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UNESCO HIV and Health Education Clearinghouse

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  1. Disability and HIV/AIDS - a systematic review of literature on Africa

    This systematic review focuses on empirical work on disability and HIV/AIDS in Africa in the past decade and considers all the literature currently accessible. The review presents data from different surveys and summarizes the findings. In this way, it convincingly reveals that people with disabilities are very vulnerable to contracting HIV, and lack access to information, testing and treatment. The review further reveals gaps in the research and areas of concern. While vulnerability and accessibility have been investigated, there are few prevalence studies or evaluations available. …

  2. Individual and community-level tolerance of spouse abuse and the association with the circumstances of first sex among youth from six sub-Saharan African countries

    Youth who engage in early and premarital sex are at risk of HIV and sexually transmitted infections. Most prevention programs ignore the mediating influence of the threat and experience of violence on these outcomes. Using nationally representative data from Lesotho, Malawi, Zimbabwe, Kenya, Tanzania, and Uganda, the autors used multivariate analyses to examine the association between individual- and community-level tolerance of spouse abuse on the age and circumstances of sexual debut among female youth. The youth sample sizes ranged from a high of 5007 in Malawi to a low of 3050 in Lesotho. …

  3. Adolescents' perceptions of sexual coercion in Uganda

    In Uganda, HIV prevalence remains high with young people at higher risk of infection than adults. Much is known about the sexual risk factors for HIV transmission among youths, including sexual encounters that are coerced. On the other hand, relatively little is known about the barriers to preventing sexual coercion and what strategies may overcome those barriers with adolescents. …

  4. Addressing sexual violence and HIV risk among married adolescent girls in rural Nyanza, Kenya

    HIV infection is much higher among adolescent girls in sub-Saharan Africa than among boys. In settings such as Nyanza Province, Kenya, rates of HIV infection are extremely high, and evidence is increasing in some settings that girls who are married are much more likely to be infected with HIV, compared with their unmarried sexually active counterparts. This brief describes a program addressing the problem of sexual violence and the risk of HIV transmission within marriage in Kenya's Nyanza Province. …

  5. Sexual abuse of school age children: evidence from Kenya

    Student unrest that sometimes culminates in violent expressions have had a long history in Kenyan schools. Recent evidence, however, points to new expressions of abuse on children. There is concern that an ethos of gendered violence often expressed by sexual subjugation of girls by boys is getting institutionalised within Kenyan Schools. The rise in incidents of reported crimes of a sexual nature and the periodic mass sexual violence directed at girls within learning institutions attest to threatened sexual safety in Kenyan schools today. …

  6. Addressing the needs of young adolescents

    Worldwide, nearly 10 percent of people are ages 10 to 14, and in developing countries, the percentage is often higher (e.g., Uganda, 16 percent).1 Early adolescence marks a critical time of physical, developmental, and social changes. Interventions during early adolescence may be more effective in shaping healthy attitudes and behaviors than in late adolescence, when attitudes and behaviors are more established. Young adolescents are also more likely to still be in school and less likely to have begun sexual activity.

  7. The sugar daddy trap: Peer pressure pushes girls into sex

    This paper summarises research findings that male sexual aggression against girls is endemic and institutionalized in Zimbabwe. Specifically, findings suggest that adolescent peer group culture in schools encourage students to conform to stereotypical behaviours that make girls vulnerable to sexual abuse. It concludes with a list of strategies for implementation and at schools within communities.

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