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UNESCO HIV and Health Education Clearinghouse

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  1. Rising school enrollment and declining HIV and pregnancy risk among adolescents in Rakai district, Uganda, 1994–2013

    Background: Poverty, family stability, and social policies influence the ability of adolescents to attend school. Likewise, being enrolled in school may shape an adolescent’s risk for HIV and pregnancy. We identified trends in school enrollment, factors predicting school enrollment (antecedents), and health risks associated with staying in or leaving school (consequences). Methods: Data from the Rakai Community Cohort Study (RCCS) were examined for adolescents 15–19 years (n = 21,735 person-rounds) from 1994 to 2013. …

  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. Effective approaches for programming to reduce adolescent vulnerability to HIV infection, HIV risk, and HIV-related morbidity and mortality: A systematic review of systematic reviews

    Background: In 2012, an estimated 2.1 million adolescents were living with HIV. Though there are effective interventions to prevent and treat HIV infection, adolescents face specific barriers in accessing them. As a result, new infections and poor outcomes among HIV-infected adolescents are common. HIV programming for adolescents should focus on interventions of proven effectiveness and address underlying factors driving incidence and lack of effective treatment and care in this age group. …

  4. Commentary: Innovations in Programming for HIV Among Adolescents: Towards an AIDS-Free Generation

    In the effort to halt and reverse the spread of HIV and AIDS among adolescents, public health and medical experts, moral and political authorities across the globe have implemented a combination of interventions. …

  5. Trends in HIV prevalence and sexual behaviour among young people aged 15-24 years in countries most affected by HIV

    Objectives: In 2001 the United Nations (UN) Declaration of Commitment was signed by 189 countries with a goal to reduce HIV prevalence among young people by 25% by 2010. Progress towards this target is assessed. In addition, changes in reported sexual behaviour among young people aged 15e24 years are investigated. Methods: Thirty countries most affected by HIV were invited to participate in the study. Trends in HIV prevalence among young antenatal clinic (ANC) attendees were analysed using data from sites that were consistently included in surveillance between 2000 and 2008. …

  6. Nothing as practical as good theory? The theoretical basis of HIV prevention interventions for young people in sub-Saharan Africa: A systematic review

    This paper assesses the extent to which HIV prevention interventions for young people in sub-Saharan Africa are grounded in theory and if theory-based interventions are more effective. Three databases were searched for evaluation studies of HIV prevention interventions for youth. Additional articles were identified on websites of international organisations and through searching references. 34 interventions were included; 25 mentioned the use of theory. …

  7. Changes over time in sexual behaviour among young people with different levels of educational attainment in Tanzania

    HIV prevalence in Tanzania was initially higher among those with higher levels of educational attainment, but it has fallen fastest among these groups. Among those with lower levels of education, HIV prevalence has been stable. The authors analyzed data from two large, nationally representative surveys conducted in Tanzania in 2003/2004 and 2007/2008. They focused on young people ages 15 to 24 years and explored reports of (a) first sex, (b) having had more than one sexual partner in the last year and (c) unprotected last sex with a non-cohabiting partner. …

  8. Young people and sexual agency in rural Uganda

    Drawing on definitions of agency from within the international development literature, the author focuses on decision-making processes leading to young people's involvement in relationships; actions undertaken to maintain secret relationships in contexts where young people's sexual agency is generally prohibited; transactional and gendered negotiations between young people involved within a relationship; and a range of outcomes arising from young people's sexual activity. …

  9. 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. …

  10. HIV/AIDS-Related Knowledge, Attitudes and Sexual Behaviors as Predictors of Condom Use Among Young Adults in Croatia

    This report looks at data from a multistage probability sample of 1,093 Croatian youth aged 18-24 years in 2005. Regression was used to investigate relationships between HIV-related knowledge, attitudes and sexual behavior and condom use at first and last sexual encounter and consistent use of condoms. Results found that positive attitudes towards condoms and condom use at first intercourse were predictors for condom use at most recent intercourse and overall consistent use of condoms (OR: 1.3). Sex education programs should be given to youth before they become sexually active.

  11. 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. …

  12. Facts for life: Fourth edition

    Facts for Life is a joint publication of UNICEF, WHO, UNESCO, UNFPA, UNDP, WFP, UNAIDS and the World Bank. It aims to provide families and communities with the information they need to save and improve the lives of children. This is the fourth edition of Facts for Life. It is based on the latest scientific findings by medical and child development experts around the world, and presented in simple language that can be understood and acted upon easily by people without a scientific background. The Facts for Life messages are also based on human rights.

  13. Social marketing for health and family planning: Building on tradition and popular culture in Niger

    Publication qui décrit un projet de marketing social au Niger. Le marketing social applique des méthodes de marketing commercial pour améliorer les connaissances, modifier les comportements et encourager certaines pratiques, notamment l'utilisation de contraceptifs pour améliorer la santé publique. L'article passe en revue les méthodes et activités du projet.

  14. Risky Business: South African youths and HIV/AIDS prevention

    This article presents and discusses the results of a survey that investigated the relationship between sexual risk taking and attitudes to HIV/AIDS precautions due to the concern about the potential vulnerability of youth (age range of 17-21 years) to HIV/AIDS in South Africa. The findings of the study showed that training in isolation can jeopardize the way forward, especially when it proves ineffective to answer questions that are not dependent on a training solution. …

  15. Challenges and Rewards of Involving Community in Research: An Overview of the "Focus on Kids" HIV Risk Reduction Program

    This article discusses the problem of AIDS in relation to adolescents in light of the fact that this is a significant concern for this age group especially in minority populations. There is a scarcity of knowledge of the cultural context of sexual behaviour in this age group and the influences that lead to early initiation of sex and unsafe sex. Few efforts targeting young adolescents have been community based although research has shown a need for an increase in such intervention programmes. …

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