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Background: In sub-Saharan Africa, the prevalence of orphanhood among children has been greatly exacerbated by the HIV/AIDS pandemic. If orphanhood harms a child’s development and these effects perpetuate into adult life, then the African orphan crisis could seriously jeopardize the continent’s future generations. Whether or not there exists an adverse, causal and intergenerational effect of HIV/AIDS on development is of crucial importance for setting medical priorities. …
One in five children worldwide does not complete upper-primary school, with particularly high drop-out rates among pubescent-age girls that may limit economic opportunities and perpetuate gender inequality. This paper tests whether educational attainment is stymied by endemically inadequate school sanitation that threatens children's health, privacy, and safety. …
For many lesbian, gay, bisexual, and transgender (LGBT) youth, intolerance and prejudice make school a hostile and dangerous place. This study examined simultaneously the effects of a negative school climate on achievement and the role that school-based supports—safe school policies, supportive school personnel, and gay–straight alliance (GSA) clubs—may have in offsetting these effects. Data were drawn from a survey of a diverse sample of 5,730 LGBT youths who had attended secondary schools in the United States. …
The aim of this study, undertaken at the request of the Kenyan Ministry of Education, Science and Technology (MoEST), was to describe and analyse the impact of HIV and AIDS on the education sector in Kenya, and provide a situational analysis of the implementation of the Kenyan Education Sector Policy on HIV and AIDS (2004). It aimed to provide empirical evidence on how HIV and AIDS have affected the education sector in Kenya, and to identify gaps in research and programme interventions. …
Background: Increased education of girls in developing contexts is associated with a number of important positive health, social, and economic outcomes for a community. The event of menarche tends to coincide with girls’ transitions from primary to secondary education and may constitute a barrier for continued school attendance and performance. Following the MRC Framework for Complex Interventions, a pilot controlled study was conducted in Ghana to assess the role of sanitary pads in girls’ education. …
Little is known about how HIV impacts directly and indirectly on receiving, or particularly succeeding in, education in sub-Saharan Africa. To address this gap, we used multivariable logistic regression to determine the correlation between education outcomes in youth (aged 15–24) (being in the correct grade-for-age, primary school completion and having at least five “O” level passes) and being HIV-positive; having an HIV-positive parent; being a young carer; or being a maternal, paternal or double orphan, in five rounds (1998–2011) of a general population survey from eastern Zimbabwe. …
The provision of toilets and menstrual supplies appears to be a promising strategy to promote adolescent girls' school attendance and performance in less developed countries. In this article, we use the first round of the Malawi Schooling and Adolescent Survey (MSAS) to examine the individual- and school-level factors associated with menstruation-related school absenteeism. …
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. …
Due to high prime-age mortality—a result of HIV/AIDS, the number of orphans in Uganda continues to rise. Using the 2002/2003 Uganda National Household Survey, this paper investigates how HIV/AIDS orphan status affects schooling enrolment and grade progression. Our results show that HIV/AIDS orphans are not significantly less likely to continue schooling but are by far more likely to fall below their appropriate grade. …
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. …
Objective: HIV prevalence trends suggest that the epidemic is stable or declining in many sub-Saharan African countries. However, trends might differ between socioeconomic groups. Educational attainment is a common measure of socioeconomic position in HIV datasets from Africa. Several studies have shown higher HIV prevalence among more educated groups, but this may change over time. We describe changes in HIV prevalence by educational attainment in Tanzania from 2003 to 2007. …
This study sought to identify factors that can predict knowledge about HIV/AIDS among adolescents in Botswana. The data were collected through a self administered questionnaire from a sample of 1294 students from schools around the capital city of Botswana, Gaborone. The research instrument consisted of 76 items that solicited information on background characteristics of respondents, indicators of family cohesiveness and bonding of children with their parents, indicators of personal adjustment, evidence of sex life, and knowledge about HIV/AIDS. …
This document presents a national strategy for school health and nutrition (SHN) in Ethiopia. It is based on extensive evidence collected during a nationwide situation analysis on the health, nutrition and education of schoolchildren conducted in 2008 (July to September) through a process of visits to all Ethiopian regions, a literature review, and consultations with multiple stakeholders. The goal of the strategy is to improve access and educational achievement of schoolchildren through health and nutrition interventions in educational establishments in Ethiopia. …
This study assesses how variations in heteronormative culture in high schools affect the well-being of same-sex-attracted youth. The authors focus on the stigmatization of same-sex attraction (rather than identity or behavior) to better understand how heteronormativity may marginalize a wide range of youth. …
This article presents a model for research on the effects of school organizational heath factors on primary school academic achievement in Trinidad and Tobago. The model can be applicable for evaluating schools in other developing countries. As proposed, the model hypothesizes relationships between external factors (exogenous variables), school-level factors (endogenous variables), and school outcomes (student achievement and positive school climate). The endogenous variables are sub-scales of school organizational health. …