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UNESCO HIV and Health Education Clearinghouse

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  1. A sexual and reproductive health peer education programme for girls in grades 7 to 9. Mentor’s manual

    This sexual and reproductive health (SRH) peer education programme was developed as part of the Department of Basic Education’s (DBE) Leveraging Partnerships to Achieve the Goals of South Africa’s HIV & AIDS and STI National Strategic Plan 2012–16, otherwise known as Keeping Girls in School. The aim of this component of the programme is to shift social norms and change sexual behaviour by reinforcing and supporting the SRH messages received via the curriculum in order to increase retention and reduce the risk of HIV infection and teenage pregnancy.

  2. The effect of a conditional cash transfer on HIV incidence in young women in rural South Africa (HPTN 068): a phase 3, randomised controlled trial

    Cash transfers have been proposed as an intervention to reduce HIV-infection risk for young women in sub-Saharan Africa. However, scarce evidence is available about their effect on reducing HIV acquisition. The authors aimed to assess the effect of a conditional cash transfer on HIV incidence among young women in rural South Africa. Based on their research findings, the authors draw the conclusion that cash transfers conditional on school attendance did not reduce HIV incidence in young women. School attendance significantly reduced risk of HIV acquisition, irrespective of study group. …

  3. Teenage childbearing and educational attainment in South Africa

    Teenage childbearing and attainment at school in South Africa are investigated using nationally-representative data from the National Income Dynamics Study. The analysis focuses on the outcomes by 2010 of a panel of 673 childless young women aged 15–18 in 2008. Girls who had their first birth by 2010 had 4.4 times the odds of leaving school and 2.2 times the odds of failing to matriculate, controlling for other factors. Girls from the highest-income households were unlikely, and girls who were behind at school relatively likely, to give birth. …

  4. The shrinking world of girls at puberty: violence and gender-divergent access to the public sphere among adolescents in South Africa

    Participatory mapping was undertaken with single-sex groups of grade 5 and grade 8–9 children in KwaZulu-Natal. Relative to grade 5 students, wide gender divergence in access to the public sphere was found at grade 8–9. With puberty, girls' worlds shrink, while boys' expand. At grade 5, female-defined community areas were equal or larger in size than those of males. Community area mapped by urban grade 8–9 girls, however, was only one-third that of male classmates and two-fifths that of grade 5 girls. Conversely, community area mapped by grade 8–9 boys was twice that of grade 5 boys. …

  5. Sexual and reproductive health rights and information and communications technologies: A policy review and case study from South Africa

    This report examines the linkages between policies on, and implementation of, sexual and reproductive health rights (SRHR) and ICT in rural and peri-urban spaces in South Africa. South Africa is renowned for its legal provisions addressing SRHR yet also experiences barriers to adolescent sexual health. SRHR programming is politically complex and often ambivalent; as a result less contentious aspects which emphasise maternal health get prioritised. …

  6. The need for quality sexual and reproductive health education to address barriers to girls’ educational outcomes in South Africa

    South Africa has made significant strides in enrolling girls in school, particularly at the basic education level, with high gender parity indexes (GPI) at the primary school level. However, the high attrition rate at the secondary level and the poor quality of educational experiences and learning opportunities, for girls in particular, remain areas of concern. …

  7. Gender based violence in South African schools

    This paper looks at issues of gender-based violence in the education sector in South Africa through a review of literature and statistics of recent research by international organizations.

  8. Addressing cross-generational sex: A desk review of research and programs

    Current interest in cross-generational sex is largely due to the feminization of the HIV and AIDS epidemic. Young women 15-24 years of age in sub-Saharan Africa are three times more likely to be infected with HIV than young men of the same age, four times more likely in Zambia, and a staggering five times more likely in Zimbabwe. But, in fact, ministries of education and others have had curricula and materials addressing the “sugar daddy” phenomenon for many years. …

  9. 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.

  10. 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. …

  11. 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. …

  12. Are women at the centre? A critical review of the new NSP response to women's sexual and reproductive rights

    One of the recognised challenges of the national AIDS response has been the lack of adequate programmes and interventions aimed at protecting and advancing women’s sexual and reproductive rights and health needs in the context of HIV. The new National Strategic Plan on HIV, STIs and TB, 2012 – 2016 (NSP) was launched on 01 December 2011, making it thus crucial to review the new policy document designed to strategically guide the national response to HIV for the next five years. …

  13. Sexuality and the limits of agency among South African teenage women: theorising femininities and their connections to HIV risk practices

    In South Africa, both HIV and gender-based violence are highly prevalent. Gender inequalities give men considerable relational power over young women, particularly in circumstances of poverty and where sex is materially rewarded. Young women are often described as victims of men, but this inadequately explains women's observed sexual agency. This paper takes a different approach. The authors use qualitative interviews and ethnographic observation among 16 young women from the rural Eastern Cape to explore ways young women construct their femininities and exercise agency. …

  14. Keep them in school: the importance of education as a protective factor against HIV infection among young South African women

    This study aimed to identify risk factors for HIV infection among women aged 15-24 years who reported having one lifetime sexual partner in South Africa. A 2003 household survey of 11,904 15-24 year old women on sexual behavior and HIV testing was used. The analysis focuses on a sample of 1,708 women reporting one lifetime partner. Results show that 15% of the women reporting one lifetime partner were HIV positive. In multivariable analysis, completion of high school was associated withábeing HIV-negative (AOR 3.75; 95% CI 1.34-10.46). …

  15. From talk to action: review of women, girls, and gender equality in NSPs in Southern and Eastern Africa

    From Talk to Action: Review of Women, Girls, and Gender Equality in National Strategic Plans on HIV and AIDS in Southern and Eastern Africa identifies: Evidence-informed priorities for addressing women, girls, and gender equality through National Strategic Plans on HIV and AIDS; Existing policy and programmatic gaps within National Strategic Plans on HIV and AIDS; Sample interventions and strategies for addressing women, girls, and gender equality within National Strategic Plans on HIV and AIDS. …

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