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UNESCO HIV and Health Education Clearinghouse

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  1. A possible role of stigma and fears in HIV infection

    Fear/Stigma associated with HIV/AIDS continues to avert responses to the epidemic. Data (obtained in Tshwane metropolis) were used to test stigma/fear dimensions of an instrument. Factor analysis identified five foci of fear and stigma. There were significant differences on the factor scale measuring fear of sex, with females and younger respondents having significantly greater fear. Results were interpreted within a cultural context that realises that decreasing AIDS stigma is a vital step in stemming the pandemic.

  2. AIDS at 35: a midlife crisis

    AIDS was first publicly reported on 5 June 1981 in the Morbidity and Mortality Weekly Report (MMWR) of the US Centers for Disease Control (CDC). Doctors in New York and San Francisco were seeing clusters of previously extremely rare diseases such as Pneumocystis carinii, and Kaposi’s sarcoma. These infections manifested in exceptionally serious forms, initially, within a narrowly defined risk group — young, homosexual men, and led to death within a short period. …

  3. School experiences of HIV-positive secondary school learners on ARV treatment in Namibia

    Although the provision of life-saving antiretroviral (ARV) treatment is central to the medical and policy response to the HIV pandemic, relatively little research in the SADC region and in Namibia particularly, attends to HIV-positive people's experiences and the social effects of taking ARV treatment, with children being least focused on. The study from which the paper is drawn contributes to this dearth by examining the experiences of HIV-positive high school learners on ARV treatment in Khomas Region, Namibia. …

  4. Having sex, becoming somebody: A qualitative study assessing (sexual) identity development of adolescents living with HIV/AIDS

    A growing number of adolescents are living with HIV/AIDS. For their well-being and for prevention, age- and culturally appropriate interventions become increasingly important. This qualitative study was conducted as the first step to develop a sexual and reproductive health (SRH) intervention. The study's objective was to assess the impact of HIV and related contextual conditions on identity formation of adolescents living with HIV/AIDS (ALH) in the domains of physical, cognitive, social, and sexual development. Data were collected using focus group discussions (FGDs). …

  5. Knowledge of antiretrovirals in preventing parent-to-child-transmission of HIV: a cross-sectional study among women living with HIV in Tamil Nadu, India

    India is amongst the top 10 countries in the world currently with the highest burden of pregnant women living with HIV and nearly 80% of these women do not recieve antiretroviral treatement drugs to prevent parent-to-child transmission. This was a descriptive, cross-sectional study in which women were interviewed in Tamil Nadu to estimate HIV-infected women's awarness of PTCT and knowledge of ARVs as a measure to prevent PTCT. The results of the study are that 18.8% of the women with HIV interviewed had not heard of PTCT and 40% did not know that ARVs could prevent PTCT. …

  6. Supporting HIV-positive learners in inclusive classes in South Africa: Is it the responsibility of teachers

    The adoption of White Paper 6 of 2001 in South Africa on the implementation of inclusive education has become an important milestone to ensure the accommodation of the full range of learner needs in ordinary schools. This paper deals with the rights and needs of HIV-positive learners and their first line of support, namely ordinary teachers, who form the backbone of support within the inclusive classroom. At the moment, learners living with HIV miss out frequently on help and support because specialist out-of-school HIV and AIDS services are not geared towards their needs. …

  7. Economic impact of HIV and antiretroviral therapy on education supply in high prevalence regions

    Background: We set out to estimate, for the three geographical regions with the highest HIV prevalence, (sub-Saharan Africa [SSA], the Caribbean and the Greater Mekong sub-region of East Asia), the human resource and economic impact of HIV on the supply of education from 2008 to 2015, the target date for the achievement of Education For All (EFA), contrasting the continuation of access to care, support and Antiretroviral therapy (ART) to the scenario of universal access. …

  8. Access to safe abortion: building choices for women living with HIV and AIDS

    In many areas of the world where HIV prevalence is high, rates of unintended pregnancy and unsafe abortion have also been shown to be high. Of all pregnancies worldwide in 2008, 41% were reported as unintended or unplanned, and approximately 50% of these ended in abortion. …

