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Showing 41 - 60 of 98 Results for "stigma"

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Targeted education efforts can increase adolescent uptake of HIV testing and counseling and related services
Increasing Access to Services
2 studies Gray IIIa, IIIb adolescents, health services, stigma, testing, treatment Ethiopia
Research and interventions are needed to better to support people living with HIV with disclosure and reduce stigma so they can adhere to ART and can continue to have a healthy and safer sex life. In-depth interviews with patients in South Africa who were acutely infected found that patients did not retain the information that they are very likely to transmit HIV and that condom use was particularly important, but were focused on identifying who transmitted HIV to them. In addition, patients were still in shock on learning of their HIV status and did not understand how they could be HIV-positive if they tested negative with a rapid HIV test (Wolpaw et al., 2014). Women who were acutely infected in South Africa faced profound "challenges, immediately after HIV diagnosis" (Tomita et al., 2014b: 1118). Focus groups of women living with HIV found that women were concerned that their access to lifelong treatment when becoming pregnant may discourage their men from condom use, as men know that treatment can decrease the risk of transmission.
Staying Healthy and Reducing Transmission
1 study
Promoting acceptability of condom use by both women and men as the norm in sexual intercourse may decrease national HIV prevalence.
Male and Female Condom Use
4 studies Gray IIIb, V condoms, marriage, pregnancy, sexual partners, stigma Ethiopia, Kenya, South Africa, Sub-Saharan Africa, Tanzania, Uganda, Zambia
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
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
Migrant Women and Female Partners of Male Migrants
Prevention for Key Affected Populations
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...
(Farabee and Leukefield, 1999; Dolan et al., 1998, cited in Farmer, 1999).
Women Prisoners and Female Partners of Male Prisoners
2 studies Gray IIIb, V Western Europe, harm reduction, needles, prisoners, razors Central Asia, Eastern Europe, Moldova
Adherence and Support
Treatment
"I'm 18 years, you are telling me drugs for life?" --Woman living with HIV in Uganda (Hsieh, 2013: 11)Treatment adherence is necessary to continually suppress the virus. Adherence to ART leads to better virological outcomes, prevents disease progression and improves survival (Nachega et al., 2010a; Nachega et al., 2010c). Conversely, inadequate adherence leads to drug resistance, which can then...
Delivery
Safe Motherhood and Prevention of Vertical Transmission
For women with HIV, there is little evaluated evidence available regarding delivery options, though research has shown that by substantially lowering viral load, HAART can diminish the advantage of a cesarean section in reducing perinatal transmission (Sharma and Spearman, 2008; Rongkavilit and Asmar, 2011; Coovadia and Newell, 2012). Cesarean sections are not always available or safe in many d...
Postpartum
Safe Motherhood and Prevention of Vertical Transmission
Postpartum care is the most neglected aspect of maternal health, yet a time of high risk for maternal mortality. "The majority of maternal deaths occur during or immediately after childbirth; ...up to half of all newborn deaths occur within the first 24 hours of life" (WHO et al., 2011c). While many women access antenatal care, much fewer women globally have access to postnatal care. For exampl...
Treatment support sessions can increase adherence among adolescents.
Increasing Access to Services
5 studies Gray II, IIIb, V adherence, adolescents, parents, reatment, support, testing, treatment, ttesting South Africa, Thailand, Zambia, Zimbabwe
Mass media campaigns concerning gender equality as part of comprehensive and integrated interventions can increase HIV protective behaviors. [See also %{s:23} – many of the media interventions for young people promote equitable gender norms]
Transforming Gender Norms
2 studies Gray IIIa, IIIb STIs, communication, condoms, gender norms, self-perception, violence, youth Brazil, Nicaragua
Promoting family planning counseling and voluntary contraceptive use as part of routine HIV services (and vice versa) can increase contraceptive use, including dual method use, thus averting unintended pregnancies and transmission among women living with HIV. [See also above and %{c:15}]
Structuring Health Services to Meet Women’s Needs
2 studies Gray V HIV testing, PMTCT, condom use, contraception, family planning, treatment South Africa, Uganda
Knowledge of treatment availability can increase uptake of HIV testing. [See also %{s:29}]
HIV Testing and Counseling for Women
4 studies Gray IIIb, IV, V HIV testing, counseling, treatment South Africa, Uganda, Zimbabwe
Discussing the risk of vertical transmission with providers and/or other HIV-positive women with seronegative children can increase women’s confidence about preventing vertical transmission of HIV.
Pre-Conception
3 studies Gray IV, V Cuba, PMTCT, support groups, treatment South Africa, Thailand
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...
Structuring Health Services to Meet Women’s Needs
The manner in which health services are structured has an impact on HIV prevention, treatment and care services for women and girls. Women often need multiple reproductive health services such as family planning in addition to HIV prevention, treatment and care, but most health care facilities are not structured to provide integrated services. Integration can be defined broadly as 1) co-locatio...
Community health workers and community-based support can increase uptake of safe motherhood interventions for women living with HIV and reduce vertical transmission
Antenatal Care - Treatment
9 studies Gray II, IIIa, IIIb community-based outreach, community-based support, infants, pregnancy, treatment Africa, Kenya, Malawi, Rwanda, South Africa
Antenatal Care - Testing and Counseling
Safe Motherhood and Prevention of Vertical Transmission
In 2007, only an estimated 18% of pregnant women were offered HIV tests (ITPC, 2009). "The purpose of antenatal VCT should be to help a woman prepare for a possible positive HIV diagnosis [and] to provide her with information about PMTCT options" (De Bruyn and Paxton, 2005: 145). In developing country settings, between eight and ten percent of women report having received PMTCT interventions (P...
Routine screening and treatment of TB and HIV patients in endemic countries can increase detection of co-infection and increase patient survival.
Tuberculosis
3 studies Gray II, IIIb TB, screening, treatment Brazil, Rwanda, Sub-Saharan Africa