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Postpartum
Postpartum care is the most neglected aspect of maternal health, yet a time of high risk for maternal mortality. "The majority of maternal deaths occur during or immediately after childbirth; ...up to half of all newborn deaths occur within the first 24 hours of life" (WHO et al., 2011c). While many women access antenatal care, much fewer women globally have access to postnatal care. For exampl...
Promoting Women’s Leadership
Strengthening womens rights and health NGOs and supporting women leaders who can mobilize in-country efforts in the interests of women and girls affected by HIV is critical. "...It is not enough for programmes and strategies to be designed on behalf of those living with AIDS; we have much to learn from their experiences, and how they struggle to negotiate being positive and maintaining sex live...
Community health workers and community-based support can increase uptake of safe motherhood interventions for women living with HIV and reduce vertical transmission
Antenatal Care - Treatment
9 studies
Gray
II, IIIa, IIIb
community-based outreach, community-based support, infants, pregnancy, treatment
Africa, Kenya, Malawi, Rwanda, South Africa
Addressing Violence Against Women
Violence, in addition to being a human rights violation, has been clearly demonstrated as a risk factor for HIV (WHO, 2010f; Stephenson, 2007; Jewkes et al., 2006a; Manfrin-Ledet and Porche, 2003; Dunkle et al., 2004; Quigley et al., 2000b; Silverman et al., 2008). Analysis of DHS data in Rwanda showed that currently married women with few, if any, sexual risk factors for HIV but who have exper...
Adherence and Support
"I'm 18 years, you are telling me drugs for life?" --Woman living with HIV in Uganda (Hsieh, 2013: 11)Treatment adherence is necessary to continually suppress the virus. Adherence to ART leads to better virological outcomes, prevents disease progression and improves survival (Nachega et al., 2010a; Nachega et al., 2010c). Conversely, inadequate adherence leads to drug resistance, which can then...
Promoting Women’s Employment, Income and Livelihood Opportunities
Women's economic dependence on men and unequal access to resources, including land and income-generating opportunities, increases the likelihood of women and girls engaging in a variety of unsafe sexual behaviors including transactional sex, coerced sex, earlier sexual debut, and multiple sexual partners, and thus increases their risk of becoming infected with HIV (Gillespie and Kadiyala, 2005)...
Safe Motherhood and Prevention of Vertical Transmission
Three vital components of AIDS programming for women living with HIV are ensuring safe motherhood through access to health care before, during and after pregnancy and childbirth; ensuring access to treatment; and ensuring access to services to prevent vertical HIV transmission. While much progress has been made in reducing vertical transmission, more could be done. A recent demographic model sh...
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
Antenatal Care - Treatment
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 ...
Continued counseling (either group or individual) and related training for those who are HIV-positive and those affected by HIV can relieve psychological distress.
Women and Girls
4 studies
Gray
II, IV, V
counseling, depression, mental health, psychosocial impact, psychosocial support, risk behavior, sex behavior, support
Nigeria, South Africa, Thailand, Uganda
Increasing couple communication about HIV risk can increase preventive behaviors, including condom use.
Male and Female Condom Use
4 studies
Gray
IIIb, IV, V
communication, condoms, marriage, sexual partners
India, Malawi, South Africa, Thailand, Uganda
Treatment support sessions can increase adherence among adolescents.
Increasing Access to Services
5 studies
Gray
II, IIIb, V
adherence, adolescents, parents, reatment, support, testing, treatment, ttesting
South Africa, Thailand, Zambia, Zimbabwe
Integrating CD4 count service with voluntary counseling and testing or primary health clinics can accelerate initiation of treatment.
Provision and Access
4 studies
Gray
I, II, IIIb
CD4 count, CD4 counts, HIV testing, and Zimbabwe, health facilities, treament, treatment
Cameroon, Mozambique, South Africa, Tanzania, Thailand, Uganda
Providing peer support, information and skills-building support to people living with HIV can reduce unprotected sex.
Staying Healthy and Reducing Transmission
7 studies
Gray
I, II, IIIa, IIIb, V
condom use, counseling, sex behavior, sexual partners, support, support groups, treatment, violence
Ethiopia, Nigeria, Rwanda, South Africa, Uganda, United States, Zambia
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 ...
Community organizing and mobilization, including "know your rights" initiatives and engagement with customary leaders, can help women claim their legal rights and minimize the impact and further spread of HIV.
Advancing Human Rights and Access to Justice for Women and Girls
12 studies
Gray
IIIb, IV, V
community organizing, drug use, legal rights, peer education, peer support, property rights, sex work, training
India, Indonesia, Kenya, Malawi, South Africa, Uganda, Zimbabwe
