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UNESCO HIV and Health Education Clearinghouse

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  1. I did it for him, not for me: an exploratory study of factors influencing sexual debut among female university students in Durban, South Africa

    The authors used qualitative interviews to explore influences on first sexual intercourse among 10 young women who had sexual debut within a year of enrolling in the university. University culture of sexual permissiveness and pressure from sexually experienced friends and male partners were the main factors influencing sexual debut. Ambivalence and a range of coercive behaviors characterized first sex. Participants were unprepared for sex and lacked power in deciding the timing and circumstances of first sex, which resulted in physical and emotional pain and regret. …

  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. HIV epidemic in Estonia: analysis of strategic information. Case study

    This publication describes an in-depth retrospective secondary data analysis, using triangulation principles, that was conducted to analyse the course of the HIV/AIDS epidemic in Estonia, describe the interventions implemented and provide guidance and input for priority setting. The researchers also highlighted main data gaps and made recommendations to improve surveillance and interventions. …

  4. Sexual and Reproductive Health & HIV and AIDS - A Flip book

    Behaviour Change Communication is an effective tool for ensuring improved sexual and reproductive health among women. Sexual health of women includes their state of physical, emotional, and social well-being. Women's sexual experiences either lead to good sexual and reproductive health or put them at risk for ill-health. Unfortunately, rather than women having satisfying and safe sexual experiences, their sexual vulnerabilities are often characterised by unsafe or harmful sexual practices that lead to adverse health outcomes. …

  5. Gender and sexuality: emerging perspectives from the heterosexual epidemic in South Africa and implications for HIV risk and prevention

    Research shows that gender power inequity in relationships and intimate partner violence places women at enhanced risk of HIV infection. Men who have been violent towards their partners are more likely to have HIV. Men's behaviours show a clustering of violent and risky sexual practices, suggesting important connections. This paper draws on Raewyn Connell's notion of hegemonic masculinity and reflections on emphasized femininities to argue that these sexual, and male violent, practices are rooted in and flow from cultural ideals of gender identities. …

  6. Reproductive health for refugees by refugees in Guinea IV: Peer education and HIV knowledge, attitudes, and reported practices

    Peer education has long been used to promote HIV awareness and reduce risk. However, little has been written about its use in refugee settings. This study aimed to assess whether refugee peer education could improve HIV knowledge, attitudes and practices among Guinean refugees. The study also assessed whether gender, age or formal education were more strongly associated to improved HIV outcomes than peer education. Data was collected through a cross-sectional survey of 889 men and women in 23 camps throughout the Forest Region, Guinea. …

  7. Targeting HIV interventions for adolescent girls and young women in Southern Africa: use of the PLACE methodology in Hwange district, Zimbabwe

    This paper addresses the issue of how to target interventions to girls 15+19 and young women 20-24 in a resource poor setting of Hwange District, Zimbabwe. The Priorities for Local AIDS Control efforts methodology was used to understand where these young people socialize and also to understand whether age disparate relationships were a common occurrence. Findings indicated prevention efforts for those 15-19 would need to focus on 'everyday' sites as these are the places where the majority of girls socialized. …

  8. The Right to Contraceptive Information and Services for Women and Adolescents

    This briefing paper examines the rights of women and adolescents to access contraceptive information and services. It provides practical guidance for activists, scholars, UN agencies, nongovernmental organizations, governments, and other actors working in the area of sexual and reproductive health to integrate human rights into programs and policies. …

  9. Sexual and reproductive health rights advocacy workshop report

    In 2008, sexual and reproductive health (SRH) rights as well as related issues in the context of HIV and human rights were identified as key advocacy issues for the AIDS and Rights Alliance for Southern Africa (ARASA). From 21 to 22 October 2008, ARASA convened more than 35 partners from 15 countries in the southern Africa/SADC region at the Kopanong Conference Centre in Johannesburg, South Africa to explore levels of access to SRH and HIV prevention services as well as key barriers to increased access to services for women in the region. …

  10. HIV and violence against women in Belize

    The overall objective of this study was to explore the potential intersections between two forms of violence against women (VAW) - partner violence and non-partner violence - among users of VAW and HIV services and to document their experiences, knowledge and perceptions on HIV and violence. The information was collected using a standardized questionnaire in each participant country in order to collect and compare data in a multi-country analysis. In Belize seventy-four (74) women were interviewed, 32 users of HIV services and 42 users of VAW services countrywide during 2007. …

  11. Prevenção e Tratamento dos Agravos Resultantes da violência Sexual Contra Mulheres e Adolescentes: Norma Técnica

    O Estado brasileiro, por intermédio do Ministério da Saúde, assumiu o compromisso com os direitos humanos das mulheres e com a garantia do exercício pleno de sua saúde física e mental, por meio da formulação de políticas públicas de saúde que respondam a suas reais necessidades. A atenção à violência sexual e doméstica é objetivo específico da Política Nacional de Atenção Integral à Saúde da Mulher, na qual estão previstas ações de ampliação e acessibilidade das mulheres e adolescentes aos serviços de saúde. …

  12. La sexualité et la grossesse de la femme confrontée au VIH/sida

    À partir du constat des bénéfices associés à la thérapie antirétrovirale - amélioration des conditions de vie de personnes séropositives, augmentation de leur espérance de vie, etc. - et du fait que la personne séropositive peut désormais envisager la grossesse, l'article indique la nécessité de la prise en charge de ce souhait de fonder une famille par les équipes soignante, tout en soulignant l'importance de la minimisation maximale du risque de contamination et les avantages de la procréation médicalement assistée.

  13. Reducing HIV Infection in Young Women in Southern Africa: The Key to Altering Epidemic Trajectories in a Generalized, Hyperendemic Setting

    This paper gives an overview of the HIV prevention battle in Southern Africa and supports the development of more balanced and innovative HIV prevention portfolio that adresses the real, immediate, and substantial risk facing young women from sub-Saharan African countries.

  14. Sexual risk among orphaned adolescents: is country-level HIV prevalence an important factor?

    Previous studies from sub-Saharan Africa have found that orphans experience increased sexual risk compared to non-orphans. This article developed a theoretical framework for the investigation of determinants of HIV risk and used it to generate specific hypotheses regarding the effect of country-level HIV prevalence on the sexual risk experience of orphans. It expected that countries with high HIV prevalence would experience a higher prevalence of orphanhood. …

  15. Intimate partner violence, relationship power inequity, and incidence of HIV infection in young women in South Africa: a cohort study

    Cross-sectional studies have shown that intimate partner violence and gender inequity in relationships are associated with increased prevalence of HIV in women. Yet temporal sequence and causality have been questioned, and few HIV prevention programmes address these issues. The article assessed whether intimate partner violence and relationship power inequity increase risk of incident HIV infection in South African women. …

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