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UNESCO HIV and Health Education Clearinghouse

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  1. Integrated approach to HIV and water, sanitation and hygiene in Southern Africa. A gap and needs assessment

    This report documents findings of a rapid assessment on existing implementation linkages between HIV responses on one hand, and water, sanitation and hygiene (WASH) on the other, in four southern African countries: Lesotho, Mozambique, Swaziland and Zambia. The review was conducted in July 2014 by consultants commissioned by SAfAIDS and WaterAid. This rapid assessment is a forerunner of a number of pilot activities to be conducted in Lesotho, Mozambique, Swaziland and Zambia to explore how HIV and WASH can be better integrated.

  2. Eastern and Southern Africa commitment: One year in review - 2013-2014

    In December 2013, ministers of education and health from twenty ESA countries affirmed and endorsed their joint commitment to deliver comprehensive sexuality education (CSE) and sexual and reproductive health (SRH) services for young people. The ESA Commitment document was developed based on a Regional Report, “Young People Today: Time to Act Now” which reviewed the trends and status of sexual and reproductive health and HIV among adolescents and young people in the ESA Region including comprehensive sexuality education and service needs. …

  3. Effectiveness of a comprehensive sexual and gender-based violence prevention project for in-school girls in Swaziland

    Swaziland is one of the sub-Saharan African countries affected by Sexual and Gender Based Violence (SGBV) and HIV and AIDS, with women facing greater risk compared to men. In response to increasing reports of violence against women and children in the country, the Swaziland Action Group Against Abuse (SWAGAA) launched a Girls’ Empowerment Clubs (GEC) program in primary and secondary schools in order prevent SGBV cases. …

  4. Violence in primary schools in Southern and Eastern Africa: Some evidence from SACMEQ

    Special attention was given to the issues related to school violence in the studies conducted by a consortium known as Southern and Eastern Africa Consortium for Monitoring Educational Quality (SACMEQ). These issues were included in the form of research questions which sought information on pupils’ and teachers’ behavioural problems at the primary school level. This paper addresses the following three research questions: (1) What were the changes in the perceived occurrence of school violence in SACMEQ school systems between 2000 and 2007? …

  5. National HIV prevention policy Swaziland

    The overall goal of this policy is to promote an enabling environment for the scaling up of biomedical and non-biomedical HIV prevention interventions to reduce the HIV incidence in Swaziland. The overall objective of this policy is to halt and reduce HIV infection in Swaziland. More specifically, it seeks to guide programmatic, institutional and social responses in priority and other strategic intervention areas for HIV prevention. …

  6. National policy on sexual and reproductive health

    The high maternal mortality rate, high adolescent fertility rate, unmet need for family planning, and on-going problems with sexual and gender based violence are some of the indicators that highlight a need for comprehensive sexuality education and evidence based interventions. This SRH Policy provides concrete areas of focus and is aligned to international and national policies and frameworks. It addresses reproductive health and rights challenges faced by Swazis and outlines implications for the different levels in the Ministry of Health. …

  7. HIV and stigma: The media challenge

    Despite the progress being made in the global response to HIV and AIDS, stigma remains a major obstacle to prevention and treatment. It is manifested in many different ways and fear of disgrace prevents people from coming forward for HIV testing and treatment. Key populations – sex workers and their clients, men who have sex with men, the transgender community and people who inject drugs – are particularly affected. The role of the media in tackling HIV related stigma is crucial. It is seen as one of the drivers of HIV reduction, yet the media is far from reaching its full potential. …

  8. HIV-related discrimination among grade six students in nine southern African countries

    Background: HIV-related stigmatisation and discrimination by young children towards their peers have important consequences at the individual level and for our response to the epidemic, yet research on this area is limited. Methods: We used nationally representative data to examine discrimination of HIV-positive children by grade six students (n = 39,664) across nine countries in Southern Africa: Botswana, Lesotho, Malawi, Mozambique, Namibia, South Africa, Swaziland, Zambia and Zimbabwe. …

  9. Preventing sexual violence and HIV in children

    BACKGROUND: Evidence linking violence against women and HIV has grown, including on the cycle of violence and the links between violence against children and women. To create an effective response to the HIV epidemic, it is key to prevent sexual violence against children and intimate partner violence (IPV) against adolescent girls. …

  10. Inviting Backchat: How schools and communities in Ghana, Swaziland and Kenya support children to contextualise knowledge and create agency through sexuality education

    Education about sex, relationships and HIV and AIDS in African contexts is riddled with socio-cultural complexity. In this paper the authors argue that in extreme contexts education can lead change further by developing young people as significant actors in their own lives and in the lives of the community by bringing about change in attitudes in the community, as well as practices in schools. …

  11. The extended national multisectoral HIV and AIDS framework (eNSF) 2014-2018

    The extended National Strategic Framework (eNSF) for HIV and AIDS (2014-2018) is a five-year multisectoral decentralised HIV/AIDS plan for Swaziland. Through implementation of the eNSF, Swaziland aims to achieve the following impact level results: i. 50% and 90% reduction of new HIV infections among adults and paediatrics, respectively, by 2015; ii. Avert 15% deaths amongst PLHIV and in particular those with TB/HIV co-infection; iii. Alleviate socio-economic impacts of HIV and AIDS among vulnerable groups; iv. Improve efficiency and effectiveness ofthe national response. …

  12. Mapping HIV services and policies for adolescents: A survey of ten countries in sub-Saharan Africa

    PEPFAR and USAID, in collaboration with UNICEF, supported AIDSTAR-One in conducting a mapping activity to identify HIV policies and services for adolescents in 10 sub-Saharan African countries: Kenya, Lesotho, Malawi, Mozambique, South Africa, Swaziland, Tanzania, Uganda, Zambia, and Zimbabwe. This technical report summarizes AIDSTAR-One’s findings and is a resource for program planners and policymakers working to improve services and policies for HIV prevention, care, and treatment among adolescents and ALHIV in sub-Saharan Africa. …

  13. Ministerial Commitment on comprehensive sexuality education and sexual and reproductive health services for adolescents and young people in Eastern and Southern African (ESA)

    On December 7, 2013, ministers and their representatives from 21 countries in Eastern and Southern Africa came together to endorse and adopt the UN commitment for Eastern and Southern Africa with its recommendations for bold action in response to HIV and the education/health challenges experienced by young people. Recognising the urgency of the situation facing young people, education and health ministers have now committed to addressing young people's realities by ramping up sexuality education and health services in their countries.

  14. In a life: linking HIV and sexual and reproductive health in people’s lives

    IPPF’s comprehensive response to HIV is situated within a wider sexual and reproductive health framework. It links prevention with treatment, care and support; reduces HIV-related stigma and discrimination; and responds to the unique regional and national characteristics of the HIV epidemic. These real-life testimonies highlight how our work – shaped and pioneered by the efforts of thousands of committed staff, volunteers and partners – makes the vital links between HIV, sexual and reproductive health and rights.

  15. Responsible Design for Social Change: Designing HIV/AIDS Prevention Curriculum in Southern Africa

    This paper reports on a classroom-based mixed-methods research project for the design of an HIV/AIDS prevention curriculum for Swaziland. The aim was through education to transform Swazi worldviews and attitudes toward sexual practices. The curriculum, called iMatter, reaches elementary and middle school children while they are still forming their conceptual and cultural identity, and before they adopt sexual practices. …

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