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UNESCO HIV and Health Education Clearinghouse

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  1. Policy analysis and advocacy decision model for services for key populations in Kenya

    From 2010–2012, the global Health Policy Project (funded by the United States Agency for International Development), in partnership with African Men for Sexual Health and Rights (AMSHeR), developed Policy Analysis and Advocacy Decision Model for HIV-Related Services: Males Who Have Sex with Males, Transgender People, and Sex Workers (Beardsley K., 2013), hereafter referred to as the Decision Model. …

  2. An exploratory study of the sexual and reproductive health needs and rights of adolescents living with HIV in Lusaka

    With improved access to treatment for people living with HIV many are now able to live longer. As a result there is growing interest in overall quality of life issues. In many countries attention is increasingly being drawn to the unique and often neglected needs of different sub-groups including young people. This exploratory qualitative study sought to examine the sexual and reproductive health (SRH) needs and concerns and barriers to accessing related services for adolescents aged 10 – 19 years living with HIV in Zambia.

  3. Young people's sexual health in South Africa: HIV prevalence and sexual behaviors from a nationally representative household surevy

    Objectives: To determine the prevalence of HIV infection, HIV risk factors, and exposure to national HIV prevention programs, and to identify factors associated with HIV infection among South African youth, aged 15–24 years. Design: A cross-sectional, nationally representative, household survey. Methods: From March to August 2003 we conducted a national survey of HIV prevalence and sexual behavior among 11 904 15–24 year olds. Multivariable models for HIV infection were restricted to sexually experienced youth. …

  4. HIV prevalence among high school learners - opportunities for schools-based HIV testing programmes and sexual reproductive health services

    Young girls in sub Saharan Africa are reported to have higher rates of human immunodeficiency virus (HIV) infection compared to boys in the same age group. Knowledge of HIV status amongst high schools learners provides an important gateway to prevention and treatment services. This study aimed at determining the HIV prevalence and explored the feasibility of HIV testing among high school learners. Between September 2010 and February 2011, a linked, anonymous cross-sectional survey was conducted in two public sector high schools in the rural KwaZulu-Natal midlands. …

  5. Access to safe abortion: building choices for women living with HIV and AIDS

    In many areas of the world where HIV prevalence is high, rates of unintended pregnancy and unsafe abortion have also been shown to be high. Of all pregnancies worldwide in 2008, 41% were reported as unintended or unplanned, and approximately 50% of these ended in abortion. …

  6. Self-reported sexual behaviour among adolescent girls in Uganda: reliability of data debated

    The objective of this study was to compare self-reported information about sexual behavior in a research interview to information retrieved during a clinical consultation. Social workers interviewed 595 sexually experienced women below 20 years about genital symptoms and sexual behavior. A midwife interviewed and examined the women and took vaginal samples for gonorrhea and chlamydia. Four questions were embedded in both the social workers' interviews and among the midwife's questions. …

  7. Assessing knowledge, attitude, and practice of emergency contraception: a cross-sectional study among Ethiopian undergraduate female students

    The importance of Emergency contraception (EC) is evident in preventing unintended pregnancies and its ill consequences like unintended child delivery or unsafe abortion, which are the most common causes of maternal mortality. Knowing that Ethiopia is one of the countries with highest maternal mortality rate, this study aimed to assess the knowledge, attitude and practice of EC, and to further elucidate the relationship between these factors and some socioeconomic and demographic characteristics among female undergraduate students of Addis Ababa University. …

  8. Expanding reproductive rights knowledge and advocacy with HIV-positive women and their allies in Namibia: an action-oriented approach. Summary report

    Ipas and the International Community of Women Living with HIV (ICW) collaborated on a project to enhance the capacity of ICW members in Namibia to work on issues of gender, violence, HIV/AIDS and reproductive rights with members of their communities. This summary report discusses a follow-up initiative to a 2007 training-of-trainers course held in Namibia and offers concluding observations of successes and challenges of the initiative.

  9. 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.

  10. 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. …

  11. Needs, challenges and opportunities: adolescents and young people living with HIV in Zambia

    The aims of this qualitative study, carried out in 2010, were twofold. The first was to explore and document the psychosocial, sexual and reproductive health (SRH) needs of adolescents (10-19) living with HIV in Zambia. The second aim was to identify gaps between these needs and existing SRH and HIV-related initiatives and services currently available to young people.

  12. Promoting sexual health for young people in Kenya: Family Health Options Kenya sexuality counselling approach

    The general objective of the study was to define the content of sexuality counselling and assess factors influencing the quality of counselling that contributes to improved sexual health. …

  13. Linking sexual and reproductive health and HIV/AIDS. Gateways to integration: a case study from Kenya

    The process of linking sexual and reproductive health and HIV/AIDS needs to work in both directions: this means that traditional sexual and reproductive health services need to integrate HIV/AIDS interventions, and also that programmes set up to address the AIDS epidemic need to integrate more general services for sexual and reproductive health. While there is broad consensus that strengthening linkages should be beneficial for clients, only limited evidence is published regarding real benefits, feasibility, costs and implications for health systems. …

  14. Adolescent sexual health in West Africa: rights, realities, responses

    This publication is addressed to people who work with adolescents in West Africa, be it as teachers, nurses or social workers, as activists, politicians or bureaucrats, in national institutions or in international organisations. It draws attention to the rights and needs of a demographic group that is often neglected in social development initiatives. The publication is part of Plan's effort to refocus the lens used to view the African continent. …

  15. Training youth caregivers to provide HIV education and support to orphans and vulnerable children in South Africa

    A study conducted in KwaZulu Natal suggests that utilizing trained youth caregivers is a feasible approach for reaching orphans and vulnerable children with HIV prevention education and support. Participants were enthusiastic about the program and demonstrated some improvements in HIV-related knowledge, attitudes, and communication.

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