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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.
Criteria for Evaluation of Good Practices Submitted from Member Higher Education Institutions; 1. Innovativeness (It could be something initiated by HEI as original or existing program with contextualized modification of key focus areas of interventions stipulated in the forum’s policy and strategy framework or education sector response policy against the epidemic); 2. Explicability or adaptability (have the potential to serve as a model for generating initiatives in the other HEIs); 3. …
The objectives of this assessment are to: Identify and assess current policies on reproductive health (RH) and HIV&AIDS; services that support integration; Assess key stakeholders' current understanding of “integration of RH and HIV&AIDS; services.” This includes their understanding of who is (are) the target population(s) in need of services, the kinds of services needed, and service delivery strategies for best meeting those needs; Identify operational challenges to providing integrated RH and HIV&AIDS; services; Identify examples of integrated RH and HIV&AIDS; services, if possible, and assess …
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. …
The aim of the study was to explore young people's understanding and knowledge about why protective measures against HIV/AIDS, malaria and unplanned pregnancy are not taken by those at risk in Uganda. The study results were that the participants (all from secondary school in Kanungu Uganda) could identify reasons why preventive action was not taken. These reasons included misconceptions, the inpracticability of abstinence, and fear of side effects of several key interventions. The article argues that there is an apportunity to improve preventive measures by tackling these issues. …
Context: An entertainment-education radio soap opera, Apwe Plezi, was broadcast from February 1996 to September 1998 in St. Lucia. The program promoted family planning, HIV prevention and other social development themes. Methods: The program's effects were assessed through analyses of data from nationally representative pretest and posttest surveys, focus-group discussions and other qualitative and quantitative sources. Results: Among 1,238 respondents to the posttest survey, 35% had listened to Apwe Plezi, including 12% who listened at least once per week. …
Context: Relatively little is known about how poverty and illiteracy affect women's decisions to adopt contraception, specifically their likelihood of never having practiced contraception. Methods: A random sample of 883 women in union aged 15-49 living in the Border Region of the Mexican state of Chiapas were interviewed in 1994 as part of a regional survey of reproductive health. …
To contribute to the achievement of RH and HIV integration, SAfAIDS and Youth Vision Zambia in partnership with Population Action International commissioned a 15 days rapid situation analysis to establish the current national baseline of existing national policies, HIV and RH integration programmes and opportunities for advocacy for increased integration. …
Gender and sexuality have long been recognised as key factors affecting the dynamics of the HIV epidemic. Issues vary across communities and countries, but power imbalances, harmful social norms, violence and marginalisation affect women, men, girls, boys and transgender people across the world, limiting their ability to prevent HIV infection. There are a growing number of HIV and broader health initiatives that not only highlight gender issues, but also aim to change harmful norms and practices. These are called "gender-transformative" approaches. …
Over the past decade, Pacific Island countries have seen a rapid increase in HIV related activities that have largely been disconnected from broader sexual and reproductive health (SRH) activities. International research indicates that the synergies between HIV and SRH can be better used to improve health outcomes. However, despite a number of high level calls for greater linkages and integration, as well as the creation of avenues for this to occur, very little linkage and integration has yet been achieved at either policy or service levels in the Pacific region. …
In KwaZulu/Natal, South Africa, where HIV prevalence is among the world's highest, a longitudinal qualitative study of partnership dynamics and HIV preventive behaviors was conducted. 47 young adults aged 18-24 participated in in-depth interviews, and 29 were re-interviewed 2 years later. Five analytical domains emerged: primary partnerships, love and romance; secondary partnerships; pregnancy/parenthood; condom use/prevention; and contextual influences, including schooling and future aspirations. …
This publication is intended for health workers who provide primary care services (including promotive, preventive and curative health services) to adolescents. The purpose of this document is to enable health workers to respond to adolescents more effectively and with greater sensitivity. To do this, it provides precise guidance on how to deal with adolescents when they present with a problem regarding their health and development.
Over a few short years, leaders in the fields of reproductive health and HIV/AIDS treatment have made a convincing case for integrated care. This report serves as a piece in a growing body of information about FP/HIV integration in sub-Saharan Africa. It contains a summary of current research, an evaluation of difficult challenges and real solutions, in-depth profiles of organizations working on the frontlines, and insights from experts representing government and philanthropy. …
This issue of FieldNotes presents IYF's experiences and lessons learned in Tanzania, where the Planning for Life project integrated youth reproductive health education and family planning services into its HIV prevention activities and trained local youth service providers to offer youth-friendly reproductive health services.
In theory, SRH care incorporates the prevention, detection and treatment of sexually transmitted infections (STIs) - including and perhaps most pressingly, HIV - into other SRH services. In practice, however, many organizations that work in SRH service provision fail to incorporate STI/HIV prevention or treatment into their roster of services and programs, or they provide these services separately from other SRH services. …
