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UNESCO HIV and Health Education Clearinghouse

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  1. Orphans and vulnerable children: Trends in school access and experience in Eastern and Southern Africa

    Across sub-Saharan Africa, the AIDS pandemic has impacted children in a myriad of ways, from parental loss, to HIV infection, to increased poverty and marginalization. These children have been labeled orphans and vulnerable children (OVC) in the international development literature, and a range of interventions have provided services aiming to mitigate the impact of the crisis on human development outcomes, including education. …

  2. New Treatment gives hope to East Africa's drug users

    This article is about the national methadone project launched in the United Republic of Tanzania -- the first mainland sub-Saharan country to launch such a program -- as part of a battle to fight heroin addiction and HIV infection. Heroin users contribute to the HIV pandemic in Tanzania by needle sharing, therefore, the idea behind the methadone project is to safely ween heroin users off of the drug. The program is funded by the US President's Emergency Plan for AIDS Relief, as a response to Tanzania's growing epidemic of people who inject drugs. …

  3. 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. …

  4. Individual and community-level tolerance of spouse abuse and the association with the circumstances of first sex among youth from six sub-Saharan African countries

    Youth who engage in early and premarital sex are at risk of HIV and sexually transmitted infections. Most prevention programs ignore the mediating influence of the threat and experience of violence on these outcomes. Using nationally representative data from Lesotho, Malawi, Zimbabwe, Kenya, Tanzania, and Uganda, the autors used multivariate analyses to examine the association between individual- and community-level tolerance of spouse abuse on the age and circumstances of sexual debut among female youth. The youth sample sizes ranged from a high of 5007 in Malawi to a low of 3050 in Lesotho. …

  5. Education status among orphans and non-orphans in communities affected by AIDS in Tanzania and Burkina Faso

    The AIDS pandemic has created an estimated 15 million orphans who may face elevated risk of poor health and social outcomes. This paper compares orphans and non-orphans regarding educational status and delay using data collected in three low-income communities affected by AIDS in Tanzania and Burkina Faso. Orphans were significantly more likely not to attend school than were non-orphans and also to be delayed when in school, though, after controlling for confounders, the risk was borderline and non-significant. …

  6. Vijana tunaweza Newala: findings from a participatory research and action project in Tanzania

    Globally, girls and young women are more likely to be hiV-positive than their male peers, due in large part to an array of gender inequalities that negatively impact their their mental and physical well being. The International Center for Research on Women (ICRW) and Taasisi ya Maendeleo Shirikishi Arusha (TAMASHA), in collaboration with Pact Tanzania, developed a participatory research and action project (Vitu Newala) that aimed to both understand and respond to girls’ HIV-related vulnerabilities. …

  7. Looking within: creating community safety nets for vulnerable youth in Dar-es-Salaam, Tanzania

    This case study describes the work of a program implemented by Youth Alive Tanzania, a faith-based organization in Dar-es-Salaam, which created The Youth and Parents Crisis Counseling Center (YOPAC) in 1999. YOPAC was established by Youth Alive with the specific aim of helping children and youth protect their access to education, including primary and secondary education, as well as vocational training. YOPAC's other activities include home-based care, HIV testing and counseling, psychosocial care and support, education, and outreach programming. …

  8. Influencing policy for children in Tanzania: lessons from education, legislation and social protection

    This paper analyses three recent policy/programme developments regarding child wellbeing in Tanzania and examines the political 'drivers of change' that influence policy and action on child well-being. Chapter One explores the politics of policymaking, and the respective roles of citizens, government and donors in influencing recent reforms in primary education. Chapter Two provides a historical analysis of key processes in the development of a children's statute in Tanzania, and explores the underlying reasons behind the lack of change despite concerted efforts. …

  9. Regional assessment on HIV-prevention needs of migrants and mobile populations in southern Africa

    Southern Africa continues to bear a disproportionate share of the global burden of HIV: 35% of HIV infections and 38% of AIDS-related deaths in 2007 occurred in this sub-region. Southern Africa also experiences high levels of population movement, voluntary or forced, and comprises a diversity of people, including contract labor migrants, irregular migrants, families of migrants, refugees, trafficked persons and mobile workers such as truck drivers and mine workers. Furthermore, migrants have loved ones back home, who may face their own vulnerabilities, as the family breadwinner is away. …

  10. Teacher management in a context of HIV and AIDS: Tanzania report

    This study aims to describe and analyse the results of a qualitative research study on teacher management policies, tools and practices in Tanzania, a country where HIV and AIDS is highly prevalent. The research aims to discover whether teacher management policies, tools and practices have evolved in high prevalence settings as a response to the HIV epidemic.

  11. Supporting the educational needs of HIV-positive learners in Tanzania

    As part of a two-country study (with Namibia), TAMASHA was contracted by UNESCO to carry out research into the needs of children in school living with HIV and the extent to which their rights and needs were being fulfilled. This research was carried out by interviewing national policy-makers and officials, as well as district officials in Njombe District. Children living with HIV and others affected by AIDS were also interviewed, together with their parents, guardians and teachers, and organizations working with them in Dar-es-Salaam and Njombe District in Iringa Region. …

  12. Teachers for rural schools: experiences in Lesotho, Malawi, Mozambique, Tanzania and Uganda

    Much is going well with the effort to provide universal primary education in Sub-Saharan Africa. Gross enrollment rates have increased from 78 percent in 1998/99 to 91 percent in 2002/03; sizable investments have greatly improved school infrastructure and access; and large numbers of new teachers have been recruited. But educating the children in remote rural areas continues to be a challenge. Schools in hard-to-reach locations find it difficult to attract and retain teachers. …

  13. Children and vulnerability in Tanzania: a brief synthesis

    Ensuring social protection for vulnerable people is a goal of MKUKUTA (the National Strategy for Growth and Reduction of Poverty) in Tanzania, and children are commonly considered to be among the most vulnerable. REPOA has been involved in analytic work on the vulnerability of children, in part to provide evidence for Government's efforts to develop a national framework for social protection. This special paper synthesises the analysis and draws some conclusions based on this and closely related work.

  14. SAWAKA Jali Watoto program supporting most-vulnerable children, Tanzania

    In an attempt to fill the knowledge gaps on the impact of care and support strategies for orphans and vulnerable children, MEASURE Evaluation is conducting targeted evaluations of five OVC programs in five unique settings, two in Kenya and three in Tanzania. The Jali Watoto program by Pact through SAWATA (Saidia Wazee Tanzania) Karagwe was selected as one of the five programs for the evaluation. The program addresses the needs of most vulnerable children by targeting, mobilizing and sensitizing communities to support most-vulnerable children (MVC) and their families. …

  15. Effects of Programs Supporting Orphans and Vulnerable Children: Key Findings, Emerging Issues, and Future Directions from Evaluations of Four Projects in Kenya and Tanzania

    This report provides a summary of key findings from evaluations of four programs, two in Kenya and two in Tanzania, supporting orphans and other vulnerable children (OVC). The overall aim of these evaluations was to ascertain the extent to which program interventions are effective in improving the well-being of OVC and their families, and the interventions' cost-effectiveness in achieving key outcomes. This report focuses on the overarching outcomes, emerging issues, and lessons learned from these evaluation studies of OVC programs. …

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