A future of possibilities: Educating children living in HIV impacted households

Close to one and a half million Kenyans reportedly live with HIV/AIDS. Using qualitative in-depth interviews this study explores the ways in which parents living with HIV/AIDS navigate their social and economic environment to provide educational opportunities for their children. Barriers identified include the economic costs of a free primary education, and the emotional implications of living in an HIV affected household. Respondents demonstrate a persistent utilization of internal and external resources in navigating these barriers. These findings support family economic interventions that enable parents guarantee an educational future for their children.     

高校HIV/AIDS健康教育的意义与方法

了解高校HIV／AIDS健康教育的意义,掌握具体的教学方法,加强在大学生人群中开展HIV／AIDS知识的宣传,发挥大学生在HIV／AIDS防治工作中的作用,对控制AIDS的流行具有重要的现实意义。     

The socioeconomic impact of HIV/AIDS on education outcomes in Uganda: School enrolment and the schooling gap in 2002/2003

Due to high prime-age mortality—a result of the HIV/AIDS scourge, the number of orphans in Uganda continues to rise. Using the 2002/2003 Uganda National Household Survey, this paper investigates how HIV/AIDS orphan status affects schooling enrolment and grade progression. Our results show that HIV/AIDS orphans are not significantly less likely to continue schooling but are by far more likely to fall below their appropriate grade. Furthermore, we find that the schooling gaps decreases at higher levels of household welfare status—poor HIV/AIDS orphans, especially aged 13–17 years, are significantly less likely to continue schooling.     

祥云县2004年至2011年HIV／AIDS流行特征分析

目的：掌握祥云县HIV／AIDS流行趋势,为制订防控措施提供依据。方法：利用描述流行病学方法分析祥云县2004年至2011年报告的祥云籍HIV／AIDS疫情资料。结果：2004年至2011年祥云县共报告祥云籍HIV／AIDS389例,年平均报告率10．6。1／10万,死亡58例;其发病率的分布特征为：2004年至2007年呈快速增长趋势,2008年至2010年趋于平缓;县城高于坝区,坝区高于山区;男性（14．62／10万,年均）大于女性（6．89／10万,年均）,两者差异有统计学意义（X％36．82,P〈0．05）,在男性和女性中的比例为2．27：1;以20~40~为主,占79．69％;以农民（293例）为主,占82-4％;以初中以下学历为主,占97．13％;以非婚性接触和静脉吸毒为主,分别占病例总数的45．76％、38．56％。结论：祥云县艾滋病疫情经过实施全球基金艾滋病控制项目后,疫情已得到初步遏制。由于HIV／AIDS疫情的复杂性,感染途径的多样性,必须加强对艾滋病防治知识宣传,提高全民预防艾滋病的意识;重点应对农民、待业青年开展宣传和教育,加强对流动人口的管理;进一步完善咨询检测网络,提高艾滋病的发现,以有效控制艾滋病的蔓延。     

Embedded filming for social change: Learning about HIV/AIDS and rural development professionalism

Rural Development Professionals (RDPs) are key actors in processes of social change for people living with HIV/AIDS in rural areas. This article reports on the filming of a series of workshops and courses for RDPs in Ghana, India, Tanzania and Zambia. In this article the filming and the films are analyzed as tools for learning and social change for different audiences. Analyzing the production and consumption processes shows the interconnectedness of the filming and learning during the courses. The results indicate that the films contribute to improved rural development professionalism in the context of HIV/AIDS.     

回归分析方法预测某市HIV／AIDS流行趋势的应用研究

根据疾病预防控制中心提供的数据,应用回归分析的方法,建立了某市HIV／AIDS逐年新增人数预测模型和经性传播HIV／AIDS新增人数预测模型,并分析得出该市未来3年HIV／AIDS的发展趋势：HIV／AIDS新增人数逐年趋于平稳,但是仍有上升的迹象;经性传播HIV／AIDS新增人数比例逐年上升且速度较快,性传播HIV／AIDS已逐渐成为该市HIV／AIDS传播的主要途径。     

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.     

