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This systematic review focuses on empirical work on disability and HIV/AIDS in Africa in the past decade and considers all the literature currently accessible. The review presents data from different surveys and summarizes the findings. In this way, it convincingly reveals that people with disabilities are very vulnerable to contracting HIV, and lack access to information, testing and treatment. The review further reveals gaps in the research and areas of concern. While vulnerability and accessibility have been investigated, there are few prevalence studies or evaluations available. …
There is growing recognition that primary prevention, including behavior change, must be central in the fight against HIV/AIDS. The earlier successes in Thailand and Uganda may not be fully relevant to the severely affected countries of southern Africa. We conducted an extensive multi-disciplinary synthesis of the available data on the causes of the remarkable HIV decline that has occurred in Zimbabwe (29% estimated adult prevalence in 1997 to 16% in 2007), in the context of severe social, political, and economic disruption. …
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. …
In every world region, men who have sex with men (MSM) face significantly higher rates of HIV than the general population. Young people are also at increased risk for HIV, comprising over 40% of new HIV infections worldwide. Young MSM (YMSM) face the heightened risks of both populations, as well as a number of vulnerabilities that are unique to YMSM. Despite the clear need for intervention, YMSM are often left out of research, policy, and programs designed for general MSM, general youth, and the general population. …
Sex education is the cornerstone on which most HIV/AIDS prevention programmes rest and since the adoption of Outcomes-Based Education (OBE), has become a compulsory part of the South African school curriculum through the Life Orientation learning area. However, while much focus has been on providing young people with accurate and frank information about safe sex, this paper questions whether school based programmes sufficiently support the needs of young people. …
Background: The Declaration of Commitment of the United Nations General Assembly Special Session on HIV/AIDS (UNGASS), in 2001, sets out several policy and programmatic commitments that pertain to women and the gender aspects of the HIV epidemic. Some of them are general, whereas others are more specific and include time-bounded targets. This article summarizes data on policies and strategies affecting women and men equity in access to antiretroviral treatment and other HIV services, as reported by countries but do not address other issues of gender, such as men having sex with men. …
This publication summarizes the findings from the Reinvigorating Education Sector Responses to HIV and AIDS process in the SADC region, commissioned by UNESCO, UNICEF and the SADC Secretariat during the course of 2010. …
Introduction: Virtually no African country provides HIV prevention services in sex work settings with an adequate scale and intensity. Uncertainty remains about the optimal set of interventions and mode of delivery. Methods: We systematically reviewed studies reporting interventions for reducing HIV transmission among female sex workers in sub-Saharan Africa between January 2000 and July 2011. Medline (PubMed) and non-indexed journals were searched for studies with quantitative study outcomes. Results: We located 26 studies, including seven randomized trials. …
The 2011-2012 Global Progress Survey (GPS) is a 39 country survey of HIV and AIDS policy and programmes in the education sector. This report highlights key findings from the GPS to provide a picture of how countries’ education sectors are responding to HIV and AIDS, what progress has been made since the 2004 Global Readiness Survey, as well as pointing out the main policy implications of the current situation. …
Impact mitigation strategies in sub-Saharan Africa on HIV/AIDS in the education sector involved initially the development of education sector policies. This study traces the policy development initiatives, level of implementation, progress made and existing challenges. The study is based on a close (textual) reading of authoritative literature from United Nations Programme on HIV/AIDS (UNAIDS), World Bank, UNESCO and UNICEF for the last decade on global monitoring of HIV/AIDS and statistical data. …
Nearly half of the world's population, some 3 billion people, is under the age of 25. As the largest generation ever of young people, investments in their health and well-being are crucial so they can make a positive transition into adulthood and fully contribute to the economic and social development of their families, communities and nations. But in order to develop strategies and mobilize financial resources to support adolescent and youth development, decisionmakers need reliable, up-to-date demographic, health, education and socioeconomic data about young people. …
This report summarises a rapid review carried out by Interact Worldwide and funded by Countdown 2015 Europe. The review addresses the perception that, in the context of SRHR, all adolescents are equally ‘marginalised’ and ‘vulnerable’ due to their age. It explores how such a general assertion neglects the dramatically different situations and experiences of adolescents throughout the world: in reality, not all are equally ‘marginalised’ or ‘vulnerable’. The review asks Who are we failing and why? …
Background: After more than 25 years, public health programs have not been able to sufficiently reduce the number of new HIV infections. Over 7,000 people become infected with HIV every day. Lack of convincing evidence of cost-effectiveness (CE) may be one of the reasons why implementation of effective programs is not occurring at sufficient scale. This paper identifies, summarizes and critiques the CE literature related to HIV-prevention interventions in low- and middle-income countries during 2005-2008. …
This regional issues brief was prepared for the Africa Regional Dialogue of the Global Commission on HIV and the Law which took place on 4 August 2011 in Pretoria, South Africa. The brief examines legal responses to children and HIV in Africa including: Prohibiting discrimination; Access to treatment; Access to sexual and reproductive rights; Access to HIV information and education; Access to harm reduction measures; Guardianship, property rights and social protection.
Across the Pacific region, youth population between 10-25 years of age represents about 56% of the pacific population of 9.5 million, with 37% under the age of 14 years. The region’s median age is 21 years. UNICEF, UNFPA and SPC jointly support 10 countries across the Pacific to deliver programs targeting the sexual and reproductive health needs of young people. A 2007 Review of the Adolescent Health and Development (AHD) Program recommended specifically targeting vulnerable, marginalized and most at risk groups of young people. …
