
HIV and AIDS
Ethical Implications of Working with Children
Few resources exist to help program managers and evaluators deal with the
difficult and potentially harmful situations that may arise when working
with children affected by HIV/AIDS. At the request of the U.S. Agency for
International Development (USAID), a steering group was formed composed of
representatives of the Horizons program, Family Health International’s
IMPACT Program, UNICEF, and USAID to develop practical guidelines for those
who work with young people in international settings. The insights and
experiences of this group and others working in the field were collected and
analyzed in a handbook.
HIV Prevention
Education Improves Breastfeeding Practices in Zambia
Last year 800,000
children became infected with HIV, most of them during their mother’s
pregnancy, childbirth, or through breastfeeding. In antenatal clinics in
Ndola, Zambia, the Population Council’s Horizons program, in collaboration
with three nongovernmental organizations and two government agencies,
tested the introduction of infant feeding counseling to inform women about
ways to reduce the risk of HIV transmission during breastfeeding and to
support them in their infant feeding choices. Research showed that women
receiving infant feeding counseling maintain healthier breastfeeding
practices in the first six months of their infants’ lives but that more
work is needed to increase community use of HIV counseling and testing
services and to promote behavior change.
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