tailieunhanh - báo cáo hóa học:" What works to meet the sexual and reproductive health needs of women living with HIV/AIDS"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học đề tài : What works to meet the sexual and reproductive health needs of women living with HIV/AIDS | JOURNALOF THE INTERNATIONAL AIDS SOCIETY Gay et al. Journal of the International AIDS Society 2011 14 56 http content 14 1 56 REVIEW Open Access What works to meet the sexual and reproductive health needs of women living with HIV AIDS Jill Gay 1 t Karen Hardee2t Melanie Croce-Galis3t and Carolina Hall4 Abstract It is critical to include a sexual and reproductive health lens in HIV programming as most HIV transmission occurs through sexual intercourse. As global attention is focusing on the sexual and reproductive health needs of women living with HIV identifying which interventions work becomes vitally important. What evidence exists to support sexual and reproductive health programming related to HIV programmes This article reviews the evidence of what works to meet the sexual and reproductive health needs of women living with HIV in developing countries and includes 35 studies and evaluations of eight general interventions using various methods of implementation science from 15 countries. Data are primarily from 2000-2009. Searches to identify effective evaluations used SCOPUS Popline Medline websites and consultations with experts. Evidence was ranked using the Gray Scale. A range of successful and promising interventions to improve the sexual and reproductive health and rights of women living with HIV include providing contraceptives and family planning counselling as part of HIV services ensuring early postpartum visits providing family planning and HIV information and services providing youthfriendly services supporting information and skills building supporting disclosure providing cervical cancer screening and promoting condom use for dual protection against pregnancy and HIV. Provision of antiretrovirals can also increase protective behaviours including condom use. While many gaps in programming and research remain much can be done now to operationalize evidence-based effective interventions to meet the sexual and reproductive health .