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UNESCO HIV and Health Education Clearinghouse

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  1. The unfinished nature of rights-informed HIV- and AIDS-related education: an analysis of three school-based initiatives

    Over the past 25 years, there has been growing investment in concepts of rights in the areas of HIV prevention, care and treatment, including HIV- and AIDS-related education delivered in schools. Despite this increasing commitment to the notion of rights, few efforts appear to have been made to understand the varying conceptions of rights that underpin different kinds of initiatives. …

  2. Lessons learned from a review of interventions for adolescent and young key populations in Asia Pacific and opportunities for programming

    BACKGROUND: Over a third of new HIV infections globally are among 15-24 year-olds and over 20% among adolescents aged 10-19 years in Asia Pacific. The review was initiated to identify interventions in the region with demonstrated or potential impact for adolescent and young key populations (YKP) looking at the role of individual and structural factors in accessibility and delivery. The review is a component of a more comprehensive review undertaken by UNICEF and partners in the region. METHODS:This was a desk review of over 1000 articles, and 37 were selected. …

  3. Peer-based education and the integration of HIV and sexual and reproductive health services for young people in Vietnam: Evidence from a project evaluation

    Introduction: This paper reports changes in behavioral outcomes related to the use of HIV testing service of a project that employed peer-based education strategies and integration of HIV voluntary counseling and testing (VCT) and Sexual and Reproductive Health (SRH) services targeting young people aged 15–24 across 5 provinces in Vietnam. Methods: A pre-test/post-test, non-experimental evaluation design was used. …

  4. Sex and HIV education programs: Their impact on sexual behaviors of young people throughout the world

    This paper reviews 83 studies that measure the impact of curriculum-based sex and HIV education programs on sexual behavior and mediating factors among youth under 25 years anywhere in the world. Two thirds of the programs significantly improved one or more sexual behaviors. The evidence is strong that programs do not hasten or increase sexual behavior but, instead, some programs delay or decrease sexual behaviors or increase condom or contraceptive use. …

  5. Young people's experiences in youth-led participatory action research for HIV/AIDS prevention

    As part of a project in the UNICEF-initiated “What every adolescent has a right to know” (RTK) program, qualitative interviews were conducted with youth (13 to 21 years of age) who were reached through a youth-led participatory action research (PAR) project. The interviews were conducted with both urban and rural participants in a Caribbean country where potential exposure to HIV/AIDS represents a significant threat to young people’s health. The purpose of the study was to examine how a truly youth organized PAR effort was perceived by the adolescents who were reached through the project. …

  6. 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. …

  7. Adolescent pregnancy and associated factors in South African youth

    Background: Adolescent pregnancy, occurring in girls aged 10–19 years, remains a serious health and social problem worldwide, and has been associated with numerous risk factors evident in the young people’s family, peer, school, and neighbourhood contexts. Objective: To assess the prevalence of adolescent pregnancy and associated factors in the South African context, as part of a population-based household survey that formed part of an evaluation of the impact of loveLife, South Africa’s national HIV prevention campaign for young people. …

  8. HIV prevention for rural youth in Nigeria: Background overview

    The negative impact of the HIV/AIDS epidemic has been a major challenge to sub-Saharan Africa. Although the rate of new HIV infections in sub-continent has decreased, the total number of people living with HIV continues to rise. Most of the people infected with HIV/AIDS in sub-Saharan Africa are within the age bracket of 15 to 35 years. It has been estimated that about 80% of the infected group are aged 20-29 years. …

  9. Lesbian, gay and bisexual citizenship: a case study as represented in a sample of South African life orientation textbooks

    Over the past two decades, sexual citizenship has emerged as a new form of citizenship coupled with increased interest in the challenges to citizenship and social justice faced by lesbian, gay, bisexual, transgender and intersex (LGBTI) people and, in particular, by sexual minority youth within education systems. In South Africa, the rights of LGBTI people have been institutionalized by legislation, and research has begun to consider how educators may facilitate a more inclusive school environment for LGBTI youth. …

  10. Making HIV prevention programming count: identifying predictors of success in a parent-based HIV prevention program for youth

    Predictors of change in the number of sexual topics parents discussed and responsiveness during sex communication with their preadolescent after participating in a five-session sexual risk reduction intervention for parents were examined. Data were from 339 African American parents of preadolescents enrolled in the intervention arm of a randomized-controlled trial of the Parents’ Matter! Program (PMP). …

  11. Effectiveness of a peer-led HIV prevention intervention in secondary schools in Rwanda: results from a non-randomized controlled trial

    While the HIV epidemic is levelling off in sub-Saharan Africa, it remains at an unacceptably high level. Young people aged 15-24 years remain particularly vulnerable, resulting in a regional HIV prevalence of 1.4% in young men and 3.3% in young women. This study assesses the effectiveness of a peer-led HIV prevention intervention in secondary schools in Rwanda on young people’s sexual behavior, HIV knowledge and attitudes. In a non-randomized longitudinal controlled trial, fourteen schools were selected in two neighboring districts in Rwanda Bugesera (intervention) and Rwamagana (control). …

  12. Evaluation of an AIDS education programme for young adults

    The aim of this randomized, pre-post test study was to evaluate the impact of AIDS education programs (Streetwize UK) on adolescents. Participants were identfied from six youth training centers in Nottingham, England. The participants were aged 16-19 years and each centre ws randomly allocated to experimental (n=173) or control (n=164) group. Sixty-six percent of the sample was sexually active. No differences were observed between groups at pre-test. …

  13. A process evaluation of the scale up of a youth-friendly health services initiative in northern Tanzania

    The authors conducted a process evaluation of the 10-fold scale-up of an evaluated youth-friendly services intervention in Mwanza Region, Tanzania, in order to identify key facilitating and inhibitory factors from both user and provider perspectives. The intervention was scaled up in two training rounds lasting 6 and 10 months. …

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