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UNESCO HIV and Health Education Clearinghouse

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  1. South African national LGBTI HIV plan 2017/22

    The South African National LGBTI HIV Plan 2017-2022 (LGBTI HIV Plan) was developed to guide the work of all LGBTI stakeholders and implementers in South Africa. The Plan is inclusive of all sexual minorities living in South Africa, and recommends evidence-based and multi-sectoral HIV interventions to address the HIV epidemic in the country. The Plan builds on consensus of LGBTI stakeholders from across South Africa on priorities, challenges, and goals related to providing appropriate, accessible and acceptable services for LGBTI people. …

  2. Deadly Delay: South Africa's Efforts to Prevent HIV in Survivors of Sexual Violence

    This 73-page report documents how government inaction and misinformation from high-level officials have undermined the effectiveness of South Africa’s program to provide rape survivors with post-exposure prophylaxis (PEP) — antiretroviral drugs that can reduce the risk of contracting HIV from an HIV-positive attacker.

  3. 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. …

  4. Innovative uses of communication technology for HIV programming for MSM and TG populations

    This paper is a summary report of a two-day technical consultation whose goal was to provide a forum for key stakeholders in HIV research, programming, implementation, and evaluation to take stock of important developments in the field and develop strategies to improve communication technology for enhanced HIV services. During the meeting, which was co-sponsored by the U.S. …

  5. Young people's sexual health in South Africa: HIV prevalence and sexual behaviors from a nationally representative household surevy

    Objectives: To determine the prevalence of HIV infection, HIV risk factors, and exposure to national HIV prevention programs, and to identify factors associated with HIV infection among South African youth, aged 15–24 years. Design: A cross-sectional, nationally representative, household survey. Methods: From March to August 2003 we conducted a national survey of HIV prevalence and sexual behavior among 11 904 15–24 year olds. Multivariable models for HIV infection were restricted to sexually experienced youth. …

  6. Do South African learners stigmatize HIV/AIDS infected peers?

    The results of this Brief point to an increased significance of strengthening educational programmes and policies in the schooling sector as South Africa strives to reduce not only the prevalence of HIV and AIDS but also to develop positive learner attitudes among children of school going age. …

  7. Can we use young people’s knowledge to develop teachers and HIV-related education?

    Despite recent progress in meeting the goals of the Education for All agenda, certain groups of young people are particularly vulnerable to exclusion and underachievement, including children with HIV/AIDS, children living in poverty, and children with disabilities. HIV/AIDS has reduced many young people’s rights to access education, to live a full and healthy life, and to have a life as a child. …

  8. Eliminating mother-to-child HIV transmission in South Africa

    This article discusses the effect that the WHO guidelines for the prevention of mother-to-child transmission of HIV has had on South Africa. South Africa initiated its PMTCT programme in 2002, however political support for it has increased since 2008. Since then the proportion of HIV-exposed infants who underwent PCR tests to detected early HIV transmission has increased, and the estimated HIV transmission rate has decreased. …

  9. Gender violence and HIV: Perceptions and experiences of violence and other rights abuses against women living with HIV in the Eastern Cape, KwaZulu Natal and Western Cape, South Africa

    The AIDS Legal Network (ALN), in collaboration with Her Rights Initiative (HRI), South Africa Positive Women Ambassadors (SAPWA), South Africa Partners, and the Mitchell’s Plain Network Opposing Abuse, engaged in a study to assess perceptions and experiences of violence and other rights abuses against women living with HIV. …

  10. Access to safe abortion: building choices for women living with HIV and AIDS

    In many areas of the world where HIV prevalence is high, rates of unintended pregnancy and unsafe abortion have also been shown to be high. Of all pregnancies worldwide in 2008, 41% were reported as unintended or unplanned, and approximately 50% of these ended in abortion. …

  11. 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. …

  12. I did it for him, not for me: an exploratory study of factors influencing sexual debut among female university students in Durban, South Africa

    The authors used qualitative interviews to explore influences on first sexual intercourse among 10 young women who had sexual debut within a year of enrolling in the university. University culture of sexual permissiveness and pressure from sexually experienced friends and male partners were the main factors influencing sexual debut. Ambivalence and a range of coercive behaviors characterized first sex. Participants were unprepared for sex and lacked power in deciding the timing and circumstances of first sex, which resulted in physical and emotional pain and regret. …

  13. Transactional sexual relationships, sexually transmitted infection risk, and condom use among young Black Women in peri-urban areas of the Western Cape Province of South Africa

    This study evaluated the relationship between having a history of transactional sexual relationships with condom use and STI risk. Participants completed a behavioral questionnaire and provided self-collected vaginal swabs which were tested for chlamydia trachomatis, neisseria gonorrhea, and trichomonas vaginalis. Multinomial logistic regression was used to compare condom use rates and STI risk among women with a history of transactional sexual relationships to women with a history of casual sexual relationships and those with no history of casual sexual relationships. …

  14. Sexuality and the limits of agency among South African teenage women: theorising femininities and their connections to HIV risk practices

    In South Africa, both HIV and gender-based violence are highly prevalent. Gender inequalities give men considerable relational power over young women, particularly in circumstances of poverty and where sex is materially rewarded. Young women are often described as victims of men, but this inadequately explains women's observed sexual agency. This paper takes a different approach. The authors use qualitative interviews and ethnographic observation among 16 young women from the rural Eastern Cape to explore ways young women construct their femininities and exercise agency. …

  15. A Review of education policy to address the active and passive exclusion of learners affected by HIV and AIDS from attending or participating in schooling

    The study focuses on four key barriers to education, which are most prominent for children affected by HIV and AIDS, namely: HIV/AIDS-related illness of learners; Grief and trauma associated with illness and death of family/household members; Increased domestic responsibility (and exploitation through child labour) for children affected by AIDS; HIV- and AIDS-related stigma and discrimination.

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