Silence,sexuality and HIV/AIDS in South African schools

In South Africa where there is a very high HIV infection rate among teenagers and young adults, it is surprising to find that students and teachers are very unwilling to talk about the possibility of being or becoming HIV positive. While AIDS messages dominate public discourse, there is a silence in schools about the personal in relation to AIDS. This article seeks to explain the reluctance of learners to test, talk about and disclose their HIV status, by examining silence within a broader context. It draws on gender theories to show the connections between the silence of AIDS and broader, society-wide gender inequalities. A focus on ‘silence’ adds a neglected gendered phenomenon to the understanding of the AIDS pandemic. Silence is a feature of gender relations that prevents the negotiation of safe sex, the exploration of the self and the expression of vulnerability and hence the building of trust and respect. Conversely, silence contributes to intolerance and fuels prejudice. When interventions consciously attempt to break the silence, they make a major contribution to reducing the likelihood of HIV transmission and to promoting gender equality.     

Developing an HIV/AIDS Education Curriculum for Takalani Sesame, South Africa's Sesame Street

The HIV/AIDS pandemic in South Africa has prompted a need for extensive efforts to educate citizens of all ages about the disease and ways of coping with its impact. This paper describes the process of developing an HIV/AIDS education curriculum for Takalani Sesame, an educational media project for young South African children. The process began with formative research with adults and children, and extensive discussions with HIV/AIDS health specialists. Guided by the research and advice from specialists, a team of educators developed a comprehensive curriculum that the Takalani Sesame production team will use to create HIV/AIDS education messages for television, radio and outreach materials for children ages 3-7 and the adults who care for them.     

Educational attainment and HIV/AIDS prevalence: A cross-country study

Using data for a large cross-country sample, a reasonable model is estimated to judge the effect of adult educational attainment on prevalence of HIV. Three main points are noted. First, there is an indication of a significantly negative effect of educational attainment on HIV prevalence. Second, magnitude of the impact appears sizable. Third, a simple test suggests that the model does not have any major specification problem. Three additional aspects may also be interesting. First, the impact of per capita income is negative but statistically weak. Second, the effect of health expenditures lacks significance and does not carry the expected sign. Third, the proportion of population that is Muslim has a significantly negative association with HIV prevalence, perhaps reflecting the widely-shared view that male circumcision lowers acquisition of the disease.     

Educating women about HIV/AIDS: some international comparisons

This paper describes current trends in the HIV/AIDS epidemic. It looks at issues and strategies involved in educating women about HIV/AIDS in the context of the global pandemic, focusing particularly on Canada and Vietnam. These strategies are essential steps in preventing the spread of HIV and in caring for those who have already developed AIDS. The strategies identified include the formulation of public policy within Canada, Vietnam, and the UK which would strive to eliminate inequality and discrimination, while at the same time positioning HIV/AIDS education within a gender‐sensitive perspective. Other educational strategies include teaching women how to practise negotiated safety while understanding the power dynamics within which safer sex must occur, being sensitive to local cultures and moving away from individualistic programmes towards programmes that focus on structural inequalities.     

Experiences of HIV/AIDS Counselors in Zimbabwe and Their Perceptions on the State of HIV/AIDS Counseling in Zimbabwe

This study investigated Zimbabwean counselors' experiences of providing HIV/AIDS counseling and their perceptions about the state of HIV/AIDS counseling in Zimbabwe. The participants were a diverse group of counselors, 30 through 59 years of age, who provided counseling services to HIV/AIDS clients. Participants thought HIV/AIDS counselors in Zimbabwe received minimal support and supervision and were undertrained. They identified that the first sessions with clients were the most difficult. They also found it problematic to work with couples who were serodiscordant (one partner who is HIV positive and the other HIV negative) and couples wanting children. The later stages of the counseling process were also found to be challenging. Though the participants acknowledged they had negative psychological experiences when counseling HIV/AIDS clients, they also expressed feelings of satisfaction and fulfillment in their work.     

Moral Development,HIV/AIDS Knowledge,and Attitude toward HIV/AIDS among Counseling Students in the United States

People living with HIV/AIDS will likely require services from mental health professionals to address the complex psychosocial effects of the illness. In the United States, counseling students are not likely to be well prepared to serve clients affected by HIV/AIDS, and little is known about their HIV-related knowledge and attitudes. The present study assessed the moral development, HIV/AIDS knowledge, and attitudes toward HIV/AIDS among a national sample of counseling students in the United States. Results indicated that students held biases toward people living with HIV/AIDS and that their attitudes toward HIV/AIDS were inversely related to their level of moral development.     

Programme guidelines: effective and ineffective school-based sex and HIV / AIDS education programmes

In several countries, despite considerable opposition to sex and HIV/AIDS education programs, school-based reproductive and sexual health education is gradually gaining ground. It has expanded to include adolescent and sexual health. There exist positive trends and evident changes in the delivery of school-based reproductive and sexual health education. Among these are the following: 1) systemic and deliberate incorporation of adolescent reproductive and sexual health issues in the school curriculum in countries that have UN Population Fund population programs; 2) inclusion of reproductive and sexual health issues in different subjects, which paves the way for their incorporation into the curriculum; 3) continuous improvement in the delivery, content, methodologies and activities of population education, particularly the inclusion of topics concerned with reproductive and sexual health and greater emphasis on the behavioral and skills development; and 4) the growing nongovernmental organization involvement in the provision of reproductive and sexual health education and training. Numerous factors ensure the success of the programs; they are the use of social learning and cognitive behavioral theory and clear mission statements, communication and negotiation practical exercises, values formation, interactive strategy development, effective training, behavior change--particularly with regard to risk-taking behavior, and provision of a supportive environment.     

