Showing 61 - 80 of 82
Results for "knowledge"
Results
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 treatment support and literacy, including by HIV-positive peers and by providers, can increase adherence.
Adherence and Support
4 studies
Gray
IIIb, V
adherence, counseling, literacy, support, support groups, treatment, treatment literacy
Indonesia, Mozambique, Swaziland, Thailand
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
HIV Testing and Counseling for Women
Knowing ones HIV serostatus is the first step in getting the appropriate treatment and care. According to UNAIDS, fewer than 40% of those living with HIV are aware of their serostatus (UNAIDS, 2010c). In parts of sub-Saharan Africa, more than 80% of people living with HIV do not know their positive serostatus (Anand et al., 2009). Global consensus exists that greater knowledge of HIV status is ...
Prevention for Women
In this era of great strides forward in treatment, it is important not to lose sight of the continued need to undertake a range of interventions to prevent HIV transmission. An estimated 2.7 million people newly acquired HIV infection in 2010, as they did for each of the years 2009, 2008 and 2007, down from 3.1 million people in 2002 (WHO et al., 2011b). However, even with all this encouraging ...
Partner Reduction
Multiple sexual partnerships have long been a concern in HIV prevention programming, which has focused on partner reduction. Multiple partnerships bring increased risk of HIV acquisition: A meta-analysis of 68 epidemiological studies from 1986 to 2006 with 17,000 HIV-positive people and 73,000 HIV-negative people found that women who reported three or more sex partners had three times as much l...
Reducing Stigma and Discrimination
"...Three decades into the epidemic, stigmatization remains a core feature of the patient experience of HIV/AIDS" (Gilbert and Walker, 2010: 144). Or as one woman living with HIV in Thailand put it: "It does not matter how many thousand people have HIV/AIDS... I would say that only zero percent will accept people living with HIV/AIDS" (Liamputtong et al., 2009: 865). Stigma and discrimination h...
Pre-Conception
Although many women do not learn their HIV status until they become pregnant, for those women who know they are HIV-positive prior to choosing to become pregnant, pre-conception assessments may inform both her and her partner of the safest way to become pregnant without HIV transmission to the infant or HIV transmission between serodiscordant couples. Therefore, throughout their reproductive ye...
Training, peer and partner discussions, and community-based education that questions harmful gender norms can improve HIV prevention, testing, treatment and care.
Transforming Gender Norms
6 studies
Gray
II, IIIa, IIIb
STIs, behavior change communication, condom use, condoms, gender equity, gender norms, gender relations, men, peer education, sex behavior, sexual partners, violence, workplace
Botswana, Brazil, India, South Africa, Tanzania
Male and Female Condom Use
The role of condom use in prevention of sexual transmission of HIV is clear. According to the WHO and the U.S. National Institutes of Health, male condoms that are intact are essentially impermeable to even the smallest sexually transmitted virus (UNAIDS, 2004). The effectiveness of male condoms has been shown to be between 8095 percent, depending on how correctly they are used (Weller and Davi...
Transforming Gender Norms
Gender norms stand in the way of reducing HIV; indeed, a recent study states that, "The global HIV pandemic in its current form cannot be effectively arrested without fundamental transformation of gender norms" (Dunkle and Jewkes, 2007: 173). As former U.S. Secretary of State Hillary Clinton stated: "Achieving our objectives for global development will demand accelerated efforts to achieve gend...
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
Female Sex Workers
Sex workers, whose work involves sexual relations with multiple partners, are a key group of women who need access to comprehensive sexual health services, including HIV prevention, treatment and care. Programs that enhance sex workers' ability to use condoms are also vitally important (Lafort et al., 2010; Pisani, 2008). Unprotected sex with multiple partners puts sex workers at risk of HIV ac...
Antenatal Care - Testing and Counseling
In 2007, only an estimated 18% of pregnant women were offered HIV tests (ITPC, 2009). "The purpose of antenatal VCT should be to help a woman prepare for a possible positive HIV diagnosis [and] to provide her with information about PMTCT options" (De Bruyn and Paxton, 2005: 145). In developing country settings, between eight and ten percent of women report having received PMTCT interventions (P...
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...
Women and Girls
By all estimates, most care and support is provided in the home and women provide two-thirds or more of that care and support (Ogden et al., 2006; Homan et al., 2005b; Akintola, 2006; UN, 2008b; Nyangara et al., 2009b; Surkan et al., 2010). However, this means that one-third of care and support is provided by men, and some have argued that making this more visible can shift gender norms and inc...
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...
HIV testing and counseling (HTC) can help women know their HIV status and increase their protective behaviors, particularly among those who test HIV-positive.
HIV Testing and Counseling for Women
14 studies
Gray
I, II, IIIa, IIIb, IV
HIV testing, condom use, condoms, contraception, counseling, couples, disclosure, education, health facilities, sex behavior, sexual partners, sexually transmitted infections
Botswana, Dominican Republic, Kenya, Mozambique, Rwanda, South Africa, Tanzania, Trinidad, Uganda, Zimbabwe
