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UNESCO HIV and Health Education Clearinghouse

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  1. National HIV and AIDS health sector research and evaluation agenda (2011-2015)

    The Ministry of Health and Social Welfare (MoHSW) through the National AIDS Control Programme (NACP) has developed a National HIV and AIDS Health Sector Research and Evaluation Agenda (NHAREA) that outlines HIV and AIDS health research and evaluation priorities for the next 5 years (2011-2015). For the first time, this Agenda includes evaluation priorities aimed at objectively reviewing the different HIV interventions that are currently in place to establish those that are both efficacious and cost effective. …

  2. Assessment of the psychometric properties of HIV knowledge items across five countries

    HIV knowledge is commonly measured in HIV prevention research and program evaluations, but rigorous measurement standards are not always applied. Using item response theory methods, we examined the psychometric functioning of five commonly used HIV knowledge questions in five countries with varying HIV prevalence. We evaluated the internal consistency and measurement invariance of the items. The items performed poorly in all samples and the scale as a whole did not perform equally across samples. …

  3. Maisha Bora: A peer education manual on reproductive health, STI, HIV and AIDS focussed on strengthening values, reforming attitudes, imparting knowledge and developing life skills

    This manual has various sections aimed at: Providing information about Reproductive Health, STI, HIV and AIDS, in a youth-friendly experiential way; Helping young people explore their values and understand themselves, their sexuality and reproductive health; Enabling peers to acquire skills and reform their attitudes in a way that will influence them to make healthier, safer life choices as well as encourage positive behaviour change; Providing information for youth > 15, sexually active youth and married youth about the correct and consistent use of condoms that are coupled with information a …

  4. Tanzania third national multi-sectoral strategic framework for HIV and AIDS (2013/14 - 2017/18)

    The Third National Multi-Sectoral Strategic Framework for Mainland Tanzania 2013/14-17/18 (NMSF III) provides a common understanding for all HIV and AIDS stakeholders and reflects current normative guidance in the national response effort. Development of the NMSF III has incorporated the evaluations of the previous NMSF II (2008-2012) and recent epidemiological analyses of HIV in Tanzania. …

  5. Getting to zero: HIV in eastern and southern Africa

    This report provides an overview of the HIV epidemics in eastern and southern Africa and of the region’s response and progress towards meeting the 2011 Political Declaration targets, while identifying noteworthy achievements and challenges. The report draws on the most recently available data from the Global AIDS Response Reporting System, national HIV estimation exercises, data gathered and generated by UNAIDS, its co-sponsors and national partners, and the many recent studies and surveys that have been conducted in the region. …

  6. 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. …

  7. Changes in HIV prevalence among differently educated groups in Tanzania between 2003 and 2007

    Objective: HIV prevalence trends suggest that the epidemic is stable or declining in many sub-Saharan African countries. However, trends might differ between socioeconomic groups. Educational attainment is a common measure of socioeconomic position in HIV datasets from Africa. Several studies have shown higher HIV prevalence among more educated groups, but this may change over time. We describe changes in HIV prevalence by educational attainment in Tanzania from 2003 to 2007. …

  8. Status report adolescents and young people in sub-Saharan Africa: Opportunities and challenges

    Nearly half of the world's population, some 3 billion people, is under the age of 25. As the largest generation ever of young people, investments in their health and well-being are crucial so they can make a positive transition into adulthood and fully contribute to the economic and social development of their families, communities and nations. But in order to develop strategies and mobilize financial resources to support adolescent and youth development, decisionmakers need reliable, up-to-date demographic, health, education and socioeconomic data about young people. …

  9. 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. …

  10. 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. …

  11. Factors associated with HIV infection among sexually experienced adolescents in Africa: a pooled data analysis

    The article examines the factors associated with HIV status among adolescents aged 15–19 years in 13 African countries. The data were derived from demographic and health surveys or AIDS indicator surveys conducted between 2004 and 2009. The levels of HIV prevalence among adolescents varied considerably across the countries. There was significantly higher HIV prevalence among female adolescents as compared with their male counterparts. For male adolescents, circumcision was the only variable significantly associated with HIV status. …

  12. Dating violence among school students in Tanzania and South Africa: prevalence and socio-demographic variations

    Aims: To identify with whom in-school adolescents preferred to communicate about sexuality, and to study adolescents' communication on HIV/AIDS, abstinence and condoms with parents/guardians, other adult family members, and teachers. Data were obtained from a baseline questionnaire survey carried out in South Africa (Cape Town and Mankweng) and Tanzania (Dar es Salaam) in early 2004. We analysed data for 14,944 adolescents from 80 randomly selected schools. …

  13. Improving the reproductive health of sub-Saharan Africa's youth: a route to achieve the Millennium Development Goals

    This chartbook aims to provide policymakers, program managers, and the interested public in sub-Saharan Africa and around the world with a better understanding of the needs and experiences of youth in the region and how investments in youth can help achieve the MDGs. The data is drawn primarily from the Demographic and Health Surveys.

  14. Levels and spread of HIV seroprevalence and associated factors: evidence from national household surveys

    This report summarizes HIV prevalence and the associations between HIV serostatus and key characteristics and behaviors of adult women and men in 22 developing countries, primarily in sub- Saharan Africa. Data come from Demographic and Health Surveys (DHS) and AIDS Indicator Surveys (AIS) conducted between 2001 and 2006. In most of these surveys, nationally representative samples of women age 15-49 and men age 15-59 were tested for HIV. …

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