs and practices in HIV and AIDS among the Maasai -Working with sexual minorities in Rwanda -Stop the discrimination! -testimony from a victim of assault

  10. Sexual, reproductive health needs and rights of young people with perinatally acquired HIV in Uganda

    The number of young people with perinatally acquired HIV is growing significantly. With antiretroviral drugs, children who get infected at birth with HIV have an opportunity to graduate into adolescence and adulthood. This achievement notwithstanding, new challenges have emerged in their care and support needs, the most dynamic being their sexual and reproductive health needs and rights (SRHR). …

  11. Zimbabwe national behavioural change strategy for the prevention of sexual transmission of HIV 2006-2010

    The Zimbabwe National Behavioural Change (BC) Strategy is a multisectoral framework to reduce sexual transmission of HIV by promoting responsible practices. Comprehensive epidemiological and behavioural reviews form the basis of this strategy. They found that HIV prevalence had declined in Zimbabwe and that behavioural change including partner reduction and increased condom use had already started. At the same time, multiple concurrent partnerships and a number of related practices were still seen as key drivers of the epidemic. …

  12. Understanding and challenging HIV stigma. Toolkit for action. Modules B and C: More understanding, less fear. Sex, morality, shame and blame

    This document is part of a toolkit written for and by HIV trainers. The toolkit has been designed to help trainers plan and organise educational sessions with community leaders or organised groups. It consists in a collection of participatory training exercises to help people at all levels understand stigma - what it means, why it is an important issue, what its root causes are - and to develop strategies to challenge stigma and discrimination. The present document contains Module B "More understanding, less fear", and Module c "Sex, morality, shame and blame". …

  13. Are Africans practicing safer sex: evidence from demographic and health surveys for eight countries

    The authors use repeated rounds of Demographic and Health Survey data from eight african countries to examine changes in and determinants of three HIV risk behaviors: age at first intercourse; number of current sexual partners, and use of condoms. They find some evidence of changes in sample composition, which is easily handled in a multivariate framework, and find evidence as well of changes in how people respond to questions about HIV behavior. …

  14. Gender and HIV/AIDS

    This paper summarize the situation of HIV prevalence among men and women, and proposes solutions and policies to improve the situation.

  15. Choose life: living with HIV and AIDS in our world

    This document is included in the Policy Brief prepared for the UNAIDS Inter- Agency Task Team on education (to be published soon) that provides a "global snapshot" of HIV/AIDS related education material for developing countries. This education booklet, produced by Soul City, is aimed at 12-18 year olds in Botswana, Lesotho, Namibia and Swaziland. It addresses the HIV/AIDS pandemic in sub-saharan Africa by positively informing adolescents about sexual behaviours in order to reduce teenage pregnancy, HIV and other STD's. …

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