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Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
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Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
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Policy guidelines, including service delivery guidelines, need to specify how contraception should be addressed in HIV prevention, treatment and care. Studies found that many guidelines did not explicitly address family planning in VCT and PMTCT guidelines and that providers and policymakers felt they had insufficient knowledge.
Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
1 study
Additional strategies are needed to address the cultural, gender and other contextual barriers that influence the behavior or decisions of people living with HIV to engage in unsafe sex. [See also %{c:21}] Studies found that factors such as difficulties negotiating condoms, partner refusal, high unemployment, alcohol use, financial dependency, expectations of childbearing, fear of disclosure, etc., influenced protective behavior.
Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
1 study
Efforts are needed to capitalize on opportunities to integrate family planning and HIV services. Studies found that both men and women wanted greater integration of services and also found high rates of unintended pregnancies among HIV-positive women. In one study, VCT clients report infrequent reproductive health counseling.
Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
1 study
Further interventions providing HIV disclosure support are needed, particularly for women facing abandonment, violence, or other adverse events. [See also %{s:43}, %{c:11} and %{s:67}] Studies found many women faced abuse and abandonment upon disclosing their HIV status.
Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
1 study
Women living with HIV need information and access to services for emergency contraception and post-abortion care (PAC) services. Studies found that women did not have adequate knowledge of emergency contraception, nor access to services for post-abortion care.
Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
1 study
Providers need training on meeting the contraceptive needs of women and couples with HIV, including providing non-directive, informed choice counseling and reducing stigma and discrimination for women living with HIV. [See also %{s:67}] Studies found that HIV-positive women were required to wait in separate waiting rooms and that because provider bias limited contraceptive options, providers needed additional training on the full range of contraceptive options. Other studies showed that providers have inaccurate knowledge concerning HIV and contraception.
Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
1 study
Further interventions are needed to ensure that women, especially women living with HIV, are screened and treated for cervical pre-cancer and cancer. Studies found that women were not aware of and/or did not receive regular screening and treatment of cervical cancer, despite higher risk of developing cervical cancer.
Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
1 study
Additional efforts are needed to provide information and more contraceptive options for women living with HIV (or whose serostatus is unknown) who do not desire to have a child or wish to space the next pregnancy. The 2012 WHO guidelines on hormonal contraceptives and HIV should be widely disseminated to programs and providers. Studies found that many HIV-positive women had significant numbers of unintended pregnancies and that preferred contraceptive methods were not available.
Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
1 study
Programs must adhere to the longstanding international agreement to voluntarism, informed consent, and ensuring the right of individuals and couples to decide freely and responsibly the number and spacing of their children. Studies found that women living with HIV had been sterilized against their will, were pressured by providers to terminate a pregnancy, or were stigmatized for becoming pregnant. Studies also found that provision of antiretroviral therapy was conditional on using certain types of contraception. Litigation is currently being undertaken. A study found that HIV-positive women who accessed contraceptive services were not informed of the benefits of PMTCT programs in reducing vertical transmission.
Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
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