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Showing 101 - 120 of 245 Results for "South Africa"

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Affordable incidence assays need to be developed which will distinguish new and recent HIV infections. No affordable incidence assays, which can detect recent and new infections, have been developed or have to be used with conditions that no longer exist, such as lack of access to ARVs. Such an incidence assay could be used to assess impact of particular programmatic efforts and distinguish between older and more recently acquired HIV infections.
HIV Testing and Counseling for Women
1 study
Programs are needed that link interventions addressing HIV/AIDS and child abuse. One report found that no PEP access guidelines exist for children who were raped and were under the age of 14. Other studies found high risk behavior among those who had been sexually abused as children.
Addressing Violence Against Women
1 study
Programs for male circumcision need to provide women, as well as men, with detailed factual knowledge of the benefits and risks of voluntary medical male circumcision. Surveys found that women lacked detailed factual knowledge of the benefits and risks of voluntary medical male circumcision and believed that if their male partner was circumcised (whether medically or traditionally) that condom use was unnecessary to protect them from acquiring HIV. Both women and men needed knowledge that abstinence is necessary during wound-healing. Women also need to know that female genital cutting does NOT protect against HIV acquisition or transmission. Women reported that circumcised men adopted risky sexual behaviors. Women feared that medical male circumcision would reduce their ability to negotiate for safer sex and would increase violence. A study of women who acquired HIV found that a large proportion of women reported not knowing whether their partner was circumcised.
Voluntary Medical Male Circumcision
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
Interventions are needed to support women living with HIV to disclose their serostatus to their children and families. Studies found that HIV-positive women found it extremely difficult to disclose their serostatus to their children and to their families and wanted specific counseling to address this need. A study also found that women wanted support on how to talk to their children about the loss of a sibling from AIDS.
Women and Girls
1 study
Interventions are needed to screen and treat both male and female sexual partners for STIs. Studies found that efforts are needed to reach both men and women: if both partners were not treated, women can get recurrent infections.
Treating Sexually Transmitted Infections (STIs)
1 study
Efforts are needed to avoid disruption of HIV and AIDS programmes during raids and other policing mechanisms. Studies found that HIV prevention efforts are disrupted during raids and that carrying condