What works to meet the sexual and reproductive health needs of women living with HIV-AIDSReport as inadecuate




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Journal of the International AIDS Society

, 14:56

Sexual and reproductive health and rights in the HIV context

Abstract

It is critical to include a sexual and reproductive health lens in HIV programming as most HIV transmission occurs through sexual intercourse. As global attention is focusing on the sexual and reproductive health needs of women living with HIV, identifying which interventions work becomes vitally important. What evidence exists to support sexual and reproductive health programming related to HIV programmes?

This article reviews the evidence of what works to meet the sexual and reproductive health needs of women living with HIV in developing countries and includes 35 studies and evaluations of eight general interventions using various methods of implementation science from 15 countries. Data are primarily from 2000-2009. Searches to identify effective evaluations used SCOPUS, Popline, Medline, websites and consultations with experts. Evidence was ranked using the Gray Scale.

A range of successful and promising interventions to improve the sexual and reproductive health and rights of women living with HIV include: providing contraceptives and family planning counselling as part of HIV services; ensuring early postpartum visits providing family planning and HIV information and services; providing youth-friendly services; supporting information and skills building; supporting disclosure; providing cervical cancer screening; and promoting condom use for dual protection against pregnancy and HIV. Provision of antiretrovirals can also increase protective behaviours, including condom use.

While many gaps in programming and research remain, much can be done now to operationalize evidence-based effective interventions to meet the sexual and reproductive health needs of women living with HIV.

List of abbreviationsAIDSacquired immune deficiency syndrome

ARTantiretroviral therapy

ARVantiretroviral

CD4cluster of differentiation 4, type of white blood cell which HIV infects, low CD4 counts signify low immunity

DMPAdepot medroxyprogesterone acetate, also known as Depo-Provera, a long-term injection hormonal contraceptive

GHIESKOGroupe Haitien d-Etude du Sarcome de Kaposi et des Infections Opportunistes

HAARThighly active antiretroviral therapy

HIVhuman immunodeficiency virus

IPPFInternational Planned Parenthood Federation

IUDintrauterine device

PEPFARUS President-s Emergency Plan for AIDS Relief

SRHsexual and reproductive health

VCTvoluntary counselling and testing

UNAIDSUnited Nations Programme on HIV-AIDS

UNFPAUnited Nations Population Fund

USAIDUS Agency for International Development

WHOWorld Health Organization.

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Author: Jill Gay - Karen Hardee - Melanie Croce-Galis - Carolina Hall

Source: https://link.springer.com/



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