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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. HIV infection and sexual risk behaviour among youth who have experienced orphanhood: systematic review and meta-analysis

    Background: Previous research has suggested that orphaned children and adolescents might have elevated risk for HIV infection. We examined the state of evidence regarding the association between orphan status and HIV risk in studies of youth aged 24 years and younger. Methods: Using systematic review methodology, we identified 10 studies reporting data from 12 countries comparing orphaned and non-orphaned youth on HIV-related risk indicators, including HIV serostatus, other sexually transmitted infections, pregnancy and sexual behaviours. …

  3. HIV prevention for South African youth: which interventions work? A systematic review of current evidence

    South Africa's HIV prevalence among 15-24 year olds is one of the highest in the world. This systematic review looks at the evidence for youth HIV prevention in the country since 2000 and critically assesses interventions across four domains: study design and outcomes; intervention design; thematic focus and HIV causal pathways; and intervention delivery. Eight interventions were included in the review, all similar regarding content and objectives, but with variouis thematic foci, causal pathways, theoretical bases, delivery methods, intensity and duration. …

  4. 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. …

  5. Trends in the burden of orphans and vulnerable children in Zimbabwe: evidence from national household surveys, 1994-2006

    This study assesses trends in the prevalence and status of orphans and vulnerable children (OVC) based on data from 2005-06, 1999, and 1994 Zimbabwe Demographic and Health Surveys (ZDHS). The study examines four categories of OVC - orphans, fostered children, children in households with no adults age 18-59, and children in households with chronic illness or recent death due to chronic illness. …

  6. Umthente Uhlaba Usamila - The second South African youth risk behaviour survey 2008

    The first Youth Risk Behaviour Survey (YRBS) conducted in 2002, was one of the first studies undertaken in South Africa, and possibly in Africa, to establish the prevalence of key risk behaviours affecting the country's youth. …

  7. HIV prevention in young people in sub-Saharan Africa: a systematic review

    This updated review will focus on interventions carried out and/or published from January 2005 - December 2008. Since the first Steady, Ready, Go! (SRG) review was carried out, the results of several major randomized controlled trials of adolescent HIV prevention interventions conducted in Africa have been reported. …

  8. 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. …

  9. Koffi... la rue... le sida

    Koffi... la rue... le sida est une bande dessinée, éditée par l'UNESCO en 2003 dans le cadre du Programme d'Education des Enfants en Situation Difficile. Elle s'adresse avant tout aux éducateurs et aux enfants des rues, particulièrement exposés au VIH/sida en raison de la promiscuité dans laquelle ils vivent et des risques de contraintes sexuelles auxquelles ils sont exposés. Il vise à transmettre des informations objectives et liées aux risques objectifs concrets auxquels les enfants des rues sont confrontés afin de les aider à réduite leur vulnérabilité face au VIH et au SIDA. …

  10. Addressing the needs of young adolescents

    Worldwide, nearly 10 percent of people are ages 10 to 14, and in developing countries, the percentage is often higher (e.g., Uganda, 16 percent).1 Early adolescence marks a critical time of physical, developmental, and social changes. Interventions during early adolescence may be more effective in shaping healthy attitudes and behaviors than in late adolescence, when attitudes and behaviors are more established. Young adolescents are also more likely to still be in school and less likely to have begun sexual activity.

  11. Risk and protection: youth and HIV/AIDS in sub-Saharan Africa

    This report provides a regional overview of adolescents' knowledge of HIV/AIDS and behaviors that put them at risk for or protect them from infection. It also examines the social and economic context of adolescents' lives. All of these factors are fundamental to understanding the progression of the epidemic in Sub-Saharan Africa. …

  12. Socioeconomic disadvantage and unsafe sexual behaviors among young women and men in South Africa

    Recent evidence suggests that the burden of new HIV infections in developing countries is concentrated among young people and females. Even with knowledge of how to protect oneself from infection, such information may not always be usable in daily situations of economic and social disadvantage that characterize the lives of many young people and women in poor countries. …

  13. Intervention Strategies that Work for Youth: Summary of FOCUS on Young Adults - End of program Report

    This paper reports on programs that have helped young people in developing countries practise healthier behaviours, including delaying sexual debut, reducing the number of sexual partners, and increasing the use of methods of preventing pregnancy and sexually transmitted infections (STIs), including HIV/AIDS. It is addressed to program planners, administrators, policymakers, and donors interested in developing evidence-based strategies and programs to promote better health for youth.

  14. Reproductive health in the Sahel. Youth in danger: results of a regional survey in five West African countries

    Cette étude envisage de comprendre l'importance de la sexualité chez les adolescents, l'évolution et les différences de comportement sexuel, les connaissances et attitudes sur la planification familiale et la santé de reproduction et le SIDA, les différences dans l'utilisation des méthodes contraceptives par les adolescentes mariées et les célibataires au cours des 15 dernières années et enfin par les adolescentes mariées et autres femmes mariées. Les résultats de l'étude montrent la complexité, la sensibilité et l'urgence des problèmes qui se posent.

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