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UNESCO HIV and Health Education Clearinghouse

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  1. CSE scale-up in practice. Case studies from Eastern and Southern Africa

    The report documents the process of scaling up comprehensive sexuality education and the status of sexuality education in East and Southern Africa.

  2. Experimental evaluation of school-based HIV programs in sub-Saharan Africa

    School-based adolescent health education programs represent a durable strategy in reducing the spread of HIV because they can leverage pre-existing social and organizational structures to reach large fractions of students at critical life stages. Many evaluations of school-based HIV programs draw on multilevel study designs that assign schools to treatment conditions or assign students to treatment conditions within blocks defined by school membership. …

  3. To flush or not to flush: Monitoring and evaluating the primary school sanitary facilities against Ministries' benchmark standards in Southern and Eastern African countries

    Sustainable access to basic sanitation in school is well featured in the Education for All (EFA) goals and Millennium Development Goal (MDG). The United Nations General Assembly of 2010 declared access to sanitation as a human right (United Nations, 2010) in association with the MDG #7, with a particular target to “halve the proportion of people without sustainable access to safe drinking water and basic sanitation” by 2015

  4. Sexuality education in rural Lesotho schools: challenges and possibilities

    The aim of this paper is to present and discuss some of the obstacles to effective sexuality education in rural Lesotho schools and offer some suggestions that could facilitate positive change in the current status of sexuality education. The call for education as a ‘vaccine’ against new HIV infections places teachers at the forefront of the fight against the pandemic, and thus it is imperative to understand how they experience teaching about sexuality. …

  5. The role of partners’ educational attainment in the association between HIV and education amongst women in seven sub-Saharan African countries

    Introduction: Individuals’ educational attainment has long been considered as a risk factor for HIV. However, little attention has been paid to the association between partner educational attainment and HIV infection. Methods: We conducted cross-sectional analysis of young women (aged 1534) in 14 Demographic and Health Surveys from seven sub-Saharan Africa (SSA) countries with generalized HIV epidemics. …

  6. Comprehensive sexuality education in teacher training in Eastern and Southern Africa

    This report is a consolidated summary and analysis of the status of comprehensive sexuality education for teacher training in 21 countries in the East and Southern Africa region.

  7. HIV and sexual and reproductive health programming: innovative approaches to integrated service delivery

    This compendium has profiled and analysed 11 case studies on integrated service delivery in the context of EMTCT from 9 countries in sub-Saharan Africa. All of the examples demonstrate a general trend towards the implementation of integrated service delivery models supported by policy frameworks adopted in country and by service organizations at the facility level. These promising practices are by no means exhaustive or geographically representative. They do, however, contain valuable and practical vignettes of integrated service delivery in countries with generalized HIV epidemics. …

  8. Assessing school climate towards sustainable learning for all in Sub-Saharan Africa: Perspectives from unstable health to school-related gender-based violence (SRGBV)

    The objective of the current study is to explore the use of Rasch scaling technique to construct a Perceived School Disorder Index (PSDI) in order to see if there are ‘stages’ of evolution in a school climate. More specifically, the research questions for the current study are: Which items constitute the PSDI in Sub-Saharan African countries? What profile of behavioural problems are likely to emerge at different stages of the school climate? What were boys’ and girls’ learning outcomes at each stage of the school climate?

  9. Violence in primary schools in Southern and Eastern Africa: Some evidence from SACMEQ

    Special attention was given to the issues related to school violence in the studies conducted by a consortium known as Southern and Eastern Africa Consortium for Monitoring Educational Quality (SACMEQ). These issues were included in the form of research questions which sought information on pupils’ and teachers’ behavioural problems at the primary school level. This paper addresses the following three research questions: (1) What were the changes in the perceived occurrence of school violence in SACMEQ school systems between 2000 and 2007? …

  10. Getting to zero: HIV in eastern and southern Africa

    This report provides an overview of the HIV epidemics in eastern and southern Africa and of the region’s response and progress towards meeting the 2011 Political Declaration targets, while identifying noteworthy achievements and challenges. The report draws on the most recently available data from the Global AIDS Response Reporting System, national HIV estimation exercises, data gathered and generated by UNAIDS, its co-sponsors and national partners, and the many recent studies and surveys that have been conducted in the region. …

  11. Orphans and vulnerable children: Trends in school access and experience in Eastern and Southern Africa

    Across sub-Saharan Africa, the AIDS pandemic has impacted children in a myriad of ways, from parental loss, to HIV infection, to increased poverty and marginalization. These children have been labeled orphans and vulnerable children (OVC) in the international development literature, and a range of interventions have provided services aiming to mitigate the impact of the crisis on human development outcomes, including education. …

  12. The role of the education sector in providing care and support for orphans and vulnerable children in Lesotho and Swaziland

    The propose of the study was to probe in greater depth, and within the more systematic frame of a research methodology, the dynamics of two current initiatives aiming to provide support to vulnerable children in both Lesotho and Swaziland. Each of the four interventions had within their programme designs a main emphasis on enabling school enrolment and sustaining school attendance. At the same time, the interventions looked to support the more comprehensive needs of vulnerable children and, by doing so, to enhance their overall life situation. …

  13. Are there any disparities between girls and boys in the response of the education sector to HIV and AIDS? Assessment of educational HIV/AIDS prevention programmes applied by SACMEQ III countries

    This paper aims to assess whether the goals of the in-school programmes on prevention of HIV and AIDS that are taught in primary schools of 15 national ministries of education in Southern and Eastern Africa have been reached equitably between boys and girls by the end of primary education. One feature of most of these ministries is that they are in countries that are the hardest hit by a general HIV epidemic. More specifically, the paper aims to analyse schoolboys’ and schoolgirls’ general knowledge about HIV and AIDS. …

  14. Key findings on HIV prevention information needs in Lesotho

    This document reports key findings of a study on HIV prevention information needs in Lesotho. Data was collected in late 2009 using qualitative research methods. Eleven key informant interviews were conducted with policy makers, opinion leaders, program managers, and development partners, all working on HIV and AIDS activities at the national level. Each was based in Maseru, though some of their work covered both rural and urban areas. Four focus group discussions (FGDs) were also conducted with a total of 17 participants. …

  15. HIV infection and sexual risk behaviour among youth who have experienced orphanhood: systematic review and meta-analysis

    Background: Previous research has suggested that orphaned children and adolescents might have elevated risk for HIV infection. We examined the state of evidence regarding the association between orphan status and HIV risk in studies of youth aged 24 years and younger. Methods: Using systematic review methodology, we identified 10 studies reporting data from 12 countries comparing orphaned and non-orphaned youth on HIV-related risk indicators, including HIV serostatus, other sexually transmitted infections, pregnancy and sexual behaviours. …

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