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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. Achieving an AIDS-free generation for gay men and other MSM in Southern Africa

    Focused specifically on six countries in southern Africa, this report describes the financing and implementation of programs for gay men, other men who have sex with men, and transgender individuals (GMT) in a region at the heart of the HIV epidemic through a combination of desk research and in-country consultations conducted by civil society advocates with implementers, policy makers, academics, and people living with HIV.

  3. 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. …

  4. Strengthening contemporary school health, nutrition and HIV prevention programmes. Report of the 8th Annual Africa Short Course

    In June 2012, the Partnership for Child Development (PCD), Imperial College London, in partnership with the Eastern and Southern African Centre for International Parasite Control (ESACIPAC) and West African Centre for International Parasite Control (WACIPAC), delivered the 8th Annual Short Course on Strengthening Contemporary School Health, Nutrition and HIV Prevention Programmes at the Sun ’n’ Sand Beach Resort in Kilifi, Kenya. …

  5. Teacher training college programme Theatre for a Change, Malawi endline impact assessment report 2010-2011

    Malawi is among the 10 countries in the world with the highest HIV prevalence rate, estimated at 12%. Among occupational groups, teachers in Malawi are especially at risk. Their HIV prevalence rate is 23%, almost double the national rate (National AIDS Commission 2009). However, when trainee teachers enter into Teacher Training Colleges (TTCs) their estimated HIV prevalence rate is under 3%. Theatre for a Change (TfaC)has identified TTCs as an ideal environment to work with this vulnerable population before they encounter situations that will put them at risk of HIV infection. …

  6. Theatre for a Change teacher training college programme, Malawi. Baseline report 2010-2011

    Theatre for a Change (TfaC) is a registered non-governmental organization in Malawi that works to reduce the risk of HIV infection among marginalized and vulnerable groups through the use of interactive, participatory learning techniques. In Malawi, the HIV prevalence rate of teachers is 23%; almost double the national rate of 12% (National AIDS Commission 2009). TfaC’s Teacher Training College (TTC) programme is a behaviour change intervention that works with trainee teachers in Teacher Training Colleges nationwide to reduce the high risk of HIV infection among teachers in Malawi.

  7. 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. …

  8. Individual and community-level tolerance of spouse abuse and the association with the circumstances of first sex among youth from six sub-Saharan African countries

    Youth who engage in early and premarital sex are at risk of HIV and sexually transmitted infections. Most prevention programs ignore the mediating influence of the threat and experience of violence on these outcomes. Using nationally representative data from Lesotho, Malawi, Zimbabwe, Kenya, Tanzania, and Uganda, the autors used multivariate analyses to examine the association between individual- and community-level tolerance of spouse abuse on the age and circumstances of sexual debut among female youth. The youth sample sizes ranged from a high of 5007 in Malawi to a low of 3050 in Lesotho. …

  9. National teacher training HIV endline survey Malawi, 2009

    The first cohort of trainee teachers who participated in the Teacher Training College (TTC) programme finished in August 2009. Theatre for a Change (TfaC) contracted independent consultants to carry out an impact assessment on the TTC programme to identify its strengths and weaknesses. TfaC will use this impact assessment to inform the programme’s development. This report assesses the programme’s impact by comparing the results of the baseline survey, conducted at the beginning of the programme in October 2008, with the results of the endline survey, conducted in August 2009. …

  10. Report on supporting care providers to improve lives of children orphaned or made vulnerable by HIV/AIDS

    This report presents the findings of a study on how communities lead the response to orphans and other vulnerable children (OVC) in different regions of Malawi - focusing on the districts of Kasungu and Lilongwe in the central region, Mulanje in the south, and Mzimba in the north. These are districts where Plan Malawi implements OVC care and support interventions. The overall goal of the study was to determine the effectiveness of support being provided by care givers to the well being of OVC made vulnerable by HIV and AIDS. …

  11. U.S. Global Health Policy. The Women, Girls, and Gender Equality Principle of the U.S. Global Health Initiative (GHI): Assessment of the GHI Plus Country Strategies

    President Obama announced the U.S. Global Health Initiative (GHI) in May 2009 as a step in developing a comprehensive, global health government strategy. One of its seven central tenets relates to "women, girls and gender equality." Eight GHI Plus countries (those in which the US rolls out health programs selected for accelerated implementation of GHI). This report assesses how this GHI requirements for strategies and 10 Key Elements of Implementation were integrated into GHI Plus country strategies. …

  12. Lessons from the Children and AIDS Regional Initiative (CARI): Child- and HIV-sensitive social protection in Eastern and Southern Africa

    This documentation explores child- and HIV-sensitive social protection implemented under the umbrella of CARI in five of nine selected countries within the Eastern and Southern Africa region (ESAR): Botswana, Malawi, Mozambique, Swaziland and Tanzania. During fieldwork for this study, assessments were undertaken by considering various programmes and policies and their performance individually, but also by looking at their linkages and complementarities to other programmes and service providers. …

  13. Teacher management in a context of HIV and AIDS: Malawi report

    This study aims to describe and analyse the results of a qualitative research study on teacher management policies, tools and practices in Malawi, a country where HIV and AIDS is highly prevalent. The research aims to discover whether teacher management policies, tools and practices have evolved in high prevalence settings as a response to the HIV epidemic.

  14. Regional assessment on HIV-prevention needs of migrants and mobile populations in southern Africa

    Southern Africa continues to bear a disproportionate share of the global burden of HIV: 35% of HIV infections and 38% of AIDS-related deaths in 2007 occurred in this sub-region. Southern Africa also experiences high levels of population movement, voluntary or forced, and comprises a diversity of people, including contract labor migrants, irregular migrants, families of migrants, refugees, trafficked persons and mobile workers such as truck drivers and mine workers. Furthermore, migrants have loved ones back home, who may face their own vulnerabilities, as the family breadwinner is away. …

  15. 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. …

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