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UNESCO HIV and Health Education Clearinghouse

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  1. Gender-based violence and HIV: Emerging lessons from the PEPFAR initiative in Tanzania

    This paper examines how the GBV initiative is being introduced in Tanzania, one of the GBV focus countries, based on interviews in Tanzania in April 2012 with U.S. government officials, nongovernmental organizations, and implementing partners, as well as interviews in Washington, D.C. …

  2. Are women at the centre? A critical review of the new NSP response to women's sexual and reproductive rights

    One of the recognised challenges of the national AIDS response has been the lack of adequate programmes and interventions aimed at protecting and advancing women’s sexual and reproductive rights and health needs in the context of HIV. The new National Strategic Plan on HIV, STIs and TB, 2012 – 2016 (NSP) was launched on 01 December 2011, making it thus crucial to review the new policy document designed to strategically guide the national response to HIV for the next five years. …

  3. The global state of harm reduction: towards an integrated response

    The Global State of Harm Reduction 2012 presents the major developments in harm reduction policy adoption and programme implementation that have occurred since 2010. …

  4. Access to safe abortion: building choices for women living with HIV and AIDS

    In many areas of the world where HIV prevalence is high, rates of unintended pregnancy and unsafe abortion have also been shown to be high. Of all pregnancies worldwide in 2008, 41% were reported as unintended or unplanned, and approximately 50% of these ended in abortion. …

  5. Mobility, migration and HIV vulnerability of populations along the ports of the Red Sea and Gulf of Aden: Situation and response analysis

    The relationship between HIV and mobility is widely recognized. While mobility and migration are not risk factors for HIV by themselves, the often harsh, unsafe and isolated conditions surrounding the mobility process can give rise to behaviours strongly associated with increased vulnerability to HIV, while also posing barriers to access to HIV prevention, treatment and care. …

  6. Integrated biological and behavioural surveillance survey among migrant female sex workers in Nairobi, Kenya

    Kenya is currently experiencing both a generalized and a concentrated HIV epidemic. It has a national HIV prevalence of 6.3 per cent and 1.3 million people between the ages of 15 to 64 across the country are living with HIV. According to the Kenya National AIDS Control Council (NACC), female sex workers (FSW) and their clients account for 14.1% of new infections. The Kenyan national response has recently started targeting research and programming efforts towards key population groups, and specifically FSW. However, migrants have not been targeted as a distinct category. …

  7. Effective approaches to addressing the intersection of violence against women and HIV/AIDS: Findings from programmes supported by the UN Trust to End Violence Against Women

    In 2005, the UN Trust Fund to End Violence against Women, with support from Johnson & Johnson, opened a special funding window for the 2005-2008 programming period to address the intersection of violence against women and HIV/AIDS. Through this funding window, the UN Trust Fund made grants to a unique cohort of grantees in Asia, Africa, Latin America, and the Caribbean to support programmes aimed at reducing violence against women and its consequent risks for HIV/AIDS as well as to reduce the violence, stigma, and discrimination that women living with HIV/AIDS face. …

  8. Realizing sexual and reproductive rights: A human rights framework

    In 1994, the world’s governments adopted a landmark Programme of Action on population and development. The International Conference on Population and Development (ICPD) in Cairo, Egypt, recognized reproductive rights as human rights and declared that the principles of gender equality, equity and women’s empowerment were crucial to effective population and development strategies. Since then, some important steps have been taken to realize the commitments made. …

  9. Toolkit for Integrating LGBTI Issues Into HIV and GBV Prevention

    This Toolkit shares information, tools, activities, and skills building ideas and methods to support organisations and individuals to better understand the needs of lesbian, gay, bisexual, transgender and intersex people (LGBTI) in HIV and gender-based violence work in their communities. This Toolkit provides a means to disseminate information pertaining to African sexualities, human sexuality and sexual minorities. It specifically addresses how sexual orientation and gender identity relates to and interconnects with HIV and gender based violence. …

  10. Promoting Health-Seeking Behaviours and Quality of Care among Men who have Sex with Men and Transgender Women: Evidence from 5 Provinces in Thailand

    The study was commissioned by UNESCO Bangkok and aims to increase understanding about the health-seeking behavior of MSM/TG women in Thailand, including perceptions of illness, sources of information on sexual health, types of health services accessed, and constraints and obstacles in accessing healthcare; and to evaluate whether existing sexual health services meet the needs of MSM and TG women in the current Thai context, and develop recommendations for community groups/organizations, policy-makers (in light of Thailand’s revised National AIDS strategy), health service providers and developi …

  11. A Review of Socio-Economic Empowerment Initiatives for Women Living with HIV in Asia

    This review of socio-economic empowerment initiatives for women living with HIV in Asia complements the assessment of the Women and Wealth Project (WWP), supported by the United Nations Development Programme Asia-Pacific Regional Centre and implemented by the Population and Community Development Association of Thailand. The purpose of this review is to compare the approach used in the WWP with those employed in other ten similar initiatives in Cambodia, China, India, Myanmar, Thailand and Vietnam and make recommendations based upon the findings of the WWP assessment and the review.

  12. Women's empowerment and choice of contraceptive methods in selected African countries

    Few studies have examined the different dimensions of women's empowerment and contraceptive use in African countries. Data for this study came from the latest round of Demographic and Health Surveys conducted between 2006 and 2008 in Namibia, Zambia, Ghana and Uganda. Responses from married or cohabiting women ages 15–49 were analyzed for six dimensions of empowerment and the current use of female-only methods or couple methods. Bivariate and multivariate multinomial regressions were used to identify associations between the empowerment dimensions and method use. …

  13. Universal Access for Women and Girls: Accelerating Access to HIV Prevention, Treatment, Care and Support for Female Sex Workers and Wives of Migrant Men

    As part of a global initiative to improve women’s access to HIV prevention and treatment services, ICRW implemented a research study to expand the evidence base on access to services for two key populations in India: female sex workers in Pune, Maharashtra and wives of migrant men in Ganjam, Orissa. The main objectives of the research study were to explore barriers to HIV services experienced by the study populations, and based on the findings, to identify entry points for improving HIV services among women in India more broadly.

  14. I did it for him, not for me: an exploratory study of factors influencing sexual debut among female university students in Durban, South Africa

    The authors used qualitative interviews to explore influences on first sexual intercourse among 10 young women who had sexual debut within a year of enrolling in the university. University culture of sexual permissiveness and pressure from sexually experienced friends and male partners were the main factors influencing sexual debut. Ambivalence and a range of coercive behaviors characterized first sex. Participants were unprepared for sex and lacked power in deciding the timing and circumstances of first sex, which resulted in physical and emotional pain and regret. …

  15. Transactional sexual relationships, sexually transmitted infection risk, and condom use among young Black Women in peri-urban areas of the Western Cape Province of South Africa

    This study evaluated the relationship between having a history of transactional sexual relationships with condom use and STI risk. Participants completed a behavioral questionnaire and provided self-collected vaginal swabs which were tested for chlamydia trachomatis, neisseria gonorrhea, and trichomonas vaginalis. Multinomial logistic regression was used to compare condom use rates and STI risk among women with a history of transactional sexual relationships to women with a history of casual sexual relationships and those with no history of casual sexual relationships. …

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