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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. Factors associated with HIV infection among sexually experienced adolescents in Africa: a pooled data analysis

    The article examines the factors associated with HIV status among adolescents aged 15–19 years in 13 African countries. The data were derived from demographic and health surveys or AIDS indicator surveys conducted between 2004 and 2009. The levels of HIV prevalence among adolescents varied considerably across the countries. There was significantly higher HIV prevalence among female adolescents as compared with their male counterparts. For male adolescents, circumcision was the only variable significantly associated with HIV status. …

  3. Paying to prevent HIV infection in young women?

    Between a quarter and a third of young women in sub-Saharan Africa are infected with HIV by the time they reach their early 20s. Structural factors such as poor education, poverty, and gender and power inequalities are important determinants of young women’s vulnerability to HIV infection. In The Lancet, Sarah Baird and colleagues report the results of a randomised controlled trial done with adolescent girls in rural Malawi, examining the effects of a cash transfer programme on risk of HIV infection. …

  4. HIV Status Disclosure and Retention in Care in HIV-Infected Adolescents on Antiretroviral Therapy (ART) in West Africa

    The authors assessed the effect of HIV status disclosure on retention in care from initiation of antiretroviral therapy (ART) among HIV-infected children ages 10 years or more in Cote d'Ivoire, Mali and Senegal. They conducted a multi-center cohort study within five pediatric clinics participating in the IeDEA West Africa collaboration. …

  5. Treatment outcomes in HIV-infected adolescents attending a community-based antiretroviral therapy clinic in South Africa

    As the HIV epidemic matures, survival of children with perinatally acquired HIV infection into adolescence is increasingly being documented in sub-Saharan African countries. In addition, the burden of HIV in the adolescent patient population in the region is also due to sexual transmission, with adolescents and young adults being particularly vulnerable to this mode of infection. HIV care and treatment services in the region need to adapt to adequately meet the specific needs of this expanding disease burden among adolescents. …

  6. Courage and Hope. African teachers living positively with HIV

    122,000 teachers in sub-Saharan Africa are estimated to be living with HIV, most of who do not know their status. Stigma remains their greatest challenge. In 2007, a network of African journalists compiled a book entitled “Courage and Hope” telling the first-hand stories of African teachers who are HIV positive and living healthy, active lives as teachers. This film shows some of the stories those journalists discovered. The teachers went through stigma and discrimination and each used their experience to teach a new generation of teachers, what it means to live positively.

  7. 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

  8. Expanding reproductive rights knowledge and advocacy with HIV-positive women and their allies in Namibia: an action-oriented approach. Summary report

    Ipas and the International Community of Women Living with HIV (ICW) collaborated on a project to enhance the capacity of ICW members in Namibia to work on issues of gender, violence, HIV/AIDS and reproductive rights with members of their communities. This summary report discusses a follow-up initiative to a 2007 training-of-trainers course held in Namibia and offers concluding observations of successes and challenges of the initiative.

  9. Lutte contre la stigmatisation et la discrimination des personnes vivant avec le VIH/SIDA au moyen de l'éducation non formelle dans les communes de Koilokoro et de Banamba en République du Mali

    L'éducation non formelle peut-elle être un moyen de lutte efficace contre la stigmatisation et la discrimination des personnes vivant avec le VIH/SIDA dans les localités de Koulikoro et de Banamba ? A cette interrogation se rattache une série de questions : Pourquoi les personnes vivant avec le VIH/SIDA souffrent-elles de stigmatisation et de discrimination ? Ce phénomène est-il spécifiquement lié au VIH/SIDA ou est-il le fait des rapports entre une collectivité et une minorité de la société ? …

  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. Sexual and reproductive health for young HIV positive adolescents: the club concept in support groups

    This manual is for people who work with young adolescents. It provides them with knowledge and materials to create support groups (clubs) for HIV-positive adolescents to arm them with information to make healthy choices.

  12. Adolescents Living with HIV (ALHIV) Toolkit

    This toolkit, created by USAID, AED, and collaborating organizations, provides resources relevant to the treatment, care, and support of adolescents living with HIV worldwide (ALHIV), namely training; treatment literacy and adherence; counseling and disclosure; life skills; prevention and reproductive health; psychosocial support; human rights and advocacy; peer education; adolescent transitioning and research, policy, and promising practices.

  13. Equipping parents and health providers to address the psychological and social challenges of caring for children living with HIV in Africa

    The Equipping Parents and Health Providers to Address the Psychological and Social Challenges of Caring for Children Living with HIV activity sought to better understand the psychological and social challenges faced by perinatally-infected children aged 0 to 12 years in Africa, their parents/caregivers, and their health providers. It explored factors that contribute to the ability of children living with HIV to cope and thrive, and identified the tools and approaches being used to help parents/caregivers and health providers provide psychosocial support (PSS) to these children. …

  14. 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. …

  15. HIV sero-status disclosure in the school context: experiences of adolescents perinatally infected with HIV in Uganda

    In this paper, we use data from Uganda to examine disclosure of HIV sero-status in the school context by adolescents perinatally infected with HIV. We begin by presenting evidence of the existence of stigma and discrimination in schools from the perspectives of school officials, in-school young people perinatally infected with HIV, and other students. We then examine the level of disclosure of sero-status to school officials and friends by adolescents perinatally infected with HIV. …

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