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UNESCO HIV and Health Education Clearinghouse

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  1. Focus on key populations in national HIV strategic plans in the African region

    The World Health Organization (WHO) defines key populations as populations who are at higher risk for HIV irrespective of the epidemic type or local context and who face social and legal challenges that increase their vulnerability. They include sex workers, men who have sex with men, transgender people, people who inject drugs, and people in prison and other closed settings. …

  2. Adolescents under the radar in the Asia-Pacific AIDS response

    This report is the result of a collaborative effort between members of the Asia Pacific Inter-Agency Task Team on Young Key Populations and UNICEF. It highlights the HIV crisis for vulnerable adolescents in Asia and the Pacific and what we can do to give them the support they desperately need. If we fail to do this, the world will not get to where it wants to be: ending the AIDS epidemic by 2030.

  3. Empowering each other: young people who sell sex in Ethiopia

    Sex workers are amongst those most affected by HIV and sexual and reproductive health and rights (SRHR) issues in Ethiopia. Stigma and discrimination towards sex workers affects their ability to access SRHR information, education and services. In 2014, the Link Up project in Ethiopia implemented a model of peer education and outreach to empower young people who sell sex (aged 15 – 24 years) and increase their access to HIV and SRHR services. The Link Up project seeks to improve the sexual and reproductive health and rights of young people most affected by HIV. …

  4. Human rights and the HIV response: a rapid assessment of human rights violations in the context of HIV, in the Eastern and Southern Africa region, and a review of current approaches to protecting and promoting human rights for an effective HIV response

    Key populations, specifically people who sell sex (PWSS), people who inject drugs (PWID) and lesbian, and gay, bisexual, transgender and intersex (LGBTI) people experience significant human rights violations which underpin the continued high HIV incidence in these populations. This rapid assessment of human rights violations in Eastern and southern Africa focuses on three priority key populations – PWSS, LGBTI (including MSM), and PWID. The report outlines the normative international treaties that establish a basis for a human rights framework for the HIV response.

  5. Good practices on HIV/AIDS and sexual reproductive health from higher education institutions in Ethiopia

    Criteria for Evaluation of Good Practices Submitted from Member Higher Education Institutions; 1. Innovativeness (It could be something initiated by HEI as original or existing program with contextualized modification of key focus areas of interventions stipulated in the forum’s policy and strategy framework or education sector response policy against the epidemic); 2. Explicability or adaptability (have the potential to serve as a model for generating initiatives in the other HEIs); 3. …

  6. Situational analysis of young people at high risk of HIV exposure in Thailand: Synthesis report

    The main goals of this project are to review the situation of young key affected populations (YKAP) HIV risk behaviours in Thailand, review the present policy and programmatic response for YKAP, identify gaps and promising practices for YKAP, and determine strategic future policy and programming interventions for YKAP. …

  7. HIV and adolescents: focus on young key populations

    Adolescents and young adults are at increased risk for HIV due to the many developmental, psychological, social, and structural transitions that converge in this period of the lifespan. In addition, adolescent deaths resulting from HIV continue to rise despite declines in other age groups. There are also young key populations (YKPs) that bear disproportionate burdens of HIV and are the most vulnerable, including young men who have sex with men (MSM), transgender youth, young people who inject drugs, and adolescent and young adult sex workers. …

  8. The cost and cost-effectiveness of gender-responsive interventions for HIV: a systematic review

    Introduction: Harmful gender norms and inequalities, including gender-based violence, are important structural barriers to effective HIV programming. We assess current evidence on what forms of gender-responsive intervention may enhance the effectiveness of basic HIV programmes and be cost-effective. Methods: Effective intervention models were identified from an existing evidence review (“what works for women”). Based on this, we conducted a systematic review of published and grey literature on the costs and cost-effectiveness of each intervention identified. …

  9. Rwandan young people's perceptions on sexuality and relationships: Results from a qualitative study using the ‘mailbox technique’

    This study aimed to gain more insight into young Rwandans' perceptions on sex and relationships, which is essential for formulating effective sexual and reproductive health (SRH) promotion interventions. Using a 'mailbox technique', this paper studies the spontaneous thoughts of Rwandan young people on sexuality. Mailboxes were installed in five secondary schools in the Bugesera district and students were invited to write about their ideas, secrets, wishes, desires and fears on sexuality and relationships. Of the 186 letters collected, 154 addressed SRH topics. …

  10. Adolescent health, global guidelines versus local realities: the Sub-Saharan Africa experience

    As the field of adolescent sexual and reproductive health (ASRH) evolves, further discussion and documentation of national policy and aspects of its implementation is needed to ensure effectiveness of interventions. Further research is required to foster beneficial shifts in policy advocacy, including resource allocation, and in the prioritization of adolescent programs in health and education systems, in communities and in workplaces. Adolescents are exposed to diverse interventions across all the countries under discussion; however there exist obstacles to realization of ASRH goals. …

  11. Population size estimation of key populations (Sierra Leone)

    This population size estimation (PSE) was undertaken in order to inform HIV prevention programming for key populations in the fight against HIV in Sierra Leone. This PSE focused on female sex workers (FSWs), men who have sex with men (MSM) and people who inject drugs (PWID) because these groups are typically the first and hardest affected by HIV, and addressing their needs to prevent HIV can prevent or diminish the effect of HIV/AIDS on the general population. …

  12. Prevalence of HIV and other infections and risk behaviour among injecting drug users in Latvia, Lithuania and Estonia in 2007: Study report

    The current report provides results from a cross-sectional bio-behavioural study on HIV and related infections and risk behaviours among current IDUs in the capital cities of the three Baltic countries. The first section of the report provides basic information on the three Baltic countries in general, and injecting drug use, HIV and other infections’ epidemiological situations, health care and harm reduction services in more detail. …

  13. NewGen Asia: Building capacity in emerging young leaders in the HIV response

    In the Asia-Pacific Region, young people bear a large proportion of new HIV infections, and there is a need to consult them about how best to tailor prevention initiatives to meet their needs. In 2010, Youth LEAD, an organization representing young HIV advocates from across the Asia-Pacific region highlighted the need to engage young people more effectively in advocacy and programming initiatives. …

  14. Experiences from the field: HIV prevention among most at risk adolescents in Central and Eastern Europe and the Commonwealth of Independent States

    In recent years, UNICEF has worked together with national and local authorities and civil society partners in a number of countries in Eastern Europe and Central Asia to develop and implement HIV prevention programmes intended to reduce risks and vul¬nerabilities among most-at-risk adolescents (MARA.) This docu¬ment presents programming experiences from seven countries: Albania, Bosnia and Herzegovina (BiH), Moldova, Montenegro, Romania, Serbia and Ukraine. …

  15. Women hold up half the sky - and half the burden of the HIV epidemic

    The HIV burden on women is dramatically higher in some regions, certain age groups and among marginalized groups, such as female sex workers. Women’s vulnerability to HIV is exacerbated by gender inequality and domestic violence. The global effort towards elimination of paediatric HIV and keeping mothers alive deserves applause. However, the needs of women go beyond their child-bearing age or potentials and/or reproductive desires and must be recognized in the global HIV agenda. In particular, more female-controlled prevention tools are urgently required to allow women to protect themselves.

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