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UNESCO HIV and Health Education Clearinghouse

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  1. Step up the pace: towards an AIDS-free generation in West and Central Africa

    The West and Central Africa region has one of the world’s highest HIV burdens among children and adolescents, second only to that of Eastern and Southern Africa. Yet, due to its lower HIV prevalence rate, the epidemic has received less attention than in other regions. …

  2. HIV/AIDS national strategic plans of Sub-Saharan African countries: an analysis for gender equality and sex-disaggregated HIV targets

    National Strategic Plans (NSPs) for HIV/AIDS are country planning documents that set priorities for programmes and services, including a set of targets to quantify progress toward national and international goals. The inclusion of sex- disaggregated targets and targets to combat gender inequality is important given the high disease burden among young women and adolescent girls in Sub-Saharan Africa, yet no comprehensive gender-focused analysis of NSP targets has been performed. …

  3. Situation analysis of legal and regulatory aspects of HIV and AIDS in Seychelles: final report

    This analysis of legal and regulatory aspects in the context of HIV and AIDS seeks to clarify how existing laws, policies and practices and their implementation and enforcement either support or undermine an effective HIV response in the country. This is important to ensure an effective HIV response that protects and promotes the human rights of people living with HIV and of most at risk and vulnerable populations. …

  4. The national HIV and AIDS stigma and discrimination index: summary report

    The National HIV and AIDS Stigma and Discrimination Study, was a cross-sectional survey which collected data from the 47 counties, grouped into 30 clusters selected based on observed regional variations in HIV prevalence, socio-cultural and economic characteristics. The stigma study, targeted the general population, key populations as well as PLHIV is a compilation of the thoughts and attitudes regarding HIV, and, far too frequently, painful experiences of people living with HIV.

  5. A comparative analysis of national HIV policies in six African countries with generalized epidemics

    Objective: To compare national human immunodeficiency virus (HIV) policies influencing access to HIV testing and treatment services in six sub-Saharan African countries. Methods: We reviewed HIV policies as part of a multi-country study on adult mortality in sub-Saharan Africa. A policy extraction tool was developed and used to review national HIV policy documents and guidelines published in Kenya, Malawi, South Africa, Uganda, the United Republic of Tanzania and Zimbabwe between 2003 and 2013. Key informant interviews helped to fill gaps in findings. …

  6. Enquête de surveillance comportementale auprès des jeunes : Rapport final

    L’Enquête de Surveillance Comportementale (ESC 2012) auprès des Jeunes de 15 à 24 ans a été exécutée par l’Institut National de la Statistique. Il s’agit de la quatrième enquête par sondage du genre qui a été réalisée au niveau de 38 sites sentinelles répartis à travers les 22 régions administratives du pays. Cette étude s’inscrit dans le cadre du dispositif mis en place à Madagascar pour la surveillance des comportements à risque vis-à-vis de l’infection à VIH. …

  7. 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. …

  8. Policy analysis and advocacy decision model for services for key populations in Kenya

    From 2010–2012, the global Health Policy Project (funded by the United States Agency for International Development), in partnership with African Men for Sexual Health and Rights (AMSHeR), developed Policy Analysis and Advocacy Decision Model for HIV-Related Services: Males Who Have Sex with Males, Transgender People, and Sex Workers (Beardsley K., 2013), hereafter referred to as the Decision Model. …

  9. Know Your HIV/AIDS epidemic from a gender perspective: Rwanda Report

    Decades of research from around the world has demonstrated that gender inequality negatively affects a range of health outcomes for adults, and gender inequality has been recognized as a key driver of the worldwide HIV epidemic. Managers at the national and subnational levels need information on the intersection of gender and HIV to address gender in the planning and implementing of HIV programs. Policy makers need information on interventions that are effective in accounting for gender inequities for decision making on national and global levels. …

  10. Effective laws to end HIV and AIDS: Next steps for parliaments

    With the global AIDS response becoming increasingly hampered by the criminalization of key populations, this study aims to encourage and assist parliamentary scrutiny of legislation that impedes effective HIV interventions. It highlights the various processes in selected parliaments that led to the adoption of laws with a positive impact on the AIDS response. Although such outcomes were not always easy to achieve, they were mainly the result of inspired leadership by parliamentarians able to overcome the moral obstacles that had stifled socially sensitive issues in political debate.

  11. HIV serostatus disclosure and lived experiences of adolescents at the Transition Clinic of the Infectious Diseases Clinic in Kampala, Uganda: A qualitative study

    Most studies on HIV serostatus disclosure and adolescents focus on whether, how and when to disclose to adolescents their HIV diagnosis. Fewer studies have examined HIV serostatus disclosure by adolescents who know they are infected with HIV. This study presents qualitative data examining HIV serostatus and treatment disclosure practices and concerns of young people living with HIV in Uganda and the extent to which they are satisfied with current norms around HIV serostatus and treatment disclosure. …

  12. Undiagnosed HIV Infections among Adolescents Seeking Primary Health Care in Zimbabwe

    Mother-to-child transmission of human immunodeficiency virus (HIV) infection was extremely common in southern Africa during the 1990s, and a substantial minority of infected infants have survived to reach adolescence undiagnosed. Studies have shown a high prevalence of HIV infection in hospitalized adolescents who have features associated with long-standing HIV infection, including stunting and frequent minor illnesses. Given this reality, the epidemiology of HIV infection at the primary care level is investigated. …

  13. 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. …

  14. Assessing the Integration of gender and Human Rights in HIV Related Documents and Processes in Selected Southern African Countries. A rapid assessment

    This report presents the findings of a desk study undertaken to assess the integration of gender and human rights in HIV-related documents and processes in Botswana, Lesotho, Malawi, Mozambique, Namibia, South Africa, Swaziland, Zambia, and Zimbabwe. It highlights best practices, lessons learned, and areas for future action. The report implies an urgency to move from the status quo, whereby the centrality of gender equality and human rights in the pandemic regionally is underestimated. …

  15. Les associations dans la réponse à l'épidémie VIH/Sida au Burkina Faso

    En 1986, les autorités sanitaires du Burna Faso déclaraient les premiers cas de sida à l'Organisation Mondiale de la Santé. Les enquêtes de séroprévalence réalisées dès 1997 devaient révéler le caractère endémique de la maladie, faisant du « pays des Hommes Intègres » l'un des pays les plus touchés de l'frique de l'Ouest. En 1994, une étude nationale organisée parmi 2159 femmes enceintes dans 8 sites sentinelles montra une prévalence moyenne de 7,3 % (PNUD 2001 : 4). Neuf ans plus tard, la prévalence nationale était estimée à 4,2 % (ONUSIDA 2004). …

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