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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. Adolescent schoolgirls’ experiences of menstrual cups and pads in rural western Kenya: a qualitative study

    Poor menstrual hygiene management (MHM) among schoolgirls in low income countries affects girls' dignity, self-esteem, and schooling. Hygienic, effective, and sustainable menstrual products are required. A randomized controlled feasibility study was conducted among 14-16-year-old girls, in 30 primary schools in rural western Kenya, to examine acceptability, use, and safety of menstrual cups or sanitary pads. Focus group discussions (FGDs) were conducted to evaluate girls' perceptions and experiences six months after product introduction. …

  3. The revised international technical guidance on sexuality education - a powerful tool at an important crossroads for sexuality education

    In January 2018, UNESCO, together with UNAIDS, UNFPA, UNICEF, UN Women, and the WHO, completed the substantial technical and political process of updating the International Technical Guidance on Sexuality Education, thereby unifying a UN position on rationale, evidence, and guidance on designing and delivering comprehensive sexuality education (CSE).

  4. Zambia’s school re-entry policy for adolescent mothers: examining impacts beyond re-enrollment

    The persistently high rate of adolescent pregnancy, particularly among poor girls and in rural areas, is one of the reasons that universal secondary school completion remains elusive in Zambia. We used a mixed methods approach to explore how Zambia’s re-entry policy is related to young mothers’ outcomes beyond re-enrollment in school. We found that girls with knowledge of the policy were less likely to be forced out of school while pregnant and perceived less stigma after delivery. …

  5. Towards comprehensive sexuality education: a comparative analysis of the policy environment surrounding school-based sexuality education in Ghana, Peru, Kenya and Guatemala

    The successful implementation of comprehensive sexuality education (CSE) programmes in schools depends on the development and implementation of strong policy in support of CSE. This paper offers a comparative analysis of the policy environment governing school-based CSE in four low- and middle-income countries at different stages of programme implementation: Ghana, Peru, Kenya and Guatemala. …

  6. Challenges to implementing national comprehensive sexuality education curricula in low- and middle-income countries: case studies of Ghana, Kenya, Peru and Guatemala

    School-based comprehensive sexuality education (CSE) can help adolescents achieve their full potential and realize their sexual and reproductive health and rights. This is particularly pressing in low- and middle-income countries (LMICs), where high rates of unintended pregnancy and STIs among adolescents can limit countries’ ability to capitalize on the demographic dividend. While many LMICs have developed CSE curricula, their full implementation is often hindered by challenges around program planning and roll-out at the national and local level. …

  7. Cost-effectiveness analysis: educational interventions that reduce the incidence of HIV/AIDS infection in Kenyan teenagers

    This paper demonstrates a comprehensive and thorough application of an education cost-effectiveness analysis. Two interventions implemented in Western Kenya aimed to reduce the incidence of HIV/AIDS contraction in middle school girls. The cost-effectiveness of each intervention is assessed, ex post facto, by combining the results of the two programs’ evaluations with their costs. As few education evaluations consider cost, this article highlights a sound and disciplined method to use when detailed cost information is both readily available and unavailable. …

  8. 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. …

  9. The HIV and sexual reproductive health status of young people in Swaziland: the rationale for focused youth investment

    Methods: The HIV and Sexual Reproductive Health Status of Young People in Swaziland analysis were prepared in stages: desk review and analysis, consultations/interview meetings with key stakeholders, data analysis and compilation of the report.Results and discussion: Early sexual debut, high adolescent fertility rate, unmet need for family planning, and on-going problems with sexual and gender based violence (GBV) are some of the key issues faced by young people in terms of reproductive health in Swaziland.

  10. 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. …

  11. The universal basic education programme and the family life HIV education in Nigeria

    The study assessed the capacity of the Universal Basic Education Programme in Nigeria to effectively implement the Family Life HIV Education Curriculum. Using descriptive statistics, the study has analysed and presented graphs and tables of various national and regional public primary school data from 2004 to 2008 to showcase trends of available capacity in the UBE programme. Pupil enrolment is gradually on the increase in Nigeria and even though the pupil/teacher ratio is inadequate, most of the teachers in the UBE programme are qualified. …

  12. HIV/AIDS national strategic plans of Sub-Saharan African countries: an analysis for gender equality and sex-disaggregated HIV targets

    National Strategic Plans (NSPs) for HIV/AIDS are country planning documents that set priorities for programmes and services, including a set of targets to quantify progress toward national and international goals. The inclusion of sex- disaggregated targets and targets to combat gender inequality is important given the high disease burden among young women and adolescent girls in Sub-Saharan Africa, yet no comprehensive gender-focused analysis of NSP targets has been performed. …

  13. Evaluation of the implementation of Family Life and HIV Education Programme in Nigeria

    Family Life and HIV Education (FLHE) programme was introduced nationwide in Nigeria in 2003. Since then little is known about the patterns of its implementation across the states in the six geo-political zones in Nigeria. This study represents an attempt to fill this lacuna in the FLHE literature in Nigeria. Quantitative data was collected from the Federal Ministry of Education and the State Ministries of Education on all salient aspects of FLHE implementation. …

  14. Relationship between teachers’ attitude towards teaching HIV/AIDS education and students’ knowledge and attitude towards sexual behaviour in secondary schools in Coast Region, Kenya

    The purpose of the study was to determine the relationship between teachers’ attitude towards teaching HIV/AIDS education and students’ knowledge and attitude towards sexual behaviour in secondary schools in the Coast Region of Kenya. The study used descriptive survey research design. The samples comprised 421 respondents of which 33 were teachers and 388 students in 13 secondary schools. Questionnaires and interview schedule were used to collect the data. The validity of the instruments was checked by the supervisors and other experts in the field of research. …

  15. 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. …

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