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Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
Given that most HIV transmission occurs through sexual intercourse, it is critical to include a sexual and reproductive health lens in HIV programming. In fact, several European governments have recently revised their international policies, recognizing that HIV/AIDS is a sexual and reproductive health issue (Germain et al., 2009).
All women have the right to decide freely and responsibly on t...
Reducing Stigma and Discrimination
"...Three decades into the epidemic, stigmatization remains a core feature of the patient experience of HIV/AIDS" (Gilbert and Walker, 2010: 144). Or as one woman living with HIV in Thailand put it: "It does not matter how many thousand people have HIV/AIDS... I would say that only zero percent will accept people living with HIV/AIDS" (Liamputtong et al., 2009: 865). Stigma and discrimination h...
Informed and appropriate counseling during ANC can lead to increased discussion between partners and increased protective behaviors such as condom use.
Antenatal Care - Testing and Counseling
2 studies
Gray
IIIb, V
HIV testing, PMTCT, antenatal care, communication, condom use, counseling, pregnancy
Côte d’Ivoire, Honduras, India, Rwanda, Zambia
Strengthening the Enabling Environment
In order for HIV and/or AIDS interventions for women and girls to succeed, factors beyond the health services need to be addressed through multisectoral interventions. These environmental factors include gender norms that guide how girls and boys grow to be women and men, legal norms that confer or withhold rights for women and girls, access to education, income, levels of tolerance for violenc...
Women and Girls in Complex Emergencies
Complex emergencies are situations of disrupted livelihoods and threats to life produced by warfare, civil disturbance and large-scale movements of people, in which any emergency response has to be conducted in a difficult political and security environment (WHO, 2002). Complex emergencies can also be generated from natural disasters. An estimated 200 million people are affected every year by h...
Continued counseling (either group or individual) and related training for those who are HIV-positive and those affected by HIV can relieve psychological distress.
Women and Girls
4 studies
Gray
II, IV, V
counseling, depression, mental health, psychosocial impact, psychosocial support, risk behavior, sex behavior, support
Nigeria, South Africa, Thailand, Uganda
Peer support groups can be highly beneficial to women living with HIV.
Women and Girls
11 studies
Gray
IIIa, IIIb, IV, V
PLHA, PMTCT, care, counseling, disclosure, mothers, stigma, support grops, support groups, treatment
Australia, Botswana, India, Kenya, South Africa, Thailand, Uganda, Vietnam, Zambia, Zimbabwe
Involving partners, with women’s consent, can result in increased testing and disclosure and may reduce risk of vertical transmission and infant mortality.
Antenatal Care - Testing and Counseling
4 studies
Gray
II, IIIa, IIIb
HIV testing, PMTCT, STIs, antenatal care, condoms, counseling, pregnancy, sexual partners
India, Kenya, South Africa
Migrant Women and Female Partners of Male Migrants
Women and men migrate for any number of reasons: lack of food or employment opportunities, war, etc. "In much of South Asia and sub-Saharan Africa, millions of people living in poverty have no viable employment opportunities close to home, forcing individuals to migrate from their communities in search of... a means to provide economic resources for their families. Because of changing market de...
Community or school-based HIV education can reduce stigmatizing attitudes towards those living with HIV
Mitigating Risk
6 studies
Gray
IIIa, IIIb, V
Lao PDR, adolescents, communication, education, knowledge, self-perception, sex education, sexual behavior, stigma
China, South Africa, Thailand, Uganda
Providing treatment support and literacy, including by HIV-positive peers and by providers, can increase adherence.
Adherence and Support
4 studies
Gray
IIIb, V
adherence, counseling, literacy, support, support groups, treatment, treatment literacy
Indonesia, Mozambique, Swaziland, Thailand
Advancing Human Rights and Access to Justice for Women and Girls
*Respecting, protecting and fulfilling womens rights, particularly the rights of the most marginalized women, is increasingly understood as fundamental to an effective HIV response. Laws reflecting unequal gender norms that discriminate against women may limit their ability to protect themselves from HIV infection. In many countries where women are most at risk for acquiring HIV, laws to protec...
Transforming Gender Norms
Gender norms stand in the way of reducing HIV; indeed, a recent study states that, "The global HIV pandemic in its current form cannot be effectively arrested without fundamental transformation of gender norms" (Dunkle and Jewkes, 2007: 173). As former U.S. Secretary of State Hillary Clinton stated: "Achieving our objectives for global development will demand accelerated efforts to achieve gend...