tailieunhanh - Sexual and reproductive health needs of adolescents perinatally infected with HIV in Uganda

Within developing countries, health sector reform, often including decen- tralized priority setting, increases the information and advocacy burden for inclusion of SRH concerns. Central functions (like operating logistic systems and service quality control) require high-level commitment and a supportive policy and regulatory framework. The international discussion on SRH emphasizes an outcome-oriented public health approach but people react to multiple dimensions. Strong pas- sions and intensive debates continue on a range of issues: abortion, adolescent SRH and even family planning. These issues elicit renewed discussion at every relevant intergovernmental conference. Donor policies can advance or stif le discussion and reproductive health program development. . | AMERICAN PEOPLE Sexual and reproductive health needs of adolescents perinatally infected with HIV in Uganda 0 Ford Foundation 4 ị Population Council FRONTIERS IN REPRODUCTIVE HEAĨTH Sexual and reproductive health needs of adolescents perinatally infected with HIV in Uganda Harriet Birungi1 John Frank Mugisha2 Juliana Nyombi2 Francis Obare3 Humphres Evelia1 and Hannington Nyinkavu2 1 Frontiers in Reproductive Health FRONTIERS Population Council 2 The AIDS Support Organization TASO Uganda 3 Bixby Fellowship Program Population Council July 2008 Ford Foundation 4 F Population Council FRONTIERS IN HRHUODUCnVl MRAirM Acknowledgements Many people and organizations contributed to the conceptualization development implementation and completion of this research. USAID and the Ford Foundation provided financial support. Participants in the three stakeholder-meetings . the consultative workshop the data interpretation meeting and the results dissemination workshop especially Dr. Emmanuel Luyirika Dr. Ekie Kikule and Ms. Irene Kambonesa of Mildmay Centre Kampala contributed ideas and raised issues that greatly shaped the direction of the study. We are also indebted to Dr. Alex Coutinho former Director TASO Mr. Nicholas Mugumya Deputy Executive Director TASO all managers and staff of the TASO branches in Entebbe Jinja Masaka and Mulago as well as to other HIV AIDS treatment and care support centers Mildmay Centre Uganda Cares Masaka Nsambya Home Care Mengo Home Care Rubaga Home Care Villa Maria Home Care and the AIDS Information Centre AIC in Kampala and Jinja for opening their doors to the research team. TASO Central Region provided office space for the research coordination unit. Ethical clearance for the study was granted by the TASO Internal Review Board IRB the Uganda National Council of Science and Technology UNCST the Population Council s Institutional Review Board and the District Health Officers for Jinja Masaka Kampala and Wakiso. We are most grateful to our .