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UNESCO HIV and Health Education Clearinghouse

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  1. HIV and adolescents: focus on young key populations

    Adolescents and young adults are at increased risk for HIV due to the many developmental, psychological, social, and structural transitions that converge in this period of the lifespan. In addition, adolescent deaths resulting from HIV continue to rise despite declines in other age groups. There are also young key populations (YKPs) that bear disproportionate burdens of HIV and are the most vulnerable, including young men who have sex with men (MSM), transgender youth, young people who inject drugs, and adolescent and young adult sex workers. …

  2. Scaling Up the Continuum of Care for People Living with HIV in Asia and the Pacific: A Toolkit for Implementers

    The Continuum of Care (CoC) Toolkit offers guidance based on experiences with the CoC in diverse settings across the Asia-Pacific Region that will assist planners and managers to establish or strengthen their own CoCs. This Toolkit, which is structured in seven sections, provides ideas, strategies, procedures and tools for CoC managers to create networks that link care, treatment and support services for HIV in their own localities according to their own unique needs. …

  3. 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. …

  4. HIV prevention among vulnerable populations: the Pathfinder International approach

    This publication provides a background in the risks faced by populations especially vulnerable to HIV and AIDS. The document outlines strategies effective in prevention of HIV and AIDS among sex workers, men who have sex with other men, and injecting drug users. Programs described include peer education, comprehensive health services and quality of treatment, provider referral networks, and in-service training and sensitization.

  5. Recomendações para a atenção integral a adolescentes e jovens vivendo com HIV/Aids

    A epidemia de aids entre adolescentes e jovens, ao longo dos últimos 30 anos, mantém-se como um desafio para os profissionais de saúde, tanto no campo da prevençăo de novos casos, como no campo do tratamento, especialmente em funçăo da tendęncia ao aumento da prevalęncia da infecçăo pelo HIV na populaçăo jovem. …

  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. Gender violence and HIV: Perceptions and experiences of violence and other rights abuses against women living with HIV in the Eastern Cape, KwaZulu Natal and Western Cape, South Africa

    The AIDS Legal Network (ALN), in collaboration with Her Rights Initiative (HRI), South Africa Positive Women Ambassadors (SAPWA), South Africa Partners, and the Mitchell’s Plain Network Opposing Abuse, engaged in a study to assess perceptions and experiences of violence and other rights abuses against women living with HIV. …

  8. Regional issues brief: Children, HIV and the law

    This regional issues brief was prepared for the Africa Regional Dialogue of the Global Commission on HIV and the Law which took place on 4 August 2011 in Pretoria, South Africa. The brief examines legal responses to children and HIV in Africa including: Prohibiting discrimination; Access to treatment; Access to sexual and reproductive rights; Access to HIV information and education; Access to harm reduction measures; Guardianship, property rights and social protection.

  9. Facilitating HIV testing, care and treatment for orphans and vulnerable children aged five years and younger through community-based early childhood development playcenters in rural Zimbabwe

    Early diagnosis of children living with HIV is a prerequisite for accessing timely paediatric HIV care and treatment services and for optimizing treatment outcomes. Testing of HIV-exposed infants at 6 weeks and later is part of the national prevention of mother to child transmission (PMTCT) of HIV programme in Zimbabwe, but many opportunities to test infants and children are being missed. …

  10. HIV prevalence among high school learners - opportunities for schools-based HIV testing programmes and sexual reproductive health services

    Young girls in sub Saharan Africa are reported to have higher rates of human immunodeficiency virus (HIV) infection compared to boys in the same age group. Knowledge of HIV status amongst high schools learners provides an important gateway to prevention and treatment services. This study aimed at determining the HIV prevalence and explored the feasibility of HIV testing among high school learners. Between September 2010 and February 2011, a linked, anonymous cross-sectional survey was conducted in two public sector high schools in the rural KwaZulu-Natal midlands. …

  11. UNAIDS guidance note on HIV and sex work

    This Guidance Note has been developed to provide the UNAIDS Cosponsors and Secretariat with a coordinated human-rights-based approach to promoting universal access to HIV prevention, treatment, care and support in the context of adult sex work. Sound, evidence-informed measures to address sex work constitute an integral component of an effective, comprehensive response to HIV. The Guidance Note provides clarification and direction regarding approaches by the Joint United Nations Programme on HIV/AIDS to reduce HIV risk and vulnerability in the context of sex work. …

  12. Rapid psychosocial function screening test identified treatment failure in HIV+ African youth

    Psychosocial dysfunction in older children and adolescents is common and may lead to nonadherence to HIV treatments. Poor adherence leads to HIV treatment failure and the development of resistant virus. In resource-limited settings where treatment options are typically limited to only one or two available lines of therapy, identification of individuals at highest risk of failure before failure occurs is of critical importance. …

  13. Universal Access for Women and Girls: Accelerating Access to HIV Prevention, Treatment, Care and Support for Female Sex Workers and Wives of Migrant Men

    As part of a global initiative to improve women’s access to HIV prevention and treatment services, ICRW implemented a research study to expand the evidence base on access to services for two key populations in India: female sex workers in Pune, Maharashtra and wives of migrant men in Ganjam, Orissa. The main objectives of the research study were to explore barriers to HIV services experienced by the study populations, and based on the findings, to identify entry points for improving HIV services among women in India more broadly.

  14. Young People Living with HIV Around the World: Challenges to health and well-being persist

    Around the world, 5 million young people are living with HIV. Most live in the Global South in countries that lack the resources to meet their needs. They face widespread stigma in a world that still often misunderstands HIV and fears or blames those who have it – and the majority of HIV-positive youth are women, placing them at an even greater societal disadvantage in many countries. This brief provides an overview of HIV-positive youth: who is infected, treatment options and challenges, needs of positive youth, stigma and programs.

  15. Guideline in HIV disclosure counselling for children up to 12 years of age

    The World Health Organization (WHO) has developed guidance for health care workers on how to support children up to 12 years of age and their caregivers with disclosure of HIV status. Health care workers (HCWs) know that disclosure decisions are complex because of stigma, social support concerns, family relations, parenting skills and concern about children’s emotional and maturational ability to understand and cope with the nature of the illness. …

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