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UNESCO HIV and Health Education Clearinghouse

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  1. Sero-status of preschoolers and disclosure to schools

    Infants with HIV-infection have longevity due to improved Highly Active Antiretroviral Therapy (HAART), making many realise their developmental progression which includes access to schooling. However, there is scant information that focuses on disclosure of their positive sero-status to schools and how these children understand and communicate their illnesses. This paper reports on a study of experiences of children affected by HIV and AIDS in Kenya. …

  2. HIV/AIDS vulnerabilities, discrimination, and service accessibility among Africa’s youth: Insights from a multi-country study

    Africa’s young people aged 15–24 are disproportionately affected by HIV and AIDS. The impact of the epidemic on young people calls for close attention to the youth dimensions of the epidemic. To inform the development of more effective policies for targeting youth and meeting their needs, the Population Council and partners conducted a study of HIV risk-taking and health-seeking behaviors among young people in Egypt, Kenya, Nigeria, Senegal, South Africa, and Uganda. …

  3. 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. …

  4. Are there any disparities between girls and boys in the response of the education sector to HIV and AIDS? Assessment of educational HIV/AIDS prevention programmes applied by SACMEQ III countries

    This paper aims to assess whether the goals of the in-school programmes on prevention of HIV and AIDS that are taught in primary schools of 15 national ministries of education in Southern and Eastern Africa have been reached equitably between boys and girls by the end of primary education. One feature of most of these ministries is that they are in countries that are the hardest hit by a general HIV epidemic. More specifically, the paper aims to analyse schoolboys’ and schoolgirls’ general knowledge about HIV and AIDS. …

  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. Integrated Health Care Delivery Systems for Families and Children Impacted by HIV/AIDS: Four Program Case Studies from Kenya and Rwanda

    This document describes four family and community-centered approaches to caring for and treating HIV-affected children and households, three in Rwanda and one in Kenya. The four projects described all share a common commitment to delivery of care in the community rather than limiting provision of care to health facilities. …

  8. Rising to the Challenge. Health Policy Initiative Helps HIV-positive Teachers Tackle Stigma and Discrimination in Kenya

    While HIV-related stigma is a challenge throughout Kenyan society, it has rendered certain groups particularly vulnerable. Teachers have been acutely stigmatized because of their positions of trust in the society. Teachers living with HIV have been wrongfully dismissed, interdicted (officially barred from performing their teaching duties), or forced to resign their posts because of their status. Recently, this situation has begun to change, in part, due to the efforts of networks of teachers living with and affected by HIV. …

  9. The impact of the AIDS epidemic on teachers in sub-Saharan Africa: a further update

    It is still widely anticipated that the AIDS epidemic will have a devastating impact on the education sector in Africa. Faced with this impending crisis, leading experts have called for a transformation in the functioning of schools and the mainstreaming of HIV and AIDS in the education sector supported by donors. Numerous reports and articles state that the number of teachers dying from AIDS-related illnesses continues to increase very rapidly and that this is causing serious shortages of teachers. This article updates the figures that are known in that field.

  10. Education and nutritional status of orphans and children of HIV-infected parents in Kenya

    We examine how school attendance and nutritional status differ between orphaned and fostered children, and between children of HIV-infected parents and non-HIV-infected parents in Kenya. Our analysis is based on information on 2,756 children age 0-4 years and 4,172 children age 6-14 years included in the male subsample of the 2003 Kenya Demographic and Health Survey (DHS). …

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