1 IATT on Education HIV and AIDS COMMUNICATION TOOLS: Advocating for Increased Support and Investment in HIV and AIDS and Education LITERATURE REVIEW December 2011 Kathryn Fleming Adria Molotsky Bradford Strickland American Institutes for Research 1000 Thomas Jefferson Street NW, Washington, DC 20007-3835 | 202.403.5000 | TTY 877.334.3499 | www.air.org This page intentionally left blank. IATT on Education – HIV and AIDS Communication Tools – Literature Review ACRONYM LIST AED AIDS AIR AMFAR ANOVA ART/ARV CEDPA CDC DFID DHS EDC EDUCAIDS EFA ELAC HEARD HIV IATT IBE IIEP ICRW JLICA NGO NYU OVC PANCAP PEPFAR PLHIV RH/ARH STD/STI TB UNAIDS UNESCO UNICEF UNPF/UNFPA USAID USD VCT VSO WHO Academy for Education Development Acquired Immune Deficiency Syndrome American Institutes for Research American Foundation for AIDS Research Analysis of Variance Antiretroviral Therapy/Antiretroviral The Centre for Development and Population Activities Centers for Disease Control and Prevention Department for International Development Demographic and Health Surveys Education Development Center Global Initiative on Education and HIV AND AIDS Education for All Economic Commission for Latin America and the Caribbean Health Economics and HIV/AIDS Research Division Human Immunodeficiency Virus Inter-Agency Task Team on HIV and AIDS and Education International Bureau of Education International Institute for Educational Planning International Center on Research for Women Joint Learning Initiative on Children and HIV and AIDS Non-Governmental Organization New York University Orphans and Vulnerable Children Pan Caribbean Partnership Against HIV and AIDS President’s Emergency Plan for AIDS Relief Person Living With HIV Reproductive Health/Adolescent Reproductive Health Sexually Transmitted Disease/Sexually Transmitted Infection Tuberculosis Joint United Nations Program on HIV/AIDS United Nations Educational, Scientific and Cultural Organization United Nations Children’s Fund United Nations Population Fund United States Agency for International Development United States Dollar Voluntary Counseling and Testing Volunteer Service Organization World Health Organization IATT on Education – HIV and AIDS Communication Tools – Literature Review Contents INTRODUCTION ............................................................................................................................ 1 CHAPTER ONE ............................................................................................................................... 5 SUMMARY OF PEER REVIEWED ARTICLES ........................................................................... 5 EDUCATION SECTOR SPECIFIC ........................................................................................... 5 HIV AND AIDS AND HEALTH SECTOR SPECIFIC .......................................................... 13 EDUCATION AND HEALTH SECTOR OVERLAP ............................................................. 21 CULTURAL ISSUE SPECIFIC ............................................................................................... 31 SUMMARY OF KEY FINDINGS IN PEER REVIEWED ARTICLES ................................. 33 CHAPTER TWO ............................................................................................................................ 36 LIST OF NON-PEER REVIEWED RESOURCES BY TYPE ...................................................... 36 Event and Meeting Reports and Papers .................................................................................... 36 Research and Policy Papers ...................................................................................................... 37 Program/Project Evaluations, Materials and Reports ............................................................... 41 Program Guidelines .................................................................................................................. 43 Strategic Plans and Frameworks for Action ............................................................................. 43 Working Papers ......................................................................................................................... 45 Issue and Technical Briefs ........................................................................................................ 45 Program Toolkits, Handbooks, and Checklists ......................................................................... 46 News Articles and Newsletters ................................................................................................. 47 Training Manuals ...................................................................................................................... 48 Literature Reviews and Resource Guides ................................................................................. 48 Curriculum Guides .................................................................................................................... 49 Government Policies ................................................................................................................. 50 CHAPTER THREE ........................................................................................................................ 51 ALPHABETICAL LIST OF ALL RESOURCES .......................................................................... 51 CHAPTER FOUR ........................................................................................................................... 62 TABLE OF STUDIES AND KEY DOCUMENTS ORGANIZED BY SEARCH CRITERIA .... 62 IATT on Education - HIV and AIDS Communication Tools – Literature Review 1 INTRODUCTION Background and Purpose There is a growing body of research and policy literature documenting and analyzing the actual and potential linkages between HIV and AIDS and education. Since the late 1990s this literature has advocated for and supported development of responses to HIV and AIDS in the education sector, sometimes as independent programs and sometimes as part of school health programs. The purpose of this literature review is to identify, compile and analyze key primary research studies and policy papers that comprise the most current evidence and advocacy base. Important aspects of HIV and AIDS programming in education include workforce programs to mitigate the impact of HIV and AIDS on education systems, HIV and AIDS prevention education for students and teachers, as well as activities to mitigate the impact on children affected by HIV and AIDS. Care and treatment education is also included in many school-based HIV and AIDS programs. The impact of HIV and AIDS on education has been widely discussed and debated, beginning with Michael Kelly’s 1999 seminal essay, “What HIV/AIDS Can Do to Education, and What Education Can Do to HIV/AIDS.” The loss of teachers has been an ongoing concern in many highly affected countries, already struggling to maintain the teaching force so as to reach EFA goals. In recent years in countries with generalized HIV epidemics, increased access to care, treatment, and support have reduced the loss of teachers due to HIVrelated illness and mortality to a couple of percentage points. But added to ongoing teacher attrition resulting from other causes, HIV and AIDS still constitutes a challenge for education systems trying to train enough teachers for universal, high quality primary education. As many developing countries strive to train a teaching force to provide a quality education for all, HIV and AIDS erodes the supply of teachers, motivating many ministries of education to initiate workforce programs to prevent and mitigate HIV and AIDS among educators (Risley, Bundy, et al., 2007; Grassly et al., 2003). Often, students who come from families affected by HIV and AIDS, as well as students infected with HIV and AIDS, suffer from the effects of stigma and discrimination, leading them to drop out of school. The economic impacts of HIV in affected households also may lead students to drop out (Kelly, 1999; UNICEF, 2006; Bundy, 2011). The information about the impact of HIV and AIDS on education systems, combined with the opportunity to reach millions of youth at school, many of whom have not yet become sexually active and have not yet begun practicing high-risk behaviors, often motivates ministries of education to institute HIV and AIDS prevention programs. Recognizing the moral imperative to respond to emerging evidence in pilot research in generalized HIV epidemic countries, many education systems provide HIV and AIDS prevention education through schools. Curricula have been developed in life skills education to improve decision-making skills among school-aged youth, and many programs also include sexual health education. Many countries have programs on HIV and AIDS awareness, with stand-alone curricula containing lessons on how HIV is transmitted, what constitutes high-risk behavior, and the importance of providing support to the HIV infected, including testing and anti retroviral therapy. The cost-effectiveness of prevention education in schools is increased by the efforts of some ministries of education to institute community outreach and awareness programs, thereby working to change community norms that may contribute to high-risk behaviors. Some ministries have created HIV resource centers as part of school health programs, linked in some cases to reinvigorated Anti-AIDS clubs to help schools reach out to communities and to empower youth to help change high-risk behavior and increase the chances of members of the community remaining HIV negative. IATT on Education - HIV and AIDS Communication Tools – Literature Review 2 An increasing variety of research studies have documented the effectiveness of many of these school-based HIV prevention programs, including a study of 83 program evaluations that showed the most important attributes of programs successfully preventing sexually transmitted diseases and/or unwanted pregnancy in 22 countries (Kirby, Laris, & Rolleri, 2006). Studies of sexual behavior are historically difficult to conduct owing to local sensitivities, but it is clearly documented in emerging research that education is an effective way to increase essential communication among students, parents, friends, and sexual partners about sexual risk behaviors and HIV and AIDS. These conversations often also reduce stigma and discrimination (Klepp, Ndeki, Leshabari, Hannan, & Lyimo, 1997; Stanton et al., 1998). The current global financial climate requires donors and development partners to prioritize investments in education as well as HIV and AIDS, to make sure that funds are spent on activities that demonstrate the highest quantifiable results. While many ministries of education continue to seek funding for HIV and AIDS programs, contributions of the education sector to reducing global HIV rates has been associated with long-term impacts resulting from HIV prevention education, behavior change, reducing stigma and discrimination and addressing complex economic risk and vulnerability factors. Formal education sector responses to HIV and AIDS are often perceived as slow and low impact approaches. UNAIDS’s InterAgency Task Team on HIV and AIDS and Education, hosted by UNESCO, has taken the lead among UN Agencies since 2000 on global guidance to promote country-level education sector responses to HIV and AIDS, and rightly has taken the initiative in commissioning the current literature review to take stock of the key messages coming from current research evidence for a global advocacy campaign. As evidenced by the bibliography identified and compiled for this review, the research and policy literature base has grown considerably over the past decade, and particularly since the introduction of ART therapies that improve the quality of life for people living with HIV and AIDS. The scale and quality of articles included in this bibliography is intended to show the full range of perspectives relevant for policy advocacy, but there has been a particular bias in analysis and synthesis of articles here favoring peer reviewed research studies that will yield evidence that is compelling and most appropriate for global advocacy tools and efforts. Prior to this current literature review, there has been no systematic identification and review of recent research to guide policy and decision making about how best to support work in this important area. The purpose of this literature review is to identify, compile and analyze key primary research studies and policy papers that comprise the most current evidence and advocacy base. The review also provides a synthesis of key findings from these resources in order to make recommendations for development of communication tools for effective advocacy for investments in HIV and AIDS in the education sector. Those investments may come from government ministries of education, ministries of health, international development agencies working in the education sector and/or the health sector, the Global Fund for AIDS, TB and Malaria, private Foundations and other partners in international development, and especially education. This bibliography review and its findings are to be used in conjunction with and as a supplement to the Influencer Network Analysis (stakeholder analysis) for HIV and AIDS and Education, also commissioned by the UNAIDS IATT and produced by the American Institutes for Research, 3 IATT on Education - HIV and AIDS Communication Tools – Literature Review which accompanies this bibliographic review. These two reports document the process by which the evidence base for HIV and AIDS and education has been reviewed and analyzed, and target audiences assessed, in order to develop a communication strategy and tools for an effective advocacy campaign. The goal of these products is to strengthen the case for investment in HIV and AIDS and education, and to ultimately increase program funding for HIV and AIDS response in the education sector. Research and Policy Resources Included in the Bibliography Reviewed The research and policy papers included in this bibliography were selected according to broad parameters determined in discussion with the UNAIDS InterAgency Task Team on HIV and AIDS and Education, convened by UNESCO. The research included was conducted and written after the year 2000, and conformed to quality standards such as: published by an academic and/or medical press; submitted for professional association peer review; published by a government or international agency; used clear quantitative or qualitative research methods and tools. Articles were also identified by topical subject areas addressed that were determined to be critical to the review, as identified by search terms. The search terms to identify studies included in the bibliography are listed in the table below. Table 1. Illustrative Search Terms for the Literature Review Education Sector Specific HIV and AIDS and Health Sector Specific School retention Teen pregnancy Girls’ education Sexually transmitted diseases Girls’ scholarships Female genital cutting OVC scholarships Male circumcision Life skills HIV prevention Peer programs HIV mitigation Teacher attrition HIV treatment education Sexual and reproductive education Mother to child transmission Voluntary testing and counseling Concurrent partners Education and Health Overlap School health and nutrition programs Health promoting schools Focusing Resources for Effective School Health AIDS-related teacher attrition Transactional sex HIV and AIDS impact on education AIDS orphans Culture Specific Early marriage Child brides Widow inheritance Polygeny/polygamy Gender based violence Sexual violence Stigma and discrimination Gender equality Women’s empowerment Economic inequality Based on the search criteria, 217 studies were identified as appropriate for review (see the “Table of Resources Organized by Search Criteria” in Chapter 4.) Of these 217 articles, 73 articles or 33.8 percent were peer reviewed. Among the 73 peer reviewed articles, 30.14 percent were education sector specific, 24.66 percent were health sector specific, 38.36 percent related to the overlap between education and health, and 6.85 percent were closely related to a cultural issue rather than a service sector. IATT on Education - HIV and AIDS Communication Tools – Literature Review 4 Of the 73 peer reviewed articles, 17.81 percent use only quantitative methods, 34.25 percent use only qualitative methods, and 36.99 percent use both qualitative and quantitative methods. Of the 217 articles identified, 8.3 percent were published by the World Bank, 6.9 percent were published by UNAIDS, 13.0 percent were published by UNESCO, 3.7 percent were published by UNICEF, 3.2 percent were published by USAID, and 1.4 percent were published by WHO. Structure of the Report on Bibliography Reviewed Peer reviewed research articles are considered and presented in this report as most likely to yield the evidence required to motivate policy makers and funding decision makers to make investments in HIV and AIDS and education. As such, peer reviewed articles have received the most detailed review and annotation in the review process, and comprise the first chapter of the report that follows. In Chapter One, clear terms are used to organize each summary of key information in the 73 peer reviewed articles. Depending on the structure of the article, these terms include: Hypothesis or Purpose; Key Argument; Method; Results; Conclusions; Recommendations. The titles and summaries of the 73 articles are presented in Chapter One under the four categories used to manage the articles once identified in the overall search: Education Sector Specific; HIV and AIDS and Health Sector Specific; Education and Health Overlap; and Culture Specific. These categories are for organizational process purposes. At the conclusion of Chapter One on Peer Reviewed Articles is a summary of key findings identified in the peer reviewed research. These findings are considered the most substantive of the messaged identified in the review of the 217 articles identified. All 217 of the research and advocacy papers are also listed in three additional formats. Chapter Two comprises a list of non-peer reviewed resources, organized by the type of document identified. Articles listed under the document type are summarized as a group in a brief description of contents. Each article is not summarized independently. Chapter Three comprises an alphabetical index of articles identified, and Chapter Four comprises a table of studies and key documents organized by search criteria. ______________________________________ References for Introduction: Grassly, N. C., Desai, K., Pegurri, E., Sikazwe, A., Malambo, I., Siamatowe, C., & Bundy, D. (2003). “The Economic Impact of HIV/AIDS on the Education Sector in Zambia.” AIDS, 17, pp. 1039–1044. Kelly, M. J. (1999). What HIV/AIDS Can Do to Education, and What Education Can Do to HIV/AIDS. Paper presented at the All Sub-Saharan Africa Conference on Education for All, Johannesburg, South Africa. Kirby,D., Laris, B. A., & Rolleri, L. (2006). Sex and HIV Education Programs for Youth: Their Impact and Important Characteristics. Scotts Valley, CA: ETR Associates. Klepp, K. I., Ndeki, S. S., Leshabari, M. T., Hannan, P. J., & Lyimo, B. A. (1997). “AIDS Education in Tanzania: Promoting Risk Reduction among Primary School Children.” American Journal of Public Health, 97(12), pp. 1931–1936. Risley, C. L., Bundy, D., et al. (2007). Estimating the Impact of HIV and AIDS on the Supply of Basic Education. Paper presented at the second meeting of the World Bank/UNAIDS Economics Reference Group, Geneva, Switzerland. Stanton, B. F., Li, X., Kahihuata, J., Fitzgerald, A. M., Neumbo, S., Kanduuombe, Zimba, R. F. (1998). AIDS, 12(18) pp. 2473–2480. UNICEF. (2006). Africa’s Orphaned and Vulnerable Generations: Children Affected by AIDS. New York: UNICEF. IATT on Education - HIV and AIDS Communication Tools – Literature Review 5 CHAPTER ONE SUMMARY OF PEER REVIEWED ARTICLES EDUCATION SECTOR SPECIFIC 1. Aeth, A.H. (2002). “Evaluation of HIV/AIDS Peer Education Projects in Zambia.” Evaluation and Program Planning, 24 pp. 397-407. Hypothesis/Purpose: To assess the effectiveness of peer education programs for HIV and AIDS implemented by four NGOs. Method: The study used a “mini-case study” approach and their analysis was based on cross-case itemistic variables. The study also reviewed documents and conducted interviews and on-site visits to observe activities. Results: The study assessed the projects in terms of their immediate developmental outcomes rather than long-term impacts. The study found that the projects raised awareness of HIV and AIDS in the communities and the basic knowledge they were providing was accurate. Additionally, the study noted anecdotal evidence of behavioral changes in the lowering of the number of sexual partners and frequency of traditional practices (such as sexual cleansing and scarification) which contributed to the spread of HIV. Conclusions: The study determined that the projects were effective in raising awareness and providing information on safe sex, appropriate life skills for high-risk situations and a way to support behavioral change through condom distribution. However, the efficiency of the programs could be improved given the gravity of the problem and the nature of the spread of HIV. The author also concluded that there is a continued need for the support and input of NGOs given the limited resources of the governments. 2. Aggleton, P. & Warwick, I. (2002). “Education and HIV/AIDS Prevention among Young People.” AIDS Education and Prevention, 14(3) pp. 263-267. Purpose: Based on the expert review meeting in 2001, the authors summarize the outcomes from the meeting as well as address why education is important for the prevention of HIV. Key Argument: The authors briefly cover the key topics discussed in the meeting, reiterating the main objectives covered for creating successful education programs targeted at preventing HIV. Recommendations: Not only is it important for the education sector to increase its efforts in the context of HIV prevention, but this sector is also highly susceptible to being negatively affected by the epidemic so appropriate measures/safe guards need to take place in order to account for these (such as recruiting more teachers and administrators and flexible schooling for students that must become caregivers). IATT on Education - HIV and AIDS Communication Tools – Literature Review 6 3. Brent, R.J. (2006). “Does Female Education Prevent the Spread of HIV-AIDS in SubSaharan Africa?” Applied Economics, 38 pp. 491-503. Hypothesis/Purpose: To determine whether female education prevents the spread of HIV and AIDS in Sub-Saharan Africa. Method: The author obtained data from UNAIDS on adult female infection rates for 31 countries in Sub-Saharan Africa to use in a cross-sectional analysis. In all, there were twelve different education variables tested disaggregated by gender, and he ran multiple regression analyses. Results: The study found that female education is positively related to country infection rates and that female infection rates peak within 15-17 years of the first case reported. Based on the regressions, the results were mixed. In different regression analyses different variables proved to be significant while there was not one that was significant across them all. Conclusions: The author concluded that female education does not prevent the spread of HIV-AIDS in Sub-Saharan Africa due to confounding factors such as income and religion. However, the author notes that the study was not able to randomly control for education levels which may have biased the results, and confronts other possible issues which may have biased his results. 4. Burroway, R. (2010). “Schools Against AIDS: Secondary School Enrollment and CrossNational Disparities in AIDS Death Rates.” Social Problems, 57(3) pp. 398-420. Hypothesis/Purpose: The author examines secondary education as a factor in lowering the number of AIDS deaths. Method: The study uses readily available cross-national data for the regression analysis. Results: The study confirms the author’s hypothesis that secondary schooling has a large effect on AIDS death rates; this is, of course, after controlling for HIV prevalence. This means that higher levels of educational attainment result in fewer AIDS deaths in a country as a whole. Conclusions: The author concludes that future research is needed to further examine the mechanisms between education and AIDS deaths to determine whether the variable secondary education may be reflecting increased state capacities or economic growth which also impact AIDS deaths and HIV prevalence. Either way, changing structural conditions could potentially protect more people than programs that are only focused on specific groups. 