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UNESCO HIV and Health Education Clearinghouse

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  1. National strategic plan for most at risk populations 2011-2015

    The Ghana Most At Risk Population strategy 2011-2015 has been developed to provide a framework for the implementation of a comprehensive package of services designed specifically to reach four MARP subgroups, Female Sex Workers (FSW), Men who have Sex with Men (MSM), Injecting Drug Users (PWID) and Prisoners. The goal of the strategy is to reach 80% of all identified MARP by 2015 with a comprehensive package of HIV prevention, protection, treatment, care and support service that is evidence based, accessible and acceptable to the specific groups. …

  2. Rapid assessment most-at-risk adolescents and young people to HIV in Lao PDR

    The Lao People’s Democratic Republic (Lao PDR) has a 'latent' HIV epidemic, with rates of HIV estimated at just 0.2 per cent of the total population aged between 15-49 years of age. However, because of its location in the heart of the Mekong, surrounded by countries with high rates of HIV in concentrated epidemics, Lao PDR is believed to be "in danger of an expanding epidemic". More than 50 per cent of the population of Lao PDR is below the age of 20 and adolescents and young people engaged in highrisk behaviour for HIV are an emerging priority across Asia and the Pacific. …

  3. 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. …

  4. 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. …

  5. Bisexual behavior among Chinese young migrant men who have sex with men: implications for HIV prevention and intervention

    The authors analyzed data from 307 Chinese young migrant men who have sex with men (MSM) in Beijing to examine bisexual behavior and the associated socio-demographic and behavioral factors. Twenty-seven percent of the MSM were also concurrently engaged in sexual behavior with women (MSMW). Among MSMW, 8.4% were infected with HIV, and 10.8% with syphilis, compared to 4.9% and 23.7%, respectively, among men who have sex with men only (MSM-only). …

  6. Young People Most at Risk for HIV/AIDS

    Attention paid to adults most at risk for HIV/AIDS - people who sell sex, those who inject drugs, and men who have sex with men (MSM) - is growing. Unfortunately, the particular needs of young people (ages 10 to 24) in these groups have drawn little focus. Young people who are most at risk for infection with HIV are among society’s most marginalized groups. In most cultures, the prevailing reaction to behavior linked to high risk of HIV infection is to try to prevent and punish it. Programs that aim to reduce harm provoke opposition, because they seem to tolerate or enable illegal behavior. …

  7. Reducing sexual risk taking behaviors among adolescents who engage in transactional sex in post-conflict Liberia

    Transactional sex (TS) has been correlated with HIV/STD infection, pregnancy, early marriage, and sexual violence in sub-Saharan Africa (SSA). Few Western-based HIV prevention programs adapted for SSA have examined intervention impacts for this group. This article examines whether an HIV prevention intervention, delivered to sixth-grade students in Liberia (age range 14–17) and found to increase condom use and other mediators for the larger sample, significantly impacted sexual behaviors and mediators for those who engaged in TS. …

  8. Jamaican Mothers' Influences of Adolescent Girls' Sexual Beliefs and Behaviors

    The purpose of this study was to identify the ways in which urban Jamaican mothers influence their adolescent daughters' sexual beliefs and behaviors in order to incorporate them into the design of a family-based, HIV risk-reduction intervention program. Focus groups were conducted with forty-six 14- to 18-year-old adolescent girls and 30 mothers or female guardians of adolescent girls recruited from community-based organizations in and around Kingston and St. Andrew, Jamaica. Separate focus groups were held with mothers and daughters; each included 6 to 10 participants. …

  9. Individual and community-level tolerance of spouse abuse and the association with the circumstances of first sex among youth from six sub-Saharan African countries

    Youth who engage in early and premarital sex are at risk of HIV and sexually transmitted infections. Most prevention programs ignore the mediating influence of the threat and experience of violence on these outcomes. Using nationally representative data from Lesotho, Malawi, Zimbabwe, Kenya, Tanzania, and Uganda, the autors used multivariate analyses to examine the association between individual- and community-level tolerance of spouse abuse on the age and circumstances of sexual debut among female youth. The youth sample sizes ranged from a high of 5007 in Malawi to a low of 3050 in Lesotho. …

  10. HIV, syphilis infection, and risky sexual behaviors among male university students who have sex with men in Beijing, China: a cross-sectional study

    Young male university students who have sex with men are at high risk of HIV and sexually transmitted infections (STIs). The authors conducted a cross-sectional survey to assess the prevalence of risky sexual behaviors, HIV, and syphilis among male university students who have sex with men in Beijing, China; and to identify risk factors for unprotected anal intercourse (UAI). Among 157 study participants, HIV and syphilis prevalence were 2.5% and 7.0%, respectively. The authors found a high prevalence of UAI in the study population. …

  11. Self-reported sexual behaviour among adolescent girls in Uganda: reliability of data debated

    The objective of this study was to compare self-reported information about sexual behavior in a research interview to information retrieved during a clinical consultation. Social workers interviewed 595 sexually experienced women below 20 years about genital symptoms and sexual behavior. A midwife interviewed and examined the women and took vaginal samples for gonorrhea and chlamydia. Four questions were embedded in both the social workers' interviews and among the midwife's questions. …

  12. HIV among out-of-school youth in Eastern and Southern Africa: a review

    The overall decline of the HIV epidemic in Sub-Saharan Africa conceals how the HIV burden has shifted to fall on areas that have been more difficult to reach. This review considers out-of-school youth, a category typically eluding interventions that are school-based. Our review of descriptive studies concentrates on the most affected region, Southern and Eastern Africa, and spans the period between 2000 and 2010. …

  13. Adolescents' perceptions of sexual coercion in Uganda

    In Uganda, HIV prevalence remains high with young people at higher risk of infection than adults. Much is known about the sexual risk factors for HIV transmission among youths, including sexual encounters that are coerced. On the other hand, relatively little is known about the barriers to preventing sexual coercion and what strategies may overcome those barriers with adolescents. …

  14. Addressing the needs of young men who have sex with men, APCOM Policy Brief

    This APCOM policy brief presents evidence on the vulnerability of young MSM, particularly with regard to HIV & AIDS. It highlights the gaps in strategic information in the region, particularly for young transgender people. It encourages countries to strengthen health promotion programmes for high-risk youth, while ensuring appropriate services for those who are HIV-positive. The brief calls on countries to engage young MSM and transgender people in national AIDS response, and to review and challenge laws criminalising sex between men.

  15. Alcohol and Its Effect on Young People's Reproductive and Sexual Health

    Young people are exposed to alcohol at many levels in society, particularly through advertising and peer pressure. As a result, harmful drinking habits are on the rise among adolescents and other youth. This brief describes the consequences of alcohol use on young people’s sexual and reproductive health. It also addresses policies and programs aimed at reducing alcohol use and its negative consequences among young people as well as programmatic responses to alcohol use and abuse.

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