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UNESCO HIV and Health Education Clearinghouse

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  1. Interventions to prevent sexually transmitted infections, including HIV, among young people in low- and middle-income countries: a systematic review of the published and gray literature

    Sexually transmitted infections (STIs), including HIV, are prevalent among adolescents and can have lasting adverse health consequences. The objective of this review is to identify high-quality interventions and evaluations to decrease STI transmission and related risky behaviors among young people in low- and middle-income countries. PubMed, Embase, PsycInfo, Cinahl Plus, Popline, and the Cochrane Databases were searched without language limitations for articles published through November 2015. Gray literature was searched by hand. …

  2. School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents (Review)

    Background: School-based sexual and reproductive health programmes are widely accepted as an approach to reducing high-risk sexual behaviour among adolescents. Many studies and systematic reviews have concentrated on measuring effects on knowledge or self-reported behaviour rather than biological outcomes, such as pregnancy or prevalence of sexually transmitted infections (STIs). Objectives: To evaluate the effects of school-based sexual and reproductive health programmes on sexually transmitted infections (such as HIV, herpes simplex virus, and syphilis), and pregnancy among adolescents.

  3. Policies for sexuality education in the European Union: note

    The note evaluates the state of play of the provision of sexuality education in the context of schooling and in the context of family planning facilities in 24 European Union Member States. The note compares the situation in the Member States and gives an overview of the points of reflection in relation to sexual and reproductive health and rights.

  4. The case for addressing gender and power in sexuality and HIV education: a comprehensive review of evaluation studies

    CONTEXT: Curriculum-based sexuality and HIV education is a mainstay of interventions to prevent STIs, HIV and unintended pregnancy among young people. Evidence links traditional gender norms, unequal power in sexual relationships and intimate partner violence with negative sexual and reproductive health outcomes. However, little attention has been paid to analyzing whether addressing gender and power in sexuality education curricula is associated with better outcomes. …

  5. Community-academic partnerships in HIV-related research: a systematic literature review of theory and practice

    Introduction: Community involvement in HIV research has increased over recent years, enhancing community-academic partnerships. Several terms have been used to describe community participation in research. Clarification is needed to determine whether these terms are synonymous or actually describe different research processes. In addition, it remains unclear if the role that communities play in the actual research process follows the recommendations given in theoretical frameworks of community-academia research. …

  6. In or Out? Asia-Pacific review of young key populations in national AIDS strategic plans

    To better understand how countries are tackling the HIV epidemic among young key populations, a number of agencies agreed to partner to investigate how these groups were being addressed in national AIDS strategic plans in the Asia-Pacific region. This report is the outcome of this effort, and aims to inform country-based reviews and progress reports of current NSPs, and the development of future plans with greater attention to these populations. …

  7. Effective approaches for programming to reduce adolescent vulnerability to HIV infection, HIV risk, and HIV-related morbidity and mortality: A systematic review of systematic reviews

    Background: In 2012, an estimated 2.1 million adolescents were living with HIV. Though there are effective interventions to prevent and treat HIV infection, adolescents face specific barriers in accessing them. As a result, new infections and poor outcomes among HIV-infected adolescents are common. HIV programming for adolescents should focus on interventions of proven effectiveness and address underlying factors driving incidence and lack of effective treatment and care in this age group. …

  8. Effectiveness of HIV prevention for youth in sub-Saharan Africa: systematic review and meta-analysis of randomized and nonrandomized trials

    Objective: Systematically assess the effectiveness of HIV-prevention interventions in changing sexual behaviour of young people (10–25 years) in sub-Saharan Africa. Methods: Three online databases were searched using prespecified terms. Additional articles were identified on websites of international organizations and by searching bibliographies. Randomized and nonrandomized trials of interventions aiming to reduce risk behaviour were included as well as single-arm studies reporting effects of differential exposure to an intervention. …

  9. Linking sexual and reproductive health and HIV interventions: a systematic review

    Background: The international community agrees that the Millennium Development Goals will not be achieved without ensuring universal access to both sexual and reproductive health (SRH) services and HIV/AIDS prevention, treatment, care and support. Recently, there has been increasing awareness and discussion of the possible benefits of linkages between SRH and HIV programmes at the policy, systems and service delivery levels. However, the evidence for the efficacy of these linkages has not been systematically assessed. …

  10. Mobile phone applications for the care and prevention of HIV and other sexually transmitted diseases: A review

    Background: Mobile phone applications (apps) provide a new platform for delivering tailored human immunodeficiency virus (HIV) and sexually transmitted disease (STD) prevention and care. Objective: To identify and evaluate currently available mobile phone apps related to the prevention and care of HIV and other STDs. Methods: We searched the Apple iTunes and Android Google Play stores for HIV/STD-related apps, excluding apps that exclusively targeted industry, providers, and researchers. …

  11. 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. …

  12. Preventing HIV among sex workers in sub-Saharan Africa: a literature review

    The main focus of this report is to review the risk factors for HIV among sex workers in sub-Saharan Africa, and the interventions that have been successfully implemented in this region. The report suggests components of a health sector response necessary for accelerating prevention of HIV and other STIs among sex workers and their clients. The report, its findings and recommendations are based on a review of the available published evidence. Information is presented in three major sections. …

  13. Awareness and knowledge of sexually transmitted diseases (STDs) among school-going adolescents in Europe: a systematic review of published literature

    This systematic review looks at levels of STI awareness, knowledge and perceived risk of school-going adolescents in Europe. Fifteen studies were included, all of which cross-sectional and conducted among 13 to 20 year olds. Awareness and knowledge varied depending on gender. Awareness on HIV/AIDS was high (over 90%) but low for HPV (5.4%-66%). While knowledge that condoms protect against STIs was high, adolescents viewed it as an interim contraception method before using the pill. In this study, knowledge did not translate into safer sex behavior change. …

  14. 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. …

  15. What works for women and girls: evidence for HIV/AIDS interventions

    The purpose of www.whatworksforwomen.org is to compile and summarize the base of evidence to support successful interventions in HIV programming for women and girls. National AIDS programs, government ministries, implementing partners, donors, civil society groups and others need an easy-to-understand format for identifying what works for women. …

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