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UNESCO HIV and Health Education Clearinghouse

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  1. 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.

  2. Enquête de surveillance comportementale auprès des jeunes : Rapport final

    L’Enquête de Surveillance Comportementale (ESC 2012) auprès des Jeunes de 15 à 24 ans a été exécutée par l’Institut National de la Statistique. Il s’agit de la quatrième enquête par sondage du genre qui a été réalisée au niveau de 38 sites sentinelles répartis à travers les 22 régions administratives du pays. Cette étude s’inscrit dans le cadre du dispositif mis en place à Madagascar pour la surveillance des comportements à risque vis-à-vis de l’infection à VIH. …

  3. Child-focused state cash transfers and adolescent risk of HIV infection in South Africa: a propensity-score-matched case-control study

    Background: Effective and scalable HIV prevention for adolescents in sub-Saharan Africa is needed. Cash transfers can reduce HIV incidence through reducing risk behaviours. However, questions remain about their effectiveness within national poverty-alleviation programmes, and their effects on different behaviours in boys and girls. Methods: In this case-control study, we interviewed South African adolescents (aged 10–18 years) between 2009 and 2012. …

  4. Masculinities and condom use patterns among young rural South Africa men: a cross-sectional baseline survey

    Notions of ideal manhood in South Africa are potentially prescriptive of male sexuality thus accounting for the behaviors which may lead to men being at greater HIV risk. We tested the hypothesis that gender and relationship constructs are associated with condom use among young men living in rural South Africa. 1219 men aged 15–26 years completed a cross-sectional baseline survey from an IsiXhosa questionnaire asking about sexual behaviour and relationships. …

  5. Promoting synergies between child protection and social protection

    In this report, the fifth in a series of regional thematic reports produced for a study on social protection and children in West and Central Africa, we focus on children’s vulnerabilities and risks related to an absence of protection from violence, abuse and neglect, and the ways in which measures to address such vulnerabilities and risks can be more effectively integrated into social protection policy frameworks. Many of the vulnerabilities identified stem from social factors such as family violence, break-up or illness and death (e.g. …

  6. HIV-related knowledge, attitudes, behaviors, and practices of young people in Cross River State and Kogi State, Nigeria

    Communication for Change (C-Change) works around the world to improve the effectiveness and sustainability of social and behavior change communication (SBCC) across program areas, including health, environment, economic growth and poverty alleviation, and democracy and governance. In Nigeria, C-Change supports health and HIV prevention objectives of the USAID Mission. The project is building SBCC capacity for country-driven interventions that aim to prevent new HIV infections, reduce HIV prevalence among high-risk groups, and stabilize HIV prevalence within the general population. …

  7. Adolescent HIV: cause for concern in Southern Africa

    There is a substantial burden of HIV infection in adolescents in southern Africa who acquired HIV perinatally. It is evident that they contribute substantially to hospital admissions and in-hospital deaths. There is an urgent need for services that will be able to provide accessible and appropriate HIV testing, counseling, and support, as well as facilitate access to ART and appropriate sexual risk-reduction interventions. …

  8. Dating violence among school students in Tanzania and South Africa: prevalence and socio-demographic variations

    Aims: To identify with whom in-school adolescents preferred to communicate about sexuality, and to study adolescents' communication on HIV/AIDS, abstinence and condoms with parents/guardians, other adult family members, and teachers. Data were obtained from a baseline questionnaire survey carried out in South Africa (Cape Town and Mankweng) and Tanzania (Dar es Salaam) in early 2004. We analysed data for 14,944 adolescents from 80 randomly selected schools. …

  9. Adolescents' knowledge, attitude and practice concerning HIV/AIDS in Sierra-Leone : Survey Report

    The key objective of the survey was to ascertain adolescents HIV/AIDS knowledge, attitude and practice, determine their access to the media in so far as getting vital information on HIV/AIDS, and ascertain their acceptance and credibility of the information they receive. The responses were to be analyzed by differentials of age, sex and spatial variations. …

  10. Integrated Health Care Delivery Systems for Families and Children Impacted by HIV/AIDS: Four Program Case Studies from Kenya and Rwanda

    This document describes four family and community-centered approaches to caring for and treating HIV-affected children and households, three in Rwanda and one in Kenya. The four projects described all share a common commitment to delivery of care in the community rather than limiting provision of care to health facilities. …

  11. Zambia sexual behaviour survey 2009

    The main objective of the ZSBS 2009 is to obtain national estimates of a number of key indicators (including international standardized indicators) important to monitoring progress of the national HIV/AIDS/STDs programme. The survey provides a rich set of indicators on HIV/AIDS/STI-related Knowledge, Attitudes, and Sexual Behaviour, as well as information on Orphans and Vulnerable Children, and assistance to households and communities affected by the HIV/AIDS pandemic. …

  12. Youth participation and leadership: an effective tool in combating HIV/AIDS in southern Africa

    The case studies throughout this paper are designed to serve three purposes: to share promising practice of where National AIDS Authorities across the region are working with young people and to showcase activities and methods of youth participation that could be replicated; to demonstrate the benefits to NAAs of working with young people; to start sharing solutions to some of the common barriers to working with young people faced by NAAs. …

  13. Highly vulnerable children: 2008 country profile for Uganda

    This country profile for Uganda provides a snapshot of the range of agencies and programs working toward responding to emergency and long-term needs and improving the lives of highly vulnerable children. It is hoped that the Ministry of Gender, Labor, and Social Development; U.S. …

  14. When the safety net fails. Children in West and Central Africa and the risk of HIV infection

    This publication looks at children who are vulnerable to HIV infection, providing services to mitigate this vulnerability and to assist those who have already acquired HIV. To explore this, the authors spoke to more than 1,000 children and adolescents aged 8 to 20 years living in communities severely affected by war and displacement, child trafficking, or high HIV mortality - communities in which the social safety net had been severely disrupted. …

  15. Involving young people in efforts to combat HIV and AIDS in Africa: the importance of income-generating strategies

    Poverty and limited access to health care, education, and paid employement create situations that make young people most vulnerable to HIV infection. This paper examines the importance of developing strategies to involve young people in income-generating activities to fight HIV and AIDS in sub-Saharan Africa. These strategies support young people in gaining important skills and earning income to reduce their own poverty. The strategies also help foster a sense of hope and purpose in young people as they contribute to addressing this social problem. …

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