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UNESCO HIV and Health Education Clearinghouse

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  1. Lessons learned from a review of interventions for adolescent and young key populations in Asia Pacific and opportunities for programming

    BACKGROUND: Over a third of new HIV infections globally are among 15-24 year-olds and over 20% among adolescents aged 10-19 years in Asia Pacific. The review was initiated to identify interventions in the region with demonstrated or potential impact for adolescent and young key populations (YKP) looking at the role of individual and structural factors in accessibility and delivery. The review is a component of a more comprehensive review undertaken by UNICEF and partners in the region. METHODS:This was a desk review of over 1000 articles, and 37 were selected. …

  2. Lost in transitions: Current issues faced by adolescents living with HIV in Asia Pacific

    Across the Asia Pacific region, adolescents aged 10 – 19 years who are living with HIV face unique challenges as they transition from childhood to adolescence and into adulthood. This report aims to document and capture some of the experiences of adolescents living with HIV as they disclose their HIV status, deal with life-long antiretroviral treatment (ART), move from pediatric to adult health care services, navigate sexuality and relationships and build their independent lives. …

  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. 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. …

  6. 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. …

  7. Letters from Egypt: HIV/AIDS, testimonials of stigma and discrimination

    Between your hands are the stories of several Egyptians who have suffered the stigma associated with living with HIV/AIDS. They are ordinary citizens who have lived among us, speaking about their emotional and psychological suffering - as if the infection was not sufficient agony in itself. Here we present people who have been exposed to daily to stigma and discrimination, be it by neighbors, friends, police officers, religious figures, or even doctors. They have become outcasts in their own society because of the prevailing stereotypes about people living with the virus. …

  8. 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). …

  9. Práticas educativas e prevenção de HIV/Aids: lições aprendidas e desafios atuais

    A prevenção tem sido uma questão crucial para os programas de controle da Aids. Os enormes progressos doá conhecimento e da técnica nesse campo não chegaram a alterar substantivamente os determinantes fundamentais da infecção e adoecimento de significativos contingentes populacionais. Neste ensaio busca-se sistematizar as lições que aprendemos no campo da prevenção nessas duas décadas de epidemia, tomando como base, em especial, a experiência brasileira. …

  10. Plano Nacional de Enfrentamento da Epidemia de AIDS e das DST entre Gays, HSH e Travestis

    O Ministério da Saúde, em parceria com o Conselho Nacional dos Secretários de Saúde (CONASS) e o Conselho Nacional de Secretários Municipais de Saúde (CONASEMS), apresenta às instituições que atuam no campo da promoção da saúde, dos direitos humanos, dos direitos sexuais e reprodutivos o Plano Nacional de Enfrentamento da Epidemia de Aids e DST entre Gays, outros Homens que fazem Sexo com Homens (HSH) e Travestis. …

  11. Global Consultation on Strengthening the Health Sector Response to Care, Support, Treatment and Prevention for Young People Living with HIV

    The overarching objective of the consultation was to review and synthesize the experiences of young people living with HIV and health workers responsible for providing services for them, including the identification of gaps and obstacles in the provision and use of services, in order to offer practical recommendations on how to improve the health sector response. …

  12. Sem Direito de Amar? A Vontade de Ter Filhos entre Homens (e Mulheres) Vivendo com o HIV

    O presente artigo apresenta os resultados de uma pesquisa com 250 homens portadores do HIV com vida sexualmente ativa em relaçâo ao cuidado com a sua saúde reprodutiva em centros de referência de Aids, comparando-os com estudos realizados com mulheres portadoras. Apesar das conquistas queápermitem a paternidade sem infecção da parceira e da criança, os resultados indicam pouco acolhimento, mesmo nos centros de excelência pesquisados. …

  13. Nunca pensé que esto me podía pasar a mí: VIH/sida y género en el Ecuador

    Este trabajo de investigación fue motivado por la preocupación que ha generado la creciente infección de VIH/SIDA entre las mujeres, principalmente "amas de casa" del Ecuador. La hipótesis de partida fue que esta realidad tiene directa relación con los patrones culturales de género existentes en el país, los cuales hacen más vulnerable a ese grupo poblacional. Para la investigación se realizaron entrevistas semi-estructuradas con 11 mujeres y 10 hombres viviendo con VIH/SIDA de las ciudades de Quito y Guayaquil. …

  14. Caring for People Affected By HIV and AIDS (Level 2)

    This book is intended to help young people affected by HIV and AIDS to care for others while protecting and caring for themselves at the same time. It is also intended to promote understanding of the issues around caring for those with HIV and AIDS. It can be used across the curriculum: in literacy, social studies, life skills and science classes as well as in after-school or community clubs.

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