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UNAIDS - Joint United Nations Programme on HIV/AIDS
Guide to Monitoring and Evaluating National HIV/AIDS Prevention Programmes for Young People
Addendum to the UNAIDS "National AIDS Programmes: A Guide to Monitoring and Evaluation"
UNAIDS, Geneva, March 2005, 17 pp

"There have been significant developments made in the past decade in how data on young people and HIV/AIDS are collected, analysed, and used. Worldwide, people are realizing that young people are the key to stopping the spread of AIDS, and this is being reflected in the number of global indicators that relate to young people. This is particularly evident in the recent publication, National AIDS Programmes: a Guide to Monitoring and Evaluation, developed by UNAIDS with a range of partners. Many of the measures that were included in the UNAIDS publication built on indicators that had already been developed for monitoring and evaluating other aspects of adolescent sexual and reproductive health. The experience of the last 10 years, however, has shown that some of these indicators must be ailored to measure the specific efforts directed at the prevention of HIV among young people. Young people are not a homogeneous group: in order to have any chance of success, interventions must be tailored to specific sub-groups. For this, we need the data collected on young people to be disaggregated by such characteristics as age, sex, school attendance and marital status. In addition, we need data that helps us define and understand especially vulnerable young people, such as intravenous drug users, and men who have sex with men. Data are also needed that differentiate between individual and contextual factors that increase young people’s likelihood of engaging in high-risk behaviour. This would make it possible to understand and monitor the kinds of behaviours that increase the risk of young people becoming infected with HIV, as well as the external factors in their families, peer groups, communities and societies that increase the risk of engaging in high-risk behaviour, and can limit their access to information, services, and support. This guide should also help to place HIV/AIDS within the broader context of efforts to improve young people’s sexual and reproductive health and promote adolescent health and development. While impossible to cover indicators in all areas relevant to prevention of HIV/AIDS among young people, this guide presents a conscious effort to expand the measurement lens from a narrow focus on individual behaviours to the determinants of these behaviours. Hence a set of indicators focusing on the key determinants of behaviours, and a set focusing on minimal components of a national prevention programme. In addition, the set of behavioural indicators has also been expanded to include behaviours which may not be causally related to HIV infection, but which contribute to young people's vulnerability to HIV - such as forced sexual relations, and age-mixing in sexual partnerships among young women."

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Related Published Resources


  • UNAIDS - Joint United Nations Programme on HIV/AIDS, National AIDS Programmes: A Guide to Monitoring and Evaluation, UNAIDS, Geneva, June 2000, 133 pp. [ PDF File | Details... ]