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UNESCO HIV and Health Education Clearinghouse

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  1. Cost-effective interventions that focus on most-at-risk populations

    This paper explores the most cost-effective approaches to AIDS interventions in countries with low and concentrated epidemics. These epidemics are traditionally driven by populations that are classified as "Most at Risk". The populations that make up this group are sex workers, men who have sex with men and intervenous drug users. These groups are heavily marginalized, and governments are often reluctant to allocate resources to programs that target these groups. …

  2. Promoting Health-Seeking Behaviours and Quality of Care among Men who have Sex with Men and Transgender Women: Evidence from 5 Provinces in Thailand

    The study was commissioned by UNESCO Bangkok and aims to increase understanding about the health-seeking behavior of MSM/TG women in Thailand, including perceptions of illness, sources of information on sexual health, types of health services accessed, and constraints and obstacles in accessing healthcare; and to evaluate whether existing sexual health services meet the needs of MSM and TG women in the current Thai context, and develop recommendations for community groups/organizations, policy-makers (in light of Thailand’s revised National AIDS strategy), health service providers and developi …

  3. Ignorance Only - HIV/AIDS, Human rights and Federally funded Abstinence-only programs in the United States. Texas: A Case Study

    There is no vaccine to prevent HIV/AIDS, and the best treatment does not constitute a cure. U.S. government institutions responsible for setting public health standards have therefore repeatedly and strongly urged that providing complete and accurate information to adolescents about HIV/AIDS prevention, including the proper use of condoms as a means to reduce the risk of HIV transmission, be an important part of the government's prevention efforts. …

  4. Exploratory study of the social contexts, practices and risks of men who sell sex in Southern and Eastern Africa

    The aim of the research presented in this report was to explore the social contexts, life experiences, vulnerabilities and sexual risks experienced by men who sell sex in Southern and Eastern Africa, with a focus on five countries; Kenya, Namibia, South Africa, Uganda and Zimbabwe (an in particular with research activities in the Kenya and Namibia). …

  5. CEPEHRG and Maritime, Ghana: Engaging new partners and new technologies to prevent HIV among men who have sex with men

    Many African MSM are surprised to discover that the sex they have with other men puts them at risk for acquiring the virus. The media and most prevention programming in the region consistently describe HIV vulnerability in terms of heterosexual risk, and many African MSM do not realize that they too are vulnerable. The few programs that do target this population face significant challenges in reaching MSM with the information and services they need. …

  6. I expect to be abused and I have fear: Sex workers' experiences of human rights violations and barriers to accessing healthcare in four African countries

    This report documents human rights violations experienced by female, male and transgender sex workers in four African countries (Kenya, Uganda, South Africa and Zimbabwe), and describes barriers they face to accessing health services. Through cross-country comparison and documenting sub-regional trends, the study moves beyond previous often-localised descriptions of violations against sex workers in Africa. The study also fills information gaps about violations in male and transgender sex workers in this setting.

  7. Key populations, key responses: a gap analysis for key populations and HIV in South Africa, and recommendations for the National Strategic Plan for HIV/AIDS, STIs and TB (2012-2016)

    In June 2011, South Africa signed the United Nations Political Declaration on HIV/AIDS: Intensifying our Efforts to Eliminate HIV/AIDS which explicitly outlined commitment for all UN member states to address the inadequacy of HIV prevention strategies, focusing on men who have sex with men (MSM), injecting drug users (IDU) and sex workers (SW) and to improve access to HIV prevention, treatment, care and support services for migrant populations. …

  8. Secret Lives, Other voices: A community-based study exploring male-to-male sex, gender identity and HIV transmission risk in Fiji

    The report explores sexuality, gender identity and HIV transmission risk in Fiji, and represents the first research of its kind to be conducted since 1998 among men who have sex with men and transgender people in the country. The report found that men who have sex with men are at high risk of HIV in Fiji. Only 21.6% of respondents consistently used condoms during anal sex with a male or transgender partner in the previous six months. More than one in five reported never using them. …

  9. A cross-sectional study of HIV and syphilis infections among male students who have sex with men (MSM) in northeast China: implications for implementing HIV screening and intervention programs

    This study explores HIV prevalence and behavioral characteristics of Chinese male students who have sex with men (MSM). The authors conducted a cross-sectional study of MSM high-school and college students in Liaoning Province. Data were collected through face-to-face interviews, and blood specimens were obtained and tested for HIV and syphilis. There were 436 eligible participants. HIV prevalence was 3.0% and syphilis prevalence was 5.0%. …

  10. Treatment Access for Positive MSM in the Asia Pacific

    In collaboration with various community-based organizations, APN+ conducted a peer-led mixed method research project in six Asian countries to document the range of services available for MSM and transgender people living with HIV and to identify barriers to access and use of these services. Findings from peer-led Focus group discussions are analyzed and remain the main thrust of this report. …

  11. Most at Risk Young People Survey Cambodia 2010

    Cambodia's Most at Risk Young People Survey (MARYPS) 2010 is a follow up survey of the Youth Risk Behavior Survey conducted in 2004. The survey provides the policymakers and planners with data on alcohol, drug and sex related behaviors and utilization of sexual and reproductive health services among MARYP. This survey is jointly supported by FHI, PSI, UNAIDS, UNESCO, UNFPA, UNICEF and WHO.

  12. Discriminación Social y la Salud: El Caso de los Hombres Latinos Homosexuales y el Riesgo de Infección por HIV

    En este estudio, que se fundamenta en datos empíricos obtenidos de latinos homosexuales y bisexuales en tres ciudades de los EE.UU., documentamos la relación que existe entre formas específicas de discriminación social-homofobia, racismo y penurias económicas-y una determinada consecuencia para la salud: el aumento del riesgo para la transmisión del VIH. …

  13. Bio-behavioral study conducted among young people and most at risk populations for HIV infection in Republic of Macedonia in 2007

    This report represents the findings of the second cross-sectional study conducted in 2006, one years after the first study. The behavioral study is conducted among Intravenous Drug Users, Sex Workers, Men having Sex with Men, prisoners, STI patients including the group of young people aged 15-24 and Roma population.

  14. Characterizing the HIV/AIDS epidemic in the Middle East and North Africa: time for strategic action

    Despite a fair amount of progress on understanding human immunodeficiency virus (HIV) epidemiology globally, the Middle East and North Africa (MENA) region is the only region where knowledge of the epidemic continues to be very limited, and subject to much controversy. This report addresses this dearth of strategic information on HIV infections in MENA through a joint effort of the World Bank, the MENA Regional Support Team (RST) of the Joint United Nations Programme on HIV/AIDS (UNAIDS), and the Eastern Mediterranean Regional Office (EMRO) of the World Health Organization (WHO). …

  15. Género y VIH/Sida: Estrategias de prevención en hombres que tienen sexo con hombres (HSH)

    Esta publicación se basa en las lecciones aprendidas durante la realización del proyecto "Promoción de los derechos sexuales y reproductivos y prevención del VIH/sida en hombres que tienen sexo con hombres". …

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