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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. 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. …

  3. 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. …

  4. 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. …

  5. 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. …

  6. Sexual and Reproductive Health Needs of Women and Adolescent Girls living with HIV. Research Report on Qualitative Findings from Brazil, Ethiopia and the Ukraine

    Sexual and Reproductive Health Needs of Women and Adolescent Girls living with HIV. Research Report on Qualitative Findings from Brazil, Ethiopia and the Ukraine is a document developed by EngenderHealth with the support of UNFPA. This research identified some interesting trends across the three countries and some issues unique to each setting that need to be considered in strategic planning efforts to improve HIV-positive women's and adolescent girl's access and utilization of sexual and reproductive health services. …

  7. The short-term impacts of a schooling conditional cash transfer program on the sexual behaviour of young women

    Recent evidence suggests that conditional cash transfer programs for schooling are effective in raising school enrollment and attendance. However, there is also reason to believe that such programs can affect other outcomes, such as the sexual behavior of their young beneficiaries. Zomba Cash Transfer Program is a randomized, ongoing conditional cash transfer intervention targeting young women in Malawi that provides incentives (in the form of school fees and cash transfers) to current schoolgirls and recent dropouts to stay in or return to school. …

  8. Mainstreaming gender equality into national response to HIV and AIDS Nigerian case study

    This book describes the successful efforts to mainstream gender into the National Strategic Framework (NSF). Part 1 presents the situation analysis that set out the context of the Nigerian case study. Part 2 describes the processes employed and steps taken to mainstream gender into the NSF, and highlights the achievements, challenges and lessons learned from the Nigerian experience. The book provides a model that other countries can emulate.

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