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UNESCO HIV and Health Education Clearinghouse

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  1. Evaluating the Kenya Girl Guides Association’s HIV/AIDS Peer Education Program for Younger Youth: Baseline Results

    The Kenya Girl Guide Association (KGGA) and Family Health International (FHI)/Impact began a program, which was developed by PATH, in 1999 to train young Girl Guides as HIV peer educators in their schools. The project aims to improve knowledge and skills related to HIV prevention and care among Girl Guides and their peers. In collaboration with KGGA and FHI/Impact, the Horizons Program is currently conducting a study to evaluate the effectiveness of this intervention model in achieving the objectives of the peer education program. …

  2. Gender Dynamics and Sexual Norms among Youth in Mali in the Context of HIV/AIDS Prevention

    Socially constructed ideas of gender norms and values attached to sexuality need to be considered when aiming to build the young people’s capacity to adopt HIV preventive behaviours. We conducted ten focus groups and sixteen individual interviews to explore sexual norms among youth in Bamako. Premarital sex, multiple partnering, condom use and transactional sex were discussed. The findings suggest that young people’s sexual norms are shaped by kin or authoritative elders as well as by external influences coming from Western culture. …

  3. West African youth initiative: Outcome of a reproductive health education program

    Purpose: To describe the implementation and evaluation of an adolescent reproductive health peer education program in West Africa. The program, known as the West African Youth Initiative (WAYI), was developed to improve knowledge of sexuality and reproductive health, and promote safer sex behaviors and contraceptive use among sexually active adolescents in Nigeria and Ghana. …

  4. High HIV sero-prevalence among students of institutions of higher education in Southeast Nigeria

    Objective: To investigate the prevalence and sexual behavioural dynamics of HIV infection in students of institutions of higher education (IHEs) as a guide to the design of a tailor-made HIV intervention programmes. Methods: A total of 9 709 sexually matured students from five IHEs in Southeast Nigeria aged 19–24 years were recruited to obtain representative data from the institutionalised student population. HIV status was confirmed using enzyme based immuno-assay technique. Demographic and behavioural information were obtained through a structured questionnaire. …

  5. E-discussion - Young people and HIV

    E-discussion questions included: 1.What do you see as the challenges for young people in accessing services such as HIV testing and how can we overcome this? 2.Given that CAFOD’s HIV prevention approach is to give ‘full and accurate information on all forms on the effectiveness and limitations of all means of reducing the risks of HIV infection’ – what challenges does this lead to when working with young people? What HIV prevention work have you or partners done with young people? 3.Where is the best place for young people to access information on HIV and AIDS? …

  6. Policy guidelines and service standards: sexual and reproductive health

    These service standards and guidelines are intended to assist programme managers and providers to expand and improve the quality of services everywhere in the country. Health administrators as well as all providers – i.e. physicians, nurses, counselors and Family Welfare Educators should use them. …

  7. Application of the information, motivation and behavioural skills model for targeting HIV risk behaviour amongst adolescent learners in South Africa

    This paper discusses the application of an information, motivation and behavioural skills (IMB) model in a school-based programme for the reduction of HIV risk behaviour among 259 Grade 11 learners in two high schools in Alexandra township, Johannesburg. School 1 was the Experimental group, while School 2 was the Control group. After a baseline study (Time 1) at both schools, a 3-week intervention programme was conducted at School 1. A post-test (Time 2) was conducted at both schools. The intervention was repeated at School 2, followed by another post-test (Time 3) at both schools. …

  8. Sexual and reproductive health and rights: implications for comprehensive sex education among young people in Uganda

    This paper presents the findings from an explorative study comparing sexual and reproductive health and rights (SRHR) against local realities for young people in Uganda. This was done by analysing statements by Ugandan adolescents extracted from focus group discussions relating to two SRHRs central in this research: (1) the right of young people to complete and accurate information; and (2) the right to self determination. We found discrepancies between these universally formulated rights and the (political, economic and community) context young Ugandans live in. …

  9. Young people today, time to act now: why adolescents and young people need comprehensive sexuality education and sexual and reproductive health services in Eastern and Southern Africa. Summary

    This report is the summary of an in-depth Regional Report into the education and sexual reproductive health status of adolescents and young people in Eastern and Southern Africa. The full report (Young People Today. Time to Act Now) was developed in support of the ESA commitment process, to provide a regional assessment of the current status of HIV and sexuality education and SRH services for adolescents and young people, and to provide an evidence base for discussion related to policy change and programming for adolescents and young people in the Eastern and Southern Africa (ESA) region. …

  10. A review of generalist and specialist community health workers for delivering adolescent health services in sub-Saharan Africa

    The health of adolescents is increasingly seen as an important international priority because the world’s one point eight billion young people (aged 10 to 24 years) accounts for 15.5% of the global burden of disease and are disproportionately located in low- and middle-income countries (LMICs). Furthermore, an estimated 70% of premature adult deaths are attributable to unhealthy behaviors often initiated in adolescence (such as smoking, obesity, and physical inactivity). …

  11. A review of teenage pregnancy in South Africa – experiences of schooling, and knowledge and access to sexual and reproductive health services

    Approximately 30% of teenagers in South Africa report ‘ever having been pregnant’, the majority, unplanned. While this number has decreased over the past few decades, it is still unacceptably high. The figure is for all teenagers. (13-19 years old), but motherhood for an 18 or 19 year old has very different implications than for a young teenager, one aged 15, for example. Therefore this report tries, where possible, to be mindful of differing experiences of pregnancy and motherhood across the teen years. …

  12. Addressing the needs of young people living with HIV: A guide for professionals

    Life skills and sexuality education programmes usually only focus on HIV negative young people. And HIV prevention seems to be the main target of many of such programmes. However, HIV positive youth also need our attention and care. Fact is that worldwide 40% of all new HIV infections are among young boys and girls, while every day 2,500 other young people are infected. To address the specific needs of young people living with HIV (YPLHIV), this practical guide has been developed. …

  13. Out of the box: Queer youth in South Africa today: case study

    This Atlantic-commissioned case study provides a snapshot of what life is like for young lesbian, gay, bi-sexual, transgendered and intersex people (LGBTIs) in South Africa today – 17 years after the Constitution outlawed discrimination based on sexual orientation. It explores if democracy has brought greater tolerance and celebration of diversity for today’s young LGBTIs. …

  14. If I buy the Kellogg’s then he should [buy] the milk: young women’s perspectives on relationship dynamics, gender power and HIV risk in Johannesburg, South Africa

    Ideals of masculinity and femininity may limit South African women's decision making power in relationships and increase their risk of HIV infection. The authors conducted 30 in-depth interviews with 18-24-year-old women in inner-city Johannesburg with the aim of understanding young women's expectations of intimate relationships with men, their perceptions of gender and power and how this influences HIV risk. …

  15. A critical review of the evidence on the effectiveness of HIV/AIDS education programs for youth in Sub-Saharan Africa

    This paper critically examines the evidence from recent experimental design evaluations on the impact of HIV/AIDS prevention through youth education programs in sub-Saharan Africa. It pre-specifies the study inclusion criteria, the search strategy and the methods for summarizing findings. This paper also identifies recurring flaws in the research and suggests several methods for avoiding these shortcomings in future studies. Our initial search produced 139 potential articles for review, but only six met the pre-stated study inclusion criteria. …

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