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UNESCO HIV and Health Education Clearinghouse

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  1. School-based sexual health education interventions to prevent STI/HIV in sub-Saharan Africa: a systematic review and meta-analysis

    The authors reviewed evaluations of school-based sexual health education interventions in sub-Saharan Africa to assess effectiveness in reducing sexually transmitted infections and promoting condom use.

  2. School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents (Review)

    Background: School-based sexual and reproductive health programmes are widely accepted as an approach to reducing high-risk sexual behaviour among adolescents. Many studies and systematic reviews have concentrated on measuring effects on knowledge or self-reported behaviour rather than biological outcomes, such as pregnancy or prevalence of sexually transmitted infections (STIs). Objectives: To evaluate the effects of school-based sexual and reproductive health programmes on sexually transmitted infections (such as HIV, herpes simplex virus, and syphilis), and pregnancy among adolescents.

  3. The role of schools in supporting HIV-affected children in sub-Saharan Africa: a systematic review

    Aim: To establish an overview of school-based interventions carried out to support the health and well-being of vulnerable children in Zimbabwe and similar socio-economic contexts in sub-Saharan Africa. Methods: A literature search was carried out in Web of Knowledge using combinations of the following search terms: support, intervention, school, child, Zimbabwe, sub-Saharan Africa, health, well-being, inclusion and enrolment. A total of 12 articles were identified as relevant to the research question and included in this review. …

  4. The efficacy of HIV and sex education interventions among youths in developing countries: a review

    Human Immunodeficiency Virus (HIV) and Sexually Transmitted Infections (STIs) among youths represent an important public health challenge in developing countries. The incidence of HIV peaked in the 1990’s and saw a decline from 2005. What was done to prompt the decline? To answer this question selecting studies between 1990 and 2005 was appropriate to assess whether the drop in HIV incidence in developing countries was as a result of education interventions. …

  5. The case for addressing gender and power in sexuality and HIV education: a comprehensive review of evaluation studies

    CONTEXT: Curriculum-based sexuality and HIV education is a mainstay of interventions to prevent STIs, HIV and unintended pregnancy among young people. Evidence links traditional gender norms, unequal power in sexual relationships and intimate partner violence with negative sexual and reproductive health outcomes. However, little attention has been paid to analyzing whether addressing gender and power in sexuality education curricula is associated with better outcomes. …

  6. Charting the course of education and HIV

    More than three decades after the identification of the virus, HIV continues to affect millions of people worldwide even though infection rates are down in a number of countries. From the beginning, the education sector has played a central role in responding to HIV. However, its role and the contribution of school-based HIV education has been the subject of much debate. This book provides an overview of how the role of the education sector and approaches to HIV education have evolved over time. …

  7. A summary report on re-invigoration of education sector response to HIV and AIDS in the SADC region

    This brief summarizes the "Reinvigorating Education Sector (EDSEC) Responses to HIV and AIDS" in the SADC region commissioned by UNESCO/UNICEF/SADC Secretariat during the course of 2010. …

  8. 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. …

  9. Effectiveness of HIV prevention for youth in sub-Saharan Africa: systematic review and meta-analysis of randomized and nonrandomized trials

    Objective: Systematically assess the effectiveness of HIV-prevention interventions in changing sexual behaviour of young people (10–25 years) in sub-Saharan Africa. Methods: Three online databases were searched using prespecified terms. Additional articles were identified on websites of international organizations and by searching bibliographies. Randomized and nonrandomized trials of interventions aiming to reduce risk behaviour were included as well as single-arm studies reporting effects of differential exposure to an intervention. …

  10. Education and risky sex in Africa: Unraveling the link between women’s education and reproductive health behaviors in Kenya

    Much research attention has been devoted to understanding the relationship between education and riskier sex-related behaviors and HIV/AIDS in sub-Saharan Africa. While in the early 1990s researchers found that increases in education were associated with a higher incidence of HIV/AIDS, this relationship appears to have reversed and better educated people, especially women, appear less likely to engage in riskier sex-related behaviors and have a lower incidence rate of HIV/AIDS. …

  11. Nothing as practical as good theory? The theoretical basis of HIV prevention interventions for young people in sub-Saharan Africa: A systematic review

    This paper assesses the extent to which HIV prevention interventions for young people in sub-Saharan Africa are grounded in theory and if theory-based interventions are more effective. Three databases were searched for evaluation studies of HIV prevention interventions for youth. Additional articles were identified on websites of international organisations and through searching references. 34 interventions were included; 25 mentioned the use of theory. …

  12. Life skills education in the context of HIV and AIDS

    This piece explores the role of life-skills education (LSE) in the context of HIV and AIDS, in particular in relation to its potential for contributing towards HIV prevention efforts amongst young people. LSE within the context of HIV and AIDS can occur both in school and in non-schools settings; target groups for such education include children, youth and adults. Groups particularly at risk of HIV-acquisition, include sex workers, intravenous drug users and men-who-have-sex-with-men. …

  13. Rapid assessment of sexual and reproductive health and HIV policies, systems and services in Grenada

    This rapid assessment was undertaken from August to November 2010 and included within that period research, interviews and report writing. The goal of the assessment was to assess and document: 1. Country progress towards universal access to sexual and reproductive health (SRH) achievement in Grenada, including the status of bi-directional integration of SRH and HIV services; 2. The policy, systems and services challenges to achieving universal access to comprehensive SRH services; and 3. …

  14. Gender and Sexuality/HIV Education

    Sex/HIV education curricula have disparate effects for females and males. Review of 59 rigorous sex ed evaluations from the U.S. and developing countries. After omitting single sex programs, programs with no effect, and programs that changed only knowledge, 38 remained (25 U.S. and 13 developing country). A third of these failed to disaggregate results by gender, leaving 25. This article looks at why this is the case and how gender affects SRH outcomes.

  15. 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. …

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