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UNESCO HIV and Health Education Clearinghouse

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  1. Challenges in providing HIV and sexuality education to learners with disabilities in South Africa: the voice of educators

    People with disabilities are at increased risk of exposure to HIV, yet they lack access to HIV prevention, treatment care and support including sexuality education. Lack of knowledge, skills and confidence of educators teaching sexuality education to learners with disabilities is related to this increased vulnerability. This study identifies possible challenges educators of learners with disabilities face when teaching sexuality and HIV education. …

  2. The influence of early sexual debut and sexual violence on adolescent pregnancy: a matched case-control study in Jamaica

    CONTEXT: Contraceptive knowledge and use at first sex have increased over time among Jamaican adolescents, yet high unintended pregnancy rates persist. More information on risk factors for adolescent pregnancy is needed to inform programs. METHODS: Structured interviews were conducted with 15–17-year-old females—250 who were currently pregnant and 500 sexually experienced, but never-pregnant, neighborhood-matched controls. …

  3. Risk for coerced sex among female youth in Ghana: Roles of family context, school enrollment and relationship experience

    CONTEXT: A better understanding is needed of the variables that may influence the risk of experiencing coerced sex among adolescent females in Sub-Saharan Africa. METHODS: Data were collected from 700 female respondents who were interviewed in 2010 and 2012 waves of a longitudinal study of behavioral risk for HIV infection among youth aged 13–14 or 18–19 and living in two towns in southeastern Ghana. …

  4. Violences de genre, violences sexistes à l’école. Tome 1

    Le dossier du présent numéro vise à éclairer la thématique des violences scolaires en proposant une analyse genrée ou sexuée du phénomène. Les contributions s’appuient sur des résultats de recherches empiriques et reposent sur des méthodologies explicites, qualitatives et/ ou quantitatives. Elles permettent non seulement de dresser un état des lieux des violences scolaires en fonction du sexe ou du genre des élèves (et/ ou des adultes) dans des contextes éducatifs variés, mais elles visent également à éclairer les mécanismes à l’origine de ces violences. …

  5. Preventing sexual violence and HIV in children

    BACKGROUND: Evidence linking violence against women and HIV has grown, including on the cycle of violence and the links between violence against children and women. To create an effective response to the HIV epidemic, it is key to prevent sexual violence against children and intimate partner violence (IPV) against adolescent girls. …

  6. ‘‘AIDS is rape!’’ Gender and sexuality in children’s responses to HIV and AIDS

    This paper examines young African school children’s understanding of HIV and AIDS. Based on focus group interviews with children aged 7–8 in KwaZulu-Natal province, South Africa, it explores the ways in which gender and sexuality feature in their responses to the disease. Data were collected between 2003 and 2004 through 26 focus groups involving 55 boys and 64 girls. The paper argues that younger children are active agents in giving meaning to the disease. …

  7. Postgraduate educational research on violence, gender, and HIV/AIDS in and around schools (1995-2004)

    Social issues such as HIV/AIDS, bullying, and violence have recently come to the fore in schooling and related research in South Africa. This article describes and critically analyses Masters and Ph.D. research done in education in the period 1995–2004, with particular reference to the voice given to social issues, namely: gender, violence, and HIV/AIDS and their interconnectedness. It explores issues, trends, and patterns in research emerging in the first decade of democracy in South Africa.

  8. 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. …

  9. Sexual coercion among in-school adolescents in Rwanda: prevalence and correlates of victimization and normative acceptance

    Adolescents are particularly vulnerable to sexual coercion, as victim as well as perpetrator. This paper aims to adapt sexual and reproductive health interventions to the reality of young people’s sexuality and relationships. This study assesses the prevalence of forced sex, characteristics of victims and norms regarding sexual coercion among Rwandan adolescents. A survey was completed by 285 senior secondary school students and four focus groups were conducted. Of sexually active respondents, 15.5% reported forced sexual intercourse. …

  10. National cross sectional study of views on sexual violence and risk of HIV infection and AIDS among South African school pupils

    Objective: To investigate the views of school pupils on sexual violence and on the risk of HIV infection and AIDS and their experiences of sexual violence. Design: National cross sectional study. Setting: 5162 classes in 1418 South African schools. Participants: 269 705 school pupils aged 10-19 years in grades 6-11. Main outcome measure: Answers to questions about sexual violence and about the risk of HIV infection and AIDS. Results: Misconceptions about sexual violence were common among both sexes, but more females held views that would put them at high risk of HIV infection. …

  11. Masculinities and condom use patterns among young rural South Africa men: a cross-sectional baseline survey

    Notions of ideal manhood in South Africa are potentially prescriptive of male sexuality thus accounting for the behaviors which may lead to men being at greater HIV risk. We tested the hypothesis that gender and relationship constructs are associated with condom use among young men living in rural South Africa. 1219 men aged 15–26 years completed a cross-sectional baseline survey from an IsiXhosa questionnaire asking about sexual behaviour and relationships. …

  12. Perspectives on intimate partner violence in Swaziland amongst 18–29-year-old men undergoing medical circumcision

    Intimate partner violence (IPV) is perceived as a major contributor to HIV transmission in Swaziland. This exploratory study aimed to develop a culturally-specific understanding of men's perspectives of IPV. Focus group methods were used to gather information from 45 young urban Swazi men who had undergone medical male circumcision. A thematic analysis was conducted focussing on the manifestations of IPV and socio-cultural and economic factors which underpin, circumstances which trigger and social responses to IPV. …

  13. 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. …

  14. 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. …

  15. 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. …

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