5. Campbell, C. & MacPhail, C. (2002). “Peer Education, Gender, and the Development of Critical Consciousness: Participatory HIV Prevention by South African Youth.” Social Science and Medicine, 55(2) pp. 331-345. Hypothesis/Purpose: To point out factors that could impact a peer education program’s achievement of increased condom use by young people through the analysis of the effectiveness of the program as well as focusing on relevant dimensions of young people’s lives. IATT on Education - HIV and AIDS Communication Tools – Literature Review 7 Method: The authors use a case study, interviews and focus groups with young people of a particular school-based peer education program in South Africa. Results: Peer education programs should enable youth to develop a critical consciousness surrounding ways gender norms influence their sexual health risks. This awareness could enable the renegotiation of young peoples’ social and sexual identities, and empower them to change their behavior. It is not enough to boost the emotional and motivational confidence of young people; it is essential to develop their intellectual understandings of social relations and how they contribute to the transmission of HIV. Conclusions: Many HIV prevention programs focus on short-term activities, but they need to start shifting their focus to medium- and long-term activities as well. Additionally, the authors conclude that school-based HIV-prevention programs need to be developed to give youth ‘ownership’ of the problem and promote their social capital. 6. Glynn, J.R., Carael, M., Buve, A., Anagonou, S., Zekeng, L., Kahindo, M., & Musonda, R. (2004). “Does Increased General Schooling Protect Against HIV Infection? A Study in Four African Cities.” Tropical Medicine and International Health, 9(1) pp. 4-14. Hypothesis/Purpose: This study attempts to determine the association between educational attainment and risk of HIV infection based on previous studies in SubSaharan Africa that concluded people with higher levels of education are at increased risk for HIV. Method: The study used data from the multicenter study on factors determining the spread of HIV in four African cities. They then conducted cross-sectional studies for each city. Results: The authors concluded that there was no association between HIV infection and educational attainment for men or women in Kisumu or Ndola. However, in Yaounde, women with higher levels of schooling were less likely to be HIV positive, while in Contonou, similar results were found for men. The study found consistent results across all cities stating that those with more education reported less risky sexual behavior. Conclusions: Unlike previous studies, this study did not find evidence of increased levels of education resulting in increased risk of HIV infection. In fact, the authors found no association between the two. The authors did speculate that perhaps those with higher levels of education were able to respond more to health education programs. 7. James, D. (2002). “To Take the Information Down to the People: Life Skills and HIV/AIDS Peer Educators in the Durban Area.” African Studies, 61(1) pp. 169-191. Hypothesis/Purpose: The study was undertaken to evaluate the availability and effectiveness of life skills education programs in school. Method: The researchers used a questionnaire-based statistical survey and interviews. Results: The author provided a glimpse of the views and motivations of those working in peer educator life skills programs in Durban. Conclusions: Communities need to take advantage of the existing competencies of their community members who are best positioned to work as educators for life skills programs. IATT on Education - HIV and AIDS Communication Tools – Literature Review 8 8. Jukes, M., Simmons, S. & Bundy, D. (2008). “Education and Vulnerability: The Role of Schools in Protecting Young Women and Girls from HIV in Southern Africa.” AIDS, 22 pp. S41-S56. Hypothesis/Purpose: To determine whether or not countries are realizing the full potential of the education sector in stopping the spread of HIV. Method: The authors used the results of previous literature reviews, results of RCTs and discussions. Results: The study concludes that increasing girls access to primary and secondary schooling decreases their risk of HIV infection in southern Africa. Additionally, the study found that HIV and AIDS education programs have been successful in reducing stigma, changing students’ attitudes about HIV and AIDS and may lead to safer sexual behaviors. Conclusions: The authors advocate for the expansion of school-based programs that are carefully designed and evaluated which can reduce stigma and risky sexual behaviors. At the same time, countries should continue striving to increase access to education so that more youth have opportunities to partake in these programs. 9. Krueger, A.B. & Lindalh, M. (2001). “Education for Growth: Why and For Whom?” Journal of Economic Literature, XXXIX pp. 1101-1136. Hypothesis/Purpose: This paper summarizes previous research on the micro and macro impact of education on the economic growth of a country. Method: The authors used a review of previous evidence from research as well as the Mincerian Wage Equation. Results: The literature and research emphasizes the role of education in income growth and provides evidence of a payoff to an investment in education. The authors’ findings indicate that the change in education is associated with positive economic growth. Conclusions: Countries that expand and improve their educational systems are likely to change other policies and realize simultaneous growth. 10. Lagarde, E., Carael, M., Glynn, J.R., Kanhonou, L., Abega, S.C., Kahindo, M., Musonda, R., Auvert, B., & Buve, A. (2001). “Educational Level is Associated with Condom Use Within Non-Spousal Partnerships in Four Cities of sub-Saharan Africa.” AIDS, 15 pp. 1399-1408. Hypothesis/Purpose: To determine the rates and main determinants of condom use. Method: The authors conducted a cross-sectional population survey in four cities in SubSaharan Africa. Results: The results for the men showed that the rates of condom usage were associated with higher education for men in Yaounde and Ndola, and for women in Cotonou and Kisumu. The results from the women’s surveys showed that condom usage increased with educational attainment of female partners in Kisumu and Ndola and for male partners in Yaounde. Conclusions: Based on the results of both the male and female survey responses, the authors found that education is a key determinant of condom usage in all cities. IATT on Education - HIV and AIDS Communication Tools – Literature Review 9 Therefore, more effort needs to be used to improve access to quality education for both men and women in order to increase condom use. 11. Liao, W., Jiang, J.M., Yang, B., Zeng, X. & Liao, S.S. (2010). “A Life-Skills-Based HIV/AIDS Prevention Education for Rural Students of Primary Schools in China: What Changed? What Have We Learned?” Biomedical and Environmental Sciences, 23 pp. 409-419. Hypothesis/Purpose: This study evaluates a life skills-based HIV and AIDS program for fifth graders in a rural school in China. Method: The quasi-experimental study was broken down into two stages consisting of a baseline survey for students and then a cross-sectional questionnaire two years later. Results: Students knowledge of and attitudes toward HIV and AIDS increased if they were younger than average, had access to the internet, lived in the country, and had parents with higher levels of educational attainment. After controlling for family and community factors, the study revealed that the curriculum greatly increased knowledge in the short- and mid-term models. Conclusions: Life skills-based education programs for HIV and AIDS have a significant impact on increasing knowledge, and this impact is realized in a fairly short time frame. These results can still be witnessed at least two years after receiving the life skills education. Therefore, schools should invest in integrating life skills into their curricula to promote increased knowledge and changed attitudes towards HIV and AIDS. 12. Mahat, G. & Scoloveno, M.A. (2010). “HIV Peer Education: Relationships Between Adolescents’ HIV/AIDS Knowledge and Self-Efficacy.” Journal of HIV/AIDS & Social Services, 9 pp. 371-384. Hypothesis/Purpose: To determine the effectiveness of a peer education program aimed at improving adolescents’ knowledge of HIV and AIDS and self-efficacy for limiting risky sexual behaviors and to determine the influence of this self-efficacy on their HIV knowledge. Method: A quasi-experimental design study was used for the evaluation. Results: The study showed that the peer education program significantly improved adolescents’ knowledge of HIV and their self-efficacy. Conclusions: School-based interventions and programs need to be developed to provide students with information on risk behaviors and prevention. The authors determined that school is the prime location for these interventions because many children spend a significant amount of their time in school. 13. Medley, A., Kennedy, C., O’Reilly, K., & Sweat, M. (2009). “Effectiveness of Peer Education Interventions for HIV Prevention in Developing Countries: A Systematic Review and Meta-Analysis.” AIDS Education and Prevention, 21(3) pp. 181-206. Hypothesis/Purpose: The authors conducted an analysis of the effectiveness of peer education programs in developing countries. IATT on Education - HIV and AIDS Communication Tools – Literature Review 10 Method: They used standardized methods for research and data collection to identify 30 studies. Then they conducted a meta-analysis of the interventions. Results: The peer education interventions were found to be significantly associated with increased HIV knowledge, increased condom use and decreased equipment sharing for drug users. However, these same programs’ effects on STIs were not significant. Conclusions: The authors were not fully convinced by the results of their study, so they concluded that more research is needed on programs of this type to maximize the likelihood of their success. While peer education programs were found to be fairly effective at improving behavioral outcomes, they were not significant in impacting biological outcomes. 14. Ott, M.A., Evans, N.L., Halpern-Felsher, B.L., & Eyre, S.L. (2003). “Differences in Altruistic Roles and HIV Risk Perception Among Staff, Peer Educators, and Students in an Adolescent Peer Education Program.” AIDS Education and Prevention, 15(2) pp. 159171. Hypothesis/Purpose: To examine how much the educators in peer education programs actually understand and communicate HIV prevention messages. Method: The authors used semi-structured interviews and concept analysis to analyze the content in the interviews. Results: The study found that most staff, educators and students had similar beliefs about HIV transmission and risk reduction, but there were differing views on HIV risk perception and roles of the staff and educators. Staff acted as mentors for life skills, peer educators took on the role of HIV educators and students simply took a passive role of absorbing the information but not passing it onto their friends. Conclusions: While the study concluded that people from each group had similar knowledge about HIV, there needs to be more contextualization of HIV risk and how the prevention messages are delivered. 15. Perez, F. & Dabis, F. (2003). “HIV Prevention in Latin America: Reaching Youth in Colombia.” AIDS Care, 15(1) pp. 77-87. Hypothesis/Purpose: This study evaluates a school-based peer education program on HIV prevention in Colombia. Method: The researchers collected baseline data through focus groups, in-depth interview, and a knowledge, attitudes and practices survey with subsequent postintervention data was collected through similar methods. Results: The short-term results of the study found that the program had a positive effect on knowledge and attitudes related to HIV and AIDS. Conclusions: Education through peer education programs, classroom teaching and community actions are effective HIV prevention strategies and should be used more in prevention efforts. IATT on Education - HIV and AIDS Communication Tools – Literature Review 11 16. Peters, E., Baker, D.P., Diekmann, N.F., Leon, J. & Collins, J. (2010). “Explaining the Effect of Education on Health: A Field Study in Ghana.” Psychological Science, 21(10) pp. 1369-1376. Hypothesis/Purpose: The study aims to prove that formal education enables individuals to make and practice safer health behaviors. Method: The authors used data from field studies and then conducted a structural equation modeling analysis to obtain their results. Results: The study found that individuals with more education practiced more protective health behaviors because schooling enabled people to gain cognitive abilities, numeracy and decision-making abilities. Conclusions: Formal schooling has a positive impact on health behaviors by increasing cognitive development abilities, and simply relaying information about HIV and AIDS may not reduce risky behaviors. 17. Pettifor, A.E., Levandowski, B.A., MacPhail, C., Padian, N.S., Cohen, M.S., & Rees, H.V. (2008). “Keep Them in School: The Importance of Education as a Protective Factor Against HIV Infection Among Young South African Women.” International Journal of Epidemiology, 37 pp. 1266-1273. Hypothesis/Purpose: The study aims to indentify risk factors for young women in South Africa for getting HIV. Method: The authors used household surveys and then ran multivariate regressions to determine their results. Results: The study concluded that young women with less schooling were more likely to be infected with HIV than those that had completed secondary school. Conclusions: Since the study found that young women were at a high risk of HIV infection despite the fact that they reported only having one partner, there is a need for HIV prevention programs to address other aspects such as structural and partner level risk factors. 18. Porter, K.A. (2007). “Review of Life Skills, Sexual Maturation and Sanitation: What’s (Not) Happening in Our Schools?” African Studies Review. 50(1) pp. 199-201. Purpose: A review of the book by Mutunga and Stewart. Conclusions: The authors of the book recommend that life skills should be taught as part of the curricula in school and that teachers should be appropriately trained to provide this health education. Based on this review, the book could be a useful source for those interested in learning more about life skills, sexual maturation and the role of education. 19. Sperling, G.B. (2005). “The Case for Universal Basic Education for the World’s Poorest Boys and Girls.” Phi Delta Kappan pp. 213-216. Purpose: The author attempts to persuade the reader of the many benefits of universal education for all children. IATT on Education - HIV and AIDS Communication Tools – Literature Review 12 Key Argument: That access to quality education for all children, especially girls, is an essential and curable “disease” faced by the developing world. Recommendations: Developing countries need to work at making quality schooling more accessible for all children, especially for girls. In order for this to be accomplished, the international community needs to work together towards this end. 20. Vandemoortele, J. & Delamonica, E. (2000). “The ‘Education Vaccine’ Against HIV.” Current Issues in Comparative Education, 3(1) pp. 6-13. Purpose: The authors intend to show the correlation between a person’s level of education and their associated risk of HIV infection, and they believe that higher levels of education will reduce risk of infection. Key Argument: The authors claim that education is the best protection against HIV infection; the “education vaccine” is the best prevention method for the epidemic. Recommendations: The authors conclude that HIV thrives in populations of the poor and illiterate. Therefore, increasing education and programs targeted at the illiterate populations would significantly decrease the burden and prevalence of HIV. 21. Wagner, C.G. (2008). “Girls’ Education: Key to ‘Virtuous Circle’.” The Futurist pp. 8. Purpose: The author briefly examines and discusses how schooling has a significant impact on the lives of girls. Key Arguments: Girls’ education is a key component to improving their economic prospects and reproductive and sexual health. The benefits of educating girls extend beyond their personal lives, and even assist in mitigating HIV and AIDS. Recommendations: Policymakers and program implementers should focus their efforts on increasing access to and quality of girls’ education in order to achieve economic growth including a reduction of HIV infection. 22. Yankah, E. & Aggleton, P. (2008). “Effects and Effectiveness of Life Skills Education for HIV Prevention in Young People.” AIDS Education and Prevention, 20(6) pp. 465485. Hypothesis/Purpose: The authors review the effects and effectiveness of life skills-based education programs in their efforts to prevent HIV. Method: The authors reviewed published literature and studies and previously conducted on the effectiveness of life skills-based education programs in Africa, Latin America Asia and the Pacific. Results: Many life skills-based programs were components of larger education strategies for HIV prevention. Most programs positively influenced knowledge, attitudes, skills and abilities related to HIV. However, their effect on behavior change was inconsistent throughout the study, and showed no impact on biological outcomes. Conclusions: Based on the results of the study, life skills programs work best when incorporated into other education approaches and intervention such as programs that focus on health in general and not simply disease prevention. Additionally, those IATT on Education - HIV and AIDS Communication Tools – Literature Review 13 programs that are more participatory in nature reported greater results. Therefore, there is still a need for responses to HIV prevention that increase knowledge and promote effective communication regarding sexual relationships and sexual health. HIV AND AIDS AND HEALTH SECTOR SPECIFIC 1. Ainsworth, M. & Teokul, W. (2000). “Breaking the Silence: Setting Realistic Priorities for AIDS Control in Less-Developed Countries.” Lancet, 365 pp. 55-60. Purpose: The authors propose three main priorities for poor countries in their attempts to control the AIDS epidemic. Key Argument: The authors believe that governments and development implementing agencies need to place more emphasis on programs and initiatives that confront the AIDS epidemic. Recommendations: Policy makers and implementers should focus their efforts on smaller, more cost-effective programs and initiatives on a national scale which would have a larger, more sustainable effect on the epidemic and could provide a basis for expansion. The three core priorities are proposed by the authors. 2. Anderson, K.G., Beutel, A.M. & Maughan-Brown, B. (2007). “HIV Risk Perceptions and First Sexual Intercourse Among Youth in Cape Town, South Africa.” International Family Planning Perspectives, 33(3) pp. 98-105. Hypothesis/Purpose: The authors conducted a study in order to determine the relationship between people’s perceived and actual risk of HIV infection among youth in South Africa. Method: The authors collected data through surveys and manipulated the data using multivariate regression analysis. Results: The results of the study showed that most youth believed they were at little or no risk of HIV infection. Those females that believed they were at a higher risk delayed their sexual debut. Furthermore, the study found that females who knew someone who had died of AIDS perceived a higher level of risk and delayed their sexual debut as well. There was no association between race and perceived risk of infection, and the perceived risk of infection varied by gender. Conclusions: The authors concluded that HIV and AIDS education and prevention programs should be aware of the differing risk perceptions and risk behaviors exhibited by the two genders and various races and how these could affect the effectiveness of these programs. 3. Fylkesnes, K., Musonda, R.M., Sichone, M., Ndhlovu, Z., Tembo, F., & Monze, M. (2001). “Declining HIV Prevalence and Risk Behaviors in Zambia: Evidence from Surveillance and Population-Based Surveys.” AIDS, 15 pp. 907-916. Hypothesis/Purpose: The authors conducted this study to examine the trends in HIV prevalence and risk behaviors in Zambia in the 1990s. IATT on Education - HIV and AIDS Communication Tools – Literature Review 14 Method: The authors conducted surveillance at antenatal clinics, and solicited surveys to the population to assess the trends. Results: Based on the data retrieved from the antenatal clinics, prevalence rates were declining in the 15-19 and 20-24 age groups. The most prominent declines in prevalence were associated with higher levels of educational attainment. Additionally, the study noted increased condom use, decline in the number of people reporting multiple sexual partners and delayed age at first birth for women. Conclusions: The authors concluded that the data and results they found were associated with increased behavior change among the people in Zambia. This study also revealed that more attention needs to be focused on the most vulnerable groups to support behavior change at that level, since they experienced the least amount of change over the years. However, while the more educated realized the greatest amount of behavior change, efforts to reach this group should not be curtailed, rather they should be continued to sustain high levels of behavior change and risk reduction. 4. Gupta, N. & Mahy, M. (2003). “Sexual Initiation Among Adolescent Girls and Boys: Trends and Differentials in Sub-Saharan Africa.” Archives of Sexual Behavior, 32(1) pp. 41-53. Hypothesis/Purpose: The authors examined the trends in the sexual debut of adolescents in Sub-Saharan Africa and were particularly interested in determining the differences in gender and contexts. Method: The data was gathered from DHS surveys and was disaggregated by gender before manipulation. The authors used multivariate logistical regression models for analysis. Results: While some countries showed declines in the proportion of adolescents who had sex, these results were not significant after controlling for confounding factors, especially education. There were, however, important gender differentials. Secondary education was reported as being associated with a lower probability of earlier sexual debut in females, while the inverse was true for males. Conclusions: Education was determined to be the most important variable in determining sexual debut which is correlated with lower risk of HIV infection. However, as the study noted, higher educational attainment proved to be more successful at promoting this healthier behavior for girls, but not for boys. Therefore, programs should target males at a younger age. 5. Hallett, T.B., Lewis, J.J.C., Lopman, B.A., Nyamukapa, C.A., Mushati, P., Wambe, M., Garnett, G.P., & Gregson, S. (2007). “Age at First Sex and HIV Infection in Rural Zimbabwe.” Studies in Family Planning, 38(1) pp. 1-10. Hypothesis/Purpose: The authors attempt to examine the trends in sexual debut and HIV infection among adolescents in rural Zimbabwe. Method: Cross-sectional data was collected through interviews and was analyzed using logistic regression models. Results: The authors of this study found that the age at sexual debut declined for males, but has increased for females over the past 30 years. The key determinants of women’s IATT on Education - HIV and AIDS Communication Tools – Literature Review 15 earlier debut were working in unskilled jobs, not being associated with a church, and not having a primary education. These same women were more inclined to be infected with HIV due to the likelihood of having more sexual partners than those who delayed their first sexual experience. Conclusions: Based on the findings, the authors claim that abstinence-only programs should target the employed and members of traditional churches rather than students, the unemployed and those with no religious affiliation. Other HIV prevention programs should understand the reasons for earlier sexual debut among adolescents and incorporate these in their programs. 