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UNESCO HIV and Health Education Clearinghouse

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  1. Orphans and vulnerable children: Trends in school access and experience in Eastern and Southern Africa

    Across sub-Saharan Africa, the AIDS pandemic has impacted children in a myriad of ways, from parental loss, to HIV infection, to increased poverty and marginalization. These children have been labeled orphans and vulnerable children (OVC) in the international development literature, and a range of interventions have provided services aiming to mitigate the impact of the crisis on human development outcomes, including education. …

  2. Can we use young people’s knowledge to develop teachers and HIV-related education?

    Despite recent progress in meeting the goals of the Education for All agenda, certain groups of young people are particularly vulnerable to exclusion and underachievement, including children with HIV/AIDS, children living in poverty, and children with disabilities. HIV/AIDS has reduced many young people’s rights to access education, to live a full and healthy life, and to have a life as a child. …

  3. The health and wellbeing of young people in sub-Saharan Africa: an under-researched area?

    A third of sub-Saharan Africa’s (SSA) population comprises persons aged 10–24 years. These youth are growing up in a context marked by pervasive poverty, limited educational opportunities, high HIV/AIDS prevalence, widespread conflict, and weak social controls. Published research on the broad issues that affect youth health and wellbeing in SSA is limited and centers heavily on sexual and reproductive health. …

  4. 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. …

  5. The Impact of a Comprehensive Microfinance Intervention on Depression Levels of AIDS-Orphaned Children in Uganda

    The relationship between poverty and mental health functioning is well documented. Poverty affects not only families’ ability to physically care for children, but also families’ stability, functioning, and psychosocial well-being. In this article, we examine the impact of a comprehensive microfinance intervention, intended to reduce the risk of poverty, on depression among adolescent youth who have lost either one or both parents to AIDS.A child who has been affected by AIDS is more likely to have increased levels of anxiety, depression, and reduced self-esteem. …

  6. A novel economic intervention to reduce HIV risks among school-going AIDS orphans in rural Uganda

    This study tested an economic intervention to reduce HIV risks among AIDS-orphaned adolescents. Adolescents (n = 96) were randomly assigned to receive the intervention or usual care for orphans in Uganda. All adolescents in the study received usual care for AIDS orphans in Uganda, which included peer counseling, health education, and scholastic materials. In addition, experimental adolescents received a family economic intervention, which included a Child/Youth Development Account (CDA) and six 2-hour classes on career planning, career goals, microfinance, and financial well-being. …

  7. HIV prevention for South African youth: which interventions work? A systematic review of current evidence

    South Africa's HIV prevalence among 15-24 year olds is one of the highest in the world. This systematic review looks at the evidence for youth HIV prevention in the country since 2000 and critically assesses interventions across four domains: study design and outcomes; intervention design; thematic focus and HIV causal pathways; and intervention delivery. Eight interventions were included in the review, all similar regarding content and objectives, but with variouis thematic foci, causal pathways, theoretical bases, delivery methods, intensity and duration. …

  8. Costs and care: directing resources to children

    While it does not cost a great deal to make a difference in the life of a child living in poverty, that does not mean that they are cheap to care for. To avoid confusion there is a need to distinguish between expenditures on care, marginal costs of care and total cost of care. Expenditures on children are the amounts of money spent on their care. The marginal cost of care is the cost of achieving a specific increase in the level of care. The total cost of care is the cost of providing a given level of care. …

  9. Orphan competent communities: a framework for community analysis and action

    Vulnerable children in Africa have traditionally been absorbed and supported by their communities. However, in the context of acquired immune deficiency syndrome (AIDS) and poverty, communities are increasingly stretched, compromising the quality of care available to children affected by AIDS. This calls for an understanding of the processes that best facilitate the capacity of communities to provide good quality care and support. In the interests of furthering debate and practice in this area, we seek to develop an analytical framework that builds upon two inter-linked strands. …

  10. Orphanhood and completion of compulsory school education among young people in South Africa: findings from a national representative survey

    We examined the association of orphanhood and completion of compulsory school education among young people in South Africa. In South Africa, school attendance is compulsory through grade 9, which should be completed before age 16. However, family and social factors such as orphanhood and poverty can hinder educational attainment. Participants were 10,452 16-24-year-olds who completed a South African national representative household survey. Overall, 23% had not completed compulsory school levels. …

  11. Promoting and protecting the health of orphans and vulnerable children in Monkey Bay, Malawi

    Malawi has had a rising population of orphans and vulnerable children who are reported to lack care, food, educational opportunities and adult role models. Some of the coping strategies used by these children, such as early school dropout and child labour, combined with poor adult support, make them susceptible to risk of early onset of sex and to sexual and reproductive health problems, including HIV infection. …

  12. Development implications of HIV/AIDS, the case of AIDS orphans and caregivers in Addis Ababa

    Children orphaned due to HIV/AIDS are those with broken families, beyond their control they are vulnerable to various kinds of survival and human rights problems. Their problems are so complex, multi-dimensional and very serious and have been increasing in the sub-Saharan Africa. Ethiopia, as one of SSA country, is most seriously affected by the HIV/AIDS pandemic with the estimated number of AIDS orphans between 720,000 to 1,200,000 while this number, in the study area is estimated to be about 20,000 to 30,000. …

  13. National orphans and other vulnerable children policy

    This policy provides the framework for responding to the concerns and needs of orphans and other vulnerable children. …

  14. Where teachers fear to tread - communicating about HIV/AIDS in Mozambique

    In Mozambique teachers have been given a major role in promoting HIV/AIDS awareness and behavioural change among children. Teachers' own experiences and attitudes will influence how they deal with this challenge. This paper presents the results of a three-month study of teachers in Mozambique and provides a kaleidoscope of personal accounts of the impact of HIV/AIDS on teachers' lives and their work, how children are confronted with the disease, and how instructors perceive their role as communicators in combating this pandemic. …

  15. The Effect of Orphanhood on Primary School Attendance Reconsidered: the power of female-headed households in Tanzania. Project Results Workshop, University of Dar es Salaam, 10-12 March, 2003

    The common presumption that orphans are less likely to attend school than non-orphans is re-examined using survey data from two regions in Tanzania. It is argued that orphans should not be compared simply with non-orphans since there are other vulnerable groups of children. Further, with particular reference to place of residence, it is argued that orphans should not be viewed as a homogeneous group. …

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