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UNESCO HIV and Health Education Clearinghouse

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  1. State variation in HIV/AIDS health outcomes: the effect of spending on social services and public health

    Objective: Despite considerable advances in the prevention and treatment of HIV/AIDS, the burden of new infections of HIV and AIDS varies substantially across the country. Previous studies have demonstrated associations between increased healthcare spending and better HIV/AIDS outcomes; however, less is known about the association between spending on social services and public health spending and HIV/AIDS outcomes. …

  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. The emerging face of the HIV epidemic in the Middle East and North Africa

    Purpose of review: A volume of quality HIV data has materialized recently in the Middle East and North Africa (MENA). This review provides a thematic narrative of the patterns of HIV infection transmission in this region in light of these data. Recent findings: Tens of integrated bio-behavioral surveillance surveys among hard-to-reach key populations at higher risk have been conducted in MENA in the recent years. Many of the studies reported appreciable and growing HIV prevalence. …

  4. 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). …

  5. The intergenerational impact of the African orphans crisis: a cohort study from an HIV/AIDS affected area

    Background: In sub-Saharan Africa, the prevalence of orphanhood among children has been greatly exacerbated by the HIV/AIDS pandemic. If orphanhood harms a child’s development and these effects perpetuate into adult life, then the African orphan crisis could seriously jeopardize the continent’s future generations. Whether or not there exists an adverse, causal and intergenerational effect of HIV/AIDS on development is of crucial importance for setting medical priorities. …

  6. Never tested for HIV in Latin-American migrants and Spaniards: prevalence and percieved barriers

    Increasing the uptake of HIV testing and decreasing the number of undiagnosed people is a priority for HIV prevention. Understanding the barriers that hinder people from testing is vital, particularly when working with especially vulnerable populations like migrants. Barriers to HIV testing in Latin-American migrants living in Europe remain unexplored. Still, they account for a quarter of new diagnosis in Spain and suffer higher rates of delayed diagnosis. Between May 2008 and March 2011, a mobile unit offered free rapid HIV tests in different Spanish cities. …

  7. 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. …

  8. 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. …

  9. Previous reproductive history and post-natal family planning among HIV-infected women in Ukraine

    This document describes post-natal family planning practices among HIV-positive childbearing women in Ukraine.

  10. The HIV/AIDS Pandemic in Comparative Perspective: The Cases of India and Russia

    After examining the history of HIV/AIDS in Russia and India, the article examines the present prevalence of, and future projections for, HIV/AIDS in both countries. It also discusses the economic, political, and social consequences of the pandemic in either region, while evaluating the effectiveness of the Indian and Russian governmental attempts to stem the health crisis. The article concludes with certain policy recommendations for the target countries' respective governments.

  11. The HIV/AIDS epidemic in eastern Europe: recent patterns and trends and their implications for policy-making

    This document describes recent patterns and trends in the HIV epidemic in eastern Europe. AIDS programme managers and epidemiologists of 23 countries were contacted and requested to provide national HIV surveillance data. Joint United Nations Programme on HIV/AIDS/World Health Organisation country fact sheets were reviewed and analysed, and this information was supplemented with published HIV prevalence and sexually transmitted disease case reporting information, unpublished travel reports and expert evaluations.

  12. Knowledge, attitudes and practices concerning HIV/AIDS among Iranian at-risk sub-populations

    This study in 2003 looked at knowledge, attitudes and behaviours concerning HIV among 3 high-risk groups (201 cross-border truck drivers, 50 female sex workers and 754 youths) in 4 cities in the Islamic Republic of Iran. The level of knowledge about HIV was low on average, especially among individuals with high-risk behaviours. Truck drivers and female sex workers had higher knowledge about sexually transmitted infections than youths but their knowledge came primarily from personal experience rather than public awareness programmes. …

  13. Multicity HIV seroprevalence in street youth, Ukraine

    The authors conducted the first systematic, community-based, multicity assessment outside of the United States of HIV seroprevalence, risk factors, and linkage to clinical services among 929 street youth. After city-wide mapping, the authors used time-location sampling and randomly selected 74 venues in Odesa, Kyiv and Donetsk, Ukraine. Rapid HIV testing with post-test counseling were offered to all eligible youths ages 15-24 years. Overall, 18.4% were HIV positive and 85% had a previously unknown status. Rates were identical by sex. …

  14. Concurrent Sexual Partnerships and HIV Infection: Evidence from National Population-Based Surveys

    Knowing the prevalence and correlates of multiple and concurrent sexual partnerships is important for understanding the dynamics of HIV transmission, and thus for developing effective prevention interventions. This study takes advantage of self-reported data on sexual partnerships and biomarker data on HIV serostatus that have been collected in recent years from adult women and men (age 15-49) by nationally representative Demographic and Health Surveys (DHS) and AIDS Indicator Surveys (AIS). …

  15. HIV in the Middle East

    HIV in the Middle East is a short article written by C. Makhlouf Obermeyer from the Department of HIV/AIDS of the WHO in Geneva, Switzerland, in 2006. It summarizes what is known about the HIV epidemic in the Middle East and north Africa region and examines the extent to which lower prevalence can be attributed to cultural factors, particularly those related to the practice of Islam and gender. …

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