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UNESCO HIV and Health Education Clearinghouse

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  1. An HIV/AIDS knowledge scale for adolescents: item response theory analyses based on data from a study in South Africa and Tanzania

    A 14-item human immunodeficiency virus/acquired immunodeficiency syndrome knowledge scale was used among school students in 80 schools in 3 sites in Sub-Saharan Africa (Cape Town and Mankweng, South Africa, and Dar es Salaam, Tanzania). For each item, an incorrect or don't know response was coded as 0 and correct response as 1. Exploratory factor analyses based on polychoric correlations showed two separate factors for all sites. …

  2. The effect of educational attainment and other factors on HIV risk in South African women: results from antenatal surveillance, 2000-2005

    Objectives: To assess the effect of educational attainment and other factors on the risk of HIV in pregnant South African women. Design: Repeated cross-sectional surveys. Methods: Pregnant women attending public antenatal clinics were tested for HIV annually between 2000 and 2005, and provided demographic information. Logistic regression models were applied separately to the data collected in each year, to identify factors associated with HIV infection. Data from all years were combined in a logistic regression model that tested for trends in HIV prevalence. …

  3. Trends in HIV prevalence and sexual behaviour among young people aged 15-24 years in countries most affected by HIV

    Objectives: In 2001 the United Nations (UN) Declaration of Commitment was signed by 189 countries with a goal to reduce HIV prevalence among young people by 25% by 2010. Progress towards this target is assessed. In addition, changes in reported sexual behaviour among young people aged 15e24 years are investigated. Methods: Thirty countries most affected by HIV were invited to participate in the study. Trends in HIV prevalence among young antenatal clinic (ANC) attendees were analysed using data from sites that were consistently included in surveillance between 2000 and 2008. …

  4. Teachers' confidence in teaching HIV/AIDS and sexuality in South African and Tanzanian schools

    Aims: This study aimed to investigate how confident and comfortable teachers at Tanzanian and South African urban and rural schools are in teaching HIV/AIDS and sexuality. It also aimed at identifying factors associated with teacher confidence and investigated how reported confidence was associated with the implementation of educational programmes on HIV/AIDS and sexuality. Methods: A survey was conducted among South African grade 8 and 9 Life Orientation teachers, and among science teachers for grade 5 to 7 in public primary schools in Tanzania. …

  5. Sexuality education in South Africa: Three essential questions

    Sex education is the cornerstone on which most HIV/AIDS prevention programmes rest and since the adoption of Outcomes-Based Education (OBE), has become a compulsory part of the South African school curriculum through the Life Orientation learning area. However, while much focus has been on providing young people with accurate and frank information about safe sex, this paper questions whether school based programmes sufficiently support the needs of young people. …

  6. A comparative evaluation of two interventions for educator training in HIV/AIDS in South Africa

    The purpose of this study was to compare two different methods to teach educators about HIV/AIDS. Sixty educators were selected from eight schools in KwaZulu-Natal Province, South Africa, to undergo HIV/AIDS training using an interactive CD-ROM intervention. Another sixty educators from other schools were selected to undergo a two-day Life Skills Training Programme provided by the Department of Education. …

  7. In search of an enabling pedagogy for HIV and AIDS education in initial teacher education

    This article addresses the issue of teacher knowledge in a developing world context of HIV and AIDS. More specifically, it responds to the need for practical 'how to' examples of HIV and AIDS education by describing the pedagogical strategies employed in an initial teacher education programme at a South African university. …

  8. An innovative online HIV/STI prevention programme in higher education: preliminary results NMMU

    The objectives were to determine risky sexual behavioural trends and health promotion needs among students, to develop an online HIV/STI prevention programme utilising the NMMU intranet portal. Descriptive data regarding demographics, sexual behaviour, internet usage and the relevance of various health promotion messages were included in an online questionnaire. Participants' attitude towards risk behaviour was also assessed using ten outcome questions rated on a five-point Likert scale. …

  9. Condom access in South African schools: law, policy, and practice

    South Africa’s recently adopted Children’s Act provides children the right to access reproductive health services as a way of addressing the HIV pandemic, but there remains confusion about how socially divisive rights provided for by the Act, such as condom access for youth, will be achieved. The Children’s Act, together with South African government policies, allows individual schools to decide whether to distribute condoms, but most school staff are unaware of South African policy and regulations governing condom provision in schools. …

  10. Adolescent pregnancy and associated factors in South African youth

    Background: Adolescent pregnancy, occurring in girls aged 10–19 years, remains a serious health and social problem worldwide, and has been associated with numerous risk factors evident in the young people’s family, peer, school, and neighbourhood contexts. Objective: To assess the prevalence of adolescent pregnancy and associated factors in the South African context, as part of a population-based household survey that formed part of an evaluation of the impact of loveLife, South Africa’s national HIV prevention campaign for young people. …

  11. 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. …

  12. Supporting HIV-positive learners in inclusive classes in South Africa: Is it the responsibility of teachers

    The adoption of White Paper 6 of 2001 in South Africa on the implementation of inclusive education has become an important milestone to ensure the accommodation of the full range of learner needs in ordinary schools. This paper deals with the rights and needs of HIV-positive learners and their first line of support, namely ordinary teachers, who form the backbone of support within the inclusive classroom. At the moment, learners living with HIV miss out frequently on help and support because specialist out-of-school HIV and AIDS services are not geared towards their needs. …

  13. 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. …

  14. Sexual behaviour and knowledge regarding sexually transmitted infections among undergraduate students in Durban, South Africa

    The objective of this cross-sectional study was to identify the sexual behavior and knowledge of sexually transmitted infections (STIs) amongst 752 undergraduate university students in South Africa, using self-administered questionnaires. More than half reported presently being sexually active, the majority used contraceptives and especially used condoms. Almost a third of the sample, had multiple sexual partners, and more than a quarter of them reported to have sex under the influence of alcohol. …

  15. Saving lives for a lifetime: Supporting orphans and vulnerable children impacted by HIV/AIDS

    President's Emergency Plan for AIDS Relief (PEPFAR's) response to the millions of children impacted by HIV/AIDS was to designate 10% of its budget to securing their futures, making it the leading supporter of programs reaching orphan and vulnerable children (OVC) programs globally. This article describes the evolution of PEPFAR's OVC response based on programmatic lessons learned and an evergrowing understanding of the impacts of HIV/AIDS. …

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