6. Hargreaves, J.R., Bonell, C.P., Morison, L.A., Kim, J.C., Phetla, G., Porter, J.D.H., Watts, C., & Pronyk, P.M. (2007). “Explaining Continued High HIV Prevalence in South Africa: Socioeconomic Factors, HIV Incidence and Sexual Behaviour Change among a Rural Cohort, 2001-2004.” AIDS, 21(7) pp. S39-S48. Hypothesis/Purpose: The authors conducted this study to estimate the prevalence of HIV in South Africa and to examine behavioral changes for men and women over time. Method: A cohort study was conducted using data gathered from household visits, interviews and HIV serostatus tests. Results: The study found that the incidence of HIV was highest in uneducated women, that earlier sexual debut was reported in younger generations, a majority of sexually active individuals reported having multiple partners in the past year, and condom use with casual partners increased. The highest incidences of condom use were reported by the more educated individuals from both sexes. Conclusions: Based on the study results, current HIV prevention programs are not completely effective in producing behavior change in South Africa. Since lack of education was seen as one of the leading causes of higher rates of infection and the reporting of more risky sexual behaviors, this is a prime sector to target for future HIV prevention programs. 7. Kirby, D. (2001). “Understanding What Works and What Doesn’t in Reducing Adolescent Sexual Risk-Taking.” Family Planning Perspectives, 33(6) pp. 276-281. Purpose: The author proposes to identify determinants for risky sexual behavior and programs that are effective in reducing these behaviors. Key Argument: The author claims that adolescent’s sexual behaviors are strongly linked to the norms and connectedness of those closest to them (i.e., family, friends, and romantic partners). Recommendations: Adolescents were more inclined to act in accord with norms that were presented to them through school-based HIV prevention education programs or any other type of program. Therefore, in order to promote behavior change, these initiatives should include obvious and rational norms for students to influence their behavior. IATT on Education - HIV and AIDS Communication Tools – Literature Review 16 8. Kohler, P.K., Manhart, L.E. & Lafferty, W.E. (2007). “Abstinence-Only and Comprehensive Sex Education and the Initiation of Sexual Activity and Teen Pregnancy.” Journal of Adolescent Health, 42 pp. 344-351. Hypothesis/Purpose: The authors evaluate the effectiveness of sex education on sexual debut and the risk of teen pregnancy and STD infection. Method: The authors obtained information and data from the National Survey of Family Growth and it was analyzed using multivariate logistic regression. Results: The study found that those youth who received sex education were less likely to report teen pregnancy, but there was no significant effect for those receiving the abstinence-only education. Furthermore, abstinence-only education did not reduce the likelihood of someone engaging in vaginal intercourse whereas sex education slightly lowered the likelihood. Neither of the two types of education significantly reduced the likelihood of reported STD infection. Conclusions: Comprehensive sex education produced the greatest results in that adolescents had lower risk of reporting pregnancy compared to those receiving abstinence-only or no sex education. Additionally, programs teaching about contraception did not increase the risk of infection or sexual activity. Therefore, the results show that providing adolescents with all the information, as opposed to promoting abstinence, increases their sexual knowledge and appears to decrease their risky behaviors. 9. Lugalla, J., Emmelin, M., Mutembei, A., Sima, M., Kwesigabo, G., Killweo, J. & Dahlgren, L. (2004). “Social, Cultural & Sexual Behavioral Determinants of Observed Decline in HIV Infection Trends: Lessons from the Kagera Region, Tanzania.” Social Science and Medicine, 59 pp. 185-198. Hypothesis/Purpose: This study, a follow-up to a previous study, examines the sociocultural and sexual behavior changes as determinants of declining rates of HIV infection in Bukoba, Tanzania. Method: The authors conducted in-depth interviews, focus group discussions, field observations and ethnographic assessments to collect data. Results: The study found significant behavior changes reported since the beginning of the epidemic. The data showed increased condom use, abstinence, use of voluntary counseling and testing services and decreased reporting of having multiple sexual partners. Furthermore, risky cultural practices such as polygamy, widow inheritance, excessive alcohol consumption and sexual networking were reported as declining as well. Conclusions: The results from the study were mostly positive in the effects of interventions undertaken at the height of the epidemic. The authors claim that much can be learned from the experience of Tanzania which can be replicated elsewhere. Such replicable and scalable interventions include health education, condom distribution, AIDS education in school, and VCT services. 10. Lurie, M., Pronyk, P., de Moor, E., Heyer, A, de Bruyn, G., Struthers, H., McIntyre, J., Gray, G., Marinda, E., Klipstein-Grobush, K., & Martinson, N. (2008). “Sexual Behavior IATT on Education - HIV and AIDS Communication Tools – Literature Review 17 and Reproductive Health Among HIV-Infected Patients in Urban and Rural South Africa.” Epidemiology and Social Science, 47 pp. 484-493. Hypothesis/Purpose: The authors look at the sexual behavior of HIV-positive people receiving ARVs in an attempt to understand and mitigate secondary HIV transmission. Method: The authors surveyed HIV-positive patients to obtain their data which was analyzed through a multivariate regression. Results: Based on the data obtained from the surveys, HIV-positive individuals in urban areas were more likely to report having current sexual partners and to report consistent condom use than those in rural areas. Both men and women reported less consistent condom usage with causal sexual partners than with regular partners. Conclusions: The authors conclude that HIV prevention programs that stress the importance of condom usage are essential due to the high likelihood of HIV-infected individuals resuming sexual activity after appearing healthier due to ARV treatment. 11. Maharaj, P. (2007). “Patterns of Condom Use: Perspectives of Men in KwaZulu-Natal, South Africa.” Development Southern Africa, 22(2) pp. 187-197. Hypothesis/Purpose: The author attempts to examine the determinants and extent of condom use. Method: The researchers derived qualitative data from focus group discussions and indepth interviews, and obtained quantitative data from household surveys. The chi-square test was used to determine statistical significance. Results: The study found that knowledge about the use of condoms for infection and pregnancy prevention was high. However, condoms where not noted as a popular method of protection. This was particularly true for primary relationships. In fact, the study found widespread disapproval of condom use and noted that they are more likely to be used in casual relationships. In either case, condom usage was correlated with level of education. Conclusions: In order to increase condom usage, HIV prevention programs need to continue to promote the use of condoms in all sexual relationships. This is most important when dealing with uneducated or rural areas. These less educated populations need to be provided with the appropriate information regarding condoms to remove fears, rumors and other false beliefs about them. 12. Maria, W. (2007). “Knowledge and Awareness Related Reproductive Health Issues Among Single Youth in Ethiopia.” African Journal of Reproductive Health, 11(1) pp. 1421. Hypothesis/Purpose: This study was conducted to determine the knowledge of HIV and AIDS and other STIs as well as to determine the impact of socio-demographic characteristics on sexual behavior. Method: The study drew data from the 2000 Ethiopia DHS which was then analyzed using binary logistic regression models. Results: The results found that most youth are aware of HIV and AIDS, but the majority was lacking awareness of other STIs. Some key results from the study were that urban males were more likely than rural males to have intercourse and males with some IATT on Education - HIV and AIDS Communication Tools – Literature Review 18 education were more likely to use condoms. Females with some education were less likely to have had intercourse, but were more likely to have two partners in the last year. For single youth in Ethiopia, overall sexual activity was lower than that reported in other African countries. Conclusions: Overall, the study concluded that socio-demographic factors influenced sexual behavior among youth in Ethiopia. Although many youth reported being aware of HIV and AIDS, the depth of their knowledge of the infection was not equivalent. Therefore, these adolescent populations need to be provided with more information, not only on HIV and AIDS, but on STIs in general. 13. Meekers, D. & Ahmed, G. (2000). “Contemporary Patterns of Adolescent Sexuality in Urban Botswana.” Journal of Biosocial Science, 32 pp. 467-485. Hypothesis/Purpose: This paper examines the contemporary patterns of adolescent sexuality in Botswana. Method: The authors used data from the Botswana Adolescent Reproductive Health Survey along with data gathered at focus groups. Results: Based on the data gathered, adolescents in Botswana have early sexual debuts and many report having multiple sexual partners. The study also found that adolescents reported teachers, peers and parents to have the most influence on their attitudes towards their sexual behavior, and schools have the most potential to provide relevant and accurate sexual and reproductive health information. Furthermore, there are obvious differences between males and females in relation to level of education and sexual behavior; males with secondary education were more likely to be sexually active because they make more attractive partners while females in school are less likely to be sexually active. Conclusions: Since there is early onset of sexual activity, interventions and programs need to target younger teens and children such as grade 6 or standard 1 in school, if not earlier. The authors suggest school is the best place for children to obtain this information since their peers, one of the influential groups, will be provided the same information. Furthermore, providing sexual education in schools will help sexually active youth become more aware of the risks or prevent early sexual debut, in the case of females, all together. 14. Mensch, B.S., Clark, W.H., Lloyd, C.B. & Erulkar, A.S. (2001). “Premarital Sex, Schoolgirl Pregnancy, and School Quality in Rural Kenya.” Studies in Family Planning 32(4) pp. 385-301. Hypothesis/Purpose: The authors examine whether the school environment has an effect on the initiation of sex among girls and boys in Kenya. Method: The authors gathered the data from school and community surveys and then analyzed. Results: The results of the study do not show the school or the home to influence whether boys engage in premarital sex, whereas a gender-neutral school atmosphere reduces the risk for girls. The study also found that pregnancy is not the primary reason that girls leave school. IATT on Education - HIV and AIDS Communication Tools – Literature Review 19 Conclusions: While environmental factors appear to have no effect on sexual initiation among boys, it is a primary determinant of sexual initiation among girls. Therefore, schools hoping to prevent sexual debut or risky sexual behaviors for schoolgirls should strive to make their learning environments more gender-neutral. 15. Mmari, K., Michaelis, A., & Kiro, K. (2009). “Risk and Protective Factors for HIV Among Orphans and Non-Orphans in Tanzania.” Culture, Health & Sexuality, 11(8) pp. 799-809. Hypothesis/Purpose: The study attempts to identify risk and protective factors for engaging in unsafe sex among orphans and non-orphans. Method: In-depth interviews along with focus group discussions were used to collect the data for this study. Results: Based on the results, female orphans were more likely to state that they felt they had to have sex in order to get food or clothing for their homes. Caregivers reported believing that adolescents engaged in risky sexual behavior because they weren’t provided with adequate supervision or guidance. Furthermore, lack of information and knowledge was also cited as a reason for risky sexual behaviors. On the other hand, the protective factors that were noted include a fear of HIV and AIDS, fear of pregnancy, and being in school. Conclusions: The authors claim that effective programs should target girls, young women and their caregivers. Additionally, these programs should strive to create access to education and to provide girls with adequate work opportunities. 16. Prata, N., Vahidnia, F., & Fraser, A. (2005). “Gender and Relationship Differences in Condom Use Among 15-24 Year-Olds in Angola.” International Family Planning Perspectives, 31(4) pp. 192-199. Hypothesis/Purpose: The authors identify the determinants of condom usage for adolescents in Angola. Method: The study data was obtained from a knowledge, attitudes and practices survey which was then analyzed through a logistic regression. Results: Consistent condom use was associated with higher levels of education. However, the study found that it was negatively associated with being married or cohabiting relationship. The main determinants of consistent condom use in regular and casual relationships were living in urban areas, higher education, being in school, and not equating condom use with lack of trust while inaccessibility was the most widely noted factor among married couples. Conclusions: HIV prevention and condom use interventions should target the less educated, unemployed and rural. These programs also need to address misperceptions about condom use and the need for protection from HIV and other STIs. 17. Sandoy, I.F., Michelo, C., Siziya, S., & Fylksenes, K. (2007). “Associations Between Sexual Behaviour Change in Young People and Decline in HIV Prevalence in Zambia.” BMC Public Health, 7(60) pp. 1-16. IATT on Education - HIV and AIDS Communication Tools – Literature Review 20 Hypothesis/Purpose: The study examines key indicators for sexual behavior among 1524 year olds with a particular interest in the association between behavior change and education. Method: The data used in the study were obtained from three population-based surveys, and was then analyzed through logistic regression and chi-squared tests. Results: The study found that men and lower-educated groups reported more than one sexual partner more frequently than women and higher-educated groups. Additionally, condom use for casual relations increased with the highest reported use among urban and higher educated groups. Rural inhabitants and those less educated individuals reported more sexual experience than their urban, higher-educated counterparts. Conclusions: Based on the study, communities with higher levels of education reported exhibiting safer sexual behaviors, and were more likely to contribute to the declining HIV prevalence. Therefore, future prevention programs should target rural and less educated areas. 18. Schwartlander, B., Stover, J. Hallet, T., Atun, R., Avila, C., Gouws, E., Bartos, M., Ghys, P.D., Opuni, M., Barr, D., Alsallaq, R., Bollinger, L., de Freitas, M., Garnett, G., Holmes, C., Legins, K., Pillay, Y., Stanciole, A.E., McClure, C., Hirnschall, G., Laga, M., & Padian, N. (2011). “Towards an Improved Investment Approach for an Effective Response to HIV/AIDS.” The Lancet, 377 pp. 2031-2041. Purpose: This article stresses the need for a more targeted approach to investments made in the response to HIV and AIDS. Key Argument: The authors present a strategic investment framework that they claim is more efficacious and cost-effective. The framework focuses on investing in three main categories: (1) the six basic programmatic activities, (2) interventions that inhibit an enabling environment to achieve maximum effectiveness, and (3) programmatic efforts in other health and development sectors related to HIV and AIDS, such as education. Furthermore, the framework also calls for an increase in community mobilization, synergies between programs, and extending ART for transmission prevention. Recommendations: The authors conclude that HIV and AIDS prevention programs should not be created as separate projects, rather they should be incorporated into other sectors or projects aligned with a country’s development goals such as education. Additionally, the authors strongly encourage development practitioners and others to take heed of this proposed framework because they claim if it is utilized properly, it will prevent 12.2 million HIV infections and 7.4 million AIDS-related deaths by 2015. 19. Speizer, I.S., Magnani, R.J. & Colvin, C.E. (2003). “The Effectiveness of Adolescent Reproductive Health Interventions in Developing Countries: A Review of the Evidence.” Journal of Adolescent Health, 33 pp. 324-248. Hypothesis/Purpose: The authors review previous evaluations of adolescent reproductive health programs to determine ‘what works’ for these types of interventions. Method: The information for the study was gathered by conducting desk reviews and contacting individuals and organizations working in the field. IATT on Education - HIV and AIDS Communication Tools – Literature Review 21 Results: The study found that adolescent reproductive health interventions are successful in influencing knowledge and attitudes, but less consistently with influencing behaviors. Many school-based HIV and AIDS programs, on the other hand, have had an effect on behaviors as well. The study also provides details for other types of interventions and programs (e.g. workplace-based, health facility-based and community-based). Conclusions: Although behavioral change was not reported for every type of intervention, the overall findings of all the adolescent reproductive health interventions increased knowledge and attitudes and no negative consequences were found. Programs such as these need to be more rigorously assessed so that best practice methods can be identified and replicated in other developing countries. EDUCATION AND HEALTH SECTOR OVERLAP 1. Allen, L. (2007). “Doing ‘It’ Differently: Relinquishing the Disease and Pregnancy Prevention Focus in Sexuality Education.” British Journal of Sociology of Education, 28(5) pp. 575-588. Purpose: The author looks at ‘danger prevention’ in school-based sexuality programs and seeks to determine its usefulness. Key Argument: The paper attempts to encourage program implementers to envision new priorities for sexuality education programs. Recommendations: Sexuality education programs, including programs focused on disease or pregnancy, should provide the whole story and not simply what someone should or shouldn’t do. 2. Baker, S.A., Beadnell, B., Stoner, S., Morrison, D.M., Gordon, J., Collier, C., Knox, K., Wickizer, L. & Stielstra, S. (2003). “Skills Training Versus Health Education to Prevent STDs/HIV in Heterosexual Women: A Randomized Controlled Trial Utilizing Biological Outcomes.” AIDS Education and Prevention, 15(1) pp. 1-14. Hypothesis/Purpose: The authors compare the effectiveness of two interventions in reducing STD infection for heterosexual women. Method: Randomly assigned women to skills training or health education, and were monitored and followed for a year after the intervention. Results: The researchers observed that women who were given skills training were significantly less likely to be diagnosed with an STD the year following the intervention and exhibited less risky behaviors. However, there was no significant difference in the self-reporting of risk behaviors. Conclusions: Interventions that promote behavior change are worthwhile public health strategies. Since the skills training produced the greatest effects on the reduction of risky behaviors, either focusing on these types of interventions or incorporating skills training into health education programs could significantly impact women’s sexual health and behavior. 3. Baxen, J & Breidlid, A. (2004). “Researching HIV/AIDS and Education in Sub-Saharan Africa: Examining the Gaps and Challenges.” Journal of Education, 34 pp. 9-29. IATT on Education - HIV and AIDS Communication Tools – Literature Review 22 Purpose: The authors conduct a critique of the current research in HIV and AIDS and education to show that they disregard the context in which the information is produced. Key Argument: The authors argue that the main discourses in research in HIV and AIDS and education fail to account for the social and cultural aspects of the disease. Recommendations: New research in this field must address where and how knowledge is produced and reproduced in order to effectively contribute to enabling teachers and students to make informed decisions about their behaviors. 4. Bennell, P. (2005). “The Impact of the AIDS Epidemic on Teachers in sub-Saharan Africa.” Journal of Development Studies, 41(3) pp. 440-466. Purpose: This paper focuses on the impact of HIV and AIDS on the education sector in Sub-Saharan Africa. Key Argument: The author argues that teacher AIDS-related mortality rates are lower than for the entire adult population even though they are considered to be such a high-risk group. However, the paper concludes that the AIDS epidemic does pose a serious threat to teachers in high prevalence countries. Recommendations: Policymakers and government officials need to take decisive action to prevent and mitigate the impacts of the epidemic, especially on the education sector. However, they need to base their interventions on solid, fact-based information. 5. Chen, C.C., Yamada, T. & Walker, E.M. (2011). “Estimating the Cost-Effectiveness of a Classroom-Based Abstinence and Pregnancy Avoidance Program Targeting Preadolescent Sexual Risk Behaviors.” Journal of Children and Poverty, 17(1) pp. 87109. Hypothesis/Purpose: This study estimates the cost-effectiveness of a school-based pregnancy prevention education program. Method: The researchers used a quasi-experimental design and collected data intermittently throughout the intervention. Results: The study found that school-based health education programs improve attitudes surrounding abstinence and contraception use to prevent pregnancy. Also, in light of the purpose of this study, the program was found to be cost-effective as well. Conclusions: Based on this study, the authors suggest that school-based health education programs should be implemented in schools, especially those in high-risk areas in order to reduce associated welfare costs in the long-run. 6. Coombe, C. & Kelly, M.J. (2001). “Trends/Cases: Education as a Vehicle for Combating HIV/AIDS.” Prospects, XXXI(3) pp. 438-445. Purpose: This paper reviews ways the education sector can prepare themselves for the HIV and AIDS epidemic and how education can be used as a protective factor against the virus. Key Argument: The authors argue that education systems must protect themselves from HIV and AIDS before they can assist others in protecting themselves from the epidemic. IATT on Education - HIV and AIDS Communication Tools – Literature Review 23 Recommendations: In order to produce the best results against the spread of HIV and AIDS, schools must be closely linked to the communities they operate in. Additionally, countries need to strive to make education universally available in order to make the “education vaccine” universally available. Policymakers, governments and program implementers need to be aware of all of these when devising education sector-based strategies to mitigate HIV and AIDS. 7. Coombe, C. (2002). “Keeping the Education System Healthy: Managing the Impact of HIV/AIDS on Education in South Africa.” Contemporary Issues in Comparative Education, 3(1) pp. 14-27. Purpose: This paper discusses how to manage the impact of HIV and AIDS on the education sector in South Africa and provides a framework for action. Key Argument: The authors argue that it is important to recognize and manage this impact in order for the education sector to provide an effective response to the epidemic. Recommendations: Education officials and their government counterparts need to understand how to stabilize the sector and need to develop innovative ways to mitigate the impact of the epidemic on the sector. This will require commitment and coordination by all stakeholders. 