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UNESCO HIV and Health Education Clearinghouse

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  1. Harmonizing the legal environment for adolescent sexual and reproductive health and rights: A review of 23 countries in East and Southern Africa

    The study reviews the laws, policies and related frameworks in 23 countries in East and Southern Africa (ESA) that create either impediments to, or an enabling environment for, adolescent sexual and reproductive health and rights. The assessment resulted in the development of a harmonized regional legal framework, which translates international and regional legal provisions into useful strategies. It gives recommendations based on applicable core legal values and principles gleaned from a range of conventions, charters, political commitments, guidelines and declarations. …

  2. The effects of school-based condom availability programs (CAPs) on condom acquisition, use and sexual behavior: a systematic review

    We conducted a systematic review to assess the impact of school-based condom availability programs (CAPs) on condom acquisition, use and sexual behavior. We searched PubMed to identify English-language studies evaluating school-based CAPs that reported process (i.e. number of condoms distributed or used) and sexual behavior measures. We identified nine studies that met our inclusion criteria, with the majority conducted in the United States of America. We judged most studies to have medium risk of bias. …

  3. Interventions to prevent sexually transmitted infections, including HIV, among young people in low- and middle-income countries: a systematic review of the published and gray literature

    Sexually transmitted infections (STIs), including HIV, are prevalent among adolescents and can have lasting adverse health consequences. The objective of this review is to identify high-quality interventions and evaluations to decrease STI transmission and related risky behaviors among young people in low- and middle-income countries. PubMed, Embase, PsycInfo, Cinahl Plus, Popline, and the Cochrane Databases were searched without language limitations for articles published through November 2015. Gray literature was searched by hand. …

  4. The efficacy of HIV and sex education interventions among youths in developing countries: a review

    Human Immunodeficiency Virus (HIV) and Sexually Transmitted Infections (STIs) among youths represent an important public health challenge in developing countries. The incidence of HIV peaked in the 1990’s and saw a decline from 2005. What was done to prompt the decline? To answer this question selecting studies between 1990 and 2005 was appropriate to assess whether the drop in HIV incidence in developing countries was as a result of education interventions. …

  5. Is the sexual behaviour of young people in sub-Saharan Africa influenced by their peers? A systematic review

    Adolescents in sub-Saharan Africa are highly vulnerable to HIV, other sexually transmitted infections (STIs) and unintended pregnancies. Evidence for the effectiveness of individual behaviour change interventions in reducing incidence of HIV and other biological outcomes is limited, and the need to address the social conditions in which young people become sexually active is clear. Adolescents' peers are a key aspect of this social environment and could have important influences on sexual behaviour. There has not yet been a systematic review on the topic in sub-Saharan Africa. …

  6. Leave no one behind: gender, sexuality and the sustainable development goals: evidence report

    In an unprecedented move to eradicate disease, poverty and hunger, world leaders joined together in 2000 to sign into life the hotly contested but broadly agreed upon Millennium Development Goal (MDG) framework. In 2015, as the MDGs come to an end, a new generation of world leaders – government officials, donors and civil society organisations – have joined forces to articulate their vision for a future where all people can contribute to, and benefit from, an inclusive development framework. …

  7. Designing an effective sexuality education curriculum for schools: lessons gleaned from the South(ern) African literature

    Sexuality education forms part of the national school curricula of most sub-Saharan African countries, yet risk-related sexual behaviour among young people continues to fuel the HIV pandemic in this part of the world. One of the arguments put forward to explain why sexuality education seems to have had little impact on sexual risk-taking is that existing curricula have neglected to take into account the complexity of the social, cultural and gender norms that influence the behaviour of school-going young people in sub-Saharan Africa. …

  8. Factors associated with teenage pregnancy in South Asia: a systematic review

    Background: South Asia has a large proportion of young people in the world and teenage pregnancy has emerged as one of the major public health problem among them. The objective of this study is to systematically review to identify the risk factors associated with teenage pregnancy in South Asian countries. Methods: We systematically searched MEDLINE, EMBASE and CINAHL database (1996 to April 2007) and web-based information. Inclusion criteria were the English-language papers available in the UK and describing teenage pregnancy in South Asia. …

  9. Factors associated with teenage pregnancy in the European Union countries: a systematic review

    Background: As part of the REPROSTAT2 project, this systematic review aimed to identify factors associated with teenage pregnancy in 25 European Union countries.Methods: The search strategy included electronic bibliographic databases (1995 to May 2005), bibliographies of selected articles and requests to all country representatives of the research team for relevant reports and publications. Primary outcome measure was conception. Inclusion criteria were quantitative studies of individual-level factors associated with teenage (13–19 years) pregnancy in EU countries. …

  10. HIV prevention in Southern Africa for young people with a focus on young women and girls in Botswana

    This review focuses on the major factors that drive HIV infection and explores interventions that have demonstrated effectiveness, as well as illustrating important learnings for programme development. Findings inform understanding of sex and sexuality in relation to HIV risk and the potentials for interventions in the Botswana context.

  11. A Framework for media engagement on human rights, sexual orientation and gender identity in South Asia: Regional framework, literature review and country case studies

    A Framework for Media Engagement on Human Rights, Sexual Orientation and Gender Identity in South Asia: Regional Framework, Literature Review and Country Case Studies provides direction for how men who have sex with men (MSM) and transgender communities should engage with the media, and how the media itself should leverage its influence to reduce stigma and discrimination, educate and raise awareness of human rights issues, and support strategies and programmes that improve the political, social and legal environments for MSM and transgender people in South Asia. …

  12. Off Label: AIDS Review 2012

    In this Review – Off label – the experience of participants in a microcode trial is analysed, operating from the idea that “as condoms and gels are employed (or not employed) in people’s everyday lives, these technologies acquire their own unique signification. In some cases, these meanings could be quite different to those intended by health care professionals”. …

  13. Addressing cross-generational sex: A desk review of research and programs

    Current interest in cross-generational sex is largely due to the feminization of the HIV and AIDS epidemic. Young women 15-24 years of age in sub-Saharan Africa are three times more likely to be infected with HIV than young men of the same age, four times more likely in Zambia, and a staggering five times more likely in Zimbabwe. But, in fact, ministries of education and others have had curricula and materials addressing the “sugar daddy” phenomenon for many years. …

  14. Integration of HIV/AIDS studies into the comprehensive university undergraduate curriculum: a strategy to eliminate infection among students

    In South Africa, first year university students are vulnerable and at a high risk, of HIV infection the other group need immediate intervention because they might be sexually active and have established patterns of risky sexually behaviour. The number of students infected with HIV/ AIDS-related illness is increasing and this affects institution negatively. The purpose of this phenomenological study was to examine whether the integration of HIV/AIDS into the curriculum can reduce or minimise the infection rate among students. …

  15. Can money prevent the spread of HIV? A review of cash payments for HIV prevention

    Cash payments to improve health outcomes have been used for many years; however, their use for HIV prevention is new and the impact not yet well understood. We provide a brief background on the rationale behind using cash to improve health outcomes, review current studies completed or underway using cash for prevention of sexual transmission of HIV, and outline some key considerations on the use of cash payments to prevent HIV infections. We searched the literature for studies that implemented cash transfer programs and measured HIV or HIV-related outcomes. …

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