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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. Systematic review of the effectiveness of mass communication programs to change HIV/AIDS-related behaviors in developing countries

    This systematic review analyzes 24 mass media campaigns' effect on HIV knowledge, attitudes and behaviors. The studies were published between 1990 and 2004 about developing countries and compared outcomes by reviewing pre-and post-intervention data; intervention vs. control groups or post-intervention data across levels of exposure. …

  3. 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. …

  4. 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. …

  5. The application of Intervention Mapping in developing and implementing school-based sexuality and HIV/AIDS education in a developing country context: the case of Tanzania

    Effective sexuality and HIV/AIDS education programmes are needed to protect young people against HIV/AIDS and teenage pregnancy in Tanzania and other Sub-Saharan African countries. Using a theory- and evidence-based approach and adapting the programmes to local contexts, increases the effectiveness of these programmes. This paper describes and discusses the challenges and opportunities concerning the application of Intervention Mapping (IM) in the development and implementation of a sexuality and HIV/AIDS education programme targeting young people aged 12-14 in Tanzania. …

  6. 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). …

  7. Globalization, public policy, and 'knowledge gap': Ethiopian youth and the HIV/AIDS pandemic

    Set against trans- or supra-national policy initiatives which have framed the HIV/ AIDS pandemic as in part a pedagogical issue, this paper critically explores local understandings of sexual practices (generally) as well as of HIV/AIDS (more specifically) among young people in the sub-Saharan African country of Ethiopia. Ethiopia has the third largest number of HIV/AIDS infections in the world, behind only South Africa and India. …

  8. Kenya national HIV and AIDS communication strategy for youth, 2007

    This Communication Strategy provides a broad framework that will guide communication on youth and HIV and AIDS in Kenya for the next three years. It intends to address needs and gaps in communication programming identified in the areas of knowledge, skills and self-efficacy, capacity, coordination, policy support and utilisation of services. These issues were identified through a situation analysis conducted at the beginning of developing this strategy, and from consultations with stakeholders implementing HIV and AIDS programmes among the youth.

  9. 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

  10. Influence of religious affiliation and education on HIV knowledge and HIV-related sexual behaviors among unmarried youth in rural central Mozambique

    The interactions among religious affiliation, education, HIV knowledge, and HIV-related sexual behaviors among African church youth are poorly understood. In this sociodemographic study, 522 unmarried youth 12-28 years old in rural central Mozambique were surveyed with a structured questionnaire. Using binary logistic regression analysis, the authors used religious affiliation and education to measure influence on (1) HIV transmission and prevention knowledge and attitudes and (2) HIV-related sexual behaviors among youth. …

  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. Sexuality and HIV and AIDS in Africa: report of the 4th Africa Conference on Sexual Health and Rights

    "Sexuality and HIV & AIDS" was the theme of the 4th Africa Conference on Sexual Health and Rights held in Addis Ababa, Ethiopia from February 8th to 12th, 2010. The main objective of the Conference was to identify vulnerabilities and vulnerable people that are critical to SRHR and HIV/AIDS interventions. The Conference sought to introduce new insights to initiatives that will stem the spread of HIV and AIDS and map a course of action for SRHR. A key expected outcome was a shift away from moral approaches and expansion of the discussion of sexuality from a rights based perspective. …

  13. School-based HIV/AIDS prevention in sub-Saharan Africa

    This supplement of the Scandinavian Journal of Public Health includes contains a series of freely accessible articles on school-based HIV/AIDS prevention in sub-Saharan Africa. …

  14. National Behaviour Change Interventions Strategy for HIV/AIDS and Sexual Reproductive Health

    This document is prepared as a national guideline for planning behaviour change interventions and activities on HIV/AIDS and Sexual Reproductive Health [SRH] for the period 2001-2004. The National BCI Strategy is a planning tool, to guide ministries, district planners, NGOs, CBOs, DACCs, learning institutions, faith institutions and employers on effective HIV/AIDS and SRH behaviour change programs. The strategy is also intended to guide donors on areas of support and interventions that require national resources. The BCI Strategy has identified six key social groups for BC interventions. …

  15. Changes in Knowledge and Attitudes among Junior Secondary Students Exposed to the Family Life and HIV Education Curriculum in Lagos State, Nigeria

    To address the needs of young people in Lagos State, Nigeria, for information about family life and HIV, the Lagos State Ministry of Education, in collaboration with Action Health Incorporated, began to offer the Family Life and HIV Education Curriculum in government junior secondary schools in 2003. Knowledge and attitudes were measured in a sample of 1,366 students in Lagos State, Nigeria, in November 2004, at the beginning of the school year, and again in July 2005 after receiving a year of the Family Life and HIV Education Curriculum. …

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