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UNESCO HIV and Health Education Clearinghouse

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  1. The impact of HIV/AIDS on children’s educational outcome: A critical review of global literature

    The number of children losing one or both parents to HIV/AIDS has continued to rise in the past decade, with most of them being school-aged children. This study reviews global literature on the effects of HIV/AIDS (e.g., parental HIV-related illness or death) on children's schooling. Systematic review procedures generated 23 studies for examination. Existing studies show educational disadvantages among children affected by AIDS in various educational outcomes, including school enrollment and attendance, school behavior and performance, school completion, and educational attainment. …

  2. The intergenerational impact of the African orphans crisis: a cohort study from an HIV/AIDS affected area

    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. …

  3. The impact of HIV on children's education in eastern Zimbabwe

    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. …

  4. 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. …

  5. The socioeconomic impact of HIV/AIDS on education outcomes in Uganda: School enrolment and the schooling gap in 2002/2003

    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. …

  6. Rethinking HIV/AIDS in South Africa: has the response been overmedicalized?

    This paper examines the potential impact of HIV/AIDS on different levels of South African society (individual, household, and national) over time. Using differences in demographic projections to guide the analysis, the prospective implications of HIV/AIDS on households, society, economy and nation are discussed and issues that could influence or mitigate those possible impacts are examined. …

  7. Orphaned and vulnerable children in Zambia: the impact of the HIV/AIDS epidemic on basic education for children ar risk

    There is an emerging corpus of work on the impact of the HIV/AIDS epidemic on education in sub-Saharan Africa. This mainly employs demographic models to make projections of student enrolments and teacher requirements. However, there is a paucity of research in basic schools to examine the experiences of AIDS-affected teachers and students. This study explored staff and student perceptions of the impact of the HIV/AIDS epidemic on the education of affected children in high-prevalence districts of the Copperbelt province of Zambia. …

  8. Educational access and HIV prevention: Making the case for education as a health priority in sub-Saharan Africa

    There is much evidence showing an association between sexual behavior and both attendance and attainment. Experimental evidence that school attendance leads to safer sexual behavior is currently under review. Studies suggest several pathways through which sexual behavior, and consequently the risk of HIV infection, may be influenced by schooling. Students attending school have a smaller sexual network and a stronger motivation to avoid the consequences of unprotected sex - both pregnancy and HIV infection - than their out-of-school peers.

  9. The difference interventions for guardians can make: evaluation of the Kilifi orphans and vulnerable children project in Kenya

    In sub-Saharan Africa, an estimated 12 million children 17 years of age and younger have lost one or both parents to AIDS, and many more live with a chronically ill parent or guardian. Children affected by HIV and AIDS often face intensified poverty; inadequate food, shelter, and medical care; stigma and discrimination; mental distress; and other challenges. Despite recognition of the magnitude and negative consequences of these problems, there is a dearth of evidence as to what types of programs best improve the well-being of orphans and vulnerable children (OVC). …

  10. Evaluating the impact of community-based interventions on schooling outcomes among orphans and vulnerable children in Lusaka, Zambia

    In sub-Saharan Africa, an estimated 12 million children under the age of 18 have lost a parent to AIDS. Despite this situation, the evidence regarding effectiveness of interventions targeting these children remains scant. This paper contributes to the literature by evaluating the impact of a community-based program implemented by a Zambian nongovernmental agency (NGO) on educational outcomes among orphans and vulnerable children (OVC) in Lusaka, Zambia. These outcomes included school enrollment and being at the correct age-for-grade. …

  11. Increasing learning opportunities for orphans and vulnerable children in Africa

    This brief outlines the situation of orphans and vulnerable children in sub-Saharan Africa and proposes measures to increase their access to education.

  12. Access to conventional schoolong for children and young people affected by HIV and AIDS in sub-Saharan Africa: a cross-national review of recent research evidence

    This paper examines the evidence on access to conventional schooling for children and young people affected by HIV and AIDS in sub-Saharan Africa and makes recommendations for the further development of the SOFIE Project. The findings reveal the highly complex and context specific nature of the educational impact. In some areas broad adaptive capacities are emerging that may enable households to support a larger number of orphans whilst in other areas households are reaching the limits of their capacity to cope. …

  13. The effect of HIV/AIDS on educational attainment

    Using data from Demographic and Health Surveys for eleven countries in sub-Saharan Africa,the authorestimates the effect of local HIV prevalence on individual human capital investment. The authorfinds that the HIV/AIDS epidemic has reduced human capital investment: living in an area with higher HIV prevalence is associated with lower levels of completed schooling and slower progress through school. These results are consistent with a model of human capital investment in which parents and children respond to changes in the expected return to schooling driven by mortality risk.

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