Showing 21 - 40 of 72 Results for "providers"

Results

Gap
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
Increased training is needed for providers to discuss sexuality and pleasure with adolescent youth who need reproductive health services. A analysis of fictional narratives written by young people aged ten to 24 concerning HIV found that young people criticized the lack of skills by providers to discuss issues of sex and pleasure as well as conceptualizing rape as a punishment for girls who do not abstain from sex.
Increasing Access to Services
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 – for their own health and that of their future children. [See also %{s:39}] Studies found that both providers and HIV serodiscordant couples were misinformed as to what factors increase the likelihood of HIV transmission.
Staying Healthy and Reducing Transmission
1 study
Additional efforts are needed to provide information and more contraceptive options for women living with HIV (or whose serostatus is unknown) who do not desire to have a child or wish to space the next pregnancy. The 2012 WHO guidelines on hormonal contraceptives and HIV should be widely disseminated to programs and providers. Studies found that many HIV-positive women had significant numbers of unintended pregnancies and that preferred contraceptive methods were not available.
Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
1 study
Interventions are needed to ensure that stigma from health care workers does not discourage HIV-positive women from giving birth in safer settings. [See also %{s:67}] Studies found that HIV-positive women experienced discrimination by providers in ANC services or did not attend ANC services due to fear of mistreatment by health providers.
Delivery
1 study
NGO and government interventions must take care not to create dependence on externally funded services and decrease the community’s sense of responsibility for OVC. An evaluation of programs providing services to orphans found that because of NGO interventions, communities believed they had no responsibilities towards caregivers and orphans.
Orphans and Vulnerable Children
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
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
Health care provider training is needed to increase confidentiality and decrease discrimination against sex workers seeking health services. Studies found that significant proportions of female and transgender sex workers did not visit health facilities because of lack of confidentiality, discrimination, and lack of counseling when accessing HIV testing.
Female Sex Workers
1 study
HIV prevention interventions and treatment programs are needed for transgender people. Studies found that despite high rates of HIV, few prevention interventions are for transgender people. Studies showed that providers refused transgender people any services.
Transgender Women and Men
1 study
Improved support systems for lay or basic health workers are needed to facilitate effective care in areas where lay health care workers provide a significant proportion of HIV care. Systems need to be developed specifically for remuneration, retention, and adequate supervision.
Provision and Access
1 study
Further efforts are needed to identify an optimal strategy for safe partner notification. A Cochrane review, including studies from developing countries, found insufficient evidence to determine how partners could or should be notified of their partners HIV status, either by the patient or the provider.
Staying Healthy and Reducing Transmission
1 study
Policy guidelines, including service delivery guidelines, need to specify how contraception should be addressed in HIV prevention, treatment and care. Studies found that many guidelines did not explicitly address family planning in VCT and PMTCT guidelines and that providers and policymakers felt they had insufficient knowledge.
Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
1 study
Further interventions providing HIV disclosure support are needed, particularly for women facing abandonment, violence, or other adverse events. [See also %{s:43}, %{c:11} and %{s:67}] Studies found many women faced abuse and abandonment upon disclosing their HIV status.
Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
1 study
Criminalization of HIV transmission may lead pregnant women to not seek testing and care. A study in Ukraine with pregnant women found that providers told women who tested HIV-positive that they carry criminal liability and others did not access care. A global review found that in some countries, vertical transmission is criminalized.
Antenatal Care - Testing and Counseling
1 study
Increased efforts are needed to retain women on HAART following birth. Studies found that women who initiated ART during pregnancy were more likely to be lost to follow up than non-pregnant women or that pregnant women who were eligible for HAART according to national guidelines were not provided HAART.
Postpartum
1 study
Interventions are needed to support the autonomous decision-making of HIV-positive women who are caught between the contradictory pressures of family, community and health care providers. Studies found that HIV-positive women and men need information and social support to make decisions that reflect their own preferences in the face of pressure to bear children. A review of the published literature from 1990 to 2008 found that the refusal of health workers to discuss reproductive options in a non-biased way negatively impacts HIV-positive women. Studies also found that HIV-positive men lacked information on pre-conception and felt they could not request this information from health providers.
Pre-Conception
1 study
HIV-positive mothers, fathers, grandmothers and the larger community need clear, consistent, non-contradictory and nonjudgmental counseling on infant feeding practices. Health care providers need training based on accurate information. Studies found that health care providers gave HIV-positive women conflicting information and that simplified structured counseling tools are needed. Studies found that women reported that providers accused them of killing their infants if they breastfed. Women lack access to infant formula but have been told by providers that it is the only way for their infant to survive. Women were told that breastfeeding is a mode of HIV transmission and exclusive breastfeeding is a mode of prevention. Women fear HIV more than diarrheal disease, even though more deaths occur from diarrheal disease. Women were not given choices. Women did not give providers accurate information on how they were feeding their infant for fear of being denied health care. Women were told to feed their infants formula yet did not have adequate food support, most mothers could not do so with few having an income and most with no access to safe drinking water. Women lacked autonomy to decide infant feeding, which was decided by male partners or grandmothers. "Despite the current WHO recommendations to use extended infant prophylaxis as long as the infant is breastfed, no data are yet available from a clinical trial to confirm effectiveness and safety of this regimen beyond the first six months postpartum" (Taha, 2011: 919).
Postpartum
1 study