  9. HIV serostatus disclosure and lived experiences of adolescents at the Transition Clinic of the Infectious Diseases Clinic in Kampala, Uganda: A qualitative study

    Most studies on HIV serostatus disclosure and adolescents focus on whether, how and when to disclose to adolescents their HIV diagnosis. Fewer studies have examined HIV serostatus disclosure by adolescents who know they are infected with HIV. This study presents qualitative data examining HIV serostatus and treatment disclosure practices and concerns of young people living with HIV in Uganda and the extent to which they are satisfied with current norms around HIV serostatus and treatment disclosure. …

  10. Treatment outcomes in HIV-infected adolescents attending a community-based antiretroviral therapy clinic in South Africa

    As the HIV epidemic matures, survival of children with perinatally acquired HIV infection into adolescence is increasingly being documented in sub-Saharan African countries. In addition, the burden of HIV in the adolescent patient population in the region is also due to sexual transmission, with adolescents and young adults being particularly vulnerable to this mode of infection. HIV care and treatment services in the region need to adapt to adequately meet the specific needs of this expanding disease burden among adolescents. …

  11. Knowledge of HIV/AIDS and attitudes towards people living with HIV among the general staff of a public university in Malaysia

    Stigma and discrimination towards people living with HIV have been widely documented, and have extended their impact into the workplace. Stigmatising attitudes towards people living with HIV (PLHIV) in the workplace significantly hinder HIV prevention efforts and indirectly affect national development. This cross-sectional study was designed to determine the level of knowledge about HIV and AIDS and assess attitudes towards PLHIV among the general staff of Universiti Putra Malaysia (UPM), as well as to identify factors that are associated with it.

  12. VCT uptake and associated factors among teachers from Harari Administrative Region

    Background: Although HIV/AIDS is affecting most productive segments of the population, the basic education sector which is vital to the creation of human capital is also equally affected. The loss of skilled and experienced teachers due to the problem is increasingly compromising the provision of quality education in most African countries and thus, needs appropriate intervention measures that reverse the current trend. Objectives: To assess the prevalence and determining factors of VCT uptake among teachers of Harari Administrative Region. …

  13. Prognosis of patients with HIV-1 infection starting antiretroviral therapy in sub-Saharan Africa: a collaborative analysis of scale-up programmes

    Prognostic models have been developed for patients infected with HIV-1 who start combination antiretroviral therapy (ART) in high-income countries, but not for patients in sub-Saharan Africa. The article shows the development of two prognostic models to estimate the probability of death in patients starting ART in sub-Saharan Africa. Data for adult patients who started ART in four scale-up programmes in Côte d'Ivoire, South Africa, and Malawi from 2004 to 2007 are analised. Patients lost to follow-up in the first year were excluded. …

  14. Undiagnosed HIV Infections among Adolescents Seeking Primary Health Care in Zimbabwe

    Mother-to-child transmission of human immunodeficiency virus (HIV) infection was extremely common in southern Africa during the 1990s, and a substantial minority of infected infants have survived to reach adolescence undiagnosed. Studies have shown a high prevalence of HIV infection in hospitalized adolescents who have features associated with long-standing HIV infection, including stunting and frequent minor illnesses. Given this reality, the epidemiology of HIV infection at the primary care level is investigated. …

  15. Sexualidade de mulheres vivendo com HIV/AIDS em São Paulo

    O artigo apresenta um estudo realizado com 1.068 mulheres soropositivas. Os questionários elaborados visavam descrever os aspectos da vida sexual e reprodutiva das entrevistadas, bem como a maneira como elas percebiem o aconselhamento nesta área fornecido pelos Centros de Referências. Constatou-se que o conhecimento sobra a transmissão materno-infantil é reduzido, e as entrevistadas também se referiram ao pocuo espaço e acolhimento para discutir sexualidade, emáespecial suas intenções reprodutivas. …

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