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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. 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”. …

  3. 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. …

  4. 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. …

  5. Sexuality education: a ten-country review of school curricula in East and Southern Africa

    This collaborative regional curriculum scan, which was conducted in 2011, seeks to assess the content, quality, and delivery methods of sexuality education curricula in ten ESA countries and aims to ensure that the reviews help countries to develop curricula designed to not only increase comprehensive knowledge among young people, but to empower them to adopt protective behaviours, such as refusing unwanted sex, delaying sex, using condoms and testing for HIV. The ten countries included are Botswana, Kenya, Lesotho, Malawi, Namibia, South Africa, Swaziland, Uganda, Zambia and Zimbabwe.

  6. Sexuality education in South Africa: Three essential questions

    Sex education is the cornerstone on which most HIV/AIDS prevention programmes rest and since the adoption of Outcomes-Based Education (OBE), has become a compulsory part of the South African school curriculum through the Life Orientation learning area. However, while much focus has been on providing young people with accurate and frank information about safe sex, this paper questions whether school based programmes sufficiently support the needs of young people. …

  7. A tale of two countries: rethinking sexual risk for HIV among young people in South Africa and the United States

    This paper compares the sexual behaviors of young people in South Africa (SA) and the United States (US) with the aim of better understanding the potential role of sexual behavior in HIV transmission in these two countries that have strikingly different HIV epidemics. Nationally representative, population-based surveys of young people ages 18-24 years from SA (n = 7,548) and the US (n = 13,451) were used. The prevalence of HIV was 10.2% in SA and 1% in the US. …

  8. 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. …

  9. Advancing promising program and research/evaluation practices for evidence-based programs reaching very young adolescents: a review of the literature

    This paper reviews and describes research practices and program interventions addressing the sexual and reproductive health of very young adolescents (VYA) and identifies promising program components and research/evaluation practices. The paper is not exhaustive but serves as a tool for further discussion of what is needed in VYA programming and research

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