RESEARCH SECTION: The acceptability of psychosocial support interventions for children orphaned by HIV/AIDS: an evaluation of teacher ratings

The AIDS epidemic has created many orphans around the globe. A majority of these orphans live in sub‐Saharan Africa. Children orphaned by HIV/AIDS face many daunting challenges in their struggle to cope with life. The issues they face due to the loss of their parent(s) include poverty, the stigma associated with HIV/AIDS and stress. This study carried out by Morgan Chitiyo of Southern Illinois University Carbondale, Darlington Changara of Midlands AIDS Caring Organisation and George Chitiyo of Tennessee Technological University discusses how different psychosocial and educational interventions have been developed to help the children to overcome these challenges. However, few of the interventions have been empirically tested to determine their efficacy. The authors set out to evaluate the treatment acceptability of a psychosocial support programme using a group of teachers who had received training and were participating in the implementation of the programme across their schools. Findings from the study indicate high acceptability ratings of the programme.     

当前高校性教育的几点思考

近年来,我国HIV／AIDS呈加速流行趋势,性病发病率逐年上升,洁身自爱,拒绝性乱是阻HIV／AIDS和性病蔓延的有效措施。然而,调查资料表明,受威胁最大的青年人群中的大学生对婚前性行为持宽容态度日益增多,婚前性行为呈上升倾向。为此,必须加强高校性教育,大力倡导中华民族优秀的传统道德观,传授科学健康的性知识,促进大学生们为维护自身生殖健康,培养明的性态度、性观念和负责任的性行为,有效地遏制HIV／AIDS、性病的传播,让青年学生身心健身地成长。     

HIV/AIDS-Anxiety among Adolescent Students in Botswana

This research investigated the incidence of HIV/AIDS anxiety among students in Botswana. The sample comprised 240 randomly selected students from six schools in three districts in Botswana, with data collected via a questionnaire. Percentages and Chi-square were used to analyze the extent to which the students were anxious about HIV/AIDS and if there was a significant gender difference in this regard. Findings showed that the students were anxious on several fronts about HIV/AIDS; specifically that they and their relations might contract the virus and that they might lose family members. There was gender difference in terms of anxiety about the possibility that relations might become infected. The role of the counsellor in reducing HIV/AIDS anxiety among students in communities living with HIV/AIDS is discussed.     

HIV/AIDS educators: The challenges and issues for Namibian bachelor of education students

The Life Skills course is offered to Namibian students in grades eight through twelve. It includes lessons on HIV/AIDS, imparting information and equipping them with the necessary psycho-social skills to assist in reducing the risk of becoming infected. Teachers are the impetus for the success of the course. As such, research was undertaken to understand the knowledge, attitudes, and concerns of Namibian Bachelor of Education students in order to be effective HIV/AIDS educators. Findings determine a gap in knowledge about HIV/AIDS-related issues. Moreover, many students indicated reluctance and a lack of self-efficacy to properly implement HIV/AIDS education.     

Educating the Next Generation of Public Health Social Work Leaders: Findings from a Summit

This article reports the findings of a 2-day public health social work (PHSW) summit that brought together PHSW educators, practitioners, and administrators to generate ideas for preparing the next generation of PHSW leaders. Data from focus groups revealed four themes: the importance of PHSW in our healthcare delivery system, the need for public health social workers to develop their professional identity, the significance of branding/promoting PHSW, and the favorable consequences of infusing PHSW content into social work curricula. Attendees generated ideas for bringing PHSW forward and provided recommendations to accrediting bodies for highlighting the importance of PHSW.     

