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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. Between tradition and modernity: girls’ talk about sexual relationships and violence in Kenya, Ghana and Mozambique

    This paper interrogates the influence of a tradition-modernity dichotomy on perspectives and practices on sexual violence and sexual relationships involving girls in three districts of Kenya, Ghana and Mozambique. Through deploying an analytical framework of positioning within multiple discursive sites, the authors argue that although the dichotomy misrepresents the complexity of contemporary communities, it is nonetheless deployed by girls, educational initiatives and researchers in their reflections on girls’ sexual practices and sexual violence. …

  3. Engaging school personnel in making schools safe for girls in Botswana, Malawi, and Mozambique

    Girls are vulnerable to HIV in part because the social systems in which they live have failed to protect them. This study evaluates a program aimed at making schools safe for girl learners in order to reduce girls’ vulnerability to HIV in Botswana, Malawi, and Mozambique. In addition to an extensive process evaluation with school personnel program participants, program facilitators, and community members, a cross-sectional post-intervention survey was conducted among adolescent girls in the three countries. The total sample size was 1249 adolescent girls (ages 11–18). …

  4. HIV-related discrimination among grade six students in nine southern African countries

    Background: HIV-related stigmatisation and discrimination by young children towards their peers have important consequences at the individual level and for our response to the epidemic, yet research on this area is limited. Methods: We used nationally representative data to examine discrimination of HIV-positive children by grade six students (n = 39,664) across nine countries in Southern Africa: Botswana, Lesotho, Malawi, Mozambique, Namibia, South Africa, Swaziland, Zambia and Zimbabwe. …

  5. 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. …

  6. A discussion of perceptions of community facilitators from Swaziland, Kenya, Mozambique and Ghana: cultural practices and child protection

    This study is based on data collected from community development facilitators using open-ended questionnaires and group discussions. Four general types of cultural practices were identified by interviewees as posing risks to children and challenges to child protection work: marriage practices, rites of passage or rituals, family secrets and religious or spiritual practices. …

  7. 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. …

  8. Crianças órfãs e vulneráveis no contexto do HIV/SIDA em Moçambique

    Este documento foi concebido pela UNICEF Moçambique e trata do problema das crianças órfãs e vulneráveis ao HIV/SIDA. O SIDA está a tornar-se rapidamente na maior causa de mortalidade infantil. Em 2006, estima-se que existam 99,000 crianças com menos de 15 anos de idade que vivem com HIV/SIDA, e aproximadamente 80 por cento destas têm menos de cinco anos. A pandemia do SIDA continua a contribuir para o aumento de crianças órfãs e vulneráveis. Estima-se que há para cima de 1,6 milhoes de órfaos em Moçambique e que mais de 20 por cento destes sao resultado do SIDA. …

  9. Edutainment for development and sexual health

    This issue of Sexual Health Exchange published by SAFAIDS and the Royal Institute (KIT) is devoted to edutainment for development and sexual health. The term "edutainment" combines the ideas of education and entertainment by using the performing art as a vehicle of change and education. The issue features several edutainment programmes in Asia and Africa that use drama, theatre, puppetry, music, edu-clowns, street plays as a vehicle of change and education.

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