scholarly journals Women living with HIV in Vietnam: desire for children, use of sexual and reproductive health services, and advice from providers

2012 ◽  
Vol 20 (sup39) ◽  
pp. 27-38 ◽  
Author(s):  
Lisa J. Messersmith ◽  
Katherine Semrau ◽  
Tran Lan Anh ◽  
Nguyen Nguyen Nhu Trang ◽  
Dao Mai Hoa ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Reproductive Health Services ◽  
Desire For Children ◽  
Women Living With Hiv ◽  
Living With Hiv

Sexual and reproductive health services for people living with HIV/AIDS in Germany: are we up to the challenge?

Infection ◽  
2013 ◽  
Vol 41 (4) ◽  
pp. 761-768 ◽  
Author(s):  
M. C. Mueller ◽  
C. Walentiny ◽  
U. Seybold ◽  
C. Nöstlinger ◽  
T. Platteau ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
People Living With Hiv ◽  
Reproductive Health Services ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals Prevention of HIV Perinatal Transmission: The Role of Sexual and Reproductive Health Services for Women Living with HIV

2021 ◽  
Author(s):  
Marcela Gómez-Suárez
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Cost Effective ◽  
Perinatal Transmission ◽  
Reproductive Health Services ◽  
Women Living With Hiv ◽  
Promote Gender Equality ◽  
Health Organization ◽  
Living With Hiv

With the evolution in prevention, diagnosis, and treatment of HIV/AIDS, ending the infection as a public health threat worldwide has become a real possibility included within the United Nations Sustainable Development Goal Project 2030. However, some countries and even entire regions are not on track to reach this target due to increased new infections in young populations. Young women (15–24 years) represent 48% of the new HIV cases globally. Research shows these women have significant unmet sexual and reproductive health (SRH) needs, with high rates of unplanned pregnancies, increased HIV perinatal transmission (HIV-PT) risk, and higher maternal morbidity and mortality. Granting access to SRH services based on rights for women living with HIV is a cost-effective alternative to reducing new infections in children by promoting respect for women’s reproductive options. This chapter addresses the role of SRH services based on rights for women living with HIV within HIV-PT. It also summarizes the new “Consolidated Guideline on Sexual and Reproductive Health and Rights of Women Living with HIV”; designed by the World Health Organization as a global recommendation for SRH programs and services that promote gender equality and human rights for women living with HIV.

scholarly journals “They Just Tell Me to Abstain:” Variable Access to and Uptake of Sexual and Reproductive Health Services Among Adolescents Living With HIV in Kenya

2021 ◽  
Vol 3 ◽  
Author(s):  
Sarah Lawrence ◽  
Hellen Moraa ◽  
Kate Wilson ◽  
Immaculate Mutisya ◽  
Jillian Neary ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Hiv Treatment ◽  
Hiv Care ◽  
Reproductive Health Services ◽  
Sti Testing ◽  
Adolescent Autonomy ◽  
Facility Survey ◽  
Living With Hiv

Background: To improve holistic care for adolescents living with HIV (ALHIV), including integration of sexual and reproductive health services (SRHS), the Kenya Ministry of Health implemented an adolescent package of care (APOC). To inform optimized SRH service delivery, we sought to understand the experiences with SRHS for ALHIV, their primary caregivers, and health care workers (HCWs) following APOC implementation.Methods: We completed a mixed methods evaluation to characterize SRHS provided and personal experiences with access and uptake using surveys conducted with facility managers from 102 randomly selected large HIV treatment facilities throughout Kenya. Among a subset of 4 APOC-trained facilities in a high burden county, we conducted in-depth interviews (IDIs) with 40 ALHIV and 40 caregivers of ALHIV, and 4 focus group discussions (FGDs) with HCWs. Qualitative data was analyzed using thematic analysis. Facility survey data was analyzed using descriptive statistics.Results: Of 102 surveyed facilities, only 56% reported training in APOC and 12% reported receiving additional adolescent-related SRHS training outside of APOC. Frequency of condom provision to ALHIV varied, with 65% of facilities providing condoms daily and 11% never providing condoms to ALHIV. Family planning (FP) was provided to ALHIV daily in 60% of facilities, whereas 14% of facilities reported not providing any FP services to ALHIV. Screening and treatment for STIs for adolescents were provided at all clinics, with 67% providing STI services daily. Three key themes emerged characterizing experiences with adolescent SRHS access and uptake: (1) HCWs were the preferred source for SRH information, (2) greater adolescent autonomy was a facilitator of SRH discussions with HCWs, and (3) ALHIV had variable access to and limited uptake of SRHS within APOC-trained health facilities. The primary SRHS reported available to ALHIV were abstinence and condom use education. There was variable access to FP, condoms, pregnancy and STI testing, and partner services. Adolescents reported limited utilization of SRHS beyond education.Conclusions: Our results indicate a gap in SRHS offered within APOC trained facilities and highlight the importance of adolescent autonomy when providing SRHS and further HCW training to improve SRHS integration within HIV care for ALHIV.

Sexual and reproductive health services for people living with HIV: a systematic review

AIDS Care ◽  
2011 ◽  
Vol 23 (3) ◽  
pp. 303-314 ◽  
Author(s):  
Deborah Bain Brickley ◽  
Lucy Almers ◽  
Caitlin E. Kennedy ◽  
Alicen B. Spaulding ◽  
Joy Mirjahangir ◽  
...  
Keyword(s):  
Systematic Review ◽  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
People Living With Hiv ◽  
Reproductive Health Services ◽  
Living With Hiv

scholarly journals A Social Ecological Approach to Exploring Barriers to Accessing Sexual and Reproductive Health Services among Couples Living with HIV in Southern Malawi

2012 ◽  
Vol 2012 ◽  
pp. 1-13 ◽  
Author(s):  
Belinda Chimphamba Gombachika ◽  
Heidi Fjeld ◽  
Ellen Chirwa ◽  
Johanne Sundby ◽  
Address Malata ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Ecological Model ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Reproductive Health Services ◽  
Social Ecological ◽  
The Social ◽  
Living With Hiv

With wide access to antiretroviral therapy, people living with HIV are living longer. The reduction in the mother-to-child transmission of HIV has encouraged some people living with HIV to have children and remarry. However, some continue to have limited access to sexual and reproductive health services. The study explores barriers encountered by couples living with HIV in accessing sexual and reproductive health services using the social ecological model. Data were collected using in-depth interviews with twenty couples purposively sampled in matrilineal Chiradzulu and patrilineal Chikhwawa communities in Malawi from July to December 2010. Data were analyzed using framework analysis method. The study findings identify barriers across the five levels of the social ecological model indicating that the use of sexual and reproductive health services is influenced by diverse factors. We suggest three main areas for primary intervention: services must be located closer to their communities and integrated with existing antiretroviral services. In addition, information gatekeepers, both formal and informal, should be empowered with knowledge about sexual and reproductive health, including HIV and AIDS. Finally, there is a need to coordinate the flow of reproductive health, HIV, and AIDS information between Malawi Ministry of Health and formal and informal organizations.

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