THE IMPACT OF HIV/AIDS ON EDUCATION WORLDWIDE INTERNATIONAL PERSPECTIVES ON EDUCATION AND SOCIETY Series Editor: Alexander W. Wiseman Recent Volumes: Series Editor from Volume 5: David P. Baker Volume 5: New Paradigms and Recurring Paradoxes in Education for Citizenship: An International Comparison Volume 6: Global Trends in Educational Policy Volume 7: The Impact of Comparative Education Research on Istitutional Theory Volume 8: Education For All Volume 9: The Worldwide Transformation of Higher Education Volume 10: Gender, Equality and Education from International and Comparative Perspectives Series Editor from Volume 11: Alexander W. Wiseman Volume 11: Educational Leadership: Global Contexts and International Comparisons Volume 12: International Educational Governance Volume 13: The Impact of International Achievement Studies on National Education Policymaking Volume 14: Post-Socialism is Not Dead: (Re)Reading the Global in Comparative Education Volume 15: TheImpactandTransformationofEducationPolicyinChina Volume 16: Education Strategy in the Developing World: Revising the World Bank’s Education Policy Volume 17: Community Colleges Worldwide: Investigating the Global Phenomenon INTERNATIONAL PERSPECTIVES ON EDUCATION AND SOCIETY VOLUME 18 THE IMPACT OF HIV/AIDS ON EDUCATION WORLDWIDE EDITED BY ALEXANDER W. WISEMAN Lehigh University, USA RYAN N. GLOVER Lehigh University, USA United Kingdom – North America – Japan India – Malaysia – China EmeraldGroupPublishingLimited HowardHouse,WagonLane,BingleyBD161WA,UK Firstedition2012 Copyrightr2012EmeraldGroupPublishingLimited Reprintsandpermissionservice Contact:[email protected] Nopartofthisbookmaybereproduced,storedinaretrievalsystem,transmittedinany formorbyanymeanselectronic,mechanical,photocopying,recordingorotherwise withouteitherthepriorwrittenpermissionofthepublisheroralicencepermitting restrictedcopyingissuedintheUKbyTheCopyrightLicensingAgencyandintheUSA byTheCopyrightClearanceCenter.Anyopinionsexpressedinthechaptersarethose oftheauthors.WhilstEmeraldmakeseveryefforttoensurethequalityandaccuracyof itscontent,Emeraldmakesnorepresentationimpliedorotherwise,astothechapters’ suitabilityandapplicationanddisclaimsanywarranties,expressorimplied,totheiruse. BritishLibraryCataloguinginPublicationData AcataloguerecordforthisbookisavailablefromtheBritishLibrary ISBN:978-1-78190-232-5 ISSN:1479-3679(Series) CONTENTS LIST OF CONTRIBUTORS vii PREFACE ix HIV/AIDS AND ITS IMPACT ON EDUCATION IN SUB-SAHARAN AFRICA: POLICY INITIATIVES AND CHALLENGES Laban Ayiro 1 HIV/AIDS EDUCATION PROGRAMS IN KENYA: CONTEXTS OF IMPLEMENTATION IN SECONDARY SCHOOLS IN KISII COUNTY Kennedy Ongaga and Mary Ombonga 27 HIV EDUCATION IN UGANDAN SECONDARY SCHOOLS: ATTITUDES OF STUDENTS, TEACHERS, AND ADMINISTRATORS W. James Jacob, Donald E. Morisky and 57 Yusuf K. Nsubuga MULTIPLE EFFECTS OF EDUCATION ON DISEASE: THE INTRIGUING CASE OF HIV/AIDS IN SUB-SAHARAN AFRICA William Smith, Daniel Salinas and David P. Baker 79 TAKING A HOLISTIC APPROACH TO HIV/AIDS EDUCATION IN ZAMBIAN SCHOOLS Rosah Moonga Malambo 105 HIV/AIDS AND EDUCATION IN BOTSWANA Gaelebale Nnunu Tsheko 141 v vi CONTENTS THE IMPACT OF HIV AND AIDS ON LESOTHO PRIMARY SCHOOL CHILDREN Grace Makeletso Ntaote 161 ACTING STUBBORN: UNDERSTANDING ‘‘VULNERABILITY’’ AND SECONDARY SCHOOL PARTICIPATION IN LESOTHO Anne Smiley 187 GENDER, SEXUALITY AND HIV AND AIDS EDUCATION IN SOUTH AFRICA Deevia Bhana and Shakila Singh 213 PERCEIVED FACTORS UNDERLYING HIV RISK BEHAVIOUR OF YOUNG PEOPLE IN SOUTH AFRICAN SCHOOLS Maretha J. Visser 231 ‘‘NEW MUTUALISM’’ IN SMALL (AND MICRO) STATES: THE AIDS GENERATION AND AIDS FATIGUE IN THE CARIBBEAN