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UNESCO HIV and Health Education Clearinghouse

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  1. How reliable are reports of early adolescent reproductive and sexual health events in demographic and health surveys?

    CONTEXT: Age at sexual debut, age at first marriage or first union and age at first birth are among the most widely used indicators of health and well-being for female adolescents. However, the accuracy of estimates for these indicators, particularly for younger adolescents, is poorly understood. METHODS: For each of nine countries in Africa and Latin America, Demographic and Health Survey (DHS) data from two surveys conducted five years apart were used to examine women’s reports of age at sexual debut, marriage or first union, and first birth. …

  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. Gender and risk of HIV in Ghana and Uganda

    Using Demographic and Health Survey (DHS) data for Ghana and Uganda, this study examines the gender differentials in perceptions of HIV risk in the two countries, which have been hit by the HIV epidemic in a different way, as in Ghana the epidemic has just started. It identifies factors associated with high or low risk of HIV infection by using logistic regression methodology. Principal findings include strong gender differentials in perceptions of risk, especially in Uganda; women felt at greater risk of HIV infection than men. …

  4. What Happened in Uganda? Declining HIV prevalence, Behavior Change, and the National Response

    This document is not intended to provide a definite explanation for Uganda's AIDS prevention successes during the 1980s and 1990s. Rather, it is a synthesis of presentations made in February 2002 at the U.S. Agency for International Development (USAID) by four individuals with long-term experience in HIV prevention in Africa. USAID commissioned a summary document synthesising the ideas presented by these researchers. …

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