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UNESCO HIV and Health Education Clearinghouse

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  1. Education, HIV, and early fertility: experimental evidence from Kenya

    A seven-year randomized evaluation suggests education subsidies reduce adolescent girls’ dropout, pregnancy, and marriage but not sexually transmitted infection (STI). The government’s HIV curriculum, which stresses abstinence until marriage, does not reduce pregnancy or STI. Both programs combined reduce STI more, but cut dropout and pregnancy less, than education subsidies alone. …

  2. Rising school enrollment and declining HIV and pregnancy risk among adolescents in Rakai district, Uganda, 1994–2013

    Background: Poverty, family stability, and social policies influence the ability of adolescents to attend school. Likewise, being enrolled in school may shape an adolescent’s risk for HIV and pregnancy. We identified trends in school enrollment, factors predicting school enrollment (antecedents), and health risks associated with staying in or leaving school (consequences). Methods: Data from the Rakai Community Cohort Study (RCCS) were examined for adolescents 15–19 years (n = 21,735 person-rounds) from 1994 to 2013. …

  3. Relative Risks and the Market for Sex: Teenagers, Sugar Daddies and HIV in Kenya

    An information campaign that provided Kenyan teenagers in randomly selected schools with the information that HIV prevalence was much higher among adult men and their partners than among teenage boys led to a 65% decrease in the incidence of pregnancies by adult partners among teenage girls in the treatment group relative to the comparison. This suggests a large reduction in the incidence of unprotected cross-generational sex. The information campaign did not increase pregnancies among teenage couples. …

  4. Education, HIV, and early fertility: experimental evidence from Kenya

    We provide experimental evidence on the relationships between education, HIV/AIDS education, risky behavior and early fertility in Kenya. We exploit randomly assigned variation in the cost of schooling and in exposure to the national HIV/AIDS prevention curriculum for a cohort of over 19,000 adolescents in Western Kenya, originally aged 13.5 on average. We collected data on the schooling, marriage, and fertility out-comes of these students over 7 years, and tested them for HIV and Herpes (HSV2) after 7 years. …

  5. The effect of educational attainment and other factors on HIV risk in South African women: results from antenatal surveillance, 2000-2005

    Objectives: To assess the effect of educational attainment and other factors on the risk of HIV in pregnant South African women. Design: Repeated cross-sectional surveys. Methods: Pregnant women attending public antenatal clinics were tested for HIV annually between 2000 and 2005, and provided demographic information. Logistic regression models were applied separately to the data collected in each year, to identify factors associated with HIV infection. Data from all years were combined in a logistic regression model that tested for trends in HIV prevalence. …

  6. Linking sexual and reproductive health and HIV/AIDS. Gateways to integration: a case study from Swaziland

    This document is in three parts. It first discusses the 4 prongs for the elimination of HIV infection among children; in other words, the 4 prongs of PMTCT. The 4 prongs are: (1) preventing unintended pregnancies among women living with HIV, (2) preventing new HIV infections, (3) safer infant feedings, and (4) treatment. This document focuses primarily on the first 2 prongs and how PMTCT is critical because the impact of keeping children alive will be lost if their mothers are not also kept alive. …

  7. Expanding access to comprehensive reproductive health and HIV information and services for married adolescent girls in Nyanza Province

    Nyanza Province has been a focus of heightened attention in Kenya since the advent of the country’s HIV epidemic. …

  8. Do teenagers respond to HIV risk information? Evidence from a field experiment in Kenya

    We use a randomized experiment to test whether and what information changes teenagers' sexual behavior in Kenya. Providing information on the relative risk of HIV infection by partner's age led to a 28 percent decrease in teen pregnancy, an objective proxy for the incidence of unprotected sex. Self-reported sexual behavior data suggests substitution away from older (riskier) partners and toward same-age partners. In contrast, the official abstinence-only HIV curriculum had no impact on teen pregnancy. …

