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UNESCO HIV and Health Education Clearinghouse

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  1. The effect of a conditional cash transfer on HIV incidence in young women in rural South Africa (HPTN 068): a phase 3, randomised controlled trial

    Cash transfers have been proposed as an intervention to reduce HIV-infection risk for young women in sub-Saharan Africa. However, scarce evidence is available about their effect on reducing HIV acquisition. The authors aimed to assess the effect of a conditional cash transfer on HIV incidence among young women in rural South Africa. Based on their research findings, the authors draw the conclusion that cash transfers conditional on school attendance did not reduce HIV incidence in young women. School attendance significantly reduced risk of HIV acquisition, irrespective of study group. …

  2. Factors shaping the HIV-competence of two primary schools in rural Zimbabwe

    We present multi-method case studies of two Zimbabwean primary schools – one rural and one small-town. The rural school scored higher than the small-town school on measures of child well-being and school attendance by HIV-affected children. The small-town school had superior facilities, more teachers with higher morale, more specialist HIV/AIDS activities, and an explicit religious ethos. The relatively impoverished rural school was located in a more cohesive community with a more critically conscious, dynamic and networking headmaster. …

  3. Staff and students' perception of an HIV/AIDS' strategy: A case study of a South African rural-based university

    Background: South African communities have high rates of people living with HIV and AIDS. Universities, particularly those in rural regions are examples of communities noted to be high risk areas of these infections. HIV/AIDS strategies were developed and implemented by higher education institutions to address this concern. Despite this, the prevalence and incidence of HIV and AIDS remain high in academic settings. Yet studies in this area in South Africa are rare. …

  4. Emma says: A case study of the use of comics for health education among women in the AIDS heartland

    The purpose of this paper is to examine one mass media AIDS education project, the Emma Says comic series. Created by an international health research organization based in the USA, the series was designed to educate women in rural Africa about the need to protect themselves from AIDS. The Emma Says series aimed to deliver powerful messages about AIDS in an easy-to-understand format using the caricature of an African woman working as a health educator in her community. …

  5. What can a teacher do with a cellphone? Using participatory visual research to speak back in addressing HIV and AIDS

    The ubiquity of cellphones in South Africa, a country ravaged by HIV and AIDS, makes cellphones an easily accessible tool to use in participatory approaches to addressing HIV (Human Immunodeficiency Virus) and AIDS (Acquired Immunodeficiency Syndrome) issues, particularly in school contexts. In this article we explore a participatory visual approach undertaken with a group of rural teachers, to uncover and address HIV and AIDS related issues. Drawing on our experience in using participatory video, we used cellphones to produce cellphilms about youth and risk in the context of HIV and AIDS. …

  6. The provision of a health promoting environment for HIV/AIDS education: the case of Namibian senior secondary schools

    HIV/AIDS programmes in schools ultimately intend to decrease high risk sexual behaviour. One factor facilitating this outcome is a strong health promoting environment in the school. This paper reports a study surveying the health promoting environments supporting HIV/AIDS education in Namibian senior secondary schools. It develops a two dimensional model for classifying the strength of a school’s health promoting environment. The findings show that schools have different strengths of health promoting environments linked more to their size than to a rural or urban location. …

  7. Gender, peer and partner influences on adolescent HIV risk in rural South Africa

    In preparation for a school-based intervention in KwaZulu-Natal, South Africa, the authors conducted a cross-sectional survey of potential HIV risk factors in youth ages 14–17 (n=983). Boys were significantly more likely than girls to report lifetime sexual activity (37.7% v. 13.8%, P<0.01). Among boys and girls, 46.1% reported condom use at last sex. Discussion of condom use with a partner was the strongest predictor of condom use (boys, odds ratio (OR)=7.39; girls, OR=5.58, P<0.0001). …

  8. Young people and sexual agency in rural Uganda

    Drawing on definitions of agency from within the international development literature, the author focuses on decision-making processes leading to young people's involvement in relationships; actions undertaken to maintain secret relationships in contexts where young people's sexual agency is generally prohibited; transactional and gendered negotiations between young people involved within a relationship; and a range of outcomes arising from young people's sexual activity. …

  9. The association between school attendance, HIV infection and sexual behaviour among young people in rural South Africa

    Objectives: To investigate whether the prevalence of HIV infection among young people, and sexual behaviours associated with increased HIV risk, are differentially distributed between students and those not attending school or college. Design: A random population sample of unmarried young people (916 males, 1003 females) aged 14–25 years from rural South Africa in 2001. Methods: Data on school attendance and HIV risk characteristics came from structured face-to-face interviews. HIV serostatus was assessed by oral fluid ELISA. …

  10. Out-of-school and at risk? Socio-demographic characteristics, AIDS knowledge and risk perception among young people in Northern Tanzania

    This paper investigates the reasons why young people in urban and rural Kilimanjaro, Tanzania do not attend school, their socio-demographic characteristics, AIDS knowledge and risk perception. A structured face-to-face interview was conducted with 1007 young people between the ages of 13 and 18. Findings suggest that non-attendance is the product of a complex interaction of economic, individual, family and school-related factors. Boys have more AIDS knowledge than girls, and those from urban areas are more knowledgeable than their rural counterparts. …

  11. 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. …

  12. Evaluation of a comprehensive school-based AIDS education programme in rural Masaka, Uganda

    This study aimed to evaluate a one-year, comprehensive, school-based HIV and AIDS education program in rural, southwestern Uganda. Twenty intervention schools (1274 students) and 11 control schools (803 students) completed baseline and follow-up questionnaires. Twelve focus groups were conducted among five of the intervention schools (93 students). Very few effects of the intervention were observed. Focus group data indicates that programmes were not implemented comprehensively and certain activities (how to use condoms, role playing) were only superficially used. …

  13. Evaluation of HIV/AIDS secondary school peer education in rural Nigeria

    This study used a comparative case series (n=250), a cross-sectional structured survey (n=135) and focus group discussions (n=80) to assess whether HIV peer education can influence knowledge, misconceptions and behavior among adolescents in rural Nigeria. A questionnaire was designed to look at socio-demographics, transmission and prevention knowledge on HIV, access to various sources of HIV/AIDS information, stigmatization and sexual behavior. …

  14. Culturally-adapted and audio-technology assisted HIV/AIDS awareness and education program in rural Nigeria: a cohort study

    This prospective, 14-week cohort study sought to identify changes in HIV knowledge using a culturally-adapted, technology assisted educational approach in three rural Nigerian villages. One group of people were given seminar-based education, while another were given a portable, digial audio technology-based educational program, which drew on the rural culture of oral learning. The majority of the participants were Muslim (99%), male (53.3%) and lacked formal education (55%). HIV knowledge was improved by a larger degree in the technology facilitated group than the seminar-based group. …

  15. Young people's understanding of HIV: a qualitative study among school students in Mankweng, South Africa

    This article describes young people's interpretation of HIV, AIDS and sexually transmitted illness in a rural South African community in Mankweng, Limpopo Province. Method: The study was based on 19 focus group discussions with adolescents aged 12-14 years. Results: Our participants had limited knowledge about HIV from a biomedical perspective. Their understanding and interpretations of HIV and other sexually transmitted diseases were largely informed by traditional and religious belief systems that explain how and why people contract an illness via sexual intercourse. …

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