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UNESCO HIV and Health Education Clearinghouse

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  1. Effects of peer education intervention on HIV/AIDS related sexual behaviors of secondary school students in Addis Ababa, Ethiopia: a quasi-experimental study

    Background: Worldwide, about 50 % of all new cases of HIV occur in youth between age 15 and 24 years. Studies in various sub-Saharan African countries show that both out of school and in school adolescents and youth are engaged in risky sexual behaviors. School-based health education has been a cornerstone of youth-focused HIV prevention efforts since the early 1990s. In addition, peer-based interventions have become a common method to effect important health-related behavior changes and address the HIV/AIDS pandemic. …

  2. Rising school enrollment and declining HIV and pregnancy risk among adolescents in Rakai district, Uganda, 1994–2013

    Background: Poverty, family stability, and social policies influence the ability of adolescents to attend school. Likewise, being enrolled in school may shape an adolescent’s risk for HIV and pregnancy. We identified trends in school enrollment, factors predicting school enrollment (antecedents), and health risks associated with staying in or leaving school (consequences). Methods: Data from the Rakai Community Cohort Study (RCCS) were examined for adolescents 15–19 years (n = 21,735 person-rounds) from 1994 to 2013. …

  3. Differences among male/female adolescents participating in a school-based teenage education program (STEP) focusing on HIV prevention in India

    With the rising threat of HIV in India, youth are an important group to reach for prevention education. This pilot study tested the efficacy of STEP (School-based Teenage Education Program focusing on HIV Prevention) for school children. This pilot study randomized 25 schools in Mumbai. …

  4. Trends in HIV prevalence and sexual behaviour among young people aged 15-24 years in countries most affected by HIV

    Objectives: In 2001 the United Nations (UN) Declaration of Commitment was signed by 189 countries with a goal to reduce HIV prevalence among young people by 25% by 2010. Progress towards this target is assessed. In addition, changes in reported sexual behaviour among young people aged 15e24 years are investigated. Methods: Thirty countries most affected by HIV were invited to participate in the study. Trends in HIV prevalence among young antenatal clinic (ANC) attendees were analysed using data from sites that were consistently included in surveillance between 2000 and 2008. …

  5. Changes over time in sexual behaviour among young people with different levels of educational attainment in Tanzania

    HIV prevalence in Tanzania was initially higher among those with higher levels of educational attainment, but it has fallen fastest among these groups. Among those with lower levels of education, HIV prevalence has been stable. The authors analyzed data from two large, nationally representative surveys conducted in Tanzania in 2003/2004 and 2007/2008. They focused on young people ages 15 to 24 years and explored reports of (a) first sex, (b) having had more than one sexual partner in the last year and (c) unprotected last sex with a non-cohabiting partner. …

  6. Assessing reasons for school/college dropout among young adults and implications for awareness about STDs and HIV/AIDS: findings from a population-based study in Karachi, Pakistan

    This study investigated, among young adults in Karachi, Pakistan, the risk factors associated with involuntary school/college dropout and the implications for awareness about HIV/AIDS and STIs. The authors conducted a population-based, cross-sectional study with a structured questionnaire among 1,650 young males and females, ages 17-21 years and living in Karachi. Bivariate and multivariate analyses were performed separately for males and females. Females were twice as likely to drop out of school/college as males. …

  7. A novel economic intervention to reduce HIV risks among school-going AIDS orphans in rural Uganda

    This study tested an economic intervention to reduce HIV risks among AIDS-orphaned adolescents. Adolescents (n = 96) were randomly assigned to receive the intervention or usual care for orphans in Uganda. All adolescents in the study received usual care for AIDS orphans in Uganda, which included peer counseling, health education, and scholastic materials. In addition, experimental adolescents received a family economic intervention, which included a Child/Youth Development Account (CDA) and six 2-hour classes on career planning, career goals, microfinance, and financial well-being. …

  8. Scaling up and sustaining community-based care for preschool and schoolage children - successes and challenges in Malawi

    Community-based organizations (CBOs) are an important model for the care of orphans and other vulnerable children whose life and development are threatened by human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) and poverty. However, data are lacking on the challenges and solutions enabling successful expansion of these programs to the national level. This article presents some of the experiences encountered by Malawi in the expansion of their network of CBOs. …

  9. A process evaluation of the scale up of a youth-friendly health services initiative in northern Tanzania

    The authors conducted a process evaluation of the 10-fold scale-up of an evaluated youth-friendly services intervention in Mwanza Region, Tanzania, in order to identify key facilitating and inhibitory factors from both user and provider perspectives. The intervention was scaled up in two training rounds lasting 6 and 10 months. …

  10. Influence of religious affiliation and education on HIV knowledge and HIV-related sexual behaviors among unmarried youth in rural central Mozambique

    The interactions among religious affiliation, education, HIV knowledge, and HIV-related sexual behaviors among African church youth are poorly understood. In this sociodemographic study, 522 unmarried youth 12-28 years old in rural central Mozambique were surveyed with a structured questionnaire. Using binary logistic regression analysis, the authors used religious affiliation and education to measure influence on (1) HIV transmission and prevention knowledge and attitudes and (2) HIV-related sexual behaviors among youth. …

  11. Orphaned and vulnerable children in Zambia: the impact of the HIV/AIDS epidemic on basic education for children ar risk

    There is an emerging corpus of work on the impact of the HIV/AIDS epidemic on education in sub-Saharan Africa. This mainly employs demographic models to make projections of student enrolments and teacher requirements. However, there is a paucity of research in basic schools to examine the experiences of AIDS-affected teachers and students. This study explored staff and student perceptions of the impact of the HIV/AIDS epidemic on the education of affected children in high-prevalence districts of the Copperbelt province of Zambia. …

  12. Facts for life: Fourth edition

    Facts for Life is a joint publication of UNICEF, WHO, UNESCO, UNFPA, UNDP, WFP, UNAIDS and the World Bank. It aims to provide families and communities with the information they need to save and improve the lives of children. This is the fourth edition of Facts for Life. It is based on the latest scientific findings by medical and child development experts around the world, and presented in simple language that can be understood and acted upon easily by people without a scientific background. The Facts for Life messages are also based on human rights.

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