EDUCATIONAL POLICY SPACE Tavis D. Jules 259 ABOUT THE AUTHORS 287 AUTHOR INDEX 293 SUBJECT INDEX 301 LIST OF CONTRIBUTORS Laban Ayiro Moi University, Eldoret, Kenya David P. Baker Penn State University, University Park, PA, USA Deevia Bhana University of KwaZulu-Natal, Durban, South Africa Ryan N. Glover Lehigh University, Bethlehem, PA, USA W. James Jacob University of Pittsburgh, Pittsburgh, PA, USA Tavis D. Jules Loyola University Chicago, Chicago, IL, USA Rosah Moonga Oslo and Akershus University College of Malambo Applied Sciences, Oslo, Norway Donald E. Morisky University of California, Los Angeles, Los Angeles, USA Yusuf K. Nsubuga Uganda Ministry of Education and Sports, Kampala, Uganda Grace Makeletso Lesotho College of Education, Maseru, Ntaote Lesotho Mary Ombonga University of North Carolina Wilmington, Wilmington, NC, USA Kennedy Ongaga University of North Carolina Wilmington, Wilmington, NC, USA Daniel Salinas Penn State University, University Park, PA, USA Shakila Singh University of KwaZulu-Natal, Durban, South Africa vii viii LIST OFCONTRIBUTORS Anne Smiley FHI 360, Washington, DC, USA William Smith Penn State University, University Park, PA, USA Gaelebale Nnunu University of Botswana, Gaborone, Tsheko Botswana Maretha J. Visser University of Pretoria, Hatfield, South Africa Alexander W. Wiseman Lehigh University, Bethlehem, PA, USA PREFACE Little is known about the impact of HIV/AIDS on education worldwide. Much ofthe mystery surroundingHIV/AIDS and education lies in thefact thattheirintersectioniscontextualizedbymanyotherfactors.Forexample, many of the children who are at risk of not finishing school or have never had the chance to attend school live day-to-day in communities with high HIV/AIDSinfectionrates.Toexacerbatetheproblem,insomecountriesthe highest HIV/AIDS infection rates are in marginalized and extremely poor communities while in others it is among the most affluent communities. Girls, young women, orphaned and vulnerable children either living or working in disadvantaged communities have some of the highest risk for HIV/AIDSinfectionbecauseoftheirfrequentexposuretoHIV/AIDS.But, those who are more mobile due to their occupations or wealth are also at high risk in countries worldwide. A lack of specifically focused education about health and HIV/AIDS as well as more general health education not only diminishes their economic chances, but also increases their potential for high-risk sexual behavior and health-related decision-making. In addition, there is often a stigma associated with HIV/AIDS education and prevention, which inhibits teachers and other adults from talking candidly with primary school-age children about the disease and how to prevent it. Yet, in spite of the devastating impact of HIV/AIDS, the education of children and teachers is still perceived around the world as a great hope in the fight against it. Throughanexaminationofthedisease’srelationshipwitheducation,this volumeuniquelyexploreshowHIV/AIDSimpactseducationsystems,while also examining how education has responded. Given the context and prevalenceofHIV/AIDSworldwide,thechaptersinthisvolumeinvestigate the relationship between HIV/AIDS and education from international and comparative perspectives. The chapters focus largely on the relationship between HIV/AIDS and education in sub-Saharan African countries and nationaleducationsystems.However,onechapterexaminestheHIV/AIDS phenomenon in the Caribbean, which is a unique approach given the proclivity of investigations to concentrate almost exclusively on African countries and systems. ix
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