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UNESCO HIV and Health Education Clearinghouse

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  1. Deadly Delay: South Africa's Efforts to Prevent HIV in Survivors of Sexual Violence

    This 73-page report documents how government inaction and misinformation from high-level officials have undermined the effectiveness of South Africa’s program to provide rape survivors with post-exposure prophylaxis (PEP) — antiretroviral drugs that can reduce the risk of contracting HIV from an HIV-positive attacker.

  2. Women and girls and HIV/AIDS in Ethiopia

    This document is an assessment of the policy and legal framework protecting the rights of women and girls in Ethiopia and reducing their vulnerability to HIV/AIDS UNFPA has commissioned this study as part of its HIV/AIDS and gender development program. The overall objectives of the study were to: 1. identify gaps in the existing policies and legal frameworks, and offer concrete recommendations to fill the gaps; 2. document the existing policies and legal frameworks, together with references to international instruments; 3. …

  3. 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. …

  4. The policy and legal framework protecting the rights of women and girls in Ethiopia and reducing their vulnerability to HIV/AIDS: an advocacy toolkit

    This document focuses on the protection of the rights of women and girls In Ethiopia, that may have a relevance to addressing the vulnerability of women and girls to HIV/AIDS. It provides key recommendations to fill the gaps in the policy and and legal framework as well as recommendations towards better enforcement of the existing laws protecting the rights of women and girls.

  5. 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. …

  6. A Win for Women is a Win for All

    UNDP is leading a UNAIDS and UNIFEM interagency initiative “Universal Access Now!” to accelerate universal access to HIV prevention, treatment, care and support for women and girls in countries where women are most affected by HIV. This is the third update on this initiatives which focuses on human rights aspects and draws out early lessons learned from the initiative.

  7. Women's empowerment and choice of contraceptive methods in selected African countries

    Few studies have examined the different dimensions of women's empowerment and contraceptive use in African countries. Data for this study came from the latest round of Demographic and Health Surveys conducted between 2006 and 2008 in Namibia, Zambia, Ghana and Uganda. Responses from married or cohabiting women ages 15–49 were analyzed for six dimensions of empowerment and the current use of female-only methods or couple methods. Bivariate and multivariate multinomial regressions were used to identify associations between the empowerment dimensions and method use. …

  8. 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. …

  9. Transactional sexual relationships, sexually transmitted infection risk, and condom use among young Black Women in peri-urban areas of the Western Cape Province of South Africa

    This study evaluated the relationship between having a history of transactional sexual relationships with condom use and STI risk. Participants completed a behavioral questionnaire and provided self-collected vaginal swabs which were tested for chlamydia trachomatis, neisseria gonorrhea, and trichomonas vaginalis. Multinomial logistic regression was used to compare condom use rates and STI risk among women with a history of transactional sexual relationships to women with a history of casual sexual relationships and those with no history of casual sexual relationships. …

  10. They arrested me for loving a schoolgirl: ethnography, HIV, and a feminist assessment of the age of consent law as a gender-based structural intervention in Uganda

    In 1990 women's rights activists in Uganda successfully lobbied to amend the Defilement Law, raising the age of sexual consent for adolescent females from fourteen to eighteen years old and increasing the maximum sentence to death by hanging. The amendment can be considered a macro-level intervention designed to address the social and health inequalities affecting young women and girls, particularly their disproportionately high rate of HIV as compared to their male counterparts. …

  11. 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. …

  12. Movie: Into the hands of women

    Fulaas is one of our community based distributors. He’s also a volunteer. This film follows him as he dispenses family planning advice and contraceptives to villagers in Oromo, Ethiopia. Without Fulaas, and others like him, there would be very little access to contraception in rural Ethiopia. Development depends on getting the right supplies - contraceptives, condoms, medicines, and equipment – to the people who need them most. And that depends on our volunteers. They are part of the largest voluntary organization in sexual and reproductive health and rights. …

  13. Assessing knowledge, attitude, and practice of emergency contraception: a cross-sectional study among Ethiopian undergraduate female students

    The importance of Emergency contraception (EC) is evident in preventing unintended pregnancies and its ill consequences like unintended child delivery or unsafe abortion, which are the most common causes of maternal mortality. Knowing that Ethiopia is one of the countries with highest maternal mortality rate, this study aimed to assess the knowledge, attitude and practice of EC, and to further elucidate the relationship between these factors and some socioeconomic and demographic characteristics among female undergraduate students of Addis Ababa University. …

  14. Decline in HIV Prevalence among Young Women in Zambia: National-Level Estimates of Trends Mask Geographical and Socio-Demographic Differences

    A decline in HIV incidence has been reported in Zambia and a number of other sub-Saharan countries. The trend of HIV prevalence among young people is a good marker of HIV incidence. In this study, different data sources are used to examine geographical and sub-population group differentials in HIV prevalence trends among men and women aged 15–24 years in Zambia.

  15. Plan d'action triennal opérationnel de lutte contre la féminisation de l'épidémie du sida et les violences basées sur le genre en RDC (2010-2012)

    La situation générale de l'épidémie du VIH/sida en RDC se caractérise par sa tendance à la féminisation, à la juvénilisation et à la ruralisation. Parmi les déterminants qui favorisent sa propagation figurent l'ignorance des précautions à prendre pour éviter de contracter le virus, l'accès limité aux services de prévention, les conditions de vie difficile, la promiscuité, la précocité des rapports sexuels, le multi partenariat sexuel et la mobilité des populations. …

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