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UNESCO HIV and Health Education Clearinghouse

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  1. Young people's sexual health in South Africa: HIV prevalence and sexual behaviors from a nationally representative household surevy

    Objectives: To determine the prevalence of HIV infection, HIV risk factors, and exposure to national HIV prevention programs, and to identify factors associated with HIV infection among South African youth, aged 15–24 years. Design: A cross-sectional, nationally representative, household survey. Methods: From March to August 2003 we conducted a national survey of HIV prevalence and sexual behavior among 11 904 15–24 year olds. Multivariable models for HIV infection were restricted to sexually experienced youth. …

  2. HIV infection and sexual risk behaviour among youth who have experienced orphanhood: systematic review and meta-analysis

    Background: Previous research has suggested that orphaned children and adolescents might have elevated risk for HIV infection. We examined the state of evidence regarding the association between orphan status and HIV risk in studies of youth aged 24 years and younger. Methods: Using systematic review methodology, we identified 10 studies reporting data from 12 countries comparing orphaned and non-orphaned youth on HIV-related risk indicators, including HIV serostatus, other sexually transmitted infections, pregnancy and sexual behaviours. …

  3. Orphanhood and completion of compulsory school education among young people in South Africa: findings from a national representative survey

    We examined the association of orphanhood and completion of compulsory school education among young people in South Africa. In South Africa, school attendance is compulsory through grade 9, which should be completed before age 16. However, family and social factors such as orphanhood and poverty can hinder educational attainment. Participants were 10,452 16-24-year-olds who completed a South African national representative household survey. Overall, 23% had not completed compulsory school levels. …

  4. Home truths: the phenomenon of residential care for children in a time of AIDS

    In the face of the burgeoning AIDS epidemic in sub-Saharan Africa, there is widespread concern that responses to increasing numbers of orphans are resulting in a proliferation of orphanages across the region. This unease emanates from the view that care for children - orphaned or otherwise - in a home and community environment is ideal. Institutions, on the other hand, are noted to impact negatively on children, to operate as "magnets" for children growing up in poverty-stricken environments, and to be disproportionately costly. …

  5. But where are our moral heroes?: An analysis of South African press reporting on children affected by HIV/AIDS

    Messages conveyed both explicitly and implicitly in the media play an important role in the shaping of public understanding of issues, as well as associated policy, programme and popular responses to these issues. This paper applies discourse analysis to a series of articles on children affected by HIV/AIDS published in 2002/2003 in the English-medium South African press. …

  6. South African national HIV prevalence, incidence, behaviour and communication survey, 2008: the health of our children

    The main rationale for this study was to better understand the health status of South African children in relation to HIV. Children have not been adequately included in national health surveys such as the Demographic and Health Survey (DHS), and this study allowed for the assessment of progress towards the realisation of the Millennium Development Goals (MDGs) and the attainment of the National Strategic Plan targets in South Africa. …

  7. Umthente Uhlaba Usamila - The second South African youth risk behaviour survey 2008

    The first Youth Risk Behaviour Survey (YRBS) conducted in 2002, was one of the first studies undertaken in South Africa, and possibly in Africa, to establish the prevalence of key risk behaviours affecting the country's youth. …

  8. Schools as Centres of Care and Support (SCCS): Responding to the Needs of Orphans and Other Vulnerable Children in Rural Areas

    Southern Africa's rural and impoverished communities are some of the hardest hit by the HIV and AIDS pandemic. Large numbers of vulnerable children in these AIDS-affected communities struggle to access resources and services they desperately need and are entitled to. Despite this, most children still attend school, making schools an obvious avenue through which to address the multiplicity of needs of vulnerable children. The case study presented here describes an innovative and effective programme built on the principles of a multi-sectoral approach to HIV and AIDS. …

  9. South African national HIV prevalence, incidence, behaviour and communication survey, 2008. A turning tide among teenagers

    South Africa's first national, household sero-prevalence survey of HIV and AIDS was conducted in 2002. A second survey was completed in 2005 and this, the third, in 2008. This report provides an analysis of trends across the three surveys and begins to map the ways in which the shape of the pandemic in South Africa has changed since 2002. Indicators for assessing mid-term progress made in implementing South Africa's National Strategic Plan on HIV and AIDS, 2007-2011 are also provided. …

  10. Training youth caregivers to provide HIV education and support to orphans and vulnerable children in South Africa

    A study conducted in KwaZulu Natal suggests that utilizing trained youth caregivers is a feasible approach for reaching orphans and vulnerable children with HIV prevention education and support. Participants were enthusiastic about the program and demonstrated some improvements in HIV-related knowledge, attitudes, and communication.

  11. OVC Programmes in South Africa funded by the U.S. president's emergency plan for AIDS relief. Summary report for 32 case studies

    Despite the magnitude and dire consequences of the growing number of orphans and vulnerable children (OVC) in South Africa, and elsewhere in sub-Saharan Africa, there is insufficient documentation of the strategies deployed to improve the well-being of these children. In an attempt to fill these knowledge gaps, the U.S. President's Emergency Plan for AIDS Relief (emergency plan)/South Africa commissioned Khulisa Management Services to research and write 32 case studies of emergency plan-funded OVC programmes in South Africa. …

  12. National plans of action for orphans and vulnerable children in sub-Saharan Africa. Where are the youngest children?

    In 2005, an estimated 48 million children aged 0-18 years, that is to say 12 percent of all children in sub-Saharan Africa, were orphans, and that number is expected to rise to 53 million by 2010. One quarter of all orphans are orphaned because of AIDS, and about 2.6 million children are currently infected with HIV. In response to the general awareness of the increasing number of these children, a global initiative to develop national plans of action (NPAs) for these orphans and vulnerable children (OVCs), or children affected by HIV and AIDS, has been launched. …

  13. The Current and Future Impact of the HIV/AIDS Epidemic on South Africa's Children

    This chapter has three aims. One, to investigate the impacts of the HIV/AIDS epidemic upon the children of South Africa with a focus on health, welfare and education implications. Two, to examine the responses of families, communities, civil society and governments to the crisis confronting the children. Three, to critique those responses and offer alternatives, which may assist in improving the impacts on children.

  14. Socioeconomic disadvantage and unsafe sexual behaviors among young women and men in South Africa

    Recent evidence suggests that the burden of new HIV infections in developing countries is concentrated among young people and females. Even with knowledge of how to protect oneself from infection, such information may not always be usable in daily situations of economic and social disadvantage that characterize the lives of many young people and women in poor countries. …

  15. Saving children, enhancing lives: combating HIV and AIDS in South Africa

    The document provides a succinct overview of the burden and impact of HIV and AIDS in South African children and reviews the progress made in preventing HIV and mitigating its impacts on children and affected families. It lays out the bottlenecks for wide scale delivery of services and outlines UNICEF priority actions to support scaling up evidence-based high impact interventions that could help South Africa attain its Vision 2014 of turning the tide against HIV.

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