Showing 1 - 19 of 19 Results for "sterilization"

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Measures should be taken to stop abuses in health care, including breaches of medical confidentiality, HIV testing without informed consent and forced and coerced sterilization of women living with HIV. Any mandated HIV-related registration, testing and forced treatment may discourage needed access to testing and treatment and adherence.
Advancing Human Rights and Access to Justice for Women and Girls
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
Legal challenges to redress rights violations for women can advance women’s human rights.
Advancing Human Rights and Access to Justice for Women and Girls
5 studies Gray V Solomon Islands, discrimination, family planning, gender, health services, marital rape, sexual violence, sterilization Chile, Kenya, Namibia
Promoting the dual use of condoms as a contraceptive as well as for HIV prevention may make use more acceptable and easier to negotiate.
Male and Female Condom Use
2 studies Gray II, IIIa HIV testing, STIs, condoms, contraception, family planning, pregnancy Ethiopia, Zambia
Delivery
Safe Motherhood and Prevention of Vertical Transmission
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...
Advancing Human Rights and Access to Justice for Women and Girls
Strengthening the Enabling Environment
*Respecting, protecting and fulfilling womens rights, particularly the rights of the most marginalized women, is increasingly understood as fundamental to an effective HIV response. Laws reflecting unequal gender norms that discriminate against women may limit their ability to protect themselves from HIV infection. In many countries where women are most at risk for acquiring HIV, laws to protec...
Comprehensive harm reduction programs, including needle exchange programs, condom distribution, agonist therapy and outreach, and nonjudgmental risk reduction counseling can reduce HIV risk behaviors and prevalence among PWID.
Women Who Use Drugs and Female Partners of Men Who Use Drugs
10 studies Gray I, II, IIIa, IIIb HIV testing, PWID, PWID drug treatment, condom use, counseling, drug treatment, drug use, harm reduction, health education, needle distribution, needle exchange, needles Australia, Bangladesh, Brazil, Canada, China, Europe, India, Nepal, Russia, United States
Promoting family planning counseling and voluntary contraceptive use as part of routine HIV services (and vice versa) can increase contraceptive use, including dual method use, thus averting unintended pregnancies and transmission of infection among women living with HIV. [See also %{s:75}]
Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
8 studies Gray I, II, IIIa, IIIb, IV, V HAART, HIV testing, STIs, condom use, condoms, contraception, counseling, family planning, treatment Africa, China, Haiti, India, Kenya, South Africa, Thailand, UK, Uganda, Zambia
Decriminalization of drug possession and drug use and legalized comprehensive harm reduction services can significantly reduce HIV infections among people who use drugs, compared with persistent or growing rates in countries where such services are restricted or blocked by law. (Global Commission on HIV and the Law, 2012: 29). [See also %{s:11}]
Advancing Human Rights and Access to Justice for Women and Girls
6 studies Gray IIIb, V Czech Republic, Portugal, criminalization, drug use, methadone, needles, opiate substitution therapy Canada, China, Estonia, Switzerland
Women Who Use Drugs and Female Partners of Men Who Use Drugs
Prevention for Key Affected Populations
Despite injecting drug use being a main driver of the HIV epidemic in many parts of the world, evaluated tailored responses for women who use drugs or for female sexual partners of men who use drugs have not matched the needs of this population. Injecting drug use is globally widespread and the main driver of the HIV epidemic in some parts of the world. Approximately 16 million people in 148 co...
Scaling up PMTCT programs increases the number of women who know their serostatus and improves HIV knowledge.
Structuring Health Services to Meet Women’s Needs
3 studies Gray IV, V HIV testing, PMTCT, antenatal care, treatment Cameroon, Côte d’Ivoire
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
Safe Motherhood and Prevention of Vertical Transmission
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...
Early postpartum visits, especially with on-site contraceptive services, can result in increased condom use, contraceptive use, HIV testing and treatment.
Postpartum
6 studies Gray IIIa, IIIb DMPA, HIV testing, PMTCT, condom use, contraception, counseling, family planning, pregnancy Côte d’Ivoire, Kenya, Russia, Rwanda, Swaziland
Treatment
Antiretroviral therapy has transformed HIV to a chronic - though still incurable - virus requiring ongoing therapy and strict adherence to treatment. For the most part, virally suppressed people living with HIV today have no difference in life expectancy than demographically similar HIV-negative individuals (Sabin, 2013 cited in Justice and Falutz, 2014; Maman et al. 2012a). This section does ...
Voluntary Medical Male Circumcision
Prevention for Women
Male circumcision has now been shown in three randomized clinical trials to reduce the risk of HIV acquisition for men by 50-60% (Auvert et al., 2005; Bailey et al., 2007; Gray et al., 2007). Male circumcision at birth as part of postnatal care could result, upon sexual initiation and during his lifetime, in a reduction in the risk of HIV acquisition. Voluntary medical male circumcision (VMMC) ...
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
Antenatal Care - Treatment
Safe Motherhood and Prevention of Vertical Transmission
Antiretroviral treatment (ART) for women living with HIV is vital to ensuring safe motherhood and reducing vertical transmission. But not all pregnant women access treatment. For women in high-income countries where access to triple therapy during pregnancy has been the standard of care and is near universal, rates of vertical HIV transmission are as low as 0.4%, for example, in Canada (Forbes ...
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