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Women Who Use Drugs and Female Partners of Men Who Use Drugs
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Increasing Access to Services
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HIV Testing and Counseling for Women
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Advancing Human Rights and Access to Justice for Women and Girls
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Migrant PWID are at high risk of acquiring HIV and require programming collaboration between countries. A study of PWID at a border town found high rates of sharing injecting equipment and that border crossing was strongly associated with sharing injection equipment.
Women Who Use Drugs and Female Partners of Men Who Use Drugs
1 study
Concerted efforts are needed to enable adolescents at risk to test confidentially for HIV and be immediately linked to services, with information on where and how to access services. Access to and update of HIV testing and counseling (HTC) by adolescents is significantly lower than for adults. One study found that adolescents who were tested through provider-initiated testing (the WHO standard) had higher loss to follow up if they tested HIV-positive than adolescents who were tested through voluntary testing and counseling (Lamb et al., 2014). HTC must, according to WHO, include consent, confidentiality, counseling, correct test results and connections to treatment, care and prevention services. A recent report found that no data exists for HTC among ages 10 to 14 (All in to End Adolescent AIDS, 2015c). Access to HTC for adolescents who inject drugs is particularly challenging. HTC clients also need counseling on contraception and referral to services.
Increasing Access to Services
1 study
Further interventions are needed that support women safely through the disclosure process. [See also %{s:43}] Studies found that women in some settings experienced increased violence and abandonment following disclosure or feared violence as a result of disclosure. Some HIV-positive women wish to disclose their serostatus but want trained health providers to help them do so.
HIV Testing and Counseling for Women
1 study
Interventions are needed to scale up and increase access to methadone and buprenorphine—effective agonist therapy for the treatment of drug dependence, as well as needle exchange/distribution programs. Studies found only tiny fractions of those who need maintenance medication had access. A study found that user fees for methadone maintenance programs presented a barrier to access to care. In places where no needle exchange programs are operating, high rates of borrowing of used syringes occur, placing IDUs at high risk of acquiring HIV.
Women Who Use Drugs and Female Partners of Men Who Use Drugs
1 study
Efforts are needed to reform laws that criminalize drug use and/or drug possession for personal use and to eliminate compulsory drug detention and instead, provide people who use drugs with access to HIV and health services, including harm reduction, and voluntary, effective evidence-based drug dependency treatment. Detention centers are administered by police, military or other national government public security authorities and operate outside the formal criminal justice system with detainees held without trial or right of appeal; those detained are not allowed to leave voluntarily (Wolfe, 2012). Studies found that female IDU were not given reproductive health services, including PMTCT services in compulsory detention and/or prison settings. Detoxification programs were substandard and ineffective. Despite high rates of HIV, antiretroviral treatment is largely unavailable in compulsory drug detention centers. IDUs who have started antiretroviral treatment should be able to continue treatment in prison with access to medical supervision. [See also %{s:11}]
Advancing Human Rights and Access to Justice for Women and Girls
1 study
Prevention for Women
Male and Female Condom Use
Partner Reduction
Voluntary Medical Male Circumcision
Treating Sexually Transmitted Infections (STIs)
Treatment as Prevention
Prevention for Key Affected Populations
Female Sex Workers
Women Who Use Drugs and Female Partners of Men Who Use Drugs
Women Prisoners and Female Partners of Male Prisoners
Women and Girls in Complex Emergencies
Migrant Women and Female Partners of Male Migrants
Transgender Women and Men
Women Who Have Sex With Women (WSW)
Prevention and Services for Adolescents and Young People
Mitigating Risk
Increasing Access to Services
HIV Testing and Counseling for Women
Treatment
Provision and Access
Adherence and Support
Staying Healthy and Reducing Transmission
Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
Safe Motherhood and Prevention of Vertical Transmission
Preventing Unintended Pregnancies
Pre-Conception
Antenatal Care - Testing and Counseling
Antenatal Care - Treatment
Delivery
Postpartum
Preventing, Detecting and Treating Critical Co-Infections
Tuberculosis
Malaria
Hepatitis
Strengthening the Enabling Environment
Transforming Gender Norms
Addressing Violence Against Women
Advancing Human Rights and Access to Justice for Women and Girls
Promoting Women’s Employment, Income and Livelihood Opportunities
Advancing Education
Reducing Stigma and Discrimination
Promoting Women’s Leadership
Care and Support
Women and Girls
Orphans and Vulnerable Children
Structuring Health Services to Meet Women’s Needs