8. De Walque, D., Nakiyingi-Miiro, J.S., Busingye, J. & Whitworth, A. (2005). “Changing Association Between Schooling Levels and HIV-1 Infection Over 11 Years in a Rural Population Cohort in South-West Uganda.” Tropical Medicine and International Health, 10(10) pp. 993-1001. Hypothesis/Purpose: The study assesses risk of HIV infection as it is associated with educational attainment. Method: The authors conducted a population-based cohort study based on schooling levels, HIV prevalence and condom use. Results: The study found that in 1989-1990, a higher risk of HIV infection was resultant from higher educational attainment, however in 1999-2000, higher education was associated with lower HIV prevalence. Additionally, condom use increased over the course of the study, and was more apparent among individuals with higher education. Conclusions: More educated individuals are more responsive to HIV and AIDS prevention information, and are altering their behaviors accordingly. Therefore, these campaigns should continue and should target individuals with all levels of schooling. 9. Eggleston, E., Jackson, J., Rountree, W., & Pan, Z. (2000). “Evaluation of a Sexuality Education Program for Young Adolescents in Jamaica.” Pan-American Journal of Public Health, 7(2) pp. 102-112. Hypothesis/Purpose: This study evaluates the impact of a school-based sexuality education program in Jamaica. Method: The study uses a quasi-experimental design and multivariate logistic regression analysis to measure the effect. IATT on Education - HIV and AIDS Communication Tools – Literature Review 24 Results: The study found that the project had no effect on age at first sexual experience, but it did have a positive impact on condom use during first intercourse. The findings also show that the project had positive short-term impacts knowledge and attitudes about sexuality and pregnancy. Also, the program was at odds with cultural forces in Jamaica which encourage early pregnancy and sexuality. Conclusions: The program had modest impacts, but they were positive nonetheless. The authors suggest incorporating more participatory methods into sexuality education programs and smaller classes to have a larger impact on youth. 10. Eisenberg, M.E., Bernat, D. H., Bearinger, L.H., & Resnick, M.D. (2007). “Support for Comprehensive Sexuality Education: Perspectives from Parents of School-Age Youth.” Journal of Adolescent Health, 42 pp. 352-359. Hypothesis/Purpose: The study uses past research and study results to show the public’s opinion and vies surrounding school-based sexuality education programs. Method: The authors conducted phone surveys with parents and analyzed the data. Results: Most of the parents surveyed supported the programs teaching of both abstinence and contraception. The majority of parents agreed that these topics should be introduced to students in middle school. Conclusions: Based on the study, there are misconceptions between how parents really feel about sexuality education programs and the perceived opinions. Since so many parents seem to be supportive of such programs, they should be scaled up, and parents should more openly express their opinions of these programs. 11. Fiscian, V.S., Obeng, E.K., Goldstein, K., Shea, J.A. & Turner, B.J. (2009). “Adapting a Multifaceted US HIV Prevention Education Program for Girls in Ghana.” AIDS Education and Prevention, 21(1) pp. 67-79. Hypothesis/Purpose: The authors took an existing US HIV prevention education program and adapted it for girls in Ghana. The study reviews the effectiveness of the program. Method: The data was gathered for study pre- and post-intervention. Results: Based on the study conducted, the authors found increased HIV knowledge and self-efficacy/willingness to discuss HIV and sex with men and boys. Furthermore, the female students’ improved responses about social norms surround HIV risk behaviors. Conclusions: Longer-term research is still needed in order to address cultural and economic factors which place young women at risk of infection. Additionally, researchers have asked for programs that are more culturally competent such as those that address pressures for transactional sex or the appeal of sugar daddy relationships. 12. Gallant, M. & Maticka-Tyndale, E. (2004). “School-based HIV Prevention Programs for African Youth.” Social Science & Medicine, 58 pp. 1337-1351. Hypothesis/Purpose: The paper reviews African school-based HIV and AIDS risk reduction programs that have already been evaluated. IATT on Education - HIV and AIDS Communication Tools – Literature Review 25 Method: The data is gathered from previously published articles evaluating these programs. Results: Out of the 11 programs reviewed, ten reported improved knowledge of HIV and AIDS and out of the seven that assessed attitudes reported an increase in favorableness to risk reduction. In only one of the three studies that addressed behavioral change were positive changes reported. The review the authors undertook suggests that knowledge and attitudes are easier to change than behaviors. Conclusions: More research is needed to examine and evaluate the factors that create successful school-based HIV and AIDS programs in Africa. There are many challenges to creating and implementing successful programs such as designing programs specific to the context of specific Sub-Saharan African countries and settings. Special attention needs to be paid to these challenges if the programs are to be beneficial for the continent. 13. Graves, K.N., Sentner, A., Workman, J., & Mackey, W. (2011). “Building Positive Life Skills the Smart Girls Way: Evaluation of a School-Based Sexual Responsibility Program for Adolescent Girls.” Health Promotion Practice, 12(3) pp. 463-471. Hypothesis/Purpose: The study evaluates a school-based sexuality education program for females. Method: The authors used a self-report survey to obtain the relevant data and used a combination of descriptive statistics and ANOVA models to analyze it. Results: The study found that girls who participated in the program increased their personal and self sexuality expectations and improved some aspects of their communication with parents as compared to the control group. Conclusions: The authors suggest that this program, and others like it, be implemented more broadly since it was successful in reducing risk by approximately one third over time. However, additional evaluation and review is needed to determine if the program really has an impact on decreasing the incidence of teen pregnancy. 14. Gregson, S., Waddell, H. & Chandiwana, S. (2001). “School Education and HIV Control in Sub-Saharan Africa: From Discord to Harmony?” Journal of International Development, 13 pp. 467-485. Purpose: The paper focuses on the relationship between education and the spread of HIV. Key Argument: The authors claim that initially, more educated populations are more vulnerable to HIV infection, but these same populations contribute to the declining prevalence rates over time because they are more equipped to change their behaviors and respond effectively. Recommendations: To produce widespread results, countries and policymakers should strive to increase access to secondary education in order to combat and control the HIV epidemic. However, attempts to do this are oftentimes hampered due to the effects of HIV on the education sector. Therefore, governments and policymakers should attempt to create mutually reinforcing responses to increase education while simultaneously reducing HIV. IATT on Education - HIV and AIDS Communication Tools – Literature Review 26 15. Hallfors, D., Cho, H., Rusakaniko, S., Iritani, B., Mapfumo, J., & Halpern, C. (2011). “Supporting Adolescent Orphan Girls to Stay in School as HIV Risk Prevention: Evidence from a Randomized Controlled Trial in Zimbabwe.” American Journal of Public Health, 101(6) pp. 1082-1088. Hypothesis/Purpose: The study tests keeping orphan girls in school reduces HIV risk. Method: The authors conducted a randomized control trial and obtained data from annual surveys and monitoring of activities. Results: The study found that the intervention reduced both school dropout rates for girls and age at marriage increased by two years. In comparison to the control group, participants reported greater bonding, better expectations and outlooks for the future, more equitable gender activities and they were more concerned with the consequences of sex. Conclusions: Based on the study, the authors concluded that school support can reduce the risk of HIV infection for girl orphans. They also suggest the need for more studies and research to be done on the effects of dose response and the cost-effectiveness of such programs. 16. Hargreaves, J.R., Bonell, C.P., Boler, T., Boccia, D., Birdthistle, I., Fletcher, A., Pronyk, P.M. & Glynn, J.R. (2008). “Systematic Review Exploring Time Trends in the Association Between Educational Attainment and Risk of HIV Infection in Sub-Saharan Africa.” AIDS, 22 pp. 403-414. Hypothesis/Purpose: The authors assess the change in the association between education and HIV infection over time. Method: The authors reviewed previously published, peer-reviewed articles and conducted statistical analyses on the resultant data. Results: The review found that studies conducted before 1996 concluded that there was either no association or that the most educated had the highest risk of infection. Studies after 1996 found the opposite result, that a higher level of education meant lower risk of infection. Furthermore, infection rates fell more consistently among highly education populations, and occasional increases in infection among less educated groups. Conclusions: The current data suggest that the association between HIV infection and educational attainment is reversing. Therefore, prevention programs should target all levels of the population, not just those that are uneducated. 17. Kasirye, I. & Hisali, E. (2010). “The Socioeconomic Impact of HIV/AIDS on Education Outcomes in Uganda: School Enrollment and the Schooling Gap in 2002/2003.” International Journal of Educational Development, 30 pp. 12-22. Hypothesis/Purpose: The paper examines how the schooling of children is impacted if they are HIV and AIDS orphans. Method: The authors gathered data from the Uganda National Household Survey to analyze. Results: Based on the study, the authors did not find any significance in HIV and AIDS orphans being less likely to continue school, but the results did show that they are more IATT on Education - HIV and AIDS Communication Tools – Literature Review 27 likely to fall behind their appropriate grade. Additionally, the authors found that schooling gaps decrease as household socioeconomic status increases; poorer HIV and AIDS orphans are less likely to continue going to school than those from households with a higher welfare status. Conclusions: Overall, the study found that the death of a parent due to AIDS impacts the schooling gap, but not school enrollment and that the effects are much worse for children from poorer households. Therefore, policies and initiatives for HIV and AIDS orphans should attempt to address not only the challenge of school drop outs, but of the schooling gap as well. 18. Kelly, M.J. (2002). “Standing Education on Its Head: Aspects of Schooling in a World with HIV/AIDS.” Current Issues in Comparative Education, 3(1) pp. 28-28. Purpose: The paper explains how and why the education sector needs to change its organization, content, processes and role in a world with HIV and AIDS. Key Argument: The author argues that the education sector in a world of HIV and AIDS is not the same as it would be without it. Therefore, almost all aspects of the sector need to be adjusted and altered to incorporate and protect itself from the epidemic. Recommendations: The author recommends incorporating HIV and AIDS into the school curriculum, but more than that, it is necessary to ensure participatory methods are being used, that the entire community is involved, and approach the subject from the perspective of human sexuality as a whole. Additionally, they need to be open and honest with the information presented as well as create a haven for open communication which may stretch the societal norms and comfort zone. 19. Malambo, R.M. (2002). “Teach Them While They Are Young, They Will Live to Remember the Views of Teachers and Pupils on the Teaching of HIV/AIDS in Basic Education: A Case Study of Zambia’s Lusaka and Southern Provinces.” Current Issues in Comparative Education, 30(1) pp. 39-51. Purpose: This paper examines the Zambian Ministry of Education’s efforts to mitigate the spread of HIV and AIDS among students and teachers. Key Argument: Incorporating HIV and AIDS into schools and classroom curricula is a good policy, but not a cure-all; there are other components and aspects of the education sector that need to be addressed simultaneously including, for example, teacher training. Recommendations: School integration of HIV and AIDS also needs to address parents’ problems with discussing the epidemic in order for these initiatives to be successful. Furthermore, while incorporating HIV and AIDS education into each subject provided students with the knowledge and information needed, devoting more time to disseminating the knowledge and awareness of the epidemic is essential. IATT on Education - HIV and AIDS Communication Tools – Literature Review 28 20. Maticka-Tyndale, E., Wildish, J. & Gichuru, M. (2007). “Quasi-Experimental Evaluation of a National Primary School HIV Intervention in Kenya.” Evaluation and Program Planning, 30 pp. 172-186. Hypothesis/Purpose: The study intended to examine the impact of HIV education on the knowledge, self-efficacy and condom use of primary school children in Kenya. Method: The study used a quasi-experimental design and collected data through surveys and focus group discussions. The information was then analyzed through regressions. Results: The study found that the program had the most influence on the sexually inexperienced youth. The results of the study varied by gender with boys reporting more frequent condom usage and girls reported delayed sexual debut. Conclusions: Because the best results were from those children who weren’t sexuality activity at the time of the intervention, programs like this should be targeted at younger children so as to have the most impact. Additionally, based on this study, the policymakers and implementers decided to scale-up the program and introduced it in 11,000 of the schools in Kenya. 21. Pattman, R. (2005). “Boys and Girls Should Not Be Too Close: Sexuality, the Identities of African Boys and Girls and HIV/AIDS Education.” Sexualities, 8(4) pp. 497-516. Hypothesis/Purpose: This study examined the ways adolescents in Africa view sexuality. Method: The study conducted interviews and reviewed diaries to obtain the qualitative information. Results: The study found that sexuality was a fundamental component in the lives of all the adolescents. Additionally, most adolescents presented the sexual identities of boys and girls as polar opposites; boys were ‘bad’, had lots of sex drive, and were irresponsible while girls were ‘good’ and lacked sex drive. Conclusions: The author claims that gaining an understanding of female sexuality is extremely important for working with adolescents in sex education. Additionally, the author hopes that this study will help inform HIV and AIDS and life skills education programs. 22. Peters, L.W.H., Kok, G., Ten Dam, G.T.M., Buijs, G.J. & Paulussen, T.G.W.M. (2009). “Effective Elements of School Health Promotion Across Behavioral Domains: A Systematic Review of Reviews.” BMC Public Health, 9 pp. 182-196. Hypothesis/Purpose: This study examines the elements of school health education programs to determine which are the most effective across three behavioral domains (substance abuse, sexual behavior and nutrition). Method: The authors conducted a review of previously conducted evaluations on these programs. They then extracted the data for further analysis. Results: The study found five elements that were similar across the three domains: use of theory, addressing social influences (especially social norms), addressing cognitivebehavioral skills, training of facilitators, and multiple components. IATT on Education - HIV and AIDS Communication Tools – Literature Review 29 Conclusions: The authors concluded that, based on their results, it was feasible to create a school health campaign that addressed all three domains, and that this should be attempted. 23. Pick, S., Givaudan, M., Sirkin, J. & Ortega, I. (2007). “Communication as a Protective Factor: Evaluation of a Life Skills HIV/AIDS Prevention Program for Mexican Elementary-School Students.” AIDS Education and Prevention, 19(5) pp. 408-421. Hypothesis/Purpose: This study examines the impact of an HIV life skills program, particularly the effect of communication, on attitudes, norms, behaviors, and self-efficacy toward difficult subjects. Method: The authors conducted a controlled study and used student self-reported questionnaires pre- and post-intervention to collect data. The data was then analyzed using multilevel analyses. Results: The study found that the program significantly influenced communication regarding attitudes, self-efficacy, intentions and behavior. The results varied by gender. Conclusions: The authors concluded that programs promoting communication about difficult subjects can help prevent risky sexual behavior, and the earlier these interventions are introduced to students, the better. Additionally, properly training the teachers to teach the knowledge and skills for the program may have greatly impacted the outcomes. Therefore, proper teacher training is essential for the success of these programs. 24. Rijsdijk, L.E., Bos, A.E.R., Ruiter, A.C., Leerlooijer, J.N., de Haas, B., & Schaalma, H.P. (2011). “The World Starts with Me: A Multilevel Evaluation of a Comprehensive Sex Education Programme Targeting Adolescents in Uganda.” BMC Public Health, 11 pp. 334-346. Hypothesis/Purpose: This study evaluates a sex education program in Uganda and assesses the impact of the program on socio-cognitive determinants of safe sex behavior. Method: The study used a mixed-model analysis with data gathered through surveys before and after the intervention. Results: The study found that the program positively impacted the students’ beliefs regarding what could or could not prevent pregnancy, the social norms towards delaying sexual debut, and the intention to delay sex. Additionally, the study found positive results related to attitudes, self-efficacy and intention towards condom use and dealing with sexual violence. The intervention lagged in relaying appropriate information regarding HIV transmission, as the study noted students still identifying erroneous methods of transmission. Furthermore, based on results of a follow-up, the positive results of those schools that implemented only 7-14 lessons, failed to be sustained over time. Conclusions: As the results show, the program was effective, but could be more so if more attention was placed on the context in which the program was implemented and the length was expanded. IATT on Education - HIV and AIDS Communication Tools – Literature Review 30 25. Smith, P.B., Weinman, M.L., Buzi, R.S., & Benton, A.D. (2004). “An Evaluation of a School-Based Pregnancy Prevention Program Aimed at Young Males: A One-Year Follow-Up.” North American Journal of Psychology, 6(2) pp. 281-292. Hypothesis/Purpose: The study examined the impact of a school-based pregnancy prevention program for males. Method: The data was obtained through assessments of risk behaviors before and after the programs. Results: The study found that males who stayed in the program reported an increase in abstinence and condom use. Additionally, they didn’t report any new pregnancies over the course of the intervention. Conclusions: The authors concluded that the results suggest continuing interventions that aim to reduce risky sexual behaviors in adolescent males. Adolescents initiative risky behaviors at a young age so it is important to target them as young as possible. 26. Wang, L.Y., Davis, M., Robin, L., Collins, J., Coyle, K., & Baumler, E. (2000). “Economic Evaluation of Safer Choices: A School-Based Human Immunodeficiency Virus, Other Sexually Transmitted Diseases, and Pregnancy Prevention Program.” Archives of Pediatrics and Adolescent Medicine, 154 pp. 1017-1024. Hypothesis/Purpose: The study evaluated the cost-effectiveness of a school-based health program for high school students. Method: The authors estimated the costs of the intervention, used the Bernoulli model, translated data in terms of social and medical costs, and calculated the net benefit of the program to determine the results. Results: The study found that the program increased condom use and contraceptive use among students. Additionally, the program prevented cases of HIV and other STIs. In terms of the cost, the program saved $2.65 in total medical and social costs for every dollar invested in the program. Conclusions: The program was found to be cost-effective and cost saving. Policymakers and implementers should consider programs of this type for future interventions. 27. Whitman, C.V. (2004). “Uniting Three Initiatives on Behalf of Caribbean Youth and Educators: Health and Family Life Education and The Health Promoting School in the Context of PANCAP’s Strategic Framework for HIV/AIDS.” Caribbean Quarterly, 50(1) pp. 54-82. Purpose: The paper examines the role of the education sector in reaching students and staff regarding HIV and AIDS education. They describe three programs and how they can be integrated into the education system. Key Argument: School is already a major factor in the lives and development of young people, so integrating health education into this system is an influential way to disseminate knowledge surrounding health, including HIV and AIDS, and safe sex practices. Recommendations: Health education in schools should not only focus on curriculum, but should address a range of risk and protective factors. IATT on Education - HIV and AIDS Communication Tools – Literature Review 31 28. Zimmerman, R.S., Cupp, P.K., Donohew, L., Sionean, C.K., Feist-Price, S. & Helme, D. (2008). “Effects of a School-Based, Theory-Driven HIV and Pregnancy Prevention Curriculum.” Perspectives on Sexual and Reproductive Health, 40(1) pp. 42-51. Hypothesis/Purpose: The study examines the effects of a school-based health program on adolescents’ risky sexual behavior and how to make it even more effective. Method: Using a quasi-experimental study design, the authors collected data through three separate surveys. They then used mixed model and logistic regressions to analyze the impacts. Results: The study found that there was no significant difference between the original program and the modified program. Both programs increased students’ short-term knowledge of the material. Those students who were not in one of the two treatment groups were more likely to have initiated sexual intercourse by the third survey. Conclusions: More research and evaluations are needed to determine the most effective ways to reduce risky sexual behavior in adolescents. CULTURAL ISSUE SPECIFIC 1. Clark, S., Poulin, M., & Kohler, H.P. (2009). “Marital Aspirations, Sexual Behaviors and HIV/AIDS in Rural Malawi.” Journal of Marriage and Family. 71 pp. 396-416. Hypothesis/Purpose: The study examines the relationship between marital aspirations, sexual behaviors and HIV prevalence in Malawi. Method: Data was collected through surveys and in-depth interviews before being analyzed through regression analysis. Results: The study found that looking for a suitable spouse is directly linked to sexual behaviors and, consequently, HIV risks. Women hoping to marry earlier related to their early sexual debut. Many people noted that fear of HIV infection were a major characteristic of the desire of a future spouse. Men, on the other hand, showed little, if any, link between desire to marry and establishment of sexual partnerships. Conclusions: Since most women reported earlier sexual debut in hopes of getting married, trends should change as women have more control over arranging their own marriages meaning more may choose abstinence until marriage. The authors suggest extending VCT and other services and programs to engaged couples in an effort to prevent HIV. 2. Jewkes, R., Levin, J., Mbananga, N. & Bradshaw, D. (2002). “Rape of Girls in South Africa.” Lancet, 359 pp. 319-320. Hypothesis/Purpose: The study examines the frequency of rape of school girls in South Africa. Method: The study used the South African DHS to obtain data. Results: The results found that younger women were more likely to report rape than older women. Additionally, teachers were found to be the number one perpetrators of rape. IATT on Education - HIV and AIDS Communication Tools – Literature Review 32 Conclusions: Unfortunately, the authors conclude that child rape is becoming a more common occurrence, especially in schools. There is much needed support for interventions that aim to reduce this and that support research on rape of female students in schools in Africa. 