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UNESCO HIV and Health Education Clearinghouse

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  1. Monitoring HIV prevention programme outcomes among key populations in Kenya: findings from a national survey

    In preparation for the implementation of the Kenya AIDS Strategic Framework 2014/15- 2018/19, the Kenya National AIDS and STI Control Programme facilitated a national polling booth survey as part of a baseline assessment of HIV-related risk behaviours among female sex workers, men who have sex with men, and people who inject drugs, and their utilization of existing preventive interventions, as well as structural factors that may influence KPs’ vulnerability to HIV. …

  2. Having sex, becoming somebody: A qualitative study assessing (sexual) identity development of adolescents living with HIV/AIDS

    A growing number of adolescents are living with HIV/AIDS. For their well-being and for prevention, age- and culturally appropriate interventions become increasingly important. This qualitative study was conducted as the first step to develop a sexual and reproductive health (SRH) intervention. The study's objective was to assess the impact of HIV and related contextual conditions on identity formation of adolescents living with HIV/AIDS (ALH) in the domains of physical, cognitive, social, and sexual development. Data were collected using focus group discussions (FGDs). …

  3. Resilience amidst adversity: Being gay and African in the new century

    This report gives an overview of what it means to be gay and African in the early part of the 21st century. Commissioned by The Atlantic Philanthropies and the OTHER Foundation, it also highlights organisations working to improve the situation and the funders supporting such activities. This is not an academic publication. It is meant to provide information about the conditions facing gay people throughout the continent and show that lesbian, gay, bisexual, transgender and intersex (LGBTI) people are often pawns, vulnerable pawns, for those seeking power. …

  4. Education and risky sex in Africa: Unraveling the link between women’s education and reproductive health behaviors in Kenya

    Much research attention has been devoted to understanding the relationship between education and riskier sex-related behaviors and HIV/AIDS in sub-Saharan Africa. While in the early 1990s researchers found that increases in education were associated with a higher incidence of HIV/AIDS, this relationship appears to have reversed and better educated people, especially women, appear less likely to engage in riskier sex-related behaviors and have a lower incidence rate of HIV/AIDS. …

  5. 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. …

  6. Antiretroviral drug access and behavior change

    Access to antiretroviral (ARV) drugs in Sub-Saharan Africa has rapidly expanded - from fewer than 10,000 people treated in 2000 to more than 8 million in 2011. To measure the impact of this expansion, it is necessary to identify the behavioral response of individuals to drug access. This paper combines geocoded information about the timing of introduction of ARVs in all Kenyan health facilities with two waves of geocoded population surveys to estimate the impact of proximity to an ARV provider on risky sexual behavior. …

  7. 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. …

  8. 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. …

  9. 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. …

  10. Exploratory study of the social contexts, practices and risks of men who sell sex in Southern and Eastern Africa

    The aim of the research presented in this report was to explore the social contexts, life experiences, vulnerabilities and sexual risks experienced by men who sell sex in Southern and Eastern Africa, with a focus on five countries; Kenya, Namibia, South Africa, Uganda and Zimbabwe (an in particular with research activities in the Kenya and Namibia). …

  11. Key populations, key responses: a gap analysis for key populations and HIV in South Africa, and recommendations for the National Strategic Plan for HIV/AIDS, STIs and TB (2012-2016)

    In June 2011, South Africa signed the United Nations Political Declaration on HIV/AIDS: Intensifying our Efforts to Eliminate HIV/AIDS which explicitly outlined commitment for all UN member states to address the inadequacy of HIV prevention strategies, focusing on men who have sex with men (MSM), injecting drug users (IDU) and sex workers (SW) and to improve access to HIV prevention, treatment, care and support services for migrant populations. …

  12. 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. …

  13. 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. …

  14. 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. …

  15. Sexual and reproductive health needs of adolescents perinatally infected with HIV in Uganda

    Sexual and reproductive health needs of adolescents perinatally infected with HIV in Uganda is a study implemented jointly by Population Council's Frontiers in Reproductive Health (FRONTIERS) and the AIDS Support Organization (TASO) from Uganda, in 2008. The document addresses the specific sexual and reproductive needs of the adolescents perinatally infected, an increasing population largely forgotten the HIV/AIDS treatment, care, education and support programs. …

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