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UNESCO HIV and Health Education Clearinghouse

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  1. Lost in transitions: Current issues faced by adolescents living with HIV in Asia Pacific

    Across the Asia Pacific region, adolescents aged 10 – 19 years who are living with HIV face unique challenges as they transition from childhood to adolescence and into adulthood. This report aims to document and capture some of the experiences of adolescents living with HIV as they disclose their HIV status, deal with life-long antiretroviral treatment (ART), move from pediatric to adult health care services, navigate sexuality and relationships and build their independent lives. …

  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. Targeting HIV prevention messaging to a new generation of gay, bisexual, and other young men who have sex with men

    HIV prevention messaging has been shown to reduce or delay high-risk sexual behaviors in young men who have sex with men (YMSM). Since the onset of the HIV/AIDS epidemic, a new generation of YMSM has come of age during an evolution in communication modalities. Because both these communication technologies and this new generation remain understudied, the authors investigated the manner in which YMSM interact with HIV prevention messaging. …

  4. 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. …

  5. Silenced and forgotten: HIV and AIDS agenda setting paper for women living with HIV, sex workers and LGBT individuals in southern African and Indian Ocean states

    The impact of the HIV and AIDS epidemic is felt hardest by the individuals who are infected or affected by the disease, and in particular by individuals who are especially vulnerable to HIV infection due to stigma and discrimination, poverty, a lack of access to education, health and other services that promote HIV awareness. However, the impact of HIV and AIDS goes beyond the individual or household level – it affects nations as a whole. …

  6. Best practices guidance in conducting HIV research with gay, bisexual, and other men who have sex with men (MSM) in rights-constrained environments

    This guidance is jointly developed by UNDP, amfAR’s MSM Initiative, International AIDS Vaccine Initiative (IAVI), and The John Hopkins University-Center for Public Health and Human Rights (JHU-CPHHR). This guidance has been developed for both researchers and community-based organizations in rights-constrained environments. …

  7. Discussion paper: Islam, sexual diversity and access to health services

    At the 2010 Asia Pacific Coalition on Male Sexual Health (APCOM) Board meeting, a working group on Faith, Men who have Sex with Men, Transgender People and HIV was formed to look into the impacts of faith and cultural values on the risks and vulnerability of marginalised populations such as Men who have Sex with Men (MSM) and transgender people. …

  8. I would not consider myself a homophobe: Learning and teaching about sexual orientation in a principal preparation program

    Purpose: The purpose of this study is to analyze the written reflections of aspiring principals in two principal-preparation courses where social justice is at the core of the content and which address sexual orientation as part of the responsibility of a social justice leader. Data Collection: Two instructors in a leadership-preparation program incorporated reflection assignments into their respective social-justice-related courses. One course was offered at the beginning of the program; the other offered at the end. …

  9. 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. …

  10. Experiences from the field: HIV prevention among most at risk adolescents in Central and Eastern Europe and the Commonwealth of Independent States

    In recent years, UNICEF has worked together with national and local authorities and civil society partners in a number of countries in Eastern Europe and Central Asia to develop and implement HIV prevention programmes intended to reduce risks and vul¬nerabilities among most-at-risk adolescents (MARA.) This docu¬ment presents programming experiences from seven countries: Albania, Bosnia and Herzegovina (BiH), Moldova, Montenegro, Romania, Serbia and Ukraine. …

  11. 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. …

  12. 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. …

  13. Working with transgender children and their classmates in pre-adolescence: Just be supportive

    This study documents a school district’s coordinated response to an elementary student’s social transition from a gender variant boy to a female gender expression. Data were gathered through analysis of journal entries, lesson plans, and interviews with the child, guardian, and district personnel. Stakeholders reported a favorable outlook on the transition, particularly in the areas of classroom and school interventions, peer involvement, and maintaining safety for all. The greatest concerns related to communication and language. …

  14. Embracing gay, lesbian, bisexual and transgendered youth in school-based settings

    Youth with invisible challenges constitute a special area of concern for child and youth care workers. Youth struggling with gender and sexual orientation are reported to comprise ten percent of our youth population yet they may often be unknown to teachers and other school personnel. These adolescents face unique challenges in developing their identity and gaining social acceptance. This paper explores the challenges faced by these youth, the consequences of underserving this population and proposes some strategies for improving their educational experience.

  15. Negotiating a research protocol for studying school-based gay and lesbian issues

    The nature of public schooling, particularly at the early and middle childhood levels, makes designing critical qualitative studies around gay and lesbian issues in the school context problematic at best. This article provides a retrospective dialogue between an associate professor and her then Ph.D. candidate advisee that reflects on the tension created as they negotiated through the pitfalls and problems inherent in developing a workable proposal for a gay/lesbian school-based study. …

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