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UNESCO HIV and Health Education Clearinghouse

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  1. 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.

  2. 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. …

  3. Situational analysis of young people at high risk of HIV exposure in Thailand: Synthesis report

    The main goals of this project are to review the situation of young key affected populations (YKAP) HIV risk behaviours in Thailand, review the present policy and programmatic response for YKAP, identify gaps and promising practices for YKAP, and determine strategic future policy and programming interventions for YKAP. …

  4. HIV and adolescents: focus on young key populations

    Adolescents and young adults are at increased risk for HIV due to the many developmental, psychological, social, and structural transitions that converge in this period of the lifespan. In addition, adolescent deaths resulting from HIV continue to rise despite declines in other age groups. There are also young key populations (YKPs) that bear disproportionate burdens of HIV and are the most vulnerable, including young men who have sex with men (MSM), transgender youth, young people who inject drugs, and adolescent and young adult sex workers. …

  5. 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. …

  6. Population size estimation of key populations (Sierra Leone)

    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. …

  7. NewGen Asia: Building capacity in emerging young leaders in the HIV response

    In the Asia-Pacific Region, young people bear a large proportion of new HIV infections, and there is a need to consult them about how best to tailor prevention initiatives to meet their needs. In 2010, Youth LEAD, an organization representing young HIV advocates from across the Asia-Pacific region highlighted the need to engage young people more effectively in advocacy and programming initiatives. …

  8. Experiences from the field: HIV prevention among most at risk adolescents in Central and Eastern Europe and the Commonwealth of Independent States

    In recent years, UNICEF has worked together with national and local authorities and civil society partners in a number of countries in Eastern Europe and Central Asia to develop and implement HIV prevention programmes intended to reduce risks and vul¬nerabilities among most-at-risk adolescents (MARA.) This docu¬ment presents programming experiences from seven countries: Albania, Bosnia and Herzegovina (BiH), Moldova, Montenegro, Romania, Serbia and Ukraine. …

  9. 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. …

  10. The HIV and sex work collection: innovative responses in Asia and the Pacific

    The purpose of this resource is to: document and share programming and advocacy experience from across the Asia-Pacific region that can guide programming and advocacy efforts to respond effectively to HIV in the context of sex work; provide detailed case studies that illustrate the ways in which programmes and advocacy interventions were designed and delivered to address various elements of a comprehensive response; identify lessons learned, gaps and challenges and key considerations for strengthening and scaling up comprehensive and effective responses in the region. …

  11. 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. …

  12. Integrated biological and behavioural surveillance survey among migrant female sex workers in Nairobi, Kenya

    Kenya is currently experiencing both a generalized and a concentrated HIV epidemic. It has a national HIV prevalence of 6.3 per cent and 1.3 million people between the ages of 15 to 64 across the country are living with HIV. According to the Kenya National AIDS Control Council (NACC), female sex workers (FSW) and their clients account for 14.1% of new infections. The Kenyan national response has recently started targeting research and programming efforts towards key population groups, and specifically FSW. However, migrants have not been targeted as a distinct category. …

  13. Universal Access for Women and Girls: Accelerating Access to HIV Prevention, Treatment, Care and Support for Female Sex Workers and Wives of Migrant Men

    As part of a global initiative to improve women’s access to HIV prevention and treatment services, ICRW implemented a research study to expand the evidence base on access to services for two key populations in India: female sex workers in Pune, Maharashtra and wives of migrant men in Ganjam, Orissa. The main objectives of the research study were to explore barriers to HIV services experienced by the study populations, and based on the findings, to identify entry points for improving HIV services among women in India more broadly.

  14. Reducing sexual risk taking behaviors among adolescents who engage in transactional sex in post-conflict Liberia

    Transactional sex (TS) has been correlated with HIV/STD infection, pregnancy, early marriage, and sexual violence in sub-Saharan Africa (SSA). Few Western-based HIV prevention programs adapted for SSA have examined intervention impacts for this group. This article examines whether an HIV prevention intervention, delivered to sixth-grade students in Liberia (age range 14–17) and found to increase condom use and other mediators for the larger sample, significantly impacted sexual behaviors and mediators for those who engaged in TS. …

  15. Cambodia - addressing HIV vulnerabilities of indirect sex workers during the financial crisis: Situation analysis, strategies and entry points for HIV/AIDS workplace education

    This research paper is the first step towards developing a tailor-made, focused intervention on HIV/AIDS for indirect sex workers in Phnom Penh, using the structure of their formal entertainment sector workplaces. While this research does not provide a framework for interventions at all entertainment venues in Phnom Penh where sex work occurs, it does pinpoint where HIV workplace education is most needed, what sorts of approaches will most likely be effective and where it will have the biggest impact within the context of the recent financial crisis.

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