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UNESCO HIV and Health Education Clearinghouse

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  1. National implementation guidelines for HIV and STI programming among young key populations

    These guidelines aim to inform the design and implementation of interventions with young key populations (YKP), 15-24 years, specifically young women who sell sex, young men who have sex with men, and young people who inject drugs. The guidelines aim to accelerate the HIV response to end new HIV infections among young key populations. …

  2. Systematic review and meta-analysis: prevalence of alcohol use among young people in eastern Africa

    The study’s objective is the systematic review and meta-analysis of published studies of alcohol use among young people (age 15–24 years) in eastern Africa to estimate prevalence of alcohol use and determine the extent of use of standardised screening questionnaires in alcohol studies. Based on the review results, the authors draw the conclusion that alcohol use and problem drinking were common among diverse groups of young people in eastern Africa, indicating the urgent need for alcohol-focused interventions in this population. …

  3. Empowering each other: young people who sell sex in Ethiopia

    Sex workers are amongst those most affected by HIV and sexual and reproductive health and rights (SRHR) issues in Ethiopia. Stigma and discrimination towards sex workers affects their ability to access SRHR information, education and services. In 2014, the Link Up project in Ethiopia implemented a model of peer education and outreach to empower young people who sell sex (aged 15 – 24 years) and increase their access to HIV and SRHR services. The Link Up project seeks to improve the sexual and reproductive health and rights of young people most affected by HIV. …

  4. Human rights and the HIV response: a rapid assessment of human rights violations in the context of HIV, in the Eastern and Southern Africa region, and a review of current approaches to protecting and promoting human rights for an effective HIV response

    Key populations, specifically people who sell sex (PWSS), people who inject drugs (PWID) and lesbian, and gay, bisexual, transgender and intersex (LGBTI) people experience significant human rights violations which underpin the continued high HIV incidence in these populations. This rapid assessment of human rights violations in Eastern and southern Africa focuses on three priority key populations – PWSS, LGBTI (including MSM), and PWID. The report outlines the normative international treaties that establish a basis for a human rights framework for the HIV response.

  5. Monitoring HIV prevention programme outcomes among key populations in Kenya: findings from a national survey

    In preparation for the implementation of the Kenya AIDS Strategic Framework 2014/15- 2018/19, the Kenya National AIDS and STI Control Programme facilitated a national polling booth survey as part of a baseline assessment of HIV-related risk behaviours among female sex workers, men who have sex with men, and people who inject drugs, and their utilization of existing preventive interventions, as well as structural factors that may influence KPs’ vulnerability to HIV. …

  6. Development of a nationally coordinated evaluation plan for the Ghana National Strategy for Key Populations

    Objective: Just as HIV prevention programs need to be tailored to the local epidemic, so should evaluations be country-owned and country-led to ensure use of those results in decision making and policy. The objective of this paper is to describe the process undertaken in Ghana to develop a national evaluation plan for the Ghana national strategy for key populations. Methods: This was a participatory process that involved meetings between the Ghana AIDS Commission (GAC), other partners in Ghana working to prevent HIV among key populations, and MEASURE Evaluation. …

  7. Policy analysis and advocacy decision model for services for key populations in Kenya

    From 2010–2012, the global Health Policy Project (funded by the United States Agency for International Development), in partnership with African Men for Sexual Health and Rights (AMSHeR), developed Policy Analysis and Advocacy Decision Model for HIV-Related Services: Males Who Have Sex with Males, Transgender People, and Sex Workers (Beardsley K., 2013), hereafter referred to as the Decision Model. …

  8. National HIV peer education strategy 2012

    The goal of the National Peer Education Strategy is to position peer education as a critical component of HIV prevention programmes targeting KAPs in preventing the transmission of HIV/AIDS. The objectives are: 1. Build national capacity and leadership in both government and civil society to provide peer education to all KAPs in Mauritius; 2. Build support for peer education by strengthening linkages with existing services and networks including law enforcement, civil society organisations, health and welfare workers and other stakeholders; 3. …

  9. National strategic plan for HIV prevention, care and treatment for sex workers: Leveraging a public health and human rights approach for HIV and sex work programming in South Africa

    The key priorities to improve South Africa’s response to the HIV and STI epidemics among sex workers are: Scaling-up of a comprehensive prevention package to achieve significantly increased coverage, particularly of ‘hidden’ sex workers; Improving the quality of HIV, STIs and TB prevention services; Building the technical skills and organizational capacity of Community-Based Organisations (CBOs) and the National Sex Worker Network; Strengthening the involvement of sex workers in the HIV and AIDS response through community development and mobilization; Strengthening the partnership between Gove …

  10. Population size estimation of key populations

    This population size estimation (PSE) was undertaken in order to inform HIV prevention programming for key populations in the fight against HIV in Sierra Leone. This PSE focused on female sex workers (FSWs), men who have sex with men (MSM) and people who inject drugs (PWID) because these groups are typically the first and hardest affected by HIV, and addressing their needs to prevent HIV can prevent or diminish the effect of HIV/AIDS on the general population. …

  11. HIV prevention among vulnerable populations: the Pathfinder International approach

    This publication provides a background in the risks faced by populations especially vulnerable to HIV and AIDS. The document outlines strategies effective in prevention of HIV and AIDS among sex workers, men who have sex with other men, and injecting drug users. Programs described include peer education, comprehensive health services and quality of treatment, provider referral networks, and in-service training and sensitization.

  12. Theatre for a Change Ghana: Interim impact assessment of the Peace and Love Club project

    Theatre for a Change (TfaC) is a registered non-governmental organization in Ghana which works to reduce the risk of HIV infection among marginalized and vulnerable groups through the use of interactive, participatory learning techniques. The HIV prevalence rate in Ghana is 1.37% and 11.1% among female sex workers (FSWs). In September 2012, following a period of mobilisation, TfaC began working with a group of 10 FSWs living and working in Old Fadama, Accra’s largest illegal settlement, to form the Peace and Love Club. …

  13. Silenced and forgotten: HIV and AIDS agenda setting paper for women living with HIV, sex workers and LGBT individuals in southern African and Indian Ocean states

    The impact of the HIV and AIDS epidemic is felt hardest by the individuals who are infected or affected by the disease, and in particular by individuals who are especially vulnerable to HIV infection due to stigma and discrimination, poverty, a lack of access to education, health and other services that promote HIV awareness. However, the impact of HIV and AIDS goes beyond the individual or household level – it affects nations as a whole. …

  14. Priority interventions to reduce HIV transmission in sex work settings in sub-Saharan Africa and delivery of these services

    Introduction: Virtually no African country provides HIV prevention services in sex work settings with an adequate scale and intensity. Uncertainty remains about the optimal set of interventions and mode of delivery. Methods: We systematically reviewed studies reporting interventions for reducing HIV transmission among female sex workers in sub-Saharan Africa between January 2000 and July 2011. Medline (PubMed) and non-indexed journals were searched for studies with quantitative study outcomes. Results: We located 26 studies, including seven randomized trials. …

  15. The global HIV epidemics among sex workers

    Since the beginning of the epidemic sex workers have experienced a heightened burden of HIV across settings, despite their higher levels of HIV protective behaviors (UNAIDS, 2009). By gaining a deeper understanding of the epidemiologic and broader policy and social context within which sex work is set one begins to quickly gain a sense of the complex backdrop for increased risk to HIV among sex workers. …

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