Lesotho's highly credentialed teachers: Emergent forms of teacher social becoming

Abstract

This is a qualitative study examining the phenomenon of large numbers of secondary teachers with graduate-level degrees in Lesotho. This article draws upon the concepts of social becoming and resiliency to explore how teachers navigate their social structural environment, which fits the definition of a crisis. This article argues that teachers show high levels of resiliency – even thriving – along with positive and negative coping skills. Coping skills include self-enhancement, negative coping skills such as dissociation, and persistence. Obtaining an advanced degree involves an interplay of positive and negative coping skills, depending on the individual and circumstances. Policy is advocated that recognises and supports teachers as both traditional educators and frontline disaster responders, by drawing upon emergent forms of teacher becoming.     

Factors shaping the HIV-competence of two primary schools in rural Zimbabwe

We present multi-method case studies of two Zimbabwean primary schools – one rural and one small-town. The rural school scored higher than the small-town school on measures of child well-being and school attendance by HIV-affected children. The small-town school had superior facilities, more teachers with higher morale, more specialist HIV/AIDS activities, and an explicit religious ethos. The relatively impoverished rural school was located in a more cohesive community with a more critically conscious, dynamic and networking headmaster. The current emphasis on HIV/AIDS-related teacher training and specialist school-based activities should be supplemented with greater attention to impacts of school leadership and the nature of the school-community interface on the HIV-competence of schools.     

HIV/AIDS education in schools: the ‘unassembled’ youth as a curricular project

This paper describes the ways in which administrative structures of the state, techniques of self-government, and practices of social relations exist within HIV/AIDS curricular discourses, a critique enabled by a Foucauldian analytical frame. We argue that youth have been singled out as a particularly risky lot and are therefore prime candidates for HIV/AIDS education. We situate HIV/AIDS education as a method of neoliberal governmentality concerned with regulating the categories of health, risk, and disease in relation to youthful identities. Our aim is to expose the ways in which scientific savoir, values, freedom and restraint work in tandem and hold the potential to shape youthful lives in meaningful ways. We further hope to unmask a certain kind of politics of knowledge that goes, for the most part, unquestioned, because it is linked to normalized ideas about sexuality, morality, individual responsibility, risk, and health.     

Exploring Sexuality Education and the Burdened Teacher: A Participatory Approach in a Rural Primary School in Kenya

Twenty-five years since the onset of HIV/AIDS, young people aged 15–24 now make up half of new HIV infections. This paper advocates for comprehensive sexuality education as an effective panacea to reverse this, with teachers stepping up and embracing their role as sexuality educators. The exploration of this challenge is informed by a small-scale participatory study of teacher responses in a rural primary school in Nakuru district, Kenya. Dialogue was held with 18 teachers (11 females, seven males) on the challenges they faced in teaching sexuality education and teachers emerged as disorientated and embarrassed in conversations about sexuality issues with the pupils. Because sexuality education lacks a curriculum, teachers have found it challenging to integrate it into regular subjects; they also observed that parents seem resistant to addressing this at home, and thus this task falls to them.
In the study, a process of self-awareness of the need for them to step up and teach sexuality education emerges among the participants. A key finding is that participatory and dialectical interventions that can prepare teachers and develop their confidence in teaching sexuality education are required.     

Exploring Sexuality Education and the Burdened Teacher: A Participatory Approach in a Rural Primary School in Kenya

Abstract

Twenty-five years since the onset of HIV/AIDS, young people aged 15–24 now make up half of new HIV infections. This paper advocates for comprehensive sexuality education as an effective panacea to reverse this, with teachers stepping up and embracing their role as sexuality educators. The exploration of this challenge is informed by a small-scale participatory study of teacher responses in a rural primary school in Nakuru district, Kenya. Dialogue was held with 18 teachers (11 females, seven males) on the challenges they faced in teaching sexuality education and teachers emerged as disorientated and embarrassed in conversations about sexuality issues with the pupils. Because sexuality education lacks a curriculum, teachers have found it challenging to integrate it into regular subjects; they also observed that parents seem resistant to addressing this at home, and thus this task falls to them.

In the study, a process of self-awareness of the need for them to step up and teach sexuality education emerges among the participants. A key finding is that participatory and dialectical interventions that can prepare teachers and develop their confidence in teaching sexuality education are required.