3. Robson, S. & Sylvester, K.B. (2007). “Orphaned and Vulnerable Children in Zambia: The Impact of the HIV/AIDS Epidemic on Basic Education for Children at Risk.” Educational Research. 49(3) pp. 259-272. Hypothesis/Purpose: The study examined student and staff perceptions of the impact of HIV and AIDS on the education of affected children (enrollment, attendance, completion rates and quality of learning) in Zambia. Method: The authors obtained the data through focus groups, interviews and questionnaires. Results: The study found that students, teachers and others openly discussed issues surrounding HIV and AIDS and its impact on education even though this wasn’t normally broached in conversation due to societal norms. The most commonly expressed obstacles for achievement were poverty and related stress. Additionally, HIV and AIDS was noted as increasing teacher absenteeism and reducing the number of teachers overall. Conclusions: The results of the study highlighted the need to provide access to basic education, but to also promote inclusive education and to provide health and life skills education as well as counseling for those in need. 4. Ruto, S.J., Chege, F.N. & Wawire, V.K. (2009). “Kenya’s HIV/AIDS Education Sector Policy: Implications for Orphaned and Vulnerable Children and the Teaching of HIV/AIDS Education.” Journal of International Cooperation in Education, 12(1) pp. 127-142. Hypothesis/Purpose: This study examines the implications of Kenya’s HIV and AIDS education sector policy in addressing needs of OVC and the teaching and learning of HIV and AIDS education. Method: Data was gathered from three districts in Kenya through interviews, group discussions and observations. Then the data was analyzed using MAX. Results: The study found that the basic needs of OVC were not met so that they could not fully participate in school. However, most students had knowledge of HIV and AIDS. Whether this knowledge translated into safe behaviors and life skills was unclear. Most teachers, although aware of the policy, knew and understood its content. Conclusions: The authors conclude that the capacity of teachers and school administrators needs to be increased in order to meet national targets for education in the area of HIV and AIDS education and policy. Furthermore, there is a need to focus programs and support on OVC that are sensitive and responsive to their needs. IATT on Education - HIV and AIDS Communication Tools – Literature Review 33 5. Stover, J., Bollinger, L., Walker, N., & Monasch, R. (2007). “Resource Needs to Support Orphans and Vulnerable Children in Sub-Saharan Africa.” Health Policy and Planning, 22 pp. 21-27. Hypothesis/Purpose: This paper focuses on the monetary resources needed to support orphans and vulnerable children. Method: The authors obtained information on the number of orphans and associated costs by making projections based on adult HIV prevalence and the progression of HIV infection to death as well as additional demographic data from the UNPF. The cost data was gathered through a questionnaire delivered to key organizations assisting orphans. Results: Based on the study conducted, the authors estimate that $1-4 billion USD will be needed each year which is approximately four times the current funding levels for these groups. Conclusions: The cost estimations are only for OVC who have lost both parents or are new orphans in need of a new living situation, so the single orphans were not captured in this study, concluding that even more funding is needed. The authors argue that a better conclusion would be to determine the additional amount needed above and beyond what is currently being provided to assist OVC in Sub-Saharan Africa. The authors stress the number of OVC in Sub-Saharan Africa, and the importance of addressing the needs of these individuals because of the dire impacts they could have on society. SUMMARY OF KEY FINDINGS IN PEER REVIEWED ARTICLES Based on the evidence from the peer reviewed articles, the following are key findings that seem most noteworthy: Girls’ education is essential for reducing their risk of HIV infection because it provides them with agency to have more authority in their sexual relationships as well as protection from early marriage and pregnancy which increases their risk. Keeping a girl in school is a protective factor against HIV infection. (Graves 2011; Hallfors 2011; Jukes 2008; Mmari 2009; Pettifor 2008; Wagner 2008). Increased educational attainment provides individuals with increased cognitive skills such as decision-making which enable them to respond to HIV prevention information, reduce their risky sexual behaviors, and delay sexual debut (Burroway 2010; De Walque 2005; Fylkesnes 2001; Gregson 2001; Gupta 2003; Hargreaves 2007; Hargreaves 2008; Lagarde 2001; Peters 2010; Robson 2007; Sandoy 2007; Sperling 2005; Vandemoortele 2000). Life skills-based education programs have a significant impact on increasing students’ knowledge of HIV and AIDS and other sexual health issues and have been shown to greatly reduce risky behaviors (Baker 2003; Graves 2011; James 2002; Liao 2010; Peters 2009; Porter 2007; Robson 2007; Yankah 2008). IATT on Education - HIV and AIDS Communication Tools – Literature Review 34 Treatment education, like prevention education, is essential to encourage behavior change related to the proper use of condoms and ART/ARVs as well as reducing fears and misconceptions regarding treatment (Lurie 2008; Maharaj 2007; Prata 2005). The education sector should increase its response to HIV and AIDS because education has been found to be a protective factor for HIV prevention, and it is more cost-effective to incorporate HIV and AIDS prevention and awareness programs into other sectors that are aligned with a country’s overall development goals (Ainsworth 2000; Schwartlander 2011; Stover 2007; Wang 2000). School is an ideal location for sexual and reproductive health programs because it is accessible daily to a significant number of children, and because children note teachers and peers as being two of the most influential people in their lives so providing them health knowledge through their teachers along with their peers can reduce stigmas, risky behaviors and promote knowledge retention (Chen 2011; Coombe 2001; Kelly 2002; Kirby 2001; Mahat 2010; Malambo 2002; Whitman 2004). Those programs that included comprehensive sexual and health education are more effective than those that focus on one specific disease or abstinence-only (Allen 2007; Hallett 2007; Kelly 2002; Kohler 2007; Malambo 2002; Maria 2007; Perez 2003; Peters 2009; Rijsdijk 2011; Whitman 2004; Yankah 2008). In order for HIV prevention and mitigation programs to be successful, educators need to be appropriately trained to teach the knowledge and skills inherent in life skills and other HIV and AIDS and health education programs (Peters 2009; Pick 2007; Porter 2007; Ruto 2009). HIV and AIDS can have a large impact on the education sector so countries’ education sectors need to prepare themselves for these impacts by, for example, increasing the supply of trained and qualified teachers to continue providing quality education in the midst of the epidemic (Aggleton 2002; Coombe 2001; Coombe 2002; Gregson 2001; Kasirye 2010; Robson 2007; Ruto 2009). In order to have the biggest impact, programs need to target different information and skills at adolescent males than they do females all while relaying the same basic knowledge and attitudes about HIV and AIDS (Anderson 2007; Clark 2009; Graves 2011; Mensch 2001; Pattman 2005; Smith 2004). HIV and AIDS, sexuality and health education programs are most effective when they are culturally-sensitive and address issues specific to the cultures/communities they are implemented in such as gender-based violence, schoolgirl rape, transactional sex, sugar daddies, OVC, early marriage and other social norms (Anderson 2007; Clark 2009; Fiscian 2009; Gallant 2004; Jewkes 2002; Pattman 2005; Peters 2009; Rijsdijk 2011; Robson 2007; Stover 2007). IATT on Education - HIV and AIDS Communication Tools – Literature Review 35 School-based health and sex education programs can encourage and promote open communication among children and their peers, children and their teachers and children and their parents (Eisenberg 2007; Fiscian 2009; Kelly 2002; Malambo 2002; Pick 2007). Early onset of sexual activity means programs and interventions should target younger adolescents since the best results were found in individuals who were targeted before they were sexually active (Gupta 2003; Maticka-Tyndale 2007; Meekers 2000; Pick 2007; Smith 2004). IATT on Education – HIV and AIDS Communication Tools – Literature Review 36 CHAPTER TWO LIST OF NON-PEER REVIEWED RESOURCES BY TYPE Event and Meeting Reports and Papers These documents, including notes detailing the proceedings of meetings and papers presented at conferences, provide insight into the key issues currently being discussed in the field of HIV and AIDS and education. These sources help identify the directions policymakers and experts in the field want to move in relation to the policies and programs they create and support as well as challenges they have encountered in the past. Specifically, Coombe’s paper identifies current best practices in the field to encourage the education sector to follow these examples in their efforts to confront the HIV epidemic. While, on the other hand, the proceedings from the meeting of the African Networks of Education Sector HIV Focal Points details what is currently being done in Africa as a result of government interventions and involvement, and ends with ways to move forward and recommendations that were proposed and adopted by the focal points. AED. (2000). Colloquium on HIV/AIDS and Girls’ Education. Washington, DC: USAID. Badcock-Walters, P. (2000). Managing the Impact of HIV/AIDS in Education in KwaZulu Natal: A Presentation to the National Teacher’s Union Advocacy Conference on HIV/AIDS. Durban: HEARD. Coombe, C. M. (2002). Responding to the HIV/AIDS Pandemic: ‘Best Practice’ Issues for Educators for a Consultation on HIV/AIDS and Teacher Education in East and Southern Africa, October 2003, in Benoni/Johannesburg. Education Sector HIV Network for Eastern Africa, Central Africa & West African States and Mauritania. (2009). Proceedings of the 3rd Annual Meeting of the African Networks of Education Sector HIV Focal Points. Dakar: African Networks of Education Sector HIV Focal Points. Giorgis, H.W. & Dairo, A. (2007). Africa Regional Consultation with Youth on HIV/AIDS and Sexual Reproductive Health. Washington, DC: The World Bank. IATT. (2009). Teachers and HIV & AIDS: Reviewing Achievements, Identifying Challenges (Symposium Report, June 15, 2009 in Limerick, Ireland). Geneva: UNAIDS. IATT on Education – HIV and AIDS Communication Tools – Literature Review 37 UNESCO IIEP. (2011). SAfAIDS ‘Changing the River’s Flow Summit. Sexual and Reproductive Health and Cultural Practices: A Linking, Learning and Sharing Platform for Integrating HIV, Gender-Based Violence and Maternal and Child Health Interventions in South Africa”. Accessed on September 29, 2011 from, http://hivaidsclearinghouse.unesco.org/clearinghouseservices/news/single-view.html Research and Policy Papers This section contains papers that present both quantitative and qualitative studies, as well as policy papers, similar to those presented in the annotated portion above. The key difference between these studies is that those found here are not peer-reviewed. Comparable to the peerreviewed articles, these studies produced evidence that is essential for effective HIV and AIDS and education programming. The information contained in each of these studies can be used to inform governments, policymakers, donor agencies and implementers, to name a few, on key characteristics of successful programs based on the study results. For studies with similar key findings as those in the annotated section see Badcock-Walters study on the impact on teachers, Bandre, Bundy’s “Window of Hope”, Hargreaves’ “Girl Power” or the global readiness survey. AED. (2003). Multisectoral Responses to HIV/AIDS: A Compendium of Promising Practices from Africa. Washington, DC: USAID. Aldinger, C. & Whitman, C.V. (2000). Skills for Health. Skills-based Health Education Including Life Skills: An Important Component of ChildFriendly/Health-Promoting Schools. Geneva: WHO. Badcock-Walters, P. (2009). The Impact of HIV and AIDS on Teachers: National Responses to Prevent and Mitigate Impact. South Africa: EduSector AIDS Response Trust. Badcock-Walters, P., Kvalsvig, J., Heard, W., & Anning, V. (2008). Supporting the Educational Needs of HIV-Positive Learners: Lessons from Namibia and Tanzania. Paris: UNESCO. Bailey, W. & McCaw-Binns, A. (2006). HIV/AIDS and Education in Jamaica: Is the HIV Epidemic Affecting the Supply of Educators and the Demand for Education in Jamaica?: Barriers to Integration of HIV/AIDS Infected/Affected Children into the Jamaican School System. Kingston: University of the West Indies. Bandre, G., Camara, B., Desire, A., Gamanga, M.A., Kibenge, A., Mbeye, A., & Sembene, M. eds. (2007). Accelerating the Education Sector Response to HIV&AIDS in Sub-Saharan Africa: A Rapid Situation Analysis of 34 Countries. Nairobi: Networks of Ministry of Education HIV&AIDS Focal Points in sub-Saharan Africa. IATT on Education – HIV and AIDS Communication Tools – Literature Review 38 Bennell, P., Hyde, K., & Swainson, N. (2002). The Impact of the HIV/AIDS Epidemic on the Education Sector in Sub-Saharan Africa: A Synthesis of the Findings and Recommendations of Three Country Studies. Brighton, UK: Centre for International Education at the University of Sussex Institute of Education. Bertozzi, S., Padian, N.S., Wegbreit, J., DeMaria, L.M., Feldman, B., Gayle, H., Gold, J., Grant, R., & Isbell, M.T. (2006). “HIV/AIDS Prevention and Treatment” in Disease Control Priorities in Developing Countries (2nd Edition), 331-370. New York: Oxford University Press. Boler, T. & Aggleton, P. (2005). Life Skills-Based Education for HIV Prevention: A Critical Analysis (Policy & Research Issue 3). London: ActionAid. Boler, T., Ibrahim, A., Adoss, R., & Shaw, M. (2003). The Sound of Silence: Difficulties in Communicating on HIV/AIDS in Schools – Experiences from India and Kenya. London: ActionAid UK. Bruce, J. & Clark, S. (2004). The Implications of Early Marriage for HIV/AIDS Policy. New York: Population Council. Bundy, D., Aduda, D., Woolnough, A., Drake, L. & Manda, S. eds. (2009). Courage and Hope: Stories from Teachers Living with HIV in SubSaharan Africa. Washington, DC: The World Bank. Bundy, D., Gotur, M., Drake, L., & Maier, C. (2002). Education and HIV/AIDS: A Window of Hope. Washington, DC: The World Bank. Bundy, D., Patrikios, A., Mannathoko, C., Tembon, A., Manda, S., Sarr, B., & Drake, L. (2009). Accelerating the Education Sector Response to HIV: Five Years of Experience from Sub-Saharan Africa. Washington, DC: The World Bank. Bundy, D., Shaeffer, S., Jukes, M., Beegle, K., Gillespie, A., Drake, L., Lee, S.F., Hoffman, A.M., Jones, J., Mitchell, A., Barcelona, D., Camara, B., Golmar, C., Savoli, L., Sembene, M., Takeuchi, T. & Wright, C. (2006). “School-Based Health and Nutrition Programs” in Disease Control Priorities in Developing Countries (2nd Edition). New York: Oxford University Press. Coombe, C. (2001). Rethinking Some of Our Perceptions About HIV/AIDS and Education. Paper prepared for Southern African Development Community (SADC) Meeting on HIV/AIDS and Education, February 2001. Pretoria: University of Pretoria. IATT on Education – HIV and AIDS Communication Tools – Literature Review 39 De Walque, D. (2004). How Does the Impact of an HIV/AIDS Information Campaign Vary with Educational Attainment? Evidence from Rural Uganda. Washington, DC: World Bank. Del Rosso, J.M. (2009). Investing in School Health and Nutrition in Indonesia. Washington, DC: The World Bank. Dupas, P. (2006). Relative Risks and the Market for Sex: Teenagers, Sugar Daddies and HIV in Kenya. New York: NYU. Fleischman, J. (2003). Educating Girls, Combating HIV (Document prepared for the Global Monitoring Report 2003/04). Paris: UNESCO. Gordon, P., Kirby, D. & Welbourn, A. (2007). Review of Sex, Relationships and HIV Education in Schools. Paris: UNESCO. Hargreaves, J. & Boler, T. (2006). Girl Power: The Impact of Girls’ Education on HIV and Sexual Behavior. London: ActionAid International. HEARD Mobile Task Team. (2004). Report on the Education Sector: Global HIV/AIDS Readiness Survey – A review of the comparative readiness of the education sectors in 71 countries to respond to, manage and mitigate the impact of HIV/AIDS. Paris: UNESCO. Hepburn, A.E. (2001). Primary Education in Eastern and Southern Africa: Increasing Access for Orphans and Vulnerable Children in AIDS-affected Areas. Durham, NC: Duke University. Jain, S. & Kurz, K. (2007). New Insights on Preventing Child Marriage: A Global Analysis of Factors and Programs. Washington, DC: USAID. Jamison, D.T. (2006). “Investing in Health” in Disease Control Priorities in Developing Countries (2nd Edition). New York: Oxford University Press. Jellema, A. & Phillips, B. (2004). Learning to Survive: How Education for All Would Save Millions of Young People from HIV/AIDS. Brussels: Global Campaign for Education. Jukes, M., Simmons, S. Fawzi, M.C.S., & Bundy, D. (2008). Joint Learning Initiative on Children and HIV/AIDS. Learning Group 3: Expanding Access to Services and Protecting Human Right. Educational Access and HIV Prevention: Making the Case for Education as a Health Priority in sub-Saharan Africa. Geneva: JLICA. Jukes, M.C.H., Drake, L.J., & Bundy, D.A.P. (2008). School Health, Nutrition and Education for All: Leveling the Playing Field. Oxfordshire: CABI International. IATT on Education – HIV and AIDS Communication Tools – Literature Review 40 Kelly, M.J. & Bain, B. (2003). Education and HIV/AIDS in the Caribbean. Paris: UNESCO. Kelly, M.J. (2003). The Potential Contribution of Schooling to Rolling Back HIV and AIDS. Washington, DC: The World Bank. Kinghorn, A., Coombe, C., McKay, E., & Johnson, S. (2002). The Impact of HIV/AIDS on Education in Botswana. Cambridge, MA: Abt Associates, Inc. Leach, F. & Machakanja, P. (2000). Preliminary Investigation of the Abuse of Girls in Zimbabwean Junior Secondary Schools (Education Research Paper No.39). London: DFID. Mavedzenge, S.N., Doyle, A., & Ross, D. (2010). HIV Prevention in Young People in Sub-Saharan Africa: A Systematic Review. London: London School of Hygiene & Tropical Medicine. Nyblade, L., Pande, R., Mathur, S., MacQuirre, K., Kidd, R., Banteyerga, H., Kidanu, A., Kilonzo, G., Mbwambo, J. & Bond, V. (2003). Disentangling HIV and AIDS Stigma in Ethiopia, Tanzania & Zambia. Washington, DC: IRWC. O’Connell, T., Venkatesh, M., & Bundy, D. eds. (2009). Strengthening the Education Sector Response to School Health, Nutrition and HIV/AIDS in the Caribbean Region: A Rapid Survey of 13 Countries. Newton, MA: EduCan. Ozler, B. (2008). Schooling, Income and HIV Risk: Experimental Evidence from Malawi. Washington, DC: The World Bank. Pargass, G. (2005). Reproductive Health and Rights: HIV/AIDS and Gender Equality. Santiago: ELAC. Pridmore, P. (2008). Access to Conventional Schooling for Children and Young People Affected by HIV and AIDS in sub-Saharan Africa: A CrossNational Review of Recent Research Evidence (SOFIE Opening Up Access Series No.1). London: Institute of Education, University of London. Risley, C. & Bundy, D. (2007). Estimating the Impact of HIV&AIDS on the Supply of Basic Education. London: The Partnership for Child Development and The World Bank. Risley, C. (2009). Estimates of the Impact of HIV and Teacher ART Take-up on the Education Sector on the Achievement of EFA in Rwanda. London: The Partnership for Child Development. IATT on Education – HIV and AIDS Communication Tools – Literature Review 41 Stewart, H., McCauley, A., Baker, S., Givaudan, M., James, S., Leenan, I., Pick, S., Reddy, P., Rewthong, U., Rumakom, P., & Walker, D. (2001). Reducing HIV Infection Among Youth: What Can Schools Do? Key Baseline Findings from Mexico, Thailand and South Africa. New York: Population Council. Stewart-Brown, S. (2006). What is the Evidence on School Health Promotion in Improving Health or Preventing Disease and, Specifically, What is the Effectiveness of the Health Promoting Schools Approach? Geneva: WHO. UNAIDS. (2008). Children and AIDS: Third Stocktaking Report, 2008. New York: UNICEF. UNICEF, UNAIDS, & PEPFAR. (2006). Africa’s Orphaned and Vulnerable Generations: Children Affected by AIDS. New York: UNICEF. UNICEF. (2004). Girls, HIV/AIDS and Education. New York: UNICEF. Venkatesh, M., Woolnough, A. & Neeser, K. (2010). Accelerating the Education Sector Response to HIV in the Federal Republic of Nigeria: A Review of Five Years of Experience. London: Partnership for Child Development. Warwick, I. & Aggleton, P. (2002). The Role of Education in Promoting Young People’s Sexual and Reproductive Health. London: Institute of Education, University of London. Program/Project Evaluations, Materials and Reports These publications relate to specific projects or programs in the field of HIV and AIDS and education. This list contains program evaluations, program reports, and other program materials, such as brochures. The documents look at the effectiveness of programs either as a whole or they examine specific aspects such as school health and nutrition programs in certain regions or girls literacy campaigns. Like the studies, some of these documents highlight key characteristics of effective programs and provide recommendations for ways forward. See UNICEF’s life skillsbased education program or Kivela’s cost-effectiveness of sexuality education programs for some examples. ACTafrica. (2010). Africa HIV/AIDS Impact Evaluation Program – AIM-AIDS (Brochure). Washington, DC: The World Bank. Ainsworth, M., Beegle, K. & Koda, G. (2002). The Impact of Adult Mortality on Primary School Enrollment in Northwestern Tanzania. Washington, DC: The World Bank. Bundy, D., O’Connell, T., Drake, L., Baker, S. and Abrioux, E, eds. (2009). School Health, Nutrition, and HIV/AIDS Programming: Promising Practice in the Greater Mekong Sub-Region. London: Partnership for Child Development. IATT on Education – HIV and AIDS Communication Tools – Literature Review 42 CEDPA. (2003). Adolescent Girls Literacy Initiative for Reproductive Health (A GIFT for RH): Panel Study – Nepal. Washington, DC: USAID. Clarke, D. & Bundy, D. (2004). The EFA Fast-Track Initiative: Responding to the Challenge of HIV and AIDS to the Education Sector. Washington, DC: The World Bank. Clarke, D. & Bundy, D. (2008). The EFA Track Initiative: An Assessment of the Responsiveness of Endorsed Education Sector Plans to HIV and AIDS. Washington, DC: The World Bank. Irwin, A., Adams, A. & Winter, A. (2009). Home Truths Facing the Facts on Children, AIDS, and Poverty: Final Report of the Joint Learning Initiative on Children and HIV/AIDS. Geneva: JLICA. Kirby, D., Laris, B.A., & Rolleri, L. (2006). Sex and HIV Education Programs for Youth: Their Impact and Important Characteristics. Research Triangle Park, NC: Family Health International. Kivela, J., Ketting, E., and Baltussen, R. (2011). School-Based Sexuality Education Programmes: A Cost and Cost-Effectiveness Analysis in Six Countries. Paris: UNESCO. Pebody, R. (2011). Disappointing Results from Two Peer Education Projects in Southern Africa. Accessed on September 28, 2011 from, http://www.aidsmap.com/print/Disappointing-results-from-two-peereducation-projects-in-southern-africa.htm UNICEF Regional Office for South Asia. (2005). Life Skills-Based Education in South Asia: A Regional Overview Prepared for The South Asia Life SkillsBased Education Forum. Kathmandu: UNICEF. UNICEF. (2003). Breaking the Silence: Gendered & Sexual Identities and HIV/AIDS in Education (Young Voices Series). New York: UNICEF. Venkatesh, M. & Neeser, K. (2008). Monitoring and Evaluation of SchoolBased Health and Nutrition Programmes: A Participative Review. London: Partnership for Child Development. Visser-Valfrey, M. (2006). Linking EDUCAIDS with Other On-Going Initiatives: An Overview of Opportunities. An Assessment of Challenges. Paris: UNESCO. World Bank. (2011). Learning for All: Investing in People’s Knowledge and Skills to Promote Development – Education Strategy 2020. Washington, DC: The World Bank. IATT on Education – HIV and AIDS Communication Tools – Literature Review 43 Program Guidelines These documents provide guidance to ensure implementers and policymakers are given the similar information regarding the meaning of essential program characteristics and how to apply and incorporate them in initiatives. Guidelines such as those in this list aim to ensure uniformity in program design and function across regions. These specific guidelines focus on programs and projects dealing with HIV and AIDS and education including guidelines on language and phrasing, characteristics of effective HIV prevention programs, and gender-sensitive programs. Department of Education. (2002). The HIV/AIDS Emergency: Department of Education Guidelines for Educators. Pretoria: South African Department of Education. IATT. (2005). Operational Guide on Gender and HIV/AIDS: A Rights Based Approach. Geneva: UNAIDS. Sambo, C., Dickinson, C., & Sass, J. (2010). UNESCO’s Short Guide to the Essential Characteristics of Effective HIV Prevention. Paris: UNESCO. Schenker, I.I. & Nyirenda, J.M. (2002). Preventing HIV/AIDS in Schools. Perth: International Academy of Education. UNESCO. (2006). UNESCO Guidelines on Language and Content in HIV- and AIDS-Related Materials. Paris: UNESCO. Strategic Plans and Frameworks for Action These documents detail the strategic plans, frameworks and approaches for various development organizations as they relate to HIV and AIDS and education. They provide a more general picture of the approaches such organizations want to take in these fields over the next few years such as UNESCO’s “Getting to Zero” strategy. This document and others present an outlook of what is to come, e.g. what type of opportunities these organizations are looking to pursue and to fund. They are helpful not only for members of the organization to understand the future vision and direction they are headed, but for other program implementers and policymakers as well. Others, such as Gulaid’s framework for OVC, present key strategies for working with certain individuals, themes or sectors. Additionally, Gulaid’s article provides programming and monitoring guidance to program development and implementation. Gillespie, A. & Bundy, D. (2004). HIV/AIDS & Education: The Role of Education in the Protection, Care and Support of Orphans and Vulnerable Children Living in a World with HIV and AIDS. Geneva: UNAIDS IATT. Giorgis, H.W. & Egamberdi, N. (2007). Policy and Institutional Frameworks: Mainstreaming Adolescent Reproductive Health (ARH) and Gender in HIV/AIDS Programs: Examples from Ethiopia and Uganda. Washington, DC: The World Bank. IATT on Education – HIV and AIDS Communication Tools – Literature Review 44 Gulaid, L.A. (2004). The Framework for the Protection, Care and Support of Orphans and Vulnerable Children Living in a World with HIV and AIDS. New York: UNICEF. Heard, W. (2011). Global Monitoring & Evaluation Framework for Comprehensive Education Responses to HIV and AIDS: Proposed Indicators (Draft). Paris: UNESCO. IATT. (2009). A Strategic Approach: HIV & AIDS and Education. Paris: UNAIDS. IIEP. (2001). UNESCO’s Strategy for HIV/AIDS Preventive Education. Paris: UNESCO. IIEP. (2002). HIV/AIDS & Education: A Strategic Approach. Paris: UNESCO. Jacobi, J., Govender, K. & Cogan, M. (2010). Agenda for Accelerated Country Action for Women, Girls, Gender Equality and HIV: Operational Plan for the UNAIDS Action Framework: Addressing Women, Girls, Gender Equality and HIV. Geneva: UNAIDS. Richmond, M., Castle, C., & Sass, J. (2007). UNESCO’s Strategy for Responding to HIV and AIDS. Paris: UNESCO. Sass, J. & Castle, C. (2008). EDUCAIDS: Framework for Action. Paris: UNESCO. Subbarao, K. & Coury, D. (2004). Reaching Out to Africa’s Orphans: A Framework for Public Action. Washington, DC: The World Bank. UNAIDS. (2010). 2011-2015 Strategy: Getting to Zero. Geneva: UNAIDS. UNESCO. (2006). EDUCAIDS: Towards a Comprehensive Education Sector Response: A Framework for Action. Paris: UNESCO. UNESCO. (2011). UNESCO’s Strategy for HIV and AIDS. Paris: UNESCO. Visser-Valfrey, M. & Sass, J. (2009). Strategic Approach: HIV & AIDS and Education. Geneva: UNAIDS. World AIDS Campaign. (2011). Framework for Women, Girls, and Gender Equality in National Strategic Plans on HIV and AIDS in Southern and Eastern Africa. Amsterdam: World AIDS Campaign. World Bank. (2008). The World Bank’s Commitment to HIV/AIDS in Africa: Our Agenda for Action 2007-2011. Washington, DC: The World Bank. IATT on Education – HIV and AIDS Communication Tools – Literature Review 45 Working Papers This list contains working papers from various organizations and universities. These papers are all technical reports in draft form that are available to others in order to solicit feedback before they are officially submitted to peer-reviewed journals or presented at conferences. Additionally, these papers are intended to share ideas with others in the field to spark conversation and thought surrounding certain issues relevant to problem such as early marriage or poverty and how they relate to and impact the HIV epidemic. Bongaarts, J. (2006). Late Marriage and the HIV Epidemic in Sub-Saharan Africa (Working Paper No.216). New York: Population Council. Clark, S., Poulin, M., & Kohler, H.P. (2007). The Marital Process and HIV/AIDS in Rural Malawi (PSC Working Paper Series). Philadelphia: University of Pennsylvania. Justesen, M.K. (2011). Too Poor to Care? The Salience of AIDS in Africa (Working Paper No.133). East Lansing, Michigan: Afrobarometer/Michigan State University. Medlin, C., & de Walque, D. (2008). Potential Applications of Conditional Cash Transfers for Prevention of Sexually Transmitted Infections and HIV in Sub-Saharan Africa (Working Paper No.4673). Washington, DC: The World Bank. Issue and Technical Briefs Provided in this list are shorter documents, for the most part, that highlight a specific topic within the realm of HIV and AIDS and education. These documents typically provide a brief summary of an issue or technical area to provide the reader with a background of the concept. These briefs are not used to present the full in-depth background of the problem/issue, nor are the designed to present the results of a study. Simply put, these documents are meant to inform those that are either not familiar with a specific topic, and to provide them with a general knowledgebase surrounding that issue. The briefs by Boler & Sass and the IATT provide the most precise yet informative examples of technical briefs on HIV and AIDS and education issues. Auerbach, J., Byram, E.P. & Kandathil, S.M. (2005). Gender-based Violence and HIV Among Women: Assessing the Evidence (Issue Brief No.3). Washington, DC: amfAR. Basic Education Coalition HIV/AIDS Working Group. (2008). Basic Education Coalition HIV/AIDS Working Group Briefing Paper. Washington, DC: Basic Education Coalition. Boler, T. & Sass, J. (2008). Technical Briefs. Paris: UNESCO. IATT. (2008). Girls’ Education and HIV Prevention. Paris: UNAIDS. IATT. (2008). HIV and AIDS Education in Emergencies. Paris: UNAIDS. IATT on Education – HIV and AIDS Communication Tools – Literature Review 46 IATT. (2008). Mainstreaming HIV in Education. Paris: UNAIDS. IATT. (2008). Teachers Living with HIV and AIDS. Paris: UNAIDS. International HIV/AIDS Alliance. (2003). Building Blocks: Africa-wide Briefing Notes – Education. Resources for Communities Working with Orphans and Vulnerable Children. Washington, DC: USAID. Lewis, M. (2003). Gendering AIDS: Women, Men, Empowerment, Mobilization. London: VSO. Medel-Anonuevo, C. (2005). Addressing Gender Relations in HIV Prevention through Literacy (Background Paper). Paris: UNESCO. Pigozzi, M.J. (2006). Quality Education and HIV&AIDS. Geneva: UNAIDS IATT. Sass, J. & Castle, C. (2006). HIV and AIDS Treatment Education: A Critical Component of Efforts to Ensure Universal Access to Prevention, Treatment and Care. Geneva: UNAIDS IATT. The Global Coalition on Women and AIDS. (2005). Education (Backgrounder). Geneva: UNAIDS. Program Toolkits, Handbooks, and Checklists This group consists of tools designed to be used as reference materials for specific HIV and AIDS and education project and program implementation and activity execution. Each of these materials combines a collection of instructions which are intended to be easily consulted to provide quick answers to questions for specific programs. Additionally, these are aids used to reduce program failure and to ensure consistency across implementers and locales. The World Bank produced a useful reference identifying government’s responses to HIV and AIDS and how to develop your own. The toolkit on HIV stigma provides exercises and information on specific instances of stigma such as fears about non-sexual casual contact and double standards. Each of these tools provide valuable information that could be incorporated into other comprehensive HIV and AIDS education and prevention programs. Badcock-Walters, P. (2007). Module 5.4: Mitigating the HIV/AIDS impact on education: A Management Checklist. Paris: UNESCO. Brook, S. & Columbia, R. (2011). Family Planning, HIV/AIDS & STIs, and Gender Matrix: A Tool for Youth Reproductive Health Programming. Washington, DC: USAID. International Planned Parenthood Foundation ESEAO Regional Office. (2004). HIV/AIDS Mainstreaming Checklist & Tools: Mainstreaming HIV/AIDS into our Sexual & Reproductive Health & Rights Policies, Plans, Practices & Programmes. London: IPPF. IATT on Education – HIV and AIDS Communication Tools – Literature Review 47 International Planned Parenthood Foundation. (2010). Men-streaming in Sexual and Reproductive Health and HIV: A Toolkit for Policy Development and Advocacy. London: IPPF. Kidd, R. & Clay, S. (2003). Understanding and Challenging HIV Stigma: Toolkit for Action. Washington, DC: AED. Schmidt, A., Bjarnegard, E. & Wijngaarden, J. (2007). HIVAIDS and Education: A Toolkit for Ministries of Education. Bangkok: UNESCO. UNESCO. (2004). Living and Learning in a World with HIV/AIDS: HIV/AIDS at School (Kit). Paris: UNESCO. UNESCO. (2011). Booklet 1: Overview. Good Policy and Practice in HIV & AIDS and Education (Booklet Series). Paris: UNESCO. UNICEF Namibia Youth Health and Development Programme. (2001). A Handbook for AIDS Awareness Activities for Clubs. New York: UNICEF. UNICEF. (2002). HIV/AIDS Education: A Gender Perspective Tips and Tools. New York: UNICEF. Visser-Valfrey, M. (2008). Toolkit for Mainstreaming HIV and AIDS in the Education Sector: Guidelines for Development Cooperation Agencies. Geneva: UNAIDS IATT. World Bank. (2003). Local Government Responses to HIV/AIDS: A Handbook. Washington, DC: The World Bank. News Articles and Newsletters This brief list includes some articles from organization’s newsletters or other news sources that highlight innovative projects, new studies, or key issues happening recently in the realm of HIV and AIDS and education. Acedo, C. (2010). HIV Education Review (Editorial). Paris: UNESCO IBE. Dobens. (2011). Grassroot Soccer Launches HIV Education Soccer Program for South African Girls. Accessed on September 22, 2011 from, http://totalfootblog.com/2011/09/22/ grassroot-soccer-launches-hiveducation-soccer-program-for-south-african-girls.html Dolata, S. & Ross, K.N. (2010). How Effective are HIV and AIDS Prevention Education Programmes? (IIEP Newsletter). Paris: UNESCO. The Global Coalition on Women and AIDS. (2006). Educate Girls. Fight AIDS. Issue #1. Geneva: UNAIDS. IATT on Education – HIV and AIDS Communication Tools – Literature Review 48 Training Manuals Each of these documents provides materials for the training of teachers, participants or beneficiaries. Training manuals are important to use to ensure consistency in the material that is presented and how it is presented so that all trainees receive the same information in as close to the same way as possible. Additionally, these manuals can be used as general reference documents before or after trainings to refresh the information. The Health and Human Development Networks, et al. guide provides an invaluable example of how training manuals can assist with project in HIV and AIDS education. This particular manual focuses on school health and HIV and AIDS prevention. It includes not only information on curriculum and specific activities, but also identifies some common questions and controversies that arise when addressing this subject and provides solutions to these problems. It is comprehensive and would be a great asset and resource for any teacher attempting to implement this program. For a different example, see the UNESCO training kit for educators that provides information, activity and learning materials for capacity building. Education International, WHO & EDC. (2004). Participatory Learning Activities from the EI/WHO Training and Resources Manual on School Health and HIV and AIDS Prevention. Geneva: WHO. Ferdinand, D.L. (2009). Development Connections: A Manual for Integrating the Programmes and Services of HIV and Violence Against Women. Washington, DC: UNIFEM. Health and Human Development Programs, EDC, CDC, UNAIDS, UNESCO, UNICEF, & FNV. (2001). Training and Resource Manual on School Health and HIV/AIDS Prevention. Brussels: Education International and World Health Education. Kay, A., Vasquez, M.J., Datta, S., Wahab, R., & Said, E. (2010). WomenCentered Curriculum: Addressing HIV among Women and the Gender Dimensions of HIV in the Middle East and North Africa Region. Investing in PLHIV Leadership in the Middle East and North Africa—Volume 3. Washington, DC: Futures Group. UNESCO Bangkok. (2005). Reducing HIV/AIDS Vulnerability Among Students in the School Setting: A Teacher Training Manual. Bangkok: UNESCO. UNESCO. (2011). Booklet 6: Pre-Service Teacher Training. Good Policy and Practice in HIV & AIDS and Education (Booklet Series). Paris: UNESCO. UNESCO. (2005). From Policy to Practice: An HIV and AIDS Training Kit for Education Sector Professionals (Draft). Nairobi: UNESCO. Literature Reviews and Resource Guides The sources provide reviews of the evidence and documents that are currently available in the field of HIV and AIDS and education. The authors of these publications have compiled references to show the current knowledge and information that is available on this particular IATT on Education – HIV and AIDS Communication Tools – Literature Review 49 topic. Each of these can be used to inform people on what is out there, or simply as guides for future studies. Of particular interest are Beasley and UNICEF’s resources. Both of these sources present examples of programs throughout the developing world focusing on HIV and AIDS and education interventions and quality education for OVC, respectively. These examples summarize the programs, survey results and lessons learned to inform future programs targeted around similar themes. Beasley, M., Valerio, A. & Bundy, D. eds. (2008). Education and HIV/AIDS: A Sourcebook of HIV/AIDS Prevention Programs (Volume 2): Education Sector-Wide Approaches. Washington, DC: The World Bank. Ferguson, R., Sunderland, D. & Yankah, E. (2008). EDUCAIDS Overviews of Practical Resources. Paris: UNESCO. PEPFAR. (2011). HIV Sexual Prevention Guidance. Washington, DC: PEPFAR. Strickland, B. (2011). First Principles: Designing Effective Education Programs for School Health in Developing Countries (Compendium). Washington, DC: USAID. UNICEF. (2009). Promoting Quality Education for Orphans and Vulnerable Children: A Sourcebook of Programme Experiences in Eastern and Southern Africa. New York: UNICEF. Wellesley Centers for Research on Women & Development and Training Services. (2002). Unsafe Schools: A Literature Review of School-Related Gender-Based Violence in Developing Countries. Washington, DC: USAID. Curriculum Guides These documents were created by their respective governments to provide information on the specific content that is required to be taught in these specific school-based health programs. These documents are intended for teachers to use and incorporate these programs into their classrooms. Department of Education and Department of Health. (2009). Health Promoting Schools: Student Teacher Course Book. Port Moresby: Department of Education - Papua New Guinea. Government of Myanmar & UNICEF. (2002). SHAPE: School-Based Healthy Living and HIV/AIDS Prevention Education – for Middle and High Schools (Teacher’s Guide). Yangon: Myanmar Ministry of Education and UNICEF. IATT on Education – HIV and AIDS Communication Tools – Literature Review 50 Government Policies These sources document the various countries’ policies for their education sector’s response to HIV and AIDS. The publications not only describe the details of the policy (such as its goals and objectives), but describe the rationale and plan for implementation as well. These documents provide a look at what governments are currently doing in an attempt to mitigate the spread and impact of the epidemic. Unfortunately not many countries have published national policies on HIV and AIDS and education. While many countries have national plans for HIV and AIDS that mention the education sector’s involvement, these are broad and not as detailed. Furthermore, many of these general HIV and AIDS policies haven’t been updated since the development of ARV/ART which would have changed many aspects. Therefore, the three documents included here showcase three countries with updated, published polices specifically focused on the relationship between HIV and AIDS and the education sector. Government of Namibia. (2003). National Policy on HIV/AIDS for the Education Sector. Windhoek: Namibian Ministry of Basic Education, Sport and Culture. Government of the Republic of Trinidad and Tobago. (2008). Education Sector Policy on HIV and AIDS of the Ministry of Education. Port-of-Spain: Trinidadian and Tobagonian Ministry of Education. Jankee, R. (2001). National Policy for HIV/AIDS Management in Schools. Kingston: Jamaican Ministry of Education, Youth and Culture. IATT on Education – HIV and AIDS Communication Tools – Literature Review 51 CHAPTER THREE ALPHABETICAL LIST OF ALL RESOURCES Acedo, C. (2010). HIV Education Review (Editorial). Paris: UNESCO IBE. ACTafrica. (2010). Africa HIV/AIDS Impact Evaluation Program – AIM-AIDS (Brochure). Washington, DC: The World Bank. AED. (2000). Colloquium on HIV/AIDS and Girls’ Education. Washington, DC: USAID. AED. (2003). Multisectoral Responses to HIV/AIDS: A Compendium of Promising Practices from Africa. Washington, DC: USAID. Aeth, A.H. (2002). “Evaluation of HIV/AIDS Peer Education Projects in Zambia.” Evaluation and Program Planning, 24 pp. 397-407. Aggleton, P. & Warwick, I. (2002). “Education and HIV/AIDS Prevention among Young People.” AIDS Education and Prevention, 14(3) pp. 263-267. Ainsworth, M. & Teokul, W. (2000). “Breaking the Silence: Setting Realistic Priorities for AIDS Control in Less-Developed Countries.” Lancet, 365 pp. 55-60. Ainsworth, M., Beegle, K. & Koda, G. (2002). The Impact of Adult Mortality on Primary School Enrollment in Northwestern Tanzania. Washington, DC: The World Bank. Aldinger, C. & Whitman, C.V. (2000). Skills for Health. Skills-based Health Education Including Life Skills: An Important Component of Child-Friendly/HealthPromoting Schools. Geneva: WHO. Allen, L. (2007). “Doing ‘It’ Differently: Relinquishing the Disease and Pregnancy Prevention Focus in Sexuality Education.” British Journal of Sociology of Education, 28(5) pp. 575-588. Anderson, K.G., Beutel, A.M. & Maughan-Brown, B. (2007). “HIV Risk Perceptions and First Sexual Intercourse Among Youth in Cape Town, South Africa.” International Family Planning Perspectives, 33(3) pp. 98-105. Auerbach, J., Byram, E.P. & Kandathil, S.M. (2005). Gender-based Violence and HIV Among Women: Assessing the Evidence (Issue Brief No.3). Washington, DC: amfAR. Badcock-Walters, P. (2000). 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(2011). “Towards an Improved Investment Approach for an Effective Response to HIV/AIDS.” The Lancet, 377 pp. 2031-2041. Smith, P.B., Weinman, M.L., Buzi, R.S., & Benton, A.D. (2004). “An Evaluation of a SchoolBased Pregnancy Prevention Program Aimed at Young Males: A One-Year Follow-Up.” North American Journal of Psychology, 6(2) pp. 281-292. Speizer, I.S., Magnani, R.J. & Colvin, C.E. (2003). “The Effectiveness of Adolescent Reproductive Health Interventions in Developing Countries: A Review of the Evidence.” Journal of Adolescent Health, 33 pp. 324-248. The Global Coalition on Women and AIDS. (2005). Education (Backgrounder). Geneva: UNAIDS. The Global Coalition on Women and AIDS. (2006). Educate Girls. Fight AIDS. Issue #1. Geneva: UNAIDS. UNAIDS. (2008). Children and AIDS: Third Stocktaking Report, 2008. New York: UNICEF. UNAIDS. (2010). 2011-2015 Strategy: Getting to Zero. Geneva: UNAIDS. UNESCO Bangkok. (2005). 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Breaking the Silence: Gendered & Sexual Identities and HIV/AIDS in Education (Young Voices Series). New York: UNICEF. UNICEF. (2004). Girls, HIV/AIDS and Education. New York: UNICEF. UNICEF. (2009). Promoting Quality Education for Orphans and Vulnerable Children: A Sourcebook of Programme Experiences in 60 Eastern and Southern Africa. New York: UNICEF. Vandemoortele, J. & Delamonica, E. (2000). “The ‘Education Vaccine’ Against HIV.” Current Issues in Comparative Education, 3(1) pp. 6-13. Venkatesh, M. & Neeser, K. (2008). Monitoring and Evaluation of School-Based Health and Nutrition Programmes: A Participative Review. London: Partnership for Child Development. Venkatesh, M., Woolnough, A. & Neeser, K. (2010). Accelerating the Education Sector Response to HIV in the Federal Republic of Nigeria: A Review of Five Years of Experience. London: Partnership for Child Development. Visser-Valfrey, M. & Sass, J. (2009). Strategic Approach: HIV & AIDS and Education. Geneva: UNAIDS. Visser-Valfrey, M. (2006). Linking EDUCAIDS with Other On-Going Initiatives: An Overview of Opportunities. An Assessment of Challenges. Paris: UNESCO. Visser-Valfrey, M. (2008). Toolkit for Mainstreaming HIV and AIDS in the Education Sector: Guidelines for Development Cooperation Agencies. Geneva: UNAIDS IATT. Wagner, C.G. (2008). “Girls’ Education: Key to ‘Virtuous Circle’.” The Futurist pp.8. Wang, L.Y., Davis, M., Robin, L., Collins, J., Coyle, K., & Baumler, E. (2000). “Economic Evaluation of Safer Choices: A SchoolBased Human Immunodeficiency Virus, Other Sexually Transmitted Diseases, and Pregnancy Prevention Program.” Archives of Pediatrics and Adolescent Medicine, 154 pp. 1017-1024. Warwick, I. & Aggleton, P. (2002). The Role of Education in Promoting Young People’s Sexual and Reproductive Health. London: Institute of Education, University of London. Wellesley Centers for Research on Women & Development and Training Services. (2002). Unsafe Schools: A Literature Review of School-Related Gender-Based Violence in Developing Countries. Washington, DC: USAID. IATT on Education – HIV and AIDS Communication Tools – Literature Review Whitman, C.V. (2004). “Uniting Three Initiatives on Behalf of Caribbean Youth and Educators: Health and Family Life Education and The Health Promoting School in the Context of PANCAP’s Strategic Framework for HIV/AIDS.” Caribbean Quarterly, 50(1) pp. 54-82. World AIDS Campaign. (2011). Framework for Women, Girls, and Gender Equality in National Strategic Plans on HIV and AIDS in Southern and Eastern Africa. Amsterdam: World AIDS Campaign. World Bank. (2003). Local Government Responses to HIV/AIDS: A Handbook. Washington, DC: The World Bank. World Bank. (2008). The World Bank’s Commitment to HIV/AIDS in Africa: Our Agenda for Action 2007-2011. Washington, DC: The World Bank. World Bank. (2011). Learning for All: Investing in People’s Knowledge and Skills to Promote Development – Education Strategy 2020. Washington, DC: The World Bank. Yankah, E. & Aggleton, P. (2008). “Effects and Effectiveness of Life Skills Education for HIV Prevention in Young People.” AIDS Education and Prevention, 20(6) pp. 465485. Zimmerman, R.S., Cupp, P.K., Donohew, L., Sionean, C.K., Feist-Price, S. & Helme, D. (2008). “Effects of a School-Based, TheoryDriven HIV and Pregnancy Prevention Curriculum.” Perspectives on Sexual and Reproductive Health, 40(1) pp .42-51. 