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UNESCO HIV and Health Education Clearinghouse

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  1. Improving lives by accelerating progress towards the UN Sustainable Development Goals for adolescents living with HIV: a prospective cohort study

    Background: Low-income and middle-income countries (LMICs) face major challenges in achieving the UN's Sustainable Development Goals (SDGs) for vulnerable adolescents. We aimed to test the UN Development Programme's proposed approach of development accelerators—provisions that lead to progress across multiple SDGs—and synergies between accelerators on achieving SDG-aligned targets in a highly vulnerable group of adolescents in South Africa. …

  2. HIV-related discrimination among grade six students in nine southern African countries

    Background: HIV-related stigmatisation and discrimination by young children towards their peers have important consequences at the individual level and for our response to the epidemic, yet research on this area is limited. Methods: We used nationally representative data to examine discrimination of HIV-positive children by grade six students (n = 39,664) across nine countries in Southern Africa: Botswana, Lesotho, Malawi, Mozambique, Namibia, South Africa, Swaziland, Zambia and Zimbabwe. …

  3. Education sector policy for orphans and vulnerable children

    The goal of this policy is to ensure that an increased number of OVC are able to access, remain in, and complete general education of good quality. The objective of this policy is to ensure that all OVC of school-going age attend school and are not deterred from full participation through lack of financial means, material or psychosocial need, stigma, discrimination or any other constraints, and to ensure that out-of school OVC are brought back into school or provided with appropriate alternative educational opportunities.

  4. The impact and cost of the HIV/AIDS investment framework for adolescents

    Background: In 2005, the resources needed to support orphans and vulnerable children in sub-Saharan Africa were estimated at US$1.1–4.1 billion. Approaches to support vulnerable children have changed considerably since then. This study updates previous estimates by including new types of support and information on support costs. Methods: We considered 16 types of support categorized as economic strengthening, education support, social care and community outreach, and program support. …

  5. HIV and adolescents: Guidance for HIV testing and counselling and care for adolescents living with HIV

    Adolescents (10–19 years) and young people (20–24 years) continue to be vulnerable, both socially and economically, to HIV infection despite efforts to date. This is particularly true for adolescents — especially girls — who live in settings with a generalized HIV epidemic or who are members of key populations at higher risk for HIV acquisition or transmission through sexual transmission and injecting drug use. In 2012, there were approximately 2.1 million adolescents living with HIV. About one-seventh of all new HIV infections occur during adolescence. …

  6. 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. …

  7. Zimbabwe SADC epidemic update report: Follow up to the Maseru Declaration. Zimbabwe country report. Reporting period: January 2013 - December 2013

    The SADC Epidemic Update Report provides an appraisal of progress towards the Maseru Declaration. Zimbabwe participated at the SADC meeting in November 2012, where representatives pledged to produce HIV and AIDS Epidemic Update Reports in order review progress made in the HIV and AIDS response. The data gathering and report writing process was coordinated by National AIDS Council. Data gathering and validation meetings were held with partners. A desk review of available literature on the country’s response efforts to HIV and AIDS was also conducted. …

  8. Building Protection and Resilience: Synergies for child protection systems and children affected by HIV and AIDS

    This paper seeks to identify which HIV-specific issues are of relevance to child protection programming, and vice versa. …

  9. Teen talk : a guide for positive living

    This question and answer guide for HIV-positive adolescents covers a variety of topics, including ARVs, adherence, friendship, nutrition, exercise, reproductive health, positive prevention, multiple concurrent partnerships, safe male circumcision, prevention of mother-to-child transmission, emotions, and disclosure.

  10. I washed and fed my mother before going to school: Understanding the psychosocial well-being of children providing chronic care for adults affected by HIV/AIDS in Western Kenya

    With improved accessibility to life-prolonging antiretroviral therapy, the treatment and care requirements of people living with HIV and AIDS resembles that of more established chronic diseases. As an increasing number of people living with HIV and AIDS in Kenya have access to ART, the primary caregivers of poor resource settings, often children, face the challenge of meeting the requirements of rigid ART adherence schedules and frequent relapses. …

  11. Plan stratégique national de lutte contre le SIDA 2012-2016

    Le plan stratégique de lutte contre le sida pour le quinquennat de 2012-2016 est élaboré en référence aux résultats obtenus au cours depuis cette dernière décennie où le Burundi a amplifié la riposte à cette pandémie. Il tient également compte des défis qui restent à surmonter ainsi que les faiblesses mis en exergue par la revue du plan stratégique de lutte contre le sida sur la période 2007-2011. …

  12. Supporting HIV-positive learners in inclusive classes in South Africa: Is it the responsibility of teachers

    The adoption of White Paper 6 of 2001 in South Africa on the implementation of inclusive education has become an important milestone to ensure the accommodation of the full range of learner needs in ordinary schools. This paper deals with the rights and needs of HIV-positive learners and their first line of support, namely ordinary teachers, who form the backbone of support within the inclusive classroom. At the moment, learners living with HIV miss out frequently on help and support because specialist out-of-school HIV and AIDS services are not geared towards their needs. …

  13. The impact of HIV/ AIDS on the education system in Namibia

    This Country paper on HIV/AIDS and Education in Namibia was presented at IIEP workshop organized in September 2000 in Paris. It describes the current status and recent trends in the Namibian education sector and provides an overview of future directions and requirements, presenting programmes on HIV/AIDS in the country and their objectives. The role of education in addressing issues of HIV/AIDS is outlined, with a particular mission of the HIV/AIDS Committee and its five years plan (2001-2006). Finally, the training needs of the Ministry of Basic Education, Sports and Culture are identified.

  14. Saving lives for a lifetime: Supporting orphans and vulnerable children impacted by HIV/AIDS

    President's Emergency Plan for AIDS Relief (PEPFAR's) response to the millions of children impacted by HIV/AIDS was to designate 10% of its budget to securing their futures, making it the leading supporter of programs reaching orphan and vulnerable children (OVC) programs globally. This article describes the evolution of PEPFAR's OVC response based on programmatic lessons learned and an evergrowing understanding of the impacts of HIV/AIDS. …

  15. Rapid psychosocial function screening test identified treatment failure in HIV+ African youth

    Psychosocial dysfunction in older children and adolescents is common and may lead to nonadherence to HIV treatments. Poor adherence leads to HIV treatment failure and the development of resistant virus. In resource-limited settings where treatment options are typically limited to only one or two available lines of therapy, identification of individuals at highest risk of failure before failure occurs is of critical importance. …

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