  9. The application of Intervention Mapping in developing and implementing school-based sexuality and HIV/AIDS education in a developing country context: the case of Tanzania

    Effective sexuality and HIV/AIDS education programmes are needed to protect young people against HIV/AIDS and teenage pregnancy in Tanzania and other Sub-Saharan African countries. Using a theory- and evidence-based approach and adapting the programmes to local contexts, increases the effectiveness of these programmes. This paper describes and discusses the challenges and opportunities concerning the application of Intervention Mapping (IM) in the development and implementation of a sexuality and HIV/AIDS education programme targeting young people aged 12-14 in Tanzania. …

  10. Universities and HIV/AIDS in sub-Saharan Africa: University of Zambia

    This case study on the University of Zambia aimed at answering the following questions: In what ways has the University of Zambia been affected by HIV/AIDS? How has the university responded to these impacts? What steps is the university taking to control and limit the further spread of HIV/AIDS in its community? What HIV/AIDS-related teaching, research, publication, and advisory services has the university undertaken? How does the university propose to anticipate and address the larger impact of HIV/AIDS on the national labour market for university graduates? …

  11. In the absence of marriage: long-term concurrent partnerships, pregnancy, and HIV risk dynamics among South African young adults

    In KwaZulu/Natal, South Africa, where HIV prevalence is among the world's highest, a longitudinal qualitative study of partnership dynamics and HIV preventive behaviors was conducted. 47 young adults aged 18-24 participated in in-depth interviews, and 29 were re-interviewed 2 years later. Five analytical domains emerged: primary partnerships, love and romance; secondary partnerships; pregnancy/parenthood; condom use/prevention; and contextual influences, including schooling and future aspirations. …

  12. Family life and HIV/AIDS education (FLHE) in schools in Enugu State: Baseline study of reproductive health issues among in-school adolescents in Enugu State

    Family Life and HIV/AIDS Education (FLHE) in Schools in Enugu State: Baseline Study of Reproductive Health Issues among In-School Adolescents in Enugu State is a research article written in 2009. It refers to a studies made on the sexual and reproductive health (SRH) knowledge and practices among junior secondary school grades 1 and 3 students Enugu State, preparatory to incorporating family life and HIV/AIDS education (FLHE) into the school curricula in the state. Results show that over 90% of the respondents were regularly involved in sexual activities. …

  13. Educational access and HIV prevention: Making the case for education as a health priority in sub-Saharan Africa

    There is much evidence showing an association between sexual behavior and both attendance and attainment. Experimental evidence that school attendance leads to safer sexual behavior is currently under review. Studies suggest several pathways through which sexual behavior, and consequently the risk of HIV infection, may be influenced by schooling. Students attending school have a smaller sexual network and a stronger motivation to avoid the consequences of unprotected sex - both pregnancy and HIV infection - than their out-of-school peers.

  14. Finding our voices. Gender and sexual identities and HIV/AIDS in education

    Of the 8,600,000 young people living with HIV/AIDS in sub-Saharan Africa, 67 percent are young women and 33 percent are young men (Young People and HIV/AIDS: Opportunity in Crisis, UNICEF, UNAIDS, WHO, 2001). The Girls' Education Programme recognises 'gender' as the features associated in specific cultures with masculinity and femininity, and acknowledges that not all societies and cultures share the same ideas of what it means to be male or female. …

  15. The voices of young Kenyans. Gender and sexual identities and HIV/AIDS in education

    The purpose of the study was to provide information on the gendered and sexual identities of boys and girls, the influence of these identities on their sexual behaviour, and the status of HIV/AIDS education and life skills materials in Kenya's primary schools. The information gathered will feed into AGEI programmes and HIV/AIDS projects in several sectors, particularly those concerned with improving and strengthening AIDS education in Kenyan schools. The study was conducted in two districts: Garissa in Kenya's remote North Eastern Province, and the capital city Nairobi. …

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