61 IATT on Education – HIV and AIDS Communication Tools – Literature Review CHAPTER FOUR TABLE OF STUDIES AND KEY DOCUMENTS ORGANIZED BY SEARCH CRITERIA 62 63 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Acedo, C. HIV Education Review (Editorial) ACTafrica. Africa HIV/AIDS Impact Evaluation Program – AIM-AIDS (Brochure). AED. Colloquium on HIV/AIDS and Girls’ Education. AED. Multisectoral Responses to HIV/AIDS: A Compendium of Promising Practices from Africa. Aeth, A.H. “Evaluation of HIV/AIDS Peer Education Projects in Zambia”. Aggleton, P. & Warwick, I. "Education and HIV/AIDS Prevention among Young People." Ainsworth, M. & Teokul, W. “Breaking the Silence: Setting Realistic Priorities for AIDS Control in Less-Developed Countries.” Ainsworth, M., Beegle, K. & Koda, G. The Impact of Adult Mortality on Primary School Enrollment in Northwestern Tanzania. Peer Reviewed Qualitative/Quantitative Topic* Accessibility of source (low, medium, high) Additional Comments Year Publisher 2010 UNESCO IBE N/A AB Medium Editorial 2010 The World Bank N/A E Medium Brochure 2000 USAID N/A ABCF Medium 2003 USAID QUAL ABCE Medium 2002 Evaluation and Program Planning X QUAL BE Low 2002 AIDS Education and Prevention X N/A BF Low 2000 The Lancet X N/A E Low 2002 The World Bank QUANT AD Medium promising practices from other orgs proposes 3 core priorities *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 64 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Aldinger, C. & Whitman, C.V. Skills for Health. Skillsbased Health Education Including Life Skills: An Important Component of Child-Friendly/HealthPromoting Schools. Allen, L. “Doing ‘It’ Differently: Relinquishing the Disease and Pregnancy Prevention Focus in Sexuality Education” Anderson, K.G., Beutel, A.M. & Maughan-Brown, B. “HIV Risk Perceptions and First Sexual Intercourse Among Youth in Cape Town, South Africa”. Auerbach, J., Byram, E.P. & Kandathil, S.M. Genderbased Violence and HIV Among Women: Assessing the Evidence (Issue Brief No.3). Badcock-Walters, P. Managing the Impact of HIV/AIDS in Education in KwaZulu Natal: A Presentation to the National Teacher’s Union Advocacy Conference on HIV/AIDS. Topic* Accessibility of source (low, medium, high) QUAL BEI Medium X N/A BF Low X QUANT/QUAL ABC Low amfAR N/A AC Medium HEARD QUANT/QUAL ABC Medium Year Publisher 2000 WHO 2007 British Journal of Sociology of Education 2007 International Family Planning Perspectives 2005 2000 Peer Reviewed Qualitative/Quantitative Additional Comments Issue brief *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 65 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Badcock-Walters, P. Module 5.4: Mitigating the HIV/AIDS impact on education: A Management Checklist. Badcock-Walters, P. The Impact of HIV and AIDS on Teachers: National Responses to Prevent and Mitigate Impact. Badcock-Walters, P., Kvalsvig, J., Heard, W., & Anning, V. Supporting the Educational Needs of HIVPositive Learners: Lessons from Namibia and Tanzania. Bailey, W. & McCaw-Binns, A. HIV/AIDS and Education in Jamaica: Is the HIV Epidemic Affecting the Supply of Educators and the Demand for Education in Jamaica?: Barriers to Integrationi of HIV/AIDS Infected/Affected Children into the Jamaican School System. Peer Reviewed Qualitative/Quantitative Topic* Accessibility of source (low, medium, high) Additional Comments Checklist Year Publisher 2007 UNESCO QUAL AB Medium 2009 EduSector AIDS Response Trust QUANT ABEG Medium 2008 UNESCO QUAL BF Medium 2006 University of the West Indies QUANT/QUAL AB Medium *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 66 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Baker, S.A., Beadnell, B., Stoner, S., Morrison, D.M., Gordon, J., Collier, C., Knox, K., Wickizer, L. & Stielstra, S. “Skills Training Versus Health Education to Prevent STDs/HIV in Heterosexual Women: A Randomized Controlled Trial Utilizing Biological Outcomes.” Bandre, G., Camara, B., Desire, A., Gamanga, M.A., Kibenge, A., Mbeye, A., & Sembene, M. eds. Accelerating the Education Sector Response to HIV&AIDS in Sub-Saharan Africa: A Rapid Situation Analysis of 34 Countries. Basic Education Coalition HIV/AIDS Working Group. Basic Education Coalition HIV/AIDS Working Group Briefing Paper. Baxen, J & Breidlid, A. “Researching HIV/AIDS and Education in Sub-Saharan Africa: Examining the Gaps and Challenges.” Topic* Accessibility of source (low, medium, high) QUANT/QUAL AB Low 2007 Networks of Ministry of Education HIV and AIDS Focal Points in SubSaharan Africa QUAL ABEG Medium 2008 Basic Education Coalition N/A BC Medium 2004 Journal of Education QUAL ABC Low Year Publisher 2003 AIDS Education and Prevention Peer Reviewed Qualitative/Quantitative X X Additional Comments *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 67 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Beasley, M., Valerio, A. & Bundy, D. eds. Education and HIV/AIDS: A Sourcebook of HIV/AIDS Prevention Programs (Volume 2): Education Sector-Wide Approaches. Bennell, P. “The Impact of the AIDS Epidemic on Teachers in sub-Saharan Africa” Bennell, P., Hyde, K., & Swainson, N. The Impact of the HIV/AIDS Epidemic on the Education Sector in SubSaharan Africa: A Synthesis of the Findings and Recommendations of Three Country Studies. Bertozzi, S., Padian, N.S., Wegbreit, J., DeMaria, L.M., Feldman, B., Gayle, H., Gold, J., Grant, R., & Isbell, M.T. “HIV/AIDS Prevention and Treatment” in Disease Control Priorities in Developing Countries (2nd Edition), 331-370. Topic* Accessibility of source (low, medium, high) QUANT/QUAL BE Medium QUAL AC Low 2002 Centre for International Education at the University of Sussex Institute of Education QUANT/QUAL ABCF Medium 2006 Oxford University Press QUANT/QUAL ACH High Year Publisher 2008 The World Bank 2005 Journal of Development Studies Peer Reviewed Qualitative/Quantitative X Additional Comments *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 68 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Boler, T. & Aggleton, P. Life Skills-Based Education for HIV Prevention: A Critical Analysis (Policy & Research Issue 3). Boler, T. & Sass, J. Technical Briefs. Boler, T., Ibrahim, A., Adoss, R., & Shaw, M. The Sound of Silence: Difficulties in Communicating on HIV/AIDS in Schools – Experiences from India and Kenya. Bongaarts, J. Late Marriage and the HIV Epidemic in SubSaharan Africa (Working Paper No.216). Brent, R.J. “Does Female Education Prevent the Spread of HIV-AIDS in Sub-Saharan Africa?” Brook, S. & Columbia, R. Family Planning, HIV/AIDS & STIs, and Gender Matrix: A Tool for Youth Reproductive Health Programming. Bruce, J. & Clark, S. The Implications of Early Marriage for HIV/AIDS Policy. Topic* Accessibility of source (low, medium, high) QUAL ABCI Medium UNESCO N/A BCDE Medium 2003 ActionAid QUANT/QUAL BC Medium 2006 Population Council QUANT/QUAL AC Medium 2006 Applied Economics QUANT BC Low 2011 USAID N/A ABC Medium 2004 Population Council QUANT ABCEF Medium Year Publisher 2005 ActionAid 2008 Peer Reviewed Qualitative/Quantitative X Additional Comments Tool for youth programming *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 69 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Bundy, D., Aduda, D., Woolnough, A., Drake, L. & Manda, S. eds. Courage and Hope: Stories from Teachers Living with HIV in SubSaharan Africa. Bundy, D., Gotur, M., Drake, L., & Maier, C. Education and HIV/AIDS: A Window of Hope. Bundy, D., O’Connell, T., Drake, L., Baker, S. and Abrioux, E, eds. School Health, Nutrition, and HIV/AIDS Programming: Promising Practice in the Greater Mekong Sub-Region. Bundy, D., Patrikios, A., Mannathoko, C., Tembon, A., Manda, S., Sarr, B., & Drake, L. Accelerating the Education Sector Response to HIV: Five Years of Experience from Sub-Saharan Africa. Topic* Accessibility of source (low, medium, high) QUAL AC Medium QUANT/QUAL AB Medium Partnership for Child Development N/A BEGI Medium The World Bank QUAL BG Medium Year Publisher 2009 The World Bank 2002 The World Bank 2009 2009 Peer Reviewed Qualitative/Quantitative X Additional Comments *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 70 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Bundy, D., Shaeffer, S., Jukes, M., Beegle, K., Gillespie, A., Drake, L., Lee, S.F., Hoffman, A.M., Jones, J., Mitchell, A., Barcelona, D., Camara, B., Golmar, C., Savoli, L., Sembene, M., Takeuchi, T. & Wright, C. “School-Based Health and Nutrition Programs” in Disease Control Priorities in Developing Countries (2nd Edition). Burroway, R. "Schools Against AIDS: Secondary School Enrollment and CrossNational Disparities in AIDS Death Rates." Campbell, C. & MacPhail, C. “Peer Education, Gender, and the Development of Critical Consciousness: Participatory HIV Prevention by South African Youth”. CEDPA. Adolescent Girls Literacy Initiative for Reproductive Health (A GIFT for RH): Panel Study – Nepal. Year Publisher 2006 Oxford University Press 2010 Social Problems 2002 Social Science and Medicine 2003 USAID Topic* Accessibility of source (low, medium, high) N/A BCEGI High X QUANT/QUAL BF Low X QUAL BCE Low QUAL BCE Medium Peer Reviewed Qualitative/Quantitative Additional Comments *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 71 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Chen, C.C., Yamada, T. & Walker, E.M. “Estimating the Cost-Effectiveness of a Classroom-Based Abstinence and Pregnancy Avoidance Program Targeting Preadolescent Sexual Risk Behaviors.” Clark, S., Poulin, M., & Kohler, H.P. The Marital Process and HIV/AIDS in Rural Malawi (PSC Working Paper Series). Clark, S., Poulin, M., & Kohler, H.P. “Marital Aspirations, Sexual Behaviors and HIV/AIDS in Rural Malawi”. Clarke, D. & Bundy, D. The EFA Fast-Track Initiative: Responding to the Challenge of HIV and AIDS to the Education Sector. Clarke, D. & Bundy, D. The EFA Track Initiative: An Assessment of the Responsiveness of Endorsed Education Sector Plans to HIV and AIDS. Year Publisher 2011 Journal of Children and Poverty 2007 University of Pennsylvania 2009 Journal of Marriage and Family 2004 The World Bank 2008 The World Bank Topic* Accessibility of source (low, medium, high) QUANT BCF Low QUANT/QUAL C Medium QUANT/QUAL C Low N/A B Medium Peer Reviewed Qualitative/Quantitative X X QUAL BG Medium Additional Comments Reviews country sector plans; based on desk review *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 72 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Coombe, C. Rethinking Some of Our Perceptions About HIV/AIDS and Education. Year 2001 Coombe, C. “Keeping the Education System Healthy: Managing the Impact of HIV/AIDS on Education in South Africa”. Coombe, C. Responding to the HIV/AIDS Pandemic: ‘Best Practice’ Issues for Educators, in Consultation on HIV/AIDS and Teacher Education in East and Southern Africa. Coombe, C. & Kelly, M.J. “Trends/Cases: Education as a Vehicle for Combating HIV/AIDS”. De Walque, D. How Does the Impact of an HIV/AIDS Information Campaign Vary with Educational Attainment? Evidence from Rural Uganda. Publisher University of Pretoria/South African Development Community Mtg on HIV and AIDS and Education 2002 Current Issues in Comparative Education 2002 Commonwealth Secretariat 2001 Prospects 2004 The World Bank Topic* Accessibility of source (low, medium, high) QUAL AC Medium QUANT/QUAL AB Low N/A BC Medium QUAL AB Low QUANT/QUAL BE Medium Peer Reviewed Qualitative/Quantitative X X Additional Comments *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 73 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author De Walque, D., NakiyingiMiiro, J.S., Busingye, J. & Whitworth, A. “Changing Association Between Schooling Levels and HIV-1 Infection Over 11 Years in a Rural Population Cohort in South-West Uganda”. Del Rosso, J.M. Investing in School Health and Nutrition in Indonesia. Department of Education and Department of Health. Health Promoting Schools: Student Teacher Course Book. Department of Education. The HIV/AIDS Emergency: Department of Education Guidelines for Educators. Dobens. Grassroot Soccer Launches HIV Education Soccer Program for South African Girls. Dolata, S. & Ross, K.N. How Effective are HIV and AIDS Prevention Education Programmes? (IIEP Newsletter). Dupas, P. Relative Risks and the Market for Sex: Teenagers, Sugar Daddies and HIV in Kenya. Topic* Accessibility of source (low, medium, high) QUANT BC Low The World Bank QUANT/QUAL ABCEI Medium 2009 Department of Education - Papua New Guinea N/A BGI Medium Course book 2002 Department of Education - South Africa N/A ABG Medium Guidelines 2011 Grassroots Soccer N/A BCE Medium News Article 2010 UNESCO QUANT BE Medium Newsletter 2006 NYU QUANT/QUAL BCE Medium Year Publisher 2005 Tropical Medicine and International Health 2009 Peer Reviewed Qualitative/Quantitative X Additional Comments *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 74 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Education International, WHO & EDC. Participatory Learning Activities from the EI/WHO Training and Resources Manual on School Health and HIV /AIDS Prevention. Education Sector HIV Network for Eastern Africa, Central Africa & West African States and Mauritania. Proceedings of the 3rd Annual Meeting of the African Networks of Education Sector HIV Focal Points. Eggleston, E., Jackson, J., Rountree, W., & Pan, Z. “Evaluation of a Sexuality Education Program for Young Adolescents in Jamaica”. Eisenberg, M.E., Bernat, D. H.& Resnick, M.D. “Support for Comprehensive Sexuality Education: Perspectives from Parents of School-Age Youth”. Ferdinand, D.L. Development Connections: A Manual for Integrating the Programmes and Services of HIV and Violence Against Women. Year Publisher 2004 WHO 2009 Networks of Ministry of Education HIV and AIDS Focal Points 2000 Pan-American Journal of Public Health 2007 Journal of Adolescent Health 2009 UNIFEM Peer Reviewed Qualitative/Quantitative N/A Topic* BCI Accessibility of source (low, medium, high) Additional Comments Medium Part of teacher training program Overview and lessons learned in Africa N/A BEG Medium X QUANT/QUAL BCE Low X QUAL B Low N/A AC Medium Manual *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 75 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Ferguson, R., Sunderland, D. & Yankah, E. EDUCAIDS Overviews of Practical Resources. . Fiscian, V.S., Obeng, E.K., Goldstein, K., Shea, J.A. & Turner, B.J. “Adapting a Multifaceted US HIV Prevention Education Program for Girls in Ghana.” Fleischman, J. Educating Girls, Combating HIV (Prepared for the Global Monitoring Report 2003/04). Fylkesnes, K., Musonda, R.M., Sichone, M., Ndhlovu, Z., Tembo, F., & Monze, M. “Declining HIV Prevalence and Risk Behaviors in Zambia: Evidence from Surveillance and PopulationBased Surveys”. Gallant, M. & MatickaTyndale, E. “School-based HIV Prevention Programs for African Youth.” Year Publisher 2008 UNESCO 2009 AIDS Education and Prevention 2003 UNESCO 2001 AIDS 2004 Social Science and Medicine Topic* Accessibility of source (low, medium, high) N/A BG Medium QUANT/QUAL CE Low N/A ABC Medium X QUANT/QUAL AC Low X QUANT/QUAL BE Low Peer Reviewed Qualitative/Quantitative X Additional Comments *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 76 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Gillespie, A. & Bundy, D. HIV/AIDS & Education: The Role of Education in the Protection, Care and Support of Orphans and Vulnerable Children Living in a World with HIV and AIDS. Giorgis, H.W. & Dairo, A. Africa Regional Consultation with Youth on HIV/AIDS and Sexual Reproductive Health. Giorgis, H.W. & Egamberdi, N. Policy and Institutional Frameworks: Mainstreaming Adolescent Reproductive Health (ARH) and Gender in HIV/AIDS Programs: Examples from Ethiopia and Uganda. Glynn, J.R., Carael, M., Buve, A., Anagonou, S., Zekeng, L., Kahindo, M., & Musonda, R. . “Does Increased General Schooling Protect Against HIV Infection? A Study in Four African Cities.” Gordon, P., Kirby, D. & Welbourn, A. Review of Sex, Relationships and HIV Education in Schools. Year Publisher 2004 UNAIDS Peer Reviewed Qualitative/Quantitative N/A Topic* Accessibility of source (low, medium, high) Additional Comments BDEF Medium Action guide Conference and consultation to inform govts 2007 The World Bank N/A ACF Medium 2007 The World Bank QUANT/QUAL CG Medium 2004 Tropical Medicine and International Health QUANT B Low 2007 UNESCO QUAL BC Medium X *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 77 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Government of Myanmar & UNICEF. SHAPE: SchoolBased Healthy Living and HIV/AIDS Prevention Education – for Middle and High Schools (Teacher’s Guide). Government of Namibia. National Policy on HIV/AIDS for the Education Sector. Government of the Republic of Trinidad and Tobago. Education Sector Policy on HIV and AIDS of the Ministry of Education. Graves, K.N., Sentner, A., Workman, J., & Mackey, W. “Building Positive Life Skills the Smart Girls Way: Evaluation of a School-Based Sexual Responsibility Program for Adolescent Girls.” Gregson, S., Waddell, H. & Chandiwana, S. “School Education and HIV Control in Sub-Saharan Africa: From Discord to Harmony?” Topic* Accessibility of source (low, medium, high) N/A BCGI Medium 2003 Ministry of Basic Education, Sport and Culture – Namibia N/A ABFGI Medium 2008 Ministry of Education – Trinidad and Tobago N/A ABFGI Medium 2011 Health Promotion Practice X QUANT/QUAL BCEI Low 2001 Journal of International Development X QUANT AB Low Year Publisher 2002 Ministry of Education Myanmar & UNICEF Peer Reviewed Qualitative/Quantitative Additional Comments Teacher's guide *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 78 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Gulaid, L.A. The Framework for the Protection, Care and Support of Orphans and Vulnerable Children Living in a World with HIV and AIDS. Gupta, N. & Mahy, M. “Sexual Initiation Among Adolescent Girls and Boys: Trends and Differentials in Sub-Saharan Africa.” Hallett, T.B., Lewis, J.J.C., Lopman, B.A., Nyamukapa, C.A., Mushati, P., Wambe, M., Garnett, G.P., & Gregson, S. “Age at First Sex and HIV Infection in Rural Zimbabwe”. Hallfors, D., Cho, H., Rusakaniko, S., Iritani, B., Mapfumo, J., & Halpern, C. “Supporting Adolescent Orphan Girls to Stay in School as HIV Risk Prevention: Evidence from a Randomized Controlled Trial in Zimbabwe” Hargreaves, J. & Boler, T. Girl Power: The Impact of Girls’ Education on HIV and Sexual Behavior. Topic* Accessibility of source (low, medium, high) Additional Comments N/A AD Medium Framework Peer Reviewed Qualitative/Quantitative Year Publisher 2004 UNICEF 2003 Archives of Sexual Behavior X QUANT ABC Low 2007 Studies in Family Planning X QUAL AC Low 2011 American Journal of Public Health X QUANT BCD Low 2006 ActionAid QUANT/QUAL BC Medium *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 79 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Hargreaves, J.R., Bonell, C.P., Boler, T., Boccia, D., Birdthistle, I., Fletcher, A., Pronyk, P.M. & Glynn, J.R. “Systematic Review Exploring Time Trends in the Association Between Educational Attainment and Risk of HIV Infection in SubSaharan Africa”. Hargreaves, J.R., Bonell, C.P., Morison, L.A., Kim, J.C., Phetla, G., Porter, J.D.H., Watts, C., & Pronyk, P.M. “Explaining Continued High HIV Prevalence in South Africa: Socioeconomic Factors, HIV Incidence and Sexual Behaviour Change among a Rural Cohort, 20012004” Health and Human Development Prgorams, EDC, CDC, UNAIDS, UNESCO, UNICEF, & FNV. Training and Resource Manual on School Health and HIV/AIDS Prevention. Topic* Accessibility of source (low, medium, high) QUANT/QUAL AC Low QUANT/QUAL ABC Low Peer Reviewed Qualitative/Quantitative Year Publisher 2008 AIDS X 2007 AIDS X 2001 Education International & WHO N/A BFGI Medium Additional Comments Manual, collaborate with govts to develop HIV policy *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 80 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author HEARD Mobile Task Team. Report on the Education Sector: Global HIV/AIDS Readiness Survey – A review of the comparative readiness of the education sectors in 71 countries to respond to, manage and mitigate the impact of HIV/AIDS. Heard, W. Global Monitoring & Evaluation Framework for Comprehensive Education Responses to HIV and AIDS: Proposed Indicators (Draft). Hepburn, A.E. Primary Education in Eastern and Southern Africa: Increasing Access for Orphans and Vulnerable Children in AIDSaffected Areas. IATT. Operational Guide on Gender and HIV/AIDS: A Rights Based Approach. . IATT. Girls’ Education and HIV Prevention. IATT. HIV and AIDS Education in Emergencies. IATT. Mainstreaming HIV in Education. IATT. Teachers Living with HIV and AIDS. Topic* Accessibility of source (low, medium, high) QUAL B Medium UNESCO N/A BF Medium Duke University QUAL ABCDE Medium Year Publisher 2004 UNESCO 2011 2001 Peer Reviewed Qualitative/Quantitative Additional Comments Indicators for edu response to HIV 2005 UNAIDS N/A CE Medium Operational guide for program guidance 2008 UNAIDS N/A BC Medium Briefing note 2008 UNAIDS N/A B Medium Briefing note 2008 UNAIDS N/A B Medium Briefing note 2008 UNAIDS N/A B Medium Briefing note *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 81 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author IATT. A Strategic Approach: HIV & AIDS and Education. IATT. Teachers and HIV & AIDS: Reviewing Achievements, Identifying Challenges (Symposium Report, June 15, 2009 in Limerick, Ireland). IIEP. UNESCO’s Strategy for HIV/AIDS Preventive Education. IIEP. HIV/AIDS & Education: A Strategic Approach. International HIV/AIDS Alliance. Building Blocks: Africa-wide Briefing Notes – Education. Resources for Communities Working with Orphans and Vulnerable Children. International Planned Parenthood Foundation ESEAO Regional Office. HIV/AIDS Mainstreaming Checklist & Tools: Mainstreaming HIV/AIDS into our Sexual & Reproductive Health & Rights Policies, Plans, Practices & Programmes. Topic* Accessibility of source (low, medium, high) N/A B Medium UNAIDS N/A B Medium Symposium report 2001 UNESCO QUANT BF Medium Strategy 2002 UNESCO N/A BEF Medium Strategy 2003 USAID QUAL AD Medium 2004 IPPF N/A ACF Medium Year Publisher 2009 UNAIDS 2009 Peer Reviewed Qualitative/Quantitative Additional Comments Toolkit *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 82 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author International Planned Parenthood Foundation. Menstreaming in Sexual and Reproductive Health and HIV: A Toolkit for Policy Development and Advocacy. Irwin, A., Adams, A. & Winter, A. Home Truths Facing the Facts on Children, AIDS, and Poverty: Final Report of the Joint Learning Initiative on Children and HIV/AIDS. Jacobi, J., Govender, K. & Cogan, M. Agenda for Accelerated Country Action for Women, Girls, Gender Equality and HIV: Operational Plan for the UNAIDS Action Framework: Addressing Women, Girls, Gender Equality and HIV. Jain, S. & Kurz, K. New Insights on Preventing Child Marriage: A Global Analysis of Factors and Programs. James, D. “To Take the Information Down to the People: Life Skills and HIV/AIDS Peer Educators in the Durban Area.” Peer Reviewed Qualitative/Quantitative Topic* Accessibility of source (low, medium, high) Additional Comments Toolkit Year Publisher 2010 IPPF N/A ACF Medium 2009 JLICA QUANT/QUAL ACE Medium 2010 UNAIDS N/A CEF Medium 2007 USAID QUANT/QUAL ABC Medium 2002 African Studies N/A BFI Low X Agenda for action *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 83 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Jamison, D.T. “Investing in Health” in Disease Control Priorities in Developing Countries (2nd Edition). Jankee, R. National Policy for HIV/AIDS Management in Schools. Jellema, A. & Phillips, B. Learning to Survive: How Education for All Would Save Millions of Young People from HIV/AIDS. Jewkes, R., Levin, J., Mbananga, N. & Bradshaw, D. “Rape of Girls in South Africa”. Jukes, M., Simmons, S. & Bundy, D. “Education and Vulnerability: The Role of Schools in Protecting Young Women and Girls from HIV in Southern Africa”. Topic* Accessibility of source (low, medium, high) QUANT AC High 2001 Ministry of Education, Youth and Culture Jamaica N/A ABCG Medium 2004 Global Campaign for Education QUAL BCH Medium Year Publisher 2006 Oxford University Press Peer Reviewed Qualitative/Quantitative 2002 The Lancet X QUANT/QUAL BC Low 2008 AIDS X QUANT/QUAL BC Low Additional Comments Mentions teachers raping students *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 84 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Jukes, M., Simmons, S. Fawzi, M.C.S., & Bundy, D. Joint Learning Initiative on Children and HIV/AIDS. Learning Group 3: Expanding Access to Services and Protecting Human Rights.Educational Access and HIV Prevention: Making the Case for Education as a Health Priority in subSaharan Africa. Jukes, M.C.H., Drake, L.J., & Bundy, D.A.P. School Health, Nutrition and Education for All: Leveling the Playing Field. Justesen, M.K. (2011). Too Poor to Care? The Salience of AIDS in Africa (Working Paper No.133). Kasirye, I. & Hisali, E. “The Socioeconomic Impact of HIV/AIDS on Education Outcomes in Uganda: School Enrollment and the Schooling Gap