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Results for "antiretrovirals"
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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 ...
Conducting HIV testing and counseling for women who bring their children for immunization can increase the number of women accessing testing and treatment services. [See also %{c:11} and %{c:25}]
Postpartum
4 studies
Gray
II, IIIb, V
HAART, HIV testing, PMTCT, breastfeeding, health facilities, immunization, testing, treatment
Botswana, Malawi, South Africa, Tanzania, Uganda
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...
Pre-Conception
Although many women do not learn their HIV status until they become pregnant, for those women who know they are HIV-positive prior to choosing to become pregnant, pre-conception assessments may inform both her and her partner of the safest way to become pregnant without HIV transmission to the infant or HIV transmission between serodiscordant couples. Therefore, throughout their reproductive ye...
Initiating cART as early as possible to achieve low viral load is optimal, improves maternal health, and reduces risk of vertical transmission. [See also %{s:39}] Note: Risk of vertical transmission rises after 28 weeks of pregnancy (7 months), so initiating ART at least by month 6 of pregnancy reduces risk (Luzuriaga and Mofenson, 2016)
Antenatal Care - Treatment
18 studies
Gray
II, IIIa, IIIb
ART, CD4 cell count, CD4 counts, HAART, Ireland, Mozambiqu, infants, pregnancy, treatement, treatment, viral load
Argentina, Benin, Brazil, Cameroon, Canada, Côte d’Ivoire, Ethiopia, France, Kenya, Malawi, Mozambique, Rwanda, South Africa, Swaziland, Thailand, Uganda, Ukraine, United States, Zambia
Staying Healthy and Reducing Transmission
"Me, I try to tell the man that, 'In this house we have been found with this problem. We should accept it. I should not point a finger at you. You, too, should not point a finger at me. Just buy your protection.' And so, little by little what he does now is different from what he did in the past." --Malawi woman living with HIV (Mkandawire-Valhmu and Stephens, 2010: 691)Successfully treated peo...
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...
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...
Community outreach and mobilization can increase uptake of HIV testing and counseling by reaching clients who may not present at a hospital or clinic.
HIV Testing and Counseling for Women
8 studies
Gray
II, IIIa, IIIb, IV
HIV testing, adolescents, community, community outreach, community-based testing, counseling, couples, health facilities, malaria, support groups, tuberculosis
Indonesia, Kenya, South Africa, Tanzania, Thailand, Uganda, Zambia, Zimbabwe
Hepatitis
Hepatitis is an inflammation of the liver, most often caused by a virus. The most common types of viruses are hepatitis A, hepatitis B, hepatitis C, hepatitis D and hepatitis E. "Hepatitis A and E are typically caused by ingestion of contaminated food or water and are not known to cause chronic liver disease" (WHO, 2010c). A vaccine exists for hepatitis A and a meta-analysis of eight studies fr...
Creating a sense of community, empowerment and leadership among sex workers can help support effective HIV prevention.
Female Sex Workers
6 studies
Gray
II, IIIb, V
Armenia, HIV testing, community organizing, condoms, empowerment, peer education, prevention, sex workers, violence
India, Kenya
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
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
