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UNESCO HIV and Health Education Clearinghouse

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  1. Agenda item 12 thematic segment: Reducing the impact of AIDS on children and youth; background note

    This thematic segment background note analyses the impact of AIDS on children, adolescents and youth through the life course from childhood to adulthood by age range [0-4] [5-10] [11-14] [15-24]. It also identifies countries and specific thematic areas where notable successes/progress in HIV-related outcomes for children, adolescents, and youth have been achieved and discuss the key factors that led to those successes. …

  2. Searching for the second R in sexual and reproductive health and … rights

    Sexual and reproductive health and rights have gained prominence in the HIV response. The role of sexual and reproductive health in underpinning a successful approach to HIV prevention, treatment, care, and services has increasingly been recognized. However, the “second R,” referring to sexual and reproductive rights, is often neglected. This leads to policies and programs which both fail to uphold and fulfill these rights and which fail to meet the needs of those most affected by HIV by neglecting to take account of the human right-based barriers and challenges they face. …

  3. 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. …

  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. 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. …

  6. NewGen Asia: Building capacity in emerging young leaders in the HIV response

    In the Asia-Pacific Region, young people bear a large proportion of new HIV infections, and there is a need to consult them about how best to tailor prevention initiatives to meet their needs. In 2010, Youth LEAD, an organization representing young HIV advocates from across the Asia-Pacific region highlighted the need to engage young people more effectively in advocacy and programming initiatives. …

  7. 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. …

  8. 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. …

  9. Safety and tolerability of antiretroviral therapy among HIV-infected children and adolescents in Uganda

    The objective of this study was to determine the frequency and outcome of ART-related adverse events among patients ages 6 weeks to 18 years. The authors followed up a cohort of 378 HIV-infected children and adolescents who started ART at the Baylor-Uganda Clinic during the period of July 2004 to July 2009. Patients were started on zidovudine or stavudine, plus lamivudine, and efavirenz or nevirapine. Adverse events were recorded as they occurred. Descriptive analyses and Kaplan-Meier survival analysis were carried out. …

  10. Positive learning: meeting the needs of young people living with HIV (YPLHIV) in the education sector

    This publication is the result of a partnership between UNESCO and the Global Network of People Living with HIV (GNP+). It builds upon the respective work of these organisations in relation to supporting the ideals of Education for All and the role of the education sector in the global response to HIV (UNESCO) and the Positive Health, Dignity and Prevention framework (GNP+). The overall purpose is to better define the role and responsibilities of the education sector in supporting young people who are living with HIV (YPLHIV) to realise their personal, social and educational potential. …

  11. Just normal young people: supporting young people living with HIV in their transition to adulthood

    Thanks to advances in HIV treatment, children who were born with HIV are now living into adulthood. Services working with children and adults living with HIV have needed to adapt to support this cohort of young adults with lifelong HIV infection. Likewise, services need to meet the needs of young people who are acquiring HIV in other ways. This report considers how young people living with HIV make the transition from childhood to adulthood and, in particular, changes in services and support for young people that occur during this time. …

  12. Foundation for the future: meeting the psychosocial needs of children living with HIV in Africa

    This technical brief describes promising practices in critical services related to the psychological and social well-being of perinatally-infected children (aged 0 to 12 years) in Africa. These include the identification, testing, and counseling of children so that they are linked to appropriate support as early as possible, as well as the provision of ongoing PSS to help children and their families manage disclosure, stigma, and grief and bereavement processes. …

  13. Education of children with human immunodeficiency virus infection

    Treatment for human immunodeficiency virus (HIV) infection has enabled more children and youths to attend school and participate in school activities. Children and youths with HIV infection should receive the same education as those with other chronic illnesses. They may require special services, including home instruction, to provide continuity of education. Confidentiality about HIV infection status should be maintained with parental consent required for disclosure. Youths also should assent or consent as is appropriate for disclosure of their diagnosis.

  14. Positively caring: ensuring that positive choices can be made about the care of children affected by HIV

    This report examines the impacts of HIV on the care choices of children, exploring how HIV affects whether or not children can remain within parental care, and on the alternative care options open to them. It is based on qualitative research in Malawi, India and Ukraine, and on a global literature review. It is in response to alarming global evidence on the rising numbers of children outside of parental care, and growing global recognition that responses to HIV should centre on increased support to families as the best means of providing care and protection for children.

  15. Sexual and reproductive health rights of adolescents living with HIV

    The International HIV/AIDS Alliance have carried out a literature review of the sexual and reproductive health rights of adolescents living with HIV. The study found that adolescents living with HIV have largely been left out of the national responses to HIV/AIDS in low-income settings. Their needs differ from those of adults living with HIV and they face many challenges, including serious service access barriers that require greater attention and advocacy. In most low-income countries health systems have not been designed and do not have the capacity to meet their specific needs. …

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