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This review provides an overview of MHM policies and programmes in the ESA region, with a focus on education, school and community-based sexuality education, WASH, sexual and reproductive health, workplace support and humanitarian programming, as well as opening up the discussion regarding marginalized groups of women and girls such as disabled, prisoners and transgender men.
The iCAN package aims to help address the challenges facing adolescents and young people living in the East and Southern Africa (ESA) region. It has been designed to support young people living with HIV (YPLHIV) and those who work with them, to help them understand their HIV positive status and empower them to plan their lives in ways that protect both their own health and that of others. The package can be used to complement existing materials focusing on sexual and reproductive health and HIV, and other youth-focused packages produced by partners working with YPLHIV. …
The Regional Comprehensive Sexuality Education Resource Package for Out of School Young People was developed to age and developmentally relevant international standards as a comprehensive set of teaching and learning materials for flexible use in settings outside the formal classrooms of the education sector. Several countries of East and Southern Africa have adapted this regional set of materials for nationally endorsed implementation. …
UNFPA’s flagship programme, Safeguard Young People (SYP), uses innovative approaches to achieve better sexual and reproductive health outcomes for adolescents and young people at national scale, making it the first of its kind in Southern Africa. Three years since it was launched, the evidence shows that the programme has changed the lives of many young people. …
The report documents the process of scaling up comprehensive sexuality education and the status of sexuality education in East and Southern Africa.
School-based adolescent health education programs represent a durable strategy in reducing the spread of HIV because they can leverage pre-existing social and organizational structures to reach large fractions of students at critical life stages. Many evaluations of school-based HIV programs draw on multilevel study designs that assign schools to treatment conditions or assign students to treatment conditions within blocks defined by school membership. …
Sustainable access to basic sanitation in school is well featured in the Education for All (EFA) goals and Millennium Development Goal (MDG). The United Nations General Assembly of 2010 declared access to sanitation as a human right (United Nations, 2010) in association with the MDG #7, with a particular target to “halve the proportion of people without sustainable access to safe drinking water and basic sanitation” by 2015
This call for action was formulated by the Ministers of Education, Health, Gender, and Youth and senior government officials, gathered in Durban, South Africa, on 18 July 2016 for the Eastern and Southern Africa (ESA) Ministerial Commitment Progress Meeting in order to commit themselves to step up efforts to ensure adolescents’ and young people’s access to good quality CSE and youth-friendly SRH services in the ESA region, and to work in partnership with young people, parents, civil society, and community and religious leaders to achieve the goals set out in the 2013 ESA Commitment.
The aim of this paper is to present and discuss some of the obstacles to effective sexuality education in rural Lesotho schools and offer some suggestions that could facilitate positive change in the current status of sexuality education. The call for education as a ‘vaccine’ against new HIV infections places teachers at the forefront of the fight against the pandemic, and thus it is imperative to understand how they experience teaching about sexuality. …
Introduction: Individuals’ educational attainment has long been considered as a risk factor for HIV. However, little attention has been paid to the association between partner educational attainment and HIV infection. Methods: We conducted cross-sectional analysis of young women (aged 1534) in 14 Demographic and Health Surveys from seven sub-Saharan Africa (SSA) countries with generalized HIV epidemics. …
This report is a consolidated summary and analysis of the status of comprehensive sexuality education for teacher training in 21 countries in the East and Southern Africa region.
This compendium has profiled and analysed 11 case studies on integrated service delivery in the context of EMTCT from 9 countries in sub-Saharan Africa. All of the examples demonstrate a general trend towards the implementation of integrated service delivery models supported by policy frameworks adopted in country and by service organizations at the facility level. These promising practices are by no means exhaustive or geographically representative. They do, however, contain valuable and practical vignettes of integrated service delivery in countries with generalized HIV epidemics. …
The objective of the current study is to explore the use of Rasch scaling technique to construct a Perceived School Disorder Index (PSDI) in order to see if there are ‘stages’ of evolution in a school climate. More specifically, the research questions for the current study are: Which items constitute the PSDI in Sub-Saharan African countries? What profile of behavioural problems are likely to emerge at different stages of the school climate? What were boys’ and girls’ learning outcomes at each stage of the school climate?
The accountability frame work has been developed as a tool to monitor country and regional progress towards the agreed commitments as set out in the ESA Ministerial commitment document. The technical coordinating Group, under the leadership of UNAIDS and with support from SADC and EAC Secretariats will play a key role in the development and implementation of the accountability mechanism. The intended audience for the framework are primarily governments in the 20 countries, civil society partners (including young people and community based organisations) and development partners.
This report documents findings of a rapid assessment on existing implementation linkages between HIV responses on one hand, and water, sanitation and hygiene (WASH) on the other, in four southern African countries: Lesotho, Mozambique, Swaziland and Zambia. The review was conducted in July 2014 by consultants commissioned by SAfAIDS and WaterAid. This rapid assessment is a forerunner of a number of pilot activities to be conducted in Lesotho, Mozambique, Swaziland and Zambia to explore how HIV and WASH can be better integrated.
