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UNESCO HIV and Health Education Clearinghouse

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  1. Improving lives by accelerating progress towards the UN Sustainable Development Goals for adolescents living with HIV: a prospective cohort study

    Background: Low-income and middle-income countries (LMICs) face major challenges in achieving the UN's Sustainable Development Goals (SDGs) for vulnerable adolescents. We aimed to test the UN Development Programme's proposed approach of development accelerators—provisions that lead to progress across multiple SDGs—and synergies between accelerators on achieving SDG-aligned targets in a highly vulnerable group of adolescents in South Africa. …

  2. Structural drivers and social protection: mechanisms of HIV risk and HIV prevention for South African adolescents

    Social protection is high on the HIV-prevention agenda for youth in sub-Saharan Africa. However, questions remain: How do unconditional cash transfers work? What is the effect of augmenting cash provision with social care? And can “cash plus care” social protection reduce risks for adolescents most vulnerable to infection? This study tackles these questions by first identifying mediated pathways to adolescent HIV risks and then examining potential main and moderating effects of social protection in South Africa.

  3. Cash plus care: social protection cumulatively mitigates HIV-risk behaviour among adolescents in South Africa

    Objectives: It is not known whether cumulative ‘cash plus care’ interventions can reduce adolescent HIV-infection risks in sub-Saharan Africa. This study investigated whether parental AIDS and other environmental adversities increase adolescent HIVrisk behaviour and whether social protection provision of ‘cash’ or integrated ‘cash plus care’ reduces HIV-risk behaviour. Design: A prospective observational study with random sampling (<2.5% baseline refusal, 1-year follow-up, 96.8% retention). …

  4. Child-focused state cash transfers and adolescent risk of HIV infection in South Africa: a propensity-score-matched case-control study

    Background: Effective and scalable HIV prevention for adolescents in sub-Saharan Africa is needed. Cash transfers can reduce HIV incidence through reducing risk behaviours. However, questions remain about their effectiveness within national poverty-alleviation programmes, and their effects on different behaviours in boys and girls. Methods: In this case-control study, we interviewed South African adolescents (aged 10–18 years) between 2009 and 2012. …

  5. South Africans take action. Key findings of the third South African National HIV Communication survey, 2012

    The Third South African National HIV Communication Survey (NCS) was jointly conducted by Johns Hopkins Health and Education in South Africa (JHHESA), loveLife and Soul City, with funding from PEPFAR through USAID. The survey was managed by Health and Development Africa and field work was conducted by Freshly Ground Insights. Data analysis was jointly conducted by Health and Development Africa and Johns Hopkins University, Bloomberg School of Public Health, Center for Communication Programs. …

  6. Saving lives for a lifetime: Supporting orphans and vulnerable children impacted by HIV/AIDS

    President's Emergency Plan for AIDS Relief (PEPFAR's) response to the millions of children impacted by HIV/AIDS was to designate 10% of its budget to securing their futures, making it the leading supporter of programs reaching orphan and vulnerable children (OVC) programs globally. This article describes the evolution of PEPFAR's OVC response based on programmatic lessons learned and an evergrowing understanding of the impacts of HIV/AIDS. …

  7. SADC regional assessment report of policies and programmes on child and adolescent HIV, TB and malaria

    The SADC Protocol on Health stipulates that Member States should cooperate in dealing with health issues in a harmonised manner as an essential ingredient for the effective control of communicable diseases in the region notably, HIV, TB and Malaria. As part of the response, key strategic frameworks to guide action in the control of these three diseases have been developed by SADC but these mostly address the adult population. In this context, the SADC Secretariat is mandated to develop The SADC Minimum Standards for Child and Adolescent HIV, TB and Malaria Continuum of Care. …

  8. Masculinities and condom use patterns among young rural South Africa men: a cross-sectional baseline survey

    Notions of ideal manhood in South Africa are potentially prescriptive of male sexuality thus accounting for the behaviors which may lead to men being at greater HIV risk. We tested the hypothesis that gender and relationship constructs are associated with condom use among young men living in rural South Africa. 1219 men aged 15–26 years completed a cross-sectional baseline survey from an IsiXhosa questionnaire asking about sexual behaviour and relationships. …

  9. Adolescent HIV: cause for concern in Southern Africa

    There is a substantial burden of HIV infection in adolescents in southern Africa who acquired HIV perinatally. It is evident that they contribute substantially to hospital admissions and in-hospital deaths. There is an urgent need for services that will be able to provide accessible and appropriate HIV testing, counseling, and support, as well as facilitate access to ART and appropriate sexual risk-reduction interventions. …

  10. Correlates of intention to use condoms among Sub-Saharan African youth: the applicability of the theory of planned behaviour

    Aims: To test the applicability of an extended version of the theory of planned behaviour for the study of condom use intentions among large samples of young people in South Africa and Tanzania. Methods: Baseline data of a randomized controlled trial of school-based HIV/AIDS prevention programmes were used. The setting comprised secondary schools in the regions of Cape Town, Polokwane and Dar es Salaam. Participants were 15,782 secondary school students. …

  11. Dating violence among school students in Tanzania and South Africa: prevalence and socio-demographic variations

    Aims: To identify with whom in-school adolescents preferred to communicate about sexuality, and to study adolescents' communication on HIV/AIDS, abstinence and condoms with parents/guardians, other adult family members, and teachers. Data were obtained from a baseline questionnaire survey carried out in South Africa (Cape Town and Mankweng) and Tanzania (Dar es Salaam) in early 2004. We analysed data for 14,944 adolescents from 80 randomly selected schools. …

  12. Declaration on HIV and AIDS

    The SADC Declaration on HIV and AIDS outlines the priority areas for action within the region.

  13. Rethinking HIV/AIDS in South Africa: has the response been overmedicalized?

    This paper examines the potential impact of HIV/AIDS on different levels of South African society (individual, household, and national) over time. Using differences in demographic projections to guide the analysis, the prospective implications of HIV/AIDS on households, society, economy and nation are discussed and issues that could influence or mitigate those possible impacts are examined. …

  14. What does the National Strategic Plan on HIV and AIDS mean for Children? A guide for individuals and organisations working with and for children

    This guide provides easy to use information on the National HIV and AIDS and STI Strategic Plan for South Africa 2007-2011 (NSP). The guide focuses specifically on what the NSP means for children and families, and for the individuals and organisations that work with them - a constituency that has come to be known as the "Children's Sector". The Children's Sector was actively involved in the drafting of the NSP and has an important role to play in implementing the plan and in monitoring service delivery. This guide may also be useful to other sectors of civil society. …

  15. A public sector workforce HIV prevalence survey: a researcher's toolkit

    Over time, it has become apparent that the HIV/AIDS epidemic is adversely affecting the South African population. Public servants are responsible for providing services to all sectors of society. In the same way that educators are critical to the schooling of South Africa's youth, health workers are critical to the implementation of a successful public health response to the HIV/AIDS epidemic in South Africa, and yet public servants may be as susceptible to this epidemic as the general population. …

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