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UNESCO HIV and Health Education Clearinghouse

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  1. Factors associated with HIV infection among educated Malawians: analysis of the 2010 demographic and health survey

    Introduction: Among people who have ever attended school, higher educational attainment appears to be associated with higher prevalence of HIV. This study assesses the association between education and HIV status in Malawi, among individuals with some education, after adjusting for various background characteristics.

  2. An inventory of alcohol-related questions in the demographic and health surveys and an analysis of alcohol use and unsafe sex in Sub-Saharan Africa

    This report provides an overview of Demographic and Health Surveys (DHS) survey questions related to alcohol consumption and an analysis of outcomes from these questions in DHS surveys. It first examines the questions on alcohol use and the response categories in all surveys that included questions about ever, typical, or current alcohol consumption. The inventory found that alcohol questions were included in 65 surveys in 42 developing countries between 1987 and 2014, and 19 different questions related to alcohol consumption were identified. …

  3. Monitoring HIV prevention programme outcomes among key populations in Kenya: findings from a national survey

    In preparation for the implementation of the Kenya AIDS Strategic Framework 2014/15- 2018/19, the Kenya National AIDS and STI Control Programme facilitated a national polling booth survey as part of a baseline assessment of HIV-related risk behaviours among female sex workers, men who have sex with men, and people who inject drugs, and their utilization of existing preventive interventions, as well as structural factors that may influence KPs’ vulnerability to HIV. …

  4. HIV prevention in Southern Africa for young people with a focus on young women and girls in Botswana

    This review focuses on the major factors that drive HIV infection and explores interventions that have demonstrated effectiveness, as well as illustrating important learnings for programme development. Findings inform understanding of sex and sexuality in relation to HIV risk and the potentials for interventions in the Botswana context.

  5. Status report on the sexual and reproductive health of adolescents living in urban slums in Kenya

    Young people face numerous health challenges during their transition to adulthood. These challenges include, among others, limited access to sexual and reproductive health (SRH) information and services. Unmet SRH needs among adolescents may contribute to sexually transmitted infections (STIs), including HIV, and unintended pregnancies. Adolescent pregnancies are associated with several adverse outcomes, such as miscarriage, unsafe abortion, obstructed labor, and other complications, which can result in long-term morbidity and even death. …

  6. Sexual behavior among persons living with HIV in Uganda: Implications for policy and practice

    Introduction: HIV epidemics are sustained and propagated by new cases of infection which result from transmission from infected persons to uninfected susceptible individuals. People living with HIV (PLHIV) play a critical role in prevention if they adopt safer sexual behaviors. This study estimated the prevalence of and factors associated with safer sexual behaviors among PLHIV seeking care from civil society organizations (CSOs). …

  7. Rapport VIH 2012

    Le Tchad a mis en œuvre un nouveau cadre stratégique national de riposte au sida pour la période 2012-2015. Le gouvernement tchadien, avec l’appui des partenaires au développement consentit de gros efforts pour consolider les acquis de l’ancien cadre stratégique d’une part, et d’autre part, pour obtenir de nouveaux fondamentaux à la riposte au sida. Les activités du Cadre Stratégique National de 2012-1015 (bien qu’à son début) s’inscrivent dans la continuité de celui de 2007-2011 en matière de la riposte nationale au VIH et au sida. …

  8. South African National HIV Prevalence, Incidence and Behaviour Survey, 2012

    Currently 6.4 million people in South Africa live with HIV, this figure represents a quarter of the burden of HIV infections in sub-Saharan Africa and 18 per cent of the global burden. With this view, the South African National HIV Prevalence, Incidence and Behaviour Survey, 2012 is a crucial report for government, policy makers and other stakeholders as they work towards reducing the HIV epidemic in South Africa. This 2012 HIV survey is the fourth in the series of national population-based surveys. The survey was conducted from December 2011 to November 2012. …

  9. High HIV sero-prevalence among students of institutions of higher education in Southeast Nigeria

    Objective: To investigate the prevalence and sexual behavioural dynamics of HIV infection in students of institutions of higher education (IHEs) as a guide to the design of a tailor-made HIV intervention programmes. Methods: A total of 9 709 sexually matured students from five IHEs in Southeast Nigeria aged 19–24 years were recruited to obtain representative data from the institutionalised student population. HIV status was confirmed using enzyme based immuno-assay technique. Demographic and behavioural information were obtained through a structured questionnaire. …

  10. Trends in HIV prevalence and sexual behaviour among young people aged 15-24 years in countries most affected by HIV

    Objectives: In 2001 the United Nations (UN) Declaration of Commitment was signed by 189 countries with a goal to reduce HIV prevalence among young people by 25% by 2010. Progress towards this target is assessed. In addition, changes in reported sexual behaviour among young people aged 15e24 years are investigated. Methods: Thirty countries most affected by HIV were invited to participate in the study. Trends in HIV prevalence among young antenatal clinic (ANC) attendees were analysed using data from sites that were consistently included in surveillance between 2000 and 2008. …

  11. Young people's sexual health in South Africa: HIV prevalence and sexual behaviors from a nationally representative household surevy

    Objectives: To determine the prevalence of HIV infection, HIV risk factors, and exposure to national HIV prevention programs, and to identify factors associated with HIV infection among South African youth, aged 15–24 years. Design: A cross-sectional, nationally representative, household survey. Methods: From March to August 2003 we conducted a national survey of HIV prevalence and sexual behavior among 11 904 15–24 year olds. Multivariable models for HIV infection were restricted to sexually experienced youth. …

  12. Sexual coercion among in-school adolescents in Rwanda: prevalence and correlates of victimization and normative acceptance

    Adolescents are particularly vulnerable to sexual coercion, as victim as well as perpetrator. This paper aims to adapt sexual and reproductive health interventions to the reality of young people’s sexuality and relationships. This study assesses the prevalence of forced sex, characteristics of victims and norms regarding sexual coercion among Rwandan adolescents. A survey was completed by 285 senior secondary school students and four focus groups were conducted. Of sexually active respondents, 15.5% reported forced sexual intercourse. …

  13. HIV infection and sexual risk behaviour among youth who have experienced orphanhood: systematic review and meta-analysis

    Background: Previous research has suggested that orphaned children and adolescents might have elevated risk for HIV infection. We examined the state of evidence regarding the association between orphan status and HIV risk in studies of youth aged 24 years and younger. Methods: Using systematic review methodology, we identified 10 studies reporting data from 12 countries comparing orphaned and non-orphaned youth on HIV-related risk indicators, including HIV serostatus, other sexually transmitted infections, pregnancy and sexual behaviours. …

  14. Changes over time in sexual behaviour among young people with different levels of educational attainment in Tanzania

    HIV prevalence in Tanzania was initially higher among those with higher levels of educational attainment, but it has fallen fastest among these groups. Among those with lower levels of education, HIV prevalence has been stable. The authors analyzed data from two large, nationally representative surveys conducted in Tanzania in 2003/2004 and 2007/2008. They focused on young people ages 15 to 24 years and explored reports of (a) first sex, (b) having had more than one sexual partner in the last year and (c) unprotected last sex with a non-cohabiting partner. …

  15. Reducing HIV Infection in Young Women in Southern Africa: The Key to Altering Epidemic Trajectories in a Generalized, Hyperendemic Setting

    This paper gives an overview of the HIV prevention battle in Southern Africa and supports the development of more balanced and innovative HIV prevention portfolio that adresses the real, immediate, and substantial risk facing young women from sub-Saharan African countries.

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