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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. Two years later: preservice teachers’ experiences of learning to use participatory visual methods to address the South African AIDS epidemic

    South Africa continues to struggle with the world’s highest HIV rates, and the country’s young people are amongst those most severely affected by this epidemic. The education sector, and especially teachers, are situated to be leaders in the national response and can provide emotional support as well as information on gender, sexuality, and HIV and AIDS. …

  3. Determining preferences related to HIV counselling and testing services among high school learners in KwaZulu-Natal: a discrete choice experiment

    A key strategy of the South African national response to HIV is the scale-up of HIV counselling and testing (HCT) in the 15–49 years age group. The integrated school health policy aims to guide the roll out of youth-friendly health services including the provision of HCT in schools. Using a discrete choice experiment to examine preferences regarding the attributes of HCT service packages, this study identifies barriers to and facilitators of HCT among high school learners. …

  4. Rethinking HIV-prevention for school-going young people based on current behaviour patterns

    The aim of the research was to gain increased knowledge regarding the sexual risk behaviour of school-going young people in South Africa after two decades of HIV-education in schools, to contribute to the development of improved HIV prevention strategies. In collaboration with the Department of Education, a sample of 5305 learners (between 10 and 18 years in Grades 5–12) from high-risk communities were identified. …

  5. Picture that: supporting sexuality educators in narrowing the knowledge/practice gap

    Teaching about sex and relationships is one of the greatest challenges in not only the combating of HIV and AIDS, but also in preparing the youth for responsible sexual behaviour. Although it seems as if teachers to some extent do feel comfortable with the teaching of sexuality education at school, the question however remains as to whether youth get the information they require. In this article, are presented drawings produced by teacher participants in order to investigate the beliefs that teachers hold regarding young people’s needs from sexuality education. …

  6. Life skills as a behaviour change strategy in the prevention of HIV and AIDS: perceptions of students in an open and distance learning institution

    The prevention of HIV and AIDS, especially amongst young people, is very important, as they are the future leaders. South Africa carries a high burden of the HIV and AIDS disease, and efforts at the prevention of the disease need to be intensified. University students are also at risk, and prevention efforts need to be intensified to ensure that students graduate and enter the world of work to become productive citizens. Failure to pay attention to preventative behaviour amongst university students may have negative socio-economic consequences for the country. …

  7. Another lost generation? The impact of HIV/AIDS on schooling in South Africa

    The South African education system is faced with the difficult task of redressing the inequalities and backlogs created by the racially segregated and unequally resourced apartheid structure. The system is also faced with the responsibility of reintroducing a culture of teaching and learning in the nation’s schools after the anti-apartheid struggle’s ‘freedom now, education later!’ slogan, a time when protest action brought about disruptions in young people’s education, and the much lamented ‘lost generation’. …

  8. Insight into the management and diffusion strategies of HIV/AIDS information in institutions of higher education in South Africa

    The study focuses on the management and diffusion of HIV/AIDS information in institutions of higher learning in South Africa. The HIV/AIDS policy for educators, learners and students provided a strong foundation on government involvement on HIV/AIDS management in higher education. Both qualitative and quantitative research design and methodologies were employed largely through survey, observation and document analysis. …

  9. Learners’ perspectives on the provision of condoms in South African public schools

    A stubborn health challenge for learners in South African public schools concerns sexual and reproductive health and rights (SRHR). In 2015, the Department of Basic Education (DBE) proposed the provision of condoms and SRHR-services to learners in schools. This study aimed to contribute to the finalisation and implementation of DBE’s policy by exploring learners’ perspectives on the provision of condoms and SRHR-services in schools. …

  10. 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. …

  11. The effect of a conditional cash transfer on HIV incidence in young women in rural South Africa (HPTN 068): a phase 3, randomised controlled trial

    Cash transfers have been proposed as an intervention to reduce HIV-infection risk for young women in sub-Saharan Africa. However, scarce evidence is available about their effect on reducing HIV acquisition. The authors aimed to assess the effect of a conditional cash transfer on HIV incidence among young women in rural South Africa. Based on their research findings, the authors draw the conclusion that cash transfers conditional on school attendance did not reduce HIV incidence in young women. School attendance significantly reduced risk of HIV acquisition, irrespective of study group. …

  12. The need to prepare future teachers to understand and combat homophobia in schools

    Teacher training programmes that improve teachers' capacity and confidence to address homophobia in South African schools will engender non-homophobic school contexts. Currently, there is a dearth of educational research on future teachers' preparation for homophobic school contexts. …

  13. 'Close to the bone'?: catalysts for integrating HIV and AIDS into the academic curriculum

    Integrating HIV and AIDS into the academic curriculum remains a challenge which, for various reasons, is not fully taken up by academics at universities. Although much is being done in the health arena, and education is often put forward as the 'antidote' for the epidemic, only a few academics have introduced HIV and AIDS into their curricula. In this article, the authors explore why some academics have integrated HIV and AIDS into their curricula; what the catalyst was for doing so; and how these academics see this integration. …

  14. ‘You need to have some guts to teach’: teacher preparation and characteristics for the teaching of sexuality and HIV/AIDS education in South African schools

    Using in-depth interviews, the authors asked sexuality educators in South Africa about their own professional preparation and what they believed were necessary educator characteristics for teaching Sexuality Education. Their findings show that the teachers taught Sexuality Education without any appropriate qualification or preparation, but because they had a lighter teaching load and had room to take on more teaching hours. Nevertheless, they all mention that ‘not anybody can teach Sexuality Education’. …

  15. A review of HIV and AIDS curricular responses in the higher education sector: where are we now and what next?

    Curriculum integration of HIV and AIDS in higher education is a strategic priority of the Higher Education AIDS programme (HEAIDS), yet little progress has been made in this area. To address this, HEAIDS is leading a project aimed at capacitating the development of HIV curriculum initiatives. …

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