对同性恋者的歧视加重非洲艾滋病危机

令人震惊的陈述——医护工作者羞辱HIV呈阳性的同性恋患者：“他死了,我想,他的死部分是由于走投无路。”     

Towards a unified theory for HIV/AIDS counselling

The paper explores the introduction of an unified theory for HIV/AIDS counselling. To date the provision of HIV/AIDS counselling has been largely based upon the behavioural theory of counselling. This theory has been adopted by WHO/GPA and its main aims have been the prevention of HIV infection and the psychosocial support for those already infected. It is argued that future counselling interventions should be redirected from a disease-centred approach to a person centred approach. This redirection can be facilitated by the adoption of the self concept as the central measure for evaluating change. It is argued that various ideas should be selected from the behavioural, psychoanalytical and humanistic theories of counselling. These ideas should be amalgamated into a unified theory which provides the theoretical foundation upon which a comprehensive counselling intervention can be based.     

Addressing educational needs of children with HIV/AIDS

With the increased occurrence of HIV and AIDS among children, the education system of countries is particularly burdened as these children survive into adulthood and beyond, as anti-retroviral regimens are increasingly effective in prolonging life. One of the most challenging problems presented to educators, when confronted with the growing HIV/AIDS school population, is the planning of education programmes based on these children's information-processing strengths, but also taking into account HIV/AIDS related cognitive restraints. An education-focused response to the HIV/AIDS pandemic requires a clear understanding of medical and neuropsychological effects of HIV/AIDS-related illness on cognition and residual learning difficulties, as well as a clear understanding of the educational needs of these learners. The impact of medical conditions such as HIV encephalopathy or encephalitis (also know as the AIDS dementia complex), subcortical dementia, cranial calcifications, non-Hodgkin's lymphomas (NHL), cerebrovascular disease, progressive multifocal leucoencephalopathy (PML), white matter disease, toxoplasmosis, syphilis, meningitis and ophthalmic problems leading to educational difficulties are discussed. From this information we propose an instructional delivery framework for children with HIV/AIDS and argue the importance of addressing the educational needs of this growing population of children. A broad multidisciplinary approach is essential if we are to understand the complexity of the pandemic and respond to it.     

HIV/AIDS School-based Education in Selected Asia-Pacific Countries

This paper describes findings from a recent UNAIDS-funded study of how education systems in selected countries in East Asia, South East Asia and the Pacific are responding to HIV/AIDS-related education. Data were collected by means of postal questionnaire and key informant interviews in Brunei, Cambodia, China, Indonesia, Malaysia, Mongolia, Myanmar, the Philippines, Papua New Guinea, Thailand and Vietnam. Sources of information varied but included ministries, non-governmental organisations and other interested bodies. Findings suggest that the education provided is largely information-based, but with a developing emphasis on life-skills such as assertiveness and negotiation. Specific sexual practices are rarely discussed in the region's schools, except in a somewhat mechanistic way, focusing mainly on human reproduction and anatomy. However, those countries most affected by the epidemic are beginning to re-think their approaches. An increasing openness about sexual and drug injecting practices, and how to communicate these issues with young people, is beginning to become apparent.     

HIV/AIDS传播的动力学模型及其分析

建立了含有常微分方程和偏微分方程的方程组来描述的模型。考虑了垂直感染、AIDS病人具有传染性、发病年龄、AIDS病人有可能恢复到潜伏期这些因素,利用系统方程,直接推出：当AIDS引起死亡率变化时,社会总人口衰减。利用泛函分析方法和有界线性算子半群理论分析了系统的适定性问题。     

Survey of HIV/AIDS Clients in Botswana: Reactions to Supportive Counselling

A survey of HIV/AIDS clients in Botswana, Africa, all of whom were receiving supportive counselling, was conducted. A total of 328 volunteer clients from randomly selected sites completed the survey related to client perceptions of counselling helpfulness, outlook on life, satisfaction with goal setting in counselling, experience of social stigma, and acceptance by family and others. Overall, clients were very positive concerning the benefits received from counselling, their relationship with their counsellor, the goal setting process, their family/friends support system and their present quality of life. The majority of clients did, however, indicate some level of feeling stigmatized by being HIV-positive. Additional major findings indicated that clients with family incomes of less than 10 K pula per year (around US$1 k) were less positive about their counselling and related experiences than were those with higher levels of family income, with the exception of social stigma where lower family income was associated with less perceived social stigma. Clients reporting counselling sessions lasting more than 15 min were generally more positive in their reactions to counselling and related experiences than were clients reporting sessions typically lasting 15 min or less. A discussion of the findings, along with recommendations for areas needing further study and attention, is provided.