Showing 61 - 80 of 82
Results for "risk reduction"
Results
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...
Postpartum
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...
Exclusive breastfeeding for the first six months of the infant’s life with a gradual decrease in breastfeeding results in lower rates of HIV transmission to the infant, reduced infant mortality, and improved infant growth compared to mixed feeding or abrupt weaning. Where clean accessible water is not available, breastfeeding after six months reduces infant mortality.
Postpartum
12 studies
Gray
II, IIIa, IIIb
CD4 counts, PMTCT, breastfeeding, breastfeeding PMTCT, formula feeding, infant feeding, mixed feeding, treatment
Côte d’Ivoire, Malawi, Nigeria, South Africa, Uganda, Zambia, Zimbabwe
Preventing unintended pregnancies can reduce perinatal transmission.* [See also %{c:15}]
Preventing Unintended Pregnancies
4 studies
Gray
V
PMTCT, contraception, family planning, pregnancy, treatment
Botswana, Cameroon, Côte d’Ivoire, Democratic Republic of Congo, Ethiopia, Guyana, Haiti and Vietnam, India, Kenya, Malawi, Mozambique, Namibia, Nigeria, Rwanda, South Africa, Tanzania, Uganda, Zambia, Zimbabwe
Expanding distribution of female condoms may increase female condom use, thus increasing the number of protected sex acts and preventing HIV acquisition and transmission.
Male and Female Condom Use
6 studies
Gray
IIIb
STIs, counseling, female condoms, sex workers, sexual partners
Brazil, China, Kenya, Madagascar, South Africa, Zimbabwe
Community organizing and mobilization, including "know your rights" initiatives and engagement with customary leaders, can help women claim their legal rights and minimize the impact and further spread of HIV.
Advancing Human Rights and Access to Justice for Women and Girls
12 studies
Gray
IIIb, IV, V
community organizing, drug use, legal rights, peer education, peer support, property rights, sex work, training
India, Indonesia, Kenya, Malawi, South Africa, Uganda, Zimbabwe
Counseling improves adherence.
Adherence and Support
6 studies
Gray
I, II, IIIa
adherence, and Zambia, community, community health workers, counseling, health care providers, support, treatment
Côte d'Ivoire, Ethiopia, Kenya, Lesotho, Mozambique, Nigeria, Rwanda, South Africa, Sub-Saharan Africa, Tanzania
Antenatal Care - Testing and Counseling
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...
Increasing Access to Services
While the literature on access to HIV services by adolescents is limited, the literature on access to sexual and reproductive health services more broadly demonstrates that youth-friendly approaches can increase use of reproductive health care services by female adolescents (Gay et al., 2015). Young peoples service needs are frequently overlooked in HIV programming that is not specifically for ...
Home testing, consented to by household members, can increase the number of people who learn their serostatus.
HIV Testing and Counseling for Women
9 studies
Gray
I, IIIa, IIIb
HIV testing, condoms, counseling, disclosure, health facilities, home-based testing
Kenya, South Africa, Uganda, Zambia
Integrating CD4 count service with voluntary counseling and testing or primary health clinics can accelerate initiation of treatment.
Provision and Access
4 studies
Gray
I, II, IIIb
CD4 count, CD4 counts, HIV testing, and Zimbabwe, health facilities, treament, treatment
Cameroon, Mozambique, South Africa, Tanzania, Thailand, Uganda
Female Sex Workers
Sex workers, whose work involves sexual relations with multiple partners, are a key group of women who need access to comprehensive sexual health services, including HIV prevention, treatment and care. Programs that enhance sex workers' ability to use condoms are also vitally important (Lafort et al., 2010; Pisani, 2008). Unprotected sex with multiple partners puts sex workers at risk of HIV ac...
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...
Integrating HIV services with family planning, maternal health care or within primary care facilities can increase uptake of HIV testing and treatment and other reproductive health services. [See also %{s:45}]
Structuring Health Services to Meet Women’s Needs
9 studies
Gray
IIIa, IIIb, IV
CD4 counts, HAART, HIV testing, TB, abortion, condom use, contraception, family planning, health facilities, pregnancy, testing, treatment
Cambodia, Kenya, Mozambique, Nigeria, South Africa, Tanzania, Zambia
Decentralization and integration of HIV services may increase adherence and early access to ART. [See also %{c:25}]
Adherence and Support
7 studies
Gray
I, IIIa
Central African Republic, adherence, and Zimbabwe, health facilities, health services, the Democratic Republic of the Congo, the Republic of the Congo, treatment
Cambodia, Côte d'Ivoire, Democratic Republic of Congo, Ethiopia, India, Kenya, Lesotho, Malawi, Mozambique, Nigeria, Rwanda, South Africa, Swaziland, Tanzania, Thailand, Uganda, Zambia
Antiretroviral therapy has been successfully administered with good adherence, good patient retention, and good clinical outcomes in resource-poor settings, including humanitarian settings, with increased patient survival; results have been similar to those achieved in resource-rich countries.
Provision and Access
15 studies
Gray
I, IIIa, IIIb
CD4 counts, HAART, Jamaica, Mali, South America, conflict, displaced persons, life expectancy, treatment
Africa, Angola, Asia, Botswana, Burkina Faso, Cameroon, Chile, Côte d'Ivoire, Democratic Republic of Congo, Ethiopia, Europe, Ghana, Haiti, India, Kenya, Malawi, Mozambique, Myanmar, Nigeria, North America, Rwanda, Senegal, South Africa, Sudan, Tanzania, Thailand, Uganda, Zambia, Zimbabwe
Addressing Violence Against Women
Violence, in addition to being a human rights violation, has been clearly demonstrated as a risk factor for HIV (WHO, 2010f; Stephenson, 2007; Jewkes et al., 2006a; Manfrin-Ledet and Porche, 2003; Dunkle et al., 2004; Quigley et al., 2000b; Silverman et al., 2008). Analysis of DHS data in Rwanda showed that currently married women with few, if any, sexual risk factors for HIV but who have exper...
HIV Testing and Counseling for Women
Knowing ones HIV serostatus is the first step in getting the appropriate treatment and care. According to UNAIDS, fewer than 40% of those living with HIV are aware of their serostatus (UNAIDS, 2010c). In parts of sub-Saharan Africa, more than 80% of people living with HIV do not know their positive serostatus (Anand et al., 2009). Global consensus exists that greater knowledge of HIV status is ...
Antenatal Care - Treatment
Antiretroviral treatment (ART) for women living with HIV is vital to ensuring safe motherhood and reducing vertical transmission. But not all pregnant women access treatment. For women in high-income countries where access to triple therapy during pregnancy has been the standard of care and is near universal, rates of vertical HIV transmission are as low as 0.4%, for example, in Canada (Forbes ...
Provision and Access
Antiretroviral therapy has been successfully administered in a range of situations with adherence, retention, and clinical outcomes similar to those achieved in resource-rich countries. Increasing provision and access, grounded in human rights based approaches, across all populations is critical to continuing that success.
"I cook scones for my children and do not get tired. I do chores, pound...
