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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. 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.

  3. 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. …

  4. 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. …

  5. 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. …

  6. The global HIV epidemics among sex workers

    Since the beginning of the epidemic sex workers have experienced a heightened burden of HIV across settings, despite their higher levels of HIV protective behaviors (UNAIDS, 2009). By gaining a deeper understanding of the epidemiologic and broader policy and social context within which sex work is set one begins to quickly gain a sense of the complex backdrop for increased risk to HIV among sex workers. …

  7. Analysis of services to address gender-based violence in three countries

    In 2010, AIDSTAR-One conducted case studies in three countries where GBV services were available. …

  8. Mobility, migration and HIV vulnerability of populations along the ports of the Red Sea and Gulf of Aden: Situation and response analysis

    The relationship between HIV and mobility is widely recognized. While mobility and migration are not risk factors for HIV by themselves, the often harsh, unsafe and isolated conditions surrounding the mobility process can give rise to behaviours strongly associated with increased vulnerability to HIV, while also posing barriers to access to HIV prevention, treatment and care. …

  9. Integrated biological and behavioural surveillance survey among migrant female sex workers in Nairobi, Kenya

    Kenya is currently experiencing both a generalized and a concentrated HIV epidemic. It has a national HIV prevalence of 6.3 per cent and 1.3 million people between the ages of 15 to 64 across the country are living with HIV. According to the Kenya National AIDS Control Council (NACC), female sex workers (FSW) and their clients account for 14.1% of new infections. The Kenyan national response has recently started targeting research and programming efforts towards key population groups, and specifically FSW. However, migrants have not been targeted as a distinct category. …

  10. Documenting human rights Violations of sex workers in Kenya: a study conducted in Nairobi, Kisumu, Busia, Nanyuki, Mombasa and Malindi

    This study investigates the human rights violations experienced by women sex workers in Kenya. This research found that these women have no way to claim their individual human rights under the current operating laws and policy framework. They are unable to keep themselves safe as they seek to support themselves and their families because they are relentlessly subject to police harassment, arrest and abuse. Furthermore, because sex work is viewed as an 'immoral activity' rather than as a form of labour, many in society believe that sex workers deserve to be punished for what they do. …

  11. I expect to be abused and I have fear: Sex workers' experiences of human rights violations and barriers to accessing healthcare in four African countries

    This report documents human rights violations experienced by female, male and transgender sex workers in four African countries (Kenya, Uganda, South Africa and Zimbabwe), and describes barriers they face to accessing health services. Through cross-country comparison and documenting sub-regional trends, the study moves beyond previous often-localised descriptions of violations against sex workers in Africa. The study also fills information gaps about violations in male and transgender sex workers in this setting.

  12. Key populations, key responses: a gap analysis for key populations and HIV in South Africa, and recommendations for the National Strategic Plan for HIV/AIDS, STIs and TB (2012-2016)

    In June 2011, South Africa signed the United Nations Political Declaration on HIV/AIDS: Intensifying our Efforts to Eliminate HIV/AIDS which explicitly outlined commitment for all UN member states to address the inadequacy of HIV prevention strategies, focusing on men who have sex with men (MSM), injecting drug users (IDU) and sex workers (SW) and to improve access to HIV prevention, treatment, care and support services for migrant populations. …

  13. Assessment: legal and regulatory framework affecting treatment and services for most-at-risk populations in Ghana

    In recognition of the importance of an enabling legal and policy environment that supports MARPs and their access to services, the Ghana AIDS Commission requested that the United States Agency for International Development - supported Health Policy Initiative conduct a qualitative assessment to develop an understanding of the current legal and policy framework for MARPs. An enabling environment reduces stigma and discrimination (S&D) against MARPs, protects their rights, and ensures that they have access to needed services. …

  14. Regional assessment on HIV-prevention needs of migrants and mobile populations in southern Africa

    Southern Africa continues to bear a disproportionate share of the global burden of HIV: 35% of HIV infections and 38% of AIDS-related deaths in 2007 occurred in this sub-region. Southern Africa also experiences high levels of population movement, voluntary or forced, and comprises a diversity of people, including contract labor migrants, irregular migrants, families of migrants, refugees, trafficked persons and mobile workers such as truck drivers and mine workers. Furthermore, migrants have loved ones back home, who may face their own vulnerabilities, as the family breadwinner is away. …

  15. When the safety net fails. Children in West and Central Africa and the risk of HIV infection

    This publication looks at children who are vulnerable to HIV infection, providing services to mitigate this vulnerability and to assist those who have already acquired HIV. To explore this, the authors spoke to more than 1,000 children and adolescents aged 8 to 20 years living in communities severely affected by war and displacement, child trafficking, or high HIV mortality - communities in which the social safety net had been severely disrupted. …

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