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UNESCO HIV and Health Education Clearinghouse

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  1. Between tradition and modernity: girls’ talk about sexual relationships and violence in Kenya, Ghana and Mozambique

    This paper interrogates the influence of a tradition-modernity dichotomy on perspectives and practices on sexual violence and sexual relationships involving girls in three districts of Kenya, Ghana and Mozambique. Through deploying an analytical framework of positioning within multiple discursive sites, the authors argue that although the dichotomy misrepresents the complexity of contemporary communities, it is nonetheless deployed by girls, educational initiatives and researchers in their reflections on girls’ sexual practices and sexual violence. …

  2. Assessing school climate towards sustainable learning for all in Sub-Saharan Africa: Perspectives from unstable health to school-related gender-based violence (SRGBV)

    The objective of the current study is to explore the use of Rasch scaling technique to construct a Perceived School Disorder Index (PSDI) in order to see if there are ‘stages’ of evolution in a school climate. More specifically, the research questions for the current study are: Which items constitute the PSDI in Sub-Saharan African countries? What profile of behavioural problems are likely to emerge at different stages of the school climate? What were boys’ and girls’ learning outcomes at each stage of the school climate?

  3. Policy analysis and advocacy decision model for services for key populations in Kenya

    From 2010–2012, the global Health Policy Project (funded by the United States Agency for International Development), in partnership with African Men for Sexual Health and Rights (AMSHeR), developed Policy Analysis and Advocacy Decision Model for HIV-Related Services: Males Who Have Sex with Males, Transgender People, and Sex Workers (Beardsley K., 2013), hereafter referred to as the Decision Model. …

  4. Violence in primary schools in Southern and Eastern Africa: Some evidence from SACMEQ

    Special attention was given to the issues related to school violence in the studies conducted by a consortium known as Southern and Eastern Africa Consortium for Monitoring Educational Quality (SACMEQ). These issues were included in the form of research questions which sought information on pupils’ and teachers’ behavioural problems at the primary school level. This paper addresses the following three research questions: (1) What were the changes in the perceived occurrence of school violence in SACMEQ school systems between 2000 and 2007? …

  5. Youth in a void: sexuality, HIV/AIDS and communication in Kenyan public schools

    The disappearance of traditional sex education during rites of passage in African societies has left many youth uncertain of where to look for information. Against this backcloth, the objectives of this study were to identify knowledge gaps amongst adolescents in Kenya regarding sexuality, HIV/AIDS and reproductive health. A thematic analysis was conducted of questions posed by 735 school youth aged 12–18 years from Meru and Kajiado Districts. Results show that many questions showed curiosity and anxiousness. …

  6. The global HIV epidemics among sex workers

    Since the beginning of the epidemic sex workers have experienced a heightened burden of HIV across settings, despite their higher levels of HIV protective behaviors (UNAIDS, 2009). By gaining a deeper understanding of the epidemiologic and broader policy and social context within which sex work is set one begins to quickly gain a sense of the complex backdrop for increased risk to HIV among sex workers. …

  7. 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). …

  8. Documenting human rights Violations of sex workers in Kenya: a study conducted in Nairobi, Kisumu, Busia, Nanyuki, Mombasa and Malindi

    This study investigates the human rights violations experienced by women sex workers in Kenya. This research found that these women have no way to claim their individual human rights under the current operating laws and policy framework. They are unable to keep themselves safe as they seek to support themselves and their families because they are relentlessly subject to police harassment, arrest and abuse. Furthermore, because sex work is viewed as an 'immoral activity' rather than as a form of labour, many in society believe that sex workers deserve to be punished for what they do. …

  9. I expect to be abused and I have fear: Sex workers' experiences of human rights violations and barriers to accessing healthcare in four African countries

    This report documents human rights violations experienced by female, male and transgender sex workers in four African countries (Kenya, Uganda, South Africa and Zimbabwe), and describes barriers they face to accessing health services. Through cross-country comparison and documenting sub-regional trends, the study moves beyond previous often-localised descriptions of violations against sex workers in Africa. The study also fills information gaps about violations in male and transgender sex workers in this setting.

  10. Gender-based violence in sub-Saharan Africa: a review of demographic and health survey findings and their use in national planning

    Gender-based violence (GBV) is a pervasive human rights issue with public health consequences. The growing body of evidence on violence and HIV/AIDS continues to confirm that violence is a lead factor in the 'feminization' of the global AIDS epidemic and the disproportionately higher rates of HIV-infection among women and girls, who now represent at least half of those infected worldwide and about 60% of those infected in sub-Saharan Africa. The main purposes of this desk review are to: 1. …

  11. Making it work: linking youth reproductive health and livelihood

    The report presents the result of an analysis of linked programmes. The objectives of the analysis was to assess the challenges and potential effectiveness of programmes integrating adolescent reproductive health and livelihoods, highlight innovative approaches, and define gaps that exist in designing interventions. Assessment of selected programmes was carried out in India, Colombia and Kenya.

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