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Structuring Health Services to Meet Women’s Needs Gap
Health care provider training is needed to increase confidentiality and decrease discrimination against sex workers seeking health services. [See %{s:9}]
Structuring Health Services to Meet Women’s Needs
1 study
Health service providers must make additional efforts to ensure confidentiality regarding patient’s serostatus. [See also %{c:11}, %{c:15}, %{c:17}, and %{s:67}] Numerous studies found that health workers and the structure of health services, such as services that are only for HIV-positive patients in physically separate parts of hospitals, violate patient confidentiality. In addition, health providers who brought services to women’s homes also violated their confidentiality.
Structuring Health Services to Meet Women’s Needs
1 study
Interventions are needed to improve quality of HIV treatment and care within health services. Studies found that guidelines for counseling were missing from facilities and that clients were referred for HIV testing and counseling in geographically distant locations based on donor preference.
Structuring Health Services to Meet Women’s Needs
1 study
Improved integration is needed between maternal, sexual and reproductive health services and HIV treatment services. A study found that even though 11.6% of 1,369 pregnant women were eligible for ARV treatment based on their low CD4 counts prior to delivery and 6 % were eligible postpartum, these women were not integrated into ARV treatment programs; another study found high rates of HIV in STI patients.
Structuring Health Services to Meet Women’s Needs
1 study
Health care settings must address the needs of transgendered people and reduce barriers to services. [See %{s:19}]
Structuring Health Services to Meet Women’s Needs
1 study
Health care settings need to offer appropriate, non-discriminatory services—and be attentive to HIV risk behaviors—to meet the sexual and reproductive health needs of WSW. [See %{s:21}]
Structuring Health Services to Meet Women’s Needs
1 study
Improved record keeping on HIV counseling, serostatus, and treatment is needed to improve referrals and linkages with other health care services. [See %{s:43}]
Structuring Health Services to Meet Women’s Needs
1 study
Policy guidelines, including service delivery guidelines, need to specify how contraception should be addressed in HIV prevention, treatment and care. [See %{c:15}]
Structuring Health Services to Meet Women’s Needs
1 study
Additional efforts are needed to reduce the risk of TB transmission in high risk, low resource settings. Studies found that significant TB transmission occurs in health care settings, particularly among nurses.
Structuring Health Services to Meet Women’s Needs
1 study
Interventions are needed to scale up CD4 count screening, especially for pregnant women. [See %{s:49}]
Structuring Health Services to Meet Women’s Needs
1 study
Providers and those living with HIV need accurate information on how HIV is transmitted and how most effectively to reduce the likelihood of transmission among serodiscordant couples or between those who do not know their sero-status, including those who wish to become pregnant. [See %{s:33}]
Structuring Health Services to Meet Women’s Needs
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 %{c:15}]
Structuring Health Services to Meet Women’s Needs
1 study
Interventions are needed to screen and treat both male and female sexual partners for STIs. [See %{s:7}]
Structuring Health Services to Meet Women’s Needs
1 study
Programs for male circumcision need to provide women, as well as men, with detailed factual knowledge of the benefits and risks of voluntary medical male circumcision. [See %{s:5}]
Structuring Health Services to Meet Women’s Needs
1 study
Health care providers must have access to gowns, gloves, needle-less systems and eye protection to decrease the risk of occupational exposure to HIV. [See also %{s:47}] Studies noted that gowns, gloves and eye protection should be used in all deliveries and in examinations or procedures likely to generate the splashing of blood or amniotic fluid.
Structuring Health Services to Meet Women’s Needs
1 study
Efforts are needed to ensure that providing family-focused HIV care within maternal and child health programs doesn’t discourage men from seeking HIV services. A study found that men were excluded from PMTCT programs.
Structuring Health Services to Meet Women’s Needs
1 study
Additional efforts are needed to provide postpartum women with contraception information and methods so they may space or prevent their next pregnancy and use condoms to reduce the likelihood of HIV transmission upon resumption of sexual activity. [See %{s:49} and %{c:15}]
Structuring Health Services to Meet Women’s Needs
1 study
A combination of infection control strategies may significantly reduce the rate of TB transmission, including drug-resistant TB, in high-risk, low-resourced health care settings. A mathematical model was created to simulate TB transmission in high TB/HIV prevalent settings. The model showed that masks alone would prevent 10% of new transmission in an overall epidemic, but could prevent a large proportion of XDR-TB cases among hospital staff. The combination of mask and reduced hospitalization with a shift to outpatient treatment could prevent nearly one-third of XDR-TB cases. Approximately 48% of XDR-TB cases could be averted by the end of 2012, if a combination of mask, reduced hospitalization with shift to outpatient treatment, improved ventilation, rapid drug resistance testing, HIV treatment and TB isolation facilities for highly infectious patients were implemented.
Structuring Health Services to Meet Women’s Needs
1 study
Ongoing efforts are needed for safe needle disposal. Studies found that used sharp needles were observed inside and outside facilities and that neither adequate disposal methods nor separation of medical waste from domestic waster occurred in health facilities.
Structuring Health Services to Meet Women’s Needs
1 study