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UNESCO HIV and Health Education Clearinghouse

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  1. Focus on key populations in national HIV strategic plans in the African region

    The World Health Organization (WHO) defines key populations as populations who are at higher risk for HIV irrespective of the epidemic type or local context and who face social and legal challenges that increase their vulnerability. They include sex workers, men who have sex with men, transgender people, people who inject drugs, and people in prison and other closed settings. …

  2. Human rights and the HIV response: a rapid assessment of human rights violations in the context of HIV, in the Eastern and Southern Africa region, and a review of current approaches to protecting and promoting human rights for an effective HIV response

    Key populations, specifically people who sell sex (PWSS), people who inject drugs (PWID) and lesbian, and gay, bisexual, transgender and intersex (LGBTI) people experience significant human rights violations which underpin the continued high HIV incidence in these populations. This rapid assessment of human rights violations in Eastern and southern Africa focuses on three priority key populations – PWSS, LGBTI (including MSM), and PWID. The report outlines the normative international treaties that establish a basis for a human rights framework for the HIV response.

  3. Monitoring HIV prevention programme outcomes among key populations in Kenya: findings from a national survey

    In preparation for the implementation of the Kenya AIDS Strategic Framework 2014/15- 2018/19, the Kenya National AIDS and STI Control Programme facilitated a national polling booth survey as part of a baseline assessment of HIV-related risk behaviours among female sex workers, men who have sex with men, and people who inject drugs, and their utilization of existing preventive interventions, as well as structural factors that may influence KPs’ vulnerability to HIV. …

  4. Policy analysis and advocacy decision model for services for key populations in Kenya

    From 2010–2012, the global Health Policy Project (funded by the United States Agency for International Development), in partnership with African Men for Sexual Health and Rights (AMSHeR), developed Policy Analysis and Advocacy Decision Model for HIV-Related Services: Males Who Have Sex with Males, Transgender People, and Sex Workers (Beardsley K., 2013), hereafter referred to as the Decision Model. …

  5. Having sex, becoming somebody: A qualitative study assessing (sexual) identity development of adolescents living with HIV/AIDS

    A growing number of adolescents are living with HIV/AIDS. For their well-being and for prevention, age- and culturally appropriate interventions become increasingly important. This qualitative study was conducted as the first step to develop a sexual and reproductive health (SRH) intervention. The study's objective was to assess the impact of HIV and related contextual conditions on identity formation of adolescents living with HIV/AIDS (ALH) in the domains of physical, cognitive, social, and sexual development. Data were collected using focus group discussions (FGDs). …

  6. A review of generalist and specialist community health workers for delivering adolescent health services in sub-Saharan Africa

    The health of adolescents is increasingly seen as an important international priority because the world’s one point eight billion young people (aged 10 to 24 years) accounts for 15.5% of the global burden of disease and are disproportionately located in low- and middle-income countries (LMICs). Furthermore, an estimated 70% of premature adult deaths are attributable to unhealthy behaviors often initiated in adolescence (such as smoking, obesity, and physical inactivity). …

  7. Resilience amidst adversity: Being gay and African in the new century

    This report gives an overview of what it means to be gay and African in the early part of the 21st century. Commissioned by The Atlantic Philanthropies and the OTHER Foundation, it also highlights organisations working to improve the situation and the funders supporting such activities. This is not an academic publication. It is meant to provide information about the conditions facing gay people throughout the continent and show that lesbian, gay, bisexual, transgender and intersex (LGBTI) people are often pawns, vulnerable pawns, for those seeking power. …

  8. 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. …

  9. An exploratory study of the sexual and reproductive health needs and rights of adolescents living with HIV in Lusaka

    With improved access to treatment for people living with HIV many are now able to live longer. As a result there is growing interest in overall quality of life issues. In many countries attention is increasingly being drawn to the unique and often neglected needs of different sub-groups including young people. This exploratory qualitative study sought to examine the sexual and reproductive health (SRH) needs and concerns and barriers to accessing related services for adolescents aged 10 – 19 years living with HIV in Zambia.

  10. Orphans and vulnerable children: Trends in school access and experience in Eastern and Southern Africa

    Across sub-Saharan Africa, the AIDS pandemic has impacted children in a myriad of ways, from parental loss, to HIV infection, to increased poverty and marginalization. These children have been labeled orphans and vulnerable children (OVC) in the international development literature, and a range of interventions have provided services aiming to mitigate the impact of the crisis on human development outcomes, including education. …

  11. Courage and Hope: Stories with Teachers living with HIV in Sub-Saharan Africa

    This book is a collection of stories from teachers living with HIV in Sub-Saharan Africa. The stories documented here give voice to the real life experiences of 12 HIV-positive teachers, five of whom are women, from Burkina Faso, Cameroon, Ghana, Kenya, Mozambique, Rwanda, Senegal, Tanzania (both Mainland and Zanzibar), and Zambia. The teachers recount their experiences of discovering their HIV-positive status and how this has aff ected them in their families, their communities, and their professional lives. …

  12. Education and risky sex in Africa: Unraveling the link between women’s education and reproductive health behaviors in Kenya

    Much research attention has been devoted to understanding the relationship between education and riskier sex-related behaviors and HIV/AIDS in sub-Saharan Africa. While in the early 1990s researchers found that increases in education were associated with a higher incidence of HIV/AIDS, this relationship appears to have reversed and better educated people, especially women, appear less likely to engage in riskier sex-related behaviors and have a lower incidence rate of HIV/AIDS. …

  13. The role of the education sector in providing care and support for orphans and vulnerable children in Lesotho and Swaziland

    The propose of the study was to probe in greater depth, and within the more systematic frame of a research methodology, the dynamics of two current initiatives aiming to provide support to vulnerable children in both Lesotho and Swaziland. Each of the four interventions had within their programme designs a main emphasis on enabling school enrolment and sustaining school attendance. At the same time, the interventions looked to support the more comprehensive needs of vulnerable children and, by doing so, to enhance their overall life situation. …

  14. 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. …

  15. 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. …

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