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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. Having sex, becoming somebody: A qualitative study assessing (sexual) identity development of adolescents living with HIV/AIDS

    A growing number of adolescents are living with HIV/AIDS. For their well-being and for prevention, age- and culturally appropriate interventions become increasingly important. This qualitative study was conducted as the first step to develop a sexual and reproductive health (SRH) intervention. The study's objective was to assess the impact of HIV and related contextual conditions on identity formation of adolescents living with HIV/AIDS (ALH) in the domains of physical, cognitive, social, and sexual development. Data were collected using focus group discussions (FGDs). …

  3. An exploratory study of the sexual and reproductive health needs and rights of adolescents living with HIV in Lusaka

    With improved access to treatment for people living with HIV many are now able to live longer. As a result there is growing interest in overall quality of life issues. In many countries attention is increasingly being drawn to the unique and often neglected needs of different sub-groups including young people. This exploratory qualitative study sought to examine the sexual and reproductive health (SRH) needs and concerns and barriers to accessing related services for adolescents aged 10 – 19 years living with HIV in Zambia.

  4. Courage and Hope: Stories with Teachers living with HIV in Sub-Saharan Africa

    This book is a collection of stories from teachers living with HIV in Sub-Saharan Africa. The stories documented here give voice to the real life experiences of 12 HIV-positive teachers, five of whom are women, from Burkina Faso, Cameroon, Ghana, Kenya, Mozambique, Rwanda, Senegal, Tanzania (both Mainland and Zanzibar), and Zambia. The teachers recount their experiences of discovering their HIV-positive status and how this has aff ected them in their families, their communities, and their professional lives. …

  5. Do South African learners stigmatize HIV/AIDS infected peers?

    The results of this Brief point to an increased significance of strengthening educational programmes and policies in the schooling sector as South Africa strives to reduce not only the prevalence of HIV and AIDS but also to develop positive learner attitudes among children of school going age. …

  6. Antiretroviral drug access and behavior change

    Access to antiretroviral (ARV) drugs in Sub-Saharan Africa has rapidly expanded - from fewer than 10,000 people treated in 2000 to more than 8 million in 2011. To measure the impact of this expansion, it is necessary to identify the behavioral response of individuals to drug access. This paper combines geocoded information about the timing of introduction of ARVs in all Kenyan health facilities with two waves of geocoded population surveys to estimate the impact of proximity to an ARV provider on risky sexual behavior. …

  7. Gender violence and HIV: Perceptions and experiences of violence and other rights abuses against women living with HIV in the Eastern Cape, KwaZulu Natal and Western Cape, South Africa

    The AIDS Legal Network (ALN), in collaboration with Her Rights Initiative (HRI), South Africa Positive Women Ambassadors (SAPWA), South Africa Partners, and the Mitchell’s Plain Network Opposing Abuse, engaged in a study to assess perceptions and experiences of violence and other rights abuses against women living with HIV. …

  8. Economic impact of HIV and antiretroviral therapy on education supply in high prevalence regions

    Background: We set out to estimate, for the three geographical regions with the highest HIV prevalence, (sub-Saharan Africa [SSA], the Caribbean and the Greater Mekong sub-region of East Asia), the human resource and economic impact of HIV on the supply of education from 2008 to 2015, the target date for the achievement of Education For All (EFA), contrasting the continuation of access to care, support and Antiretroviral therapy (ART) to the scenario of universal access. …

  9. Access to safe abortion: building choices for women living with HIV and AIDS

    In many areas of the world where HIV prevalence is high, rates of unintended pregnancy and unsafe abortion have also been shown to be high. Of all pregnancies worldwide in 2008, 41% were reported as unintended or unplanned, and approximately 50% of these ended in abortion. …

  10. HIV serostatus disclosure and lived experiences of adolescents at the Transition Clinic of the Infectious Diseases Clinic in Kampala, Uganda: A qualitative study

    Most studies on HIV serostatus disclosure and adolescents focus on whether, how and when to disclose to adolescents their HIV diagnosis. Fewer studies have examined HIV serostatus disclosure by adolescents who know they are infected with HIV. This study presents qualitative data examining HIV serostatus and treatment disclosure practices and concerns of young people living with HIV in Uganda and the extent to which they are satisfied with current norms around HIV serostatus and treatment disclosure. …

  11. HIV Status Disclosure and Retention in Care in HIV-Infected Adolescents on Antiretroviral Therapy (ART) in West Africa

    The authors assessed the effect of HIV status disclosure on retention in care from initiation of antiretroviral therapy (ART) among HIV-infected children ages 10 years or more in Cote d'Ivoire, Mali and Senegal. They conducted a multi-center cohort study within five pediatric clinics participating in the IeDEA West Africa collaboration. …

  12. Treatment outcomes in HIV-infected adolescents attending a community-based antiretroviral therapy clinic in South Africa

    As the HIV epidemic matures, survival of children with perinatally acquired HIV infection into adolescence is increasingly being documented in sub-Saharan African countries. In addition, the burden of HIV in the adolescent patient population in the region is also due to sexual transmission, with adolescents and young adults being particularly vulnerable to this mode of infection. HIV care and treatment services in the region need to adapt to adequately meet the specific needs of this expanding disease burden among adolescents. …

  13. Expanding reproductive rights knowledge and advocacy with HIV-positive women and their allies in Namibia: an action-oriented approach. Summary report

    Ipas and the International Community of Women Living with HIV (ICW) collaborated on a project to enhance the capacity of ICW members in Namibia to work on issues of gender, violence, HIV/AIDS and reproductive rights with members of their communities. This summary report discusses a follow-up initiative to a 2007 training-of-trainers course held in Namibia and offers concluding observations of successes and challenges of the initiative.

  14. Foundation for the future: meeting the psychosocial needs of children living with HIV in Africa

    This technical brief describes promising practices in critical services related to the psychological and social well-being of perinatally-infected children (aged 0 to 12 years) in Africa. These include the identification, testing, and counseling of children so that they are linked to appropriate support as early as possible, as well as the provision of ongoing PSS to help children and their families manage disclosure, stigma, and grief and bereavement processes. …

  15. HIV sero-status disclosure in the school context: experiences of adolescents perinatally infected with HIV in Uganda

    In this paper, we use data from Uganda to examine disclosure of HIV sero-status in the school context by adolescents perinatally infected with HIV. We begin by presenting evidence of the existence of stigma and discrimination in schools from the perspectives of school officials, in-school young people perinatally infected with HIV, and other students. We then examine the level of disclosure of sero-status to school officials and friends by adolescents perinatally infected with HIV. …

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