in 2002/2003.” Topic* Accessibility of source (low, medium, high) QUANT/QUAL BC Medium CABI International QUAL ACI Medium 2011 Afrobarometer & Michigan State University QUAL AC Medium 2010 International Journal of Educational Development QUANT AC Low Year Publisher 2008 JLICA 2008 Peer Reviewed Qualitative/Quantitative X Additional Comments *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 85 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Kay, A., Vasquez, M.J., Datta, S., Wahab, R., & Said, E. Women-Centered Curriculum: Addressing HIV among Women and the Gender Dimensions of HIV in the Middle East and North Africa Region. Investing in PLHIV Leadership in the Middle East and North Africa—Volume 3. Kelly, M.J. “Standing Education on Its Head: Aspects of Schooling in a World with HIV/AIDS”. Kelly, M.J. The Potential Contribution of Schooling to Rolling Back HIV and AIDS. Kelly, M.J. & Bain, B. Education and HIV/AIDS in the Caribbean. Kidd, R. & Clay, S. Understanding and Challenging HIV Stigma: Toolkit for Action. Kinghorn, A., Coombe, C., McKay, E., & Johnson, S. The Impact of HIV/AIDS on Education in Botswana. . Topic* Accessibility of source (low, medium, high) QUAL BC Medium QUAL ABG Low The World Bank QUAL BC Medium 2003 UNESCO QUAL ABC Medium 2003 AED N/A CEF Medium 2002 Abt Associates QUANT/QUAL ACD Medium Year Publisher 2010 Futures Group 2002 Current Issues in Comparative Education 2003 Peer Reviewed Qualitative/Quantitative X Additional Comments Toolkit *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 86 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Kirby, D. “Understanding What Works and What Doesn’t in Reducing Adolescent Sexual RiskTaking.” Kirby, D., Laris, B.A., & Rolleri, L. Sex and HIV Education Programs for Youth: Their Impact and Important Characteristics. Kivela, J., Ketting, E., and Baltussen, R. School-Based Sexuality Education Programmes: A Cost and Cost-Effectiveness Analysis in Six Countries. Kohler, P.K., Manhart, L.E. & Lafferty, W.E. “AbstinenceOnly and Comprehensive Sex Education and the Initiation of Sexual Activity and Teen Pregnancy”. Krueger, A.B. & Lindalh, M. “Education for Growth: Why and For Whom?” Topic* Accessibility of source (low, medium, high) N/A A Low Family Health International QUAL BE Medium 2011 UNESCO QUANT BGI Medium 2007 Journal of Adolescent Health X QUANT/QUAL BC Low Focused on the US 2001 Journal of Economic Literature X QUANT BC Low Education for growth in general Year Publisher 2001 Family Planning Perspectives 2006 Peer Reviewed Qualitative/Quantitative X Additional Comments *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 87 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Lagarde, E., Carael, M., Glynn, J.R., Kanhonou, L., Abega, S.C., Kahindo, M., Musonda, R., Auvert, B., & Buve, A. “Educational Level is Associated with Condom Use Within Non-Spousal Partnerships in Four Cities of sub-Saharan Africa”. Leach, F. & Machakanja, P. Preliminary Investigation of the Abuse of Girls in Zimbabwean Junior Secondary Schools (Education Research Paper No.39). Lewis, M. Gendering AIDS: Women, Men, Empowerment, Mobilization. Liao, W., Jiang, J.M., Yang, B., Zeng, X. & Liao, S.S. "A Life-Skills-Based HIV/AIDS Prevention Education for Rural Students of Primary Schools in China: What Changed? What Have We Learned?" Topic* Accessibility of source (low, medium, high) QUANT/QUAL BC Low DFID QUAL AC Medium 2003 VSO N/A ACE Medium 2010 Biomedical and Environmental Sciences QUAL BEFI Low Year Publisher 2001 AIDS 2000 Peer Reviewed Qualitative/Quantitative X X Additional Comments Position paper *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 88 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Lugalla, J., Emmelin, M., Mutembei, A., Sima, M., Kwesigabo, G., Killewo, J. & Dahlgren, L. "Social, Cultural & Sexual Behavioral Determinants of Observed Decline in HIV Infection Trends: Lessons from the Kagera Region, Tanzania." Lurie, M., Pronyk, P., de Moor, E., Heyer, A, de Bruyn, G., Struthers, H., McIntyre, J., Gray, G., Marinda, E., Klipstein-Grobush, K., & Martinson, N. “Sexual Behavior and Reproductive Health Among HIV-Infected Patients in Urban and Rural South Africa.” Maharaj, P. “Patterns of Condom Use: Perspectives of Men in KwaZulu-Natal, South Africa”. Mahat, G. & Scoloveno, M.A. “HIV Peer Education: Relationships Between Adolescents’ HIV/AIDS Knowledge and SelfEfficacy.” Topic* Accessibility of source (low, medium, high) QUAL AF Low X QUANT ABC Low Development of Southern Africa X QUANT/QUAL C Low Journal of HIV/AIDS & Social Services X QUANT/QUAL BE Low Peer Reviewed Qualitative/Quantitative Year Publisher 2004 Social Science and Medicine X 2008 Epidemiology and Social Science 2007 2010 Additional Comments *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 89 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Malambo, R.M. “Teach Them While They Are Young, They Will Live to Remember the Views of Teachers and Pupils on the Teaching of HIV/AIDS in Basic Education: A Case Study of Zambia’s Lusaka and Southern Provinces.” Maria, W. “Knowledge and Awareness Related Reproductive Health Issues Among Single Youth in Ethiopia.” Maticka-Tyndale, E., Wildish, J. & Gichuru, M. “QuasiExperimental Evaluation of a National Primary School HIV Intervention in Kenya.” Mavedzenge, S.N., Doyle, A., & Ross, D. HIV Prevention in Young People in SubSaharan Africa: A Systematic Review. Medel-Anonuevo, C. Addressing Gender Relations in HIV Prevention through Literacy Topic* Accessibility of source (low, medium, high) QUAL ABG Low X QUANT AB Low X QUANT/QUAL BCE Low 2010 London School of Hygiene & Tropical Medicine N/A CE Medium Systematic review 2005 UNESCO N/A BCD Medium Background paper Peer Reviewed Qualitative/Quantitative Year Publisher 2002 Current Issues in Comparative Education X 2007 African Journal of Reproductive Health 2007 Evaluation and Program Planning Additional Comments *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 90 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Medley, A., Kennedy, C., O’Reilly, K., & Sweat, M. “Effectiveness of Peer Education Interventions for HIV Prevention in Developing Countries: A Systematic Review and MetaAnalysis.” Medlin, C., & de Walque, D. Potential Applications of Conditional Cash Transfers for Prevention of Sexually Transmitted Infections and HIV in Sub-Saharan Africa (Working Paper No.4673). Meekers, D. & Ahmed, G. “Contemporary Patterns of Adolescent Sexuality in Urban Botswana”. Mensch, B.S., Clark, W.H., Lloyd, C.B. & Erulkar, A.S. “Premarital Sex, Schoolgirl Pregnancy, and School Quality in Rural Kenya”. Mmari, K., Michaelis, A., & Kiro, K. “Risk and Protective Factors for HIV Among Orphans and Non-Orphans in Tanzania.” Topic* Accessibility of source (low, medium, high) QUANT/QUAL BE Low QUAL BCE Medium X QUANT/QUAL ABC Low Studies in Family Planning X QUANT/QUAL BC Low Culture, Health & Sexuality X QUAL ACDF Low Year Publisher 2009 AIDS Education and Prevention 2008 The World Bank 2000 Journal of Biosocial Science 2001 2009 Peer Reviewed Qualitative/Quantitative X Additional Comments *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 91 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Nyblade, L., Pande, R., Mathur, S., MacQuirre, K., Kidd, R., Banteyerga, H., Kidanu, A., Kilonzo, G., Mbwambo, J. & Bond, V. Disentangling HIV and AIDS Stigma in Ethiopia, Tanzania & Zambia. O’Connell, T., Venkatesh, M., & Bundy, D. eds. Strengthening the Education Sector Response to School Health, Nutrition and HIV/AIDS in the Caribbean Region: A Rapid Survey of 13 Countries. Ott, M.A., Evans, N.L., Halpern-Felsher, B.L., & Eyre, S.L. “Differences in Altruistic Roles and HIV Risk Perception Among Staff, Peer Educators, and Students in an Adolescent Peer Education Program.” Ozler, B. Schooling, Income and HIV Risk: Experimental Evidence from Malawi. Pargass, G. Reproductive Health and Rights: HIV/AIDS and Gender Equality. Peer Reviewed Qualitative/Quantitative Topic* Accessibility of source (low, medium, high) Additional Comments Stigma Year Publisher 2003 IRWC QUANT/QUAL ACE Medium 2009 EduCan QUANT/QUAL ABEFGI Medium 2003 AIDS Education and Prevention QUAL BE Low 2008 The World Bank QUANT/QUAL BCE Medium 2005 ELAC QUANT AC Medium X *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 92 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Pattman, R. “Boys and Girls Should Not Be Too Close: Sexuality, the Identities of African Boys and Girls and HIV/AIDS Education.” Pebody, R. Disappointing Results from Two Peer Education Projects in Southern Africa. PEPFAR. HIV Sexual Prevention Guidance. Perez, F. & Dabis, F. “HIV Prevention in Latin America: Reaching Youth in Colombia.” Peters, E., Baker, D.P., Diekmann, N.F., Leon, J. & Collins, J. “Explaining the Effect of Education on Health: A Field Study in Ghana”. Peters, L.W.H., Kok, G., Ten Dam, G.T.M., Buijs, G.J. & Paulussen, T.G.W.M. “Effective Elements of School Health Promotion Across Behavioral Domains: A Systematic Review of Reviews”. Topic* Accessibility of source (low, medium, high) QUAL ACF Low NAM AIDS Map QUAL BE Medium 2011 PEPFAR N/A ABC Medium 2003 AIDS Care X QUAL BE Low 2010 Psychological Science X QUAL BCE Low 2009 BMC Public Health X QUAL BEFI Low Year Publisher 2005 Sexualities 2011 Peer Reviewed Qualitative/Quantitative X Additional Comments Quotes from PEPFAR documents *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 93 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Pettifor, A.E., Levandowski, B.A., MacPhail, C., Padian, N.S., Cohen, M.S., & Rees, H.V. “Keep Them in School: The Importance of Education as a Protective Factor Against HIV Infection Among Young South African Women.” Pick, S., Givaudan, M., Sirkin, J. & Ortega, I. “Communication as a Protective Factor: Evaluation of a Life Skills HIV/AIDS Prevention Program for Mexican Elementary-School Students.” Pigozzi, M.J. Quality Education and HIV&AIDS. Porter, K.A. “Review of Life Skills, Sexual Maturation and Sanitation: What’s (Not) Happening in Our Schools?” Prata, N., Vahidnia, F., & Fraser, A. . “Gender and Relationship Differences in Condom Use Among 15-24 Year-Olds in Angola.” Topic* Accessibility of source (low, medium, high) QUANT BC Low QUANT/QUAL BCEI Low N/A BEF Medium X N/A BI Low X QUANT BC Low Peer Reviewed Qualitative/Quantitative Year Publisher 2008 International Journal of Epidemiology X 2007 AIDS Education and Prevention X 2006 UNAIDS 2007 African Studies Review 2005 International Family Planning Perspectives Additional Comments Book review *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 94 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Pridmore, P. Access to Conventional Schooling for Children and Young People Affected by HIV and AIDS in sub-Saharan Africa: A CrossNational Review of Recent Research Evidence (SOFIE Opening Up Access Series No.1). Richmond, M., Castle, C., & Sass, J. UNESCO’s Strategy for Responding to HIV and AIDS. Rijsdijk, L.E., Bos, A.E.R., Ruiter, A.C., Leerlooijer, J.N., de Haas, B., & Schaalma, H.P. “The World Starts with Me: A Multilevel Evaluation of a Comprehensive Sex Education Programme Targeting Adolescents in Uganda.” Risley, C. Estimates of the Impact of HIV and Teacher ART Take-up on the Education Sector on the Achievement of EFA in Rwanda. Risley, C. & Bundy, D. Estimating the Impact of HIV&AIDS on the Supply of Basic Education. Topic* Accessibility of source (low, medium, high) QUAL BCD Medium N/A AE Medium QUANT/QUAL BEF Low 2009 Partnership for Child Development QUANT AD Medium 2007 Partnership for Child Development and The World Bank QUANT AH Medium Year Publisher 2008 University of London 2007 UNESCO 2011 BMC Public Health Peer Reviewed Qualitative/Quantitative X Additional Comments Strategy *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 95 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Robson, S. & Sylvester, K.B. “Orphaned and Vulnerable Children in Zambia: The Impact of the HIV/AIDS Epidemic on Basic Education for Children at Risk”. Ruto, S.J., Chege, F.N. & Wawire, V.K. “Kenya’s HIV/AIDS Education Sector Policy: Implications for Orphaned and Vulnerable Children and the Teaching of HIV/AIDS Education”. Sambo, C., Dickinson, C., & Sass, J. Short Guide to the Essential Characteristics of Effective HIV Prevention. Sandoy, I.F., Michelo, C., Siziya, S., & Fylksenes, K. “Associations Between Sexual Behaviour Change in Young People and Decline in HIV Prevalence in Zambia”. Sass, J. & Castle, C. HIV and AIDS Treatment Education: A Critical Component of Efforts to Ensure Universal Access to Prevention, Treatment and Care. Sass, J. & Castle, C. EDUCAIDS: Framework for Action. Topic* Accessibility of source (low, medium, high) QUAL AD Low QUAL BCD Low N/A CEF Medium QUAL AC Low UNAIDS N/A BCE Medium Addresses stigma UNESCO N/A BEF Medium Framework Peer Reviewed Qualitative/Quantitative Year Publisher 2007 Educational Research X 2009 Journal of International Cooperation in Education X 2010 UNESCO 2007 BMC Public Health 2006 2008 X Additional Comments Guide for AIDS response *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 96 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Schenker, I.I. & Nyirenda, J.M. Preventing HIV/AIDS in Schools. Schmidt, A., Bjarnegard, E. & Wijngaarden, J. HIVAIDS and Education: A Toolkit for Ministries of Education. Schwartlander, B., Stover, J. Hallet, T., Atun, R., Avila, C., Gouws, E., Bartos, M., Ghys, P.D., Opuni, M., Barr, D., Alsallaq, R., Bollinger, L., de Freitas, M., Garnett, G., Holmes, C., Legins, K., Pillay, Y., Stanciole, A.E., McClure, C., Laga, M., & Padian, N. “Towards an Improved Investment Approach for an Effective Response to HIV/AIDS.” Smith, P.B., Weinman, M.L., Buzi, R.S., & Benton, A.D. “An Evaluation of a SchoolBased Pregnancy Prevention Program Aimed at Young Males: A One-Year FollowUp” Year Publisher 2002 International Academy of Education 2007 UNESCO 2011 Lancet 2004 North American Journal of Psychology Peer Reviewed Qualitative/Quantitative Topic* Accessibility of source (low, medium, high) Additional Comments N/A BCEF Medium Guidance for developing school-based programs for prevention N/A ABCFG Medium Toolkit X N/A BFC Low X QUANT/QUAL ABCE Low X *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 97 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Speizer, I.S., Magnani, R.J. & Colvin, C.E. “The Effectiveness of Adolescent Reproductive Health Interventions in Developing Countries: A Review of the Evidence”. Sperling, G.B. “The Case for Universal Basic Education for the World’s Poorest Boys and Girls.” Stewart, H., McCauley, A., Baker, S., Givaudan, M., James, S., Leenan, I., Pick, S., Reddy, P., Rewthong, U., Rumakom, P., & Walker, D. Reducing HIV Infection Among Youth: What Can Schools Do? Key Baseline Findings from Mexico, Thailand and South Africa. Stewart-Brown, S. What is the Evidence on School Health Promotion in Improving Health or Preventing Disease and, Specifically, What is the Effectiveness of the Health Promoting Schools Approach? Topic* Accessibility of source (low, medium, high) QUAL ACE Low N/A BCF Low Population Council QUAL BCEF Medium WHO QUAL BEI Medium Peer Reviewed Qualitative/Quantitative Year Publisher 2003 Journal of Adolescent Health X 2005 Phi Delta Kappan X 2001 2006 Additional Comments *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 98 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author Stover, J., Bollinger, L., Walker, N., & Monasch, R. “Resource Needs to Support Orphans and Vulnerable Children in Sub-Saharan Africa”. Strickland, B. First Principles: Designing Effective Education Programs for School Health in Developing Countries (Compendium). Subbarao, K. & Coury, D. Reaching Out to Africa’s Orphans: A Framework for Public Action. The Global Coalition on Women and AIDS. Education (Backgrounder). The Global Coalition on Women and AIDS. Educate Girls. Fight AIDS. Issue #1. UNAIDS. Children and AIDS: Third Stocktaking Report, 2008. UNAIDS. 2011-2015 Strategy: Getting to Zero. Year Publisher 2007 Health Policy and Planning 2011 USAID Topic* Accessibility of source (low, medium, high) QUANT DH Low N/A ABFI Medium Peer Reviewed Qualitative/Quantitative X Additional Comments 2004 The World Bank N/A ADFG Medium Offers guidance on interventions 2005 UNAIDS N/A BC Medium Brief 2006 UNAIDS QUANT/QUAL BC Medium Newsletter 2008 UNICEF QUANT ACE Medium 2010 UNAIDS N/A ABC Medium Strategy *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN 99 IATT on Education – HIV and AIDS Communication Tools – Literature Review Document Title/Author UNESCO Bangkok. (2005). Reducing HIV/AIDS Vulnerability Among Students in the School Setting: A Teacher Training Manual. UNESCO IIEP. (2011). SAfAIDS ‘Changing the River’s Flow Summit. Sexual and Reproductive Health and Cultural Practices: A Linking, Learning and Sharing Platform for Integrating HIV, Gender-Based Violence and Maternal and Child Health Interventions in South Africa”. UNESCO. Living and Learning in a World with HIV/AIDS: HIV/AIDS at School UNESCO. From Policy to Practice: An HIV and AIDS Training Kit for Education Sector Professionals (Draft). UNESCO. EDUCAIDS: Towards a Comprehensive Education Sector Response: A Framework for Action. UNESCO. UNESCO Guidelines on Language and Content in HIV- and AIDSRelated Materials. Peer Reviewed Qualitative/Quantitative Topic* Accessibility of source (low, medium, high) Additional Comments Year Publisher 2005 UNESCO N/A BC Medium Manual 2011 UNESCO N/A AC Medium Summit 2004 UNESCO N/A AB Medium Kit 2005 UNESCO N/A AB Medium Training kit 2006 UNESCO N/A B Medium Framework 2006 UNESCO N/A CEF Medium Guidelines *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN IATT on Education – HIV and AIDS Communication Tools – Literature Review 100 Document Title/Author UNESCO. Booklet 1: Overview. Good Policy and Practice in HIV & AIDS and Education (Booklet Series). UNESCO. Booklet 6: PreService Teacher Training. Good Policy and Practice in HIV & AIDS and Education (Booklet Series). UNESCO. UNESCO’s Strategy for HIV and AIDS. UNICEF Namibia Youth Health and Development Programme. A Handbook for AIDS Awareness Activities for Clubs. UNICEF Regional Office for South Asia. Life Skills-Based Education in South Asia: A Regional Overview Prepared for The South Asia Life SkillsBased Education Forum. UNICEF, UNAIDS, & PEPFAR. Africa’s Orphaned and Vulnerable Generations: Children Affected by AIDS. UNICEF. HIV/AIDS Education: A Gender Perspective Tips and Tools. Topic* Accessibility of source (low, medium, high) QUAL ABEF Medium UNESCO QUAL BC Medium UNESCO QUAL CBEF Medium Strategy Handbook; focused on clubs Year Publisher 2011 UNESCO 2011 2011 Peer Reviewed Qualitative/Quantitative 2001 UNICEF N/A BC Medium 2005 UNICEF QUAL BCI Medium 2006 UNICEF QUANT AD Medium 2002 UNICEF N/A BCE Medium Additional Comments Tips and tools *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN IATT on Education – HIV and AIDS Communication Tools – Literature Review 101 Document Title/Author UNICEF. Breaking the Silence: Gendered & Sexual Identities and HIV/AIDS in Education (Young Voices Series). UNICEF. Girls, HIV/AIDS and Education. UNICEF. Promoting Quality Education for Orphans and Vulnerable Children: A Sourcebook of Programme Experiences in Eastern and Southern Africa. Vandemoortele, J. & Delamonica, E. “The ‘Education Vaccine’ Against HIV”. Venkatesh, M. & Neeser, K. Monitoring and Evaluation of School-Based Health and Nutrition Programmes: A Participative Review. Venkatesh, M., Woolnough, A. & Neeser, K. Accelerating the Education Sector Response to HIV in the Federal Republic of Nigeria: A Review of Five Years of Experience. Visser-Valfrey, M. & Sass, J. Strategic Approach: HIV & AIDS and Education. Year Publisher 2003 UNICEF 2004 UNICEF Topic* Accessibility of source (low, medium, high) QUAL BC Medium QUANT/QUAL ABC Medium Peer Reviewed Qualitative/Quantitative 2009 UNICEF 2000 Current Issues in Comparative Education 2008 Partnership for Child Development N/A BCI Medium 2010 Partnership for Child Development QUAL BC Medium 2009 UNAIDS QUAL ABC Medium X QUAL BDEF Medium QUAL AB Low Additional Comments Case studies from African countries and programs Review demand/need for SHN M&E *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN IATT on Education – HIV and AIDS Communication Tools – Literature Review 102 Document Title/Author Visser-Valfrey, M. Linking EDUCAIDS with Other OnGoing Initiatives: An Overview of Opportunities. An Assessment of Challenges. Visser-Valfrey, M. Toolkit for Mainstreaming HIV and AIDS in the Education Sector: Guidelines for Development Cooperation Agencies. Wagner, C.G. “Girls’ Education: Key to ‘Virtuous Circle’.” Wang, L.Y., Davis, M., Robin, L., Coyle, K., & Baumler, E. “Economic Evaluation of Safer Choices: A School-Based Human Immunodeficiency Virus, Other Sexually Transmitted Diseases, and Pregnancy Prevention Program”. Warwick, I. & Aggleton, P. The Role of Education in Promoting Young People’s Sexual and Reproductive Health. Year Publisher 2006 UNESCO 2008 UNAIDS 2008 The Futurist 2000 Archives of Pediatrics and Adolescent Medicine 2002 University of London Topic* Accessibility of source (low, medium, high) QUAL BEF Medium Overview of select projects N/A BEF Medium Toolkit X N/A BC Low X QUANT/QUAL ABEFI Low Peer Reviewed Qualitative/Quantitative N/A BCE Medium Additional Comments Mentions programs currently being implemented *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN IATT on Education – HIV and AIDS Communication Tools – Literature Review 103 Document Title/Author Wellesley Centers for Research on Women & Development and Training Services. Unsafe Schools: A Literature Review of SchoolRelated Gender-Based Violence in Developing Countries. Whitman, C.V. (2004). "Uniting Three Initiatives on Behalf of Caribbean Youth and Educators: Health & Family Life Education and the Healthy Promoting School in the Context of PANCAP's Strategic Framework for HIV/AIDS." World AIDS Campaign. Framework for Women, Girls, and Gender Equality in National Strategic Plans on HIV and AIDS in Southern and Eastern Africa. World Bank. Local Government Responses to HIV/AIDS: A Handbook World Bank. The World Bank’s Commitment to HIV/AIDS in Africa: Our Agenda for Action 2007-2011. Topic* Accessibility of source (low, medium, high) Additional Comments N/A BC Medium Lit review QUAL BEI Low Peer Reviewed Qualitative/Quantitative Year Publisher 2002 USAID 2004 Caribbean Quarterly 2011 World AIDS Campaign N/A CFG Medium Framework for use as an assessment tool for NSPs 2003 The World Bank N/A G Medium Handbook 2008 The World Bank N/A ACEF Medium Action strategy X *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN IATT on Education – HIV and AIDS Communication Tools – Literature Review 104 Document Title/Author World Bank. Learning for All: Investing in People’s Knowledge and Skills to Promote Development – Education Strategy 2020. Yankah, E. & Aggleton, P. "Effects and Effectiveness of Life Skills Education for HIV Prevention in Young People." Zimmerman, R.S., Cupp, P.K., Donohew, L., Sionean, C.K., Feist-Price, S. & Helme, D. “Effects of a SchoolBased, Theory-Driven HIV and Pregnancy Prevention Curriculum.” Topic* Accessibility of source (low, medium, high) Additional Comments QUANT/QUAL BC Medium WB strategy Peer Reviewed Qualitative/Quantitative Year Publisher 2011 The World Bank 2008 AIDS Education and Prevention X QUAL BEFI Low 2008 Perspectives on Sexual and Reproductive Health X QUANT/QUAL BEF Low For the purposes of this literature review, we define the terms as follows: Accessibility: (a) low: can only obtain from publisher or journal directly, need to pay for access; (b) medium: readily available online, but must have internet access to obtain; (c ) high: easily accessible by anyone in print (e.g. from a library) Peer‐Reviewed: Articles are considered to be peer‐reviewed if they were submitted to an academic and medical journals and went through a formal, thorough review process; this does not include articles that were informally reviewed at conferences or meetings *KEY FOR TOPIC COLUMN: A‐HIV/health impacts; B‐Education as prevention; C‐Gendered HIV; D‐OVC; E‐ Project Evaluation; F‐Recommendations for actions; G‐Government plans/action; H‐Cost analysis; I‐ Life Skills/SHN ABOUT AMERICAN INSTITUTES FOR RESEARCH Established in 1946, with headquarters in Washington, D.C., LOCATIONS Domestic American Institutes for Research (AIR) is an independent, Washington, D.C. nonpartisan, not-for-profit organization that conducts behavioral Atlanta, GA and social science research and delivers technical assistance both domestically and internationally. 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