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Results for "transmission"
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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...
Women Who Have Sex With Women (WSW)
At least seventy-six countries criminalize consensual samesex relations, making access to HIV prevention, treatment and care a challenge for women who have sex with women (UN General Assembly, 2011). According to a report by the International Gay and Lesbian Human Rights Commission, although prevalence rates are lower than heterosexual women, same-sex practicing South African women self-report ...
Adolescents can achieve viral suppression and remain adherent, with low loss to follow up
Increasing Access to Services
3 studies
Gray
IIIb
Jamaica, South America, adherence, treatment, young people
Africa, Asia, Cambodia, India, Indonesia, Malaysia, North America, Thailand, Vietnam
PMTCT-Plus (family-focused) HIV care can increase the numbers of women and their partners who access treatment and remain adherent. Note: This should not be implemented in any way that prejudices women who do not want to disclose to partners (see overview).
Antenatal Care - Treatment
4 studies
Gray
IIIa, IIIb
PMTCT Plus, PMTCT-Plus, pregnancy, treatment
Africa, Botswana, Côte d’Ivoire, South Africa, Tanzania, Uganda, Zambia
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 ...
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...
Delivery
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...
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
Providing routine, high quality, voluntary and confidential STI clinical services that include condom promotion can be successful in reducing HIV risk among sex workers.
Female Sex Workers
3 studies
Gray
IIIa, V
HIV testing, STIs, community outreach, condom use, counseling, sex workers
China, Kenya, South Africa
Tuberculosis
Tuberculosis is the leading cause of death among people with HIV globally, accounting for almost 25% of all HIV deaths in 2008 (WHO, 2009i). The risk of acquiring TB is 21-34 times greater among people living with HIV than in the general population. In 2010, of 8.8 million incident TB cases worldwide, 1.1 million were among people living with HIV, with an estimated 350,000 deaths (WHO, 2011f). ...
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...
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
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...
