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UNESCO HIV and Health Education Clearinghouse

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  1. Promoting sexual and reproductive health among adolescents in southern and eastern Africa (PREPARE): project design and conceptual framework

    Background: Young people in sub-Saharan Africa are affected by the HIV pandemic to a greater extent than young people elsewhere and effective HIV-preventive intervention programmes are urgently needed. The present article presents the rationale behind an EU-funded research project (PREPARE) examining effects of community-based (school delivered) interventions conducted in four sites in sub-Saharan Africa. One intervention focuses on changing beliefs and cognitions related to sexual practices (Mankweng, Limpopo, South Africa). …

  2. Commentary: Innovations in Programming for HIV Among Adolescents: Towards an AIDS-Free Generation

    In the effort to halt and reverse the spread of HIV and AIDS among adolescents, public health and medical experts, moral and political authorities across the globe have implemented a combination of interventions. …

  3. Integration of HIV/AIDS studies into the comprehensive university undergraduate curriculum: a strategy to eliminate infection among students

    In South Africa, first year university students are vulnerable and at a high risk, of HIV infection the other group need immediate intervention because they might be sexually active and have established patterns of risky sexually behaviour. The number of students infected with HIV/ AIDS-related illness is increasing and this affects institution negatively. The purpose of this phenomenological study was to examine whether the integration of HIV/AIDS into the curriculum can reduce or minimise the infection rate among students. …

  4. Sexuality education: a ten-country review of school curricula in East and Southern Africa

    This collaborative regional curriculum scan, which was conducted in 2011, seeks to assess the content, quality, and delivery methods of sexuality education curricula in ten ESA countries and aims to ensure that the reviews help countries to develop curricula designed to not only increase comprehensive knowledge among young people, but to empower them to adopt protective behaviours, such as refusing unwanted sex, delaying sex, using condoms and testing for HIV. The ten countries included are Botswana, Kenya, Lesotho, Malawi, Namibia, South Africa, Swaziland, Uganda, Zambia and Zimbabwe.

  5. Scrutinize campaign: a youth HIV prevention campaign addressing multiple and concurrent partnerships

    Launched on South African television in June 2008, the Scrutinize Campaign was a year-long series of HIV prevention ads targeting multiple and concurrent sexual partnerships. Irreverent and humorous, with strong, colorful visuals, the campaign's ads were markedly different from previous South African HIV prevention campaigns for youth. Rather than telling the audience what to do, the Scrutinize campaign messaging encouraged those in the audience to scrutinize their own behavior, resulting in dramatic uptake of key HIV prevention messages.

  6. HIV prevention for South African youth: which interventions work? A systematic review of current evidence

    South Africa's HIV prevalence among 15-24 year olds is one of the highest in the world. This systematic review looks at the evidence for youth HIV prevention in the country since 2000 and critically assesses interventions across four domains: study design and outcomes; intervention design; thematic focus and HIV causal pathways; and intervention delivery. Eight interventions were included in the review, all similar regarding content and objectives, but with variouis thematic foci, causal pathways, theoretical bases, delivery methods, intensity and duration. …

  7. Evaluation of an HIV/AIDS peer education programme in a South African workplace

    This paper describes an evaluation of a workplace HIV/AIDS peer-educational program. A cross-sectional study of 900 employees was conducted in 2001 across three areas in South Africa and measured the impact of a peer-education program on knowledge, attitudes towards people living with HIV/AIDS, perceptions of risk and condom use. Peer-education had no impact on any outcome. Some 59% of subjects had good knowledge, 62% positive attitude towards people living with HIV/AIDS, 34% reported frequently using condoms, 73% perceived themselves at low risk for infection. …

  8. HIV education in South African schools: the dilemma and conflicts of educators

    Educators within the school system are well placed to facilitate the dissemination of knowledge and skills in order for adolescents to be equipped for appropriate sexual decision-making. The aim of this research was to provide an understanding of educators' beliefs, attitudes and behaviours with regard to sexual and reproductive health promotion. Methods: Individual interviews were conducted with 15 educators from demographically diverse high schools in the Western Cape. One-off interviews were conducted with Grade 8 Life Orientation educators and principals. …

  9. Social outcome expectations regarding delayed sexual debut among adolescents in Mankweng, South Africa

    Aims: To describe outcome expectations related to delayed sexual transition, to examine the dimensionality and internal consistency of such expectations, and to examine variations in social outcome expectations across subgroups defined by demographic variables, indicators of socioeconomic status and predictors related to school and educational ambitions. Methods: Data stem from a survey among school students (grades 8-12) in Mankweng, Limpopo, South Africa (n=5,697). …

  10. Advancing promising program and research/evaluation practices for evidence-based programs reaching very young adolescents: a review of the literature

    This paper reviews and describes research practices and program interventions addressing the sexual and reproductive health of very young adolescents (VYA) and identifies promising program components and research/evaluation practices. The paper is not exhaustive but serves as a tool for further discussion of what is needed in VYA programming and research

  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. 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. …

  13. Questions of intimacy: rethinking population education

    The book examines key areas in population field in relation to education. Sexuality, reproductive rights and health, violence, fertility, ageing, gender relations and AIDS education are some of the themes explored in the book.

  14. Youth, sexuality and HIV/AIDS

    This manual was created by young people between 15-30 years of age, who came from thirteen countries across Africa (Botswana, Burundi, Eritrea, Kenya, Lesotho, Malawi, Mozambique, Rwanda, Senegal, South Africa, Tanzania, Uganda and Zambia) to participate in the International Youth Camp that was held from 12th-26th August 2001, at Nakuru, District of Rift Valley Province in Kenya. It crystallizes their hopes of contributing to protect, preserve and enlighten a generation of youth facing threat of HIV and AIDS, substance abuse and STIs. …

  15. Transitions to Adulthood in the Context of AIDS in South Africa: The Impact of Exposure to Life Skills Education on Adolescent Knowledge, Skills, and Behavior

    Presents the findings of a prospective study of reproductive and sexual health of adolescents in KwaZulu Natal Province. Research summary (2004), research update (2004), and report of baseline findings (2001) also available.

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