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UNESCO HIV and Health Education Clearinghouse

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  1. Improving lives by accelerating progress towards the UN Sustainable Development Goals for adolescents living with HIV: a prospective cohort study

    Background: Low-income and middle-income countries (LMICs) face major challenges in achieving the UN's Sustainable Development Goals (SDGs) for vulnerable adolescents. We aimed to test the UN Development Programme's proposed approach of development accelerators—provisions that lead to progress across multiple SDGs—and synergies between accelerators on achieving SDG-aligned targets in a highly vulnerable group of adolescents in South Africa. …

  2. The fifth South African national HIV prevalence, incidence, behaviour and communication survey, 2017 (SABSSM V)

    The Fifth South African National HIV Prevalence, Incidence, Behaviour and Communication Survey, (SABSSM V), a population-based cross-sectional survey of households in South Africa, was designed to assess the prevalence and trends of key HIV–related indicators. The survey was conducted between January and December 2017 by the Human Sciences Research Council (HSRC) and provides information on national and sub-national progress toward HIV epidemic control in the country. This report summarizes the HIV epidemic and impact of South Africa’s national HIV response.

  3. 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. …

  4. Let our actions count: South Africa's national strategic plan for HIV, TB and STIs 2017-2022

    At the heart of this NSP is the strategy to “focus for impact”. Eight goals are set: (1) Accelerate prevention to reduce new HIV and TB infections and STIs. (2) Reduce morbidity and mortality by providing HIV, TB and STI treatment, care and adherence support for all. (3) Reach all key and vulnerable populations with customised and targeted interventions. (4) Address the social and structural drivers of HIV, TB and STIs, and link these efforts to the NDP. (5) Ground the response to HIV, TB and STIs in human rights principles and approaches. …

  5. South African national strategic plan on HIV, TB and STIs 2017-2022

    This preliminary draft of the National Strategic Plan for HIV, TB and STIs 2017-2022 (NSP) outlines the strategic framework for a multi-sector partnership to accelerate progress in reducing the morbidity (illness) and mortality (death) associated with HIV, TB and STIs. The consultative process undertaken for NSP 2017-2022 resulted in agreement on seven strategic goals: 1. Accelerate prevention to reduce new HIV, TB and STI infections; 2. Reduce morbidity and mortality by providing treatment, care and adherence support for all; 3. …

  6. Let our actions count: reflections on NSP 2012-2016 and moving forward to NSP 2017-2022

    Let our Actions Count shares our country’s HIV, TB and STI journey and sets out our agenda going forward. We outline the progress we have made over the last five years, share what we learnt at the International AIDS Conference 2016, which we co-hosted with the International Aids Society, we identify the gaps and challenges in our response and then we set out the goals and strategic objectives for the next five years. Let Our Actions Count sets the foundation for the National Strategic Plan for HIV, TB and STIs 2017-2022 that will be launched on World TB Day, 24 March 2017.

  7. Structural drivers and social protection: mechanisms of HIV risk and HIV prevention for South African adolescents

    Social protection is high on the HIV-prevention agenda for youth in sub-Saharan Africa. However, questions remain: How do unconditional cash transfers work? What is the effect of augmenting cash provision with social care? And can “cash plus care” social protection reduce risks for adolescents most vulnerable to infection? This study tackles these questions by first identifying mediated pathways to adolescent HIV risks and then examining potential main and moderating effects of social protection in South Africa.

  8. A comparative analysis of national HIV policies in six African countries with generalized epidemics

    Objective: To compare national human immunodeficiency virus (HIV) policies influencing access to HIV testing and treatment services in six sub-Saharan African countries. Methods: We reviewed HIV policies as part of a multi-country study on adult mortality in sub-Saharan Africa. A policy extraction tool was developed and used to review national HIV policy documents and guidelines published in Kenya, Malawi, South Africa, Uganda, the United Republic of Tanzania and Zimbabwe between 2003 and 2013. Key informant interviews helped to fill gaps in findings. …

  9. The people living with HIV stigma index: South Africa 2014. Summary Report

    The South African National AIDS Council (SANAC) has announced concrete measures to tackle persistent forms of stigma and discrimination that continue to affect large numbers of people infected with HIV and/or TB. These measures include a legal advice and litigation service offered through the nationwide network of Justice Centres run by Legal Aid South Africa. SANAC Chair Deputy President Cyril Ramaphosa and the Deputy Minister of Health Dr Joe Phaahla launched the campaign on Tuesday 9 June in Durban at the release of nationwide research commissioned by SANAC to establish a Stigma Index. …

  10. Gender equality assessment of provincial HIV, STIs and TB strategic and operational plans in South Africa

    This Gender Equality Assessment of Provincial Strategic Plans and Provincial Operational Plans on HIV, STIs and TB within South Africa assesses provincial HIV, STI and TB responses against the HEARD and ATHENA Framework for Women, Girls and Gender Equality and the UNAIDS Gender Assessment Tool for National HIV Responses. The Assessment identifies the extent to which provincial responses prioritise women, girls and gender equality by including a number of specific, evidence-informed interventions; it furthermore highlights policy and programmatic gaps and challenges within these plans. …

  11. HIV/AIDS vulnerabilities, discrimination, and service accessibility among Africa’s youth: Insights from a multi-country study

    Africa’s young people aged 15–24 are disproportionately affected by HIV and AIDS. The impact of the epidemic on young people calls for close attention to the youth dimensions of the epidemic. To inform the development of more effective policies for targeting youth and meeting their needs, the Population Council and partners conducted a study of HIV risk-taking and health-seeking behaviors among young people in Egypt, Kenya, Nigeria, Senegal, South Africa, and Uganda. …

  12. Training for health services and systems research in Sub-Saharan Africa - a case study at four East and Southern African Universities

    Background: The need to develop capacity for health services and systems research (HSSR) in low and middle income countries has been highlighted in a number of international forums. However, little is known about the level of HSSR training in Sub-Saharan Africa (SSA). We conducted an assessment at four major East and Southern African universities to describe: a) the numbers of HSSR PhD trainees at these institutions, b) existing HSSR curricula and mode of delivery, and c) motivating and challenging factors for PhD training, from the trainees’ experience. …

  13. Financing the South African national strategic plan for HIV, STIs and TB 2012-2016. An analysis of funding, funding gaps and financing considerations

    The purpose of this paper is to analyse resource requirements to implement the NSP as well as available sources of funding so as to determine financial gaps and potential strategies to fill those gaps. The analysis was based on a review of relevant costing reports and models prepared recently in South Africa. These reports and models are referred to and referenced in the body of this report. The analysis provides a snap shot of funding needs and gaps for HIV and TB as of mid-way through the 2013/14 financial year as the collection of financial data for this analysis was completed by that date.

  14. Off Label: AIDS Review 2012

    In this Review – Off label – the experience of participants in a microcode trial is analysed, operating from the idea that “as condoms and gels are employed (or not employed) in people’s everyday lives, these technologies acquire their own unique signification. In some cases, these meanings could be quite different to those intended by health care professionals”. …

  15. Integrating strategies to address gender-based violence and engage men and boys to advance gender equality through National Strategic Plans on HIV and AIDS: Meeting Summary

    National strategies and plans – focusing on HIV and beyond – are key platforms for articulating an HIV response that advances gender equality, champions women’s rights, engages men and boys, and ends GBV as a cause and consequence of HIV. As such, the Johannesburg December 2012 meeting supported delegations from six countries to review their current national policies, strategies, and plans, and assess the strengths and weaknesses of these plans with regard to addressing GBV and engaging men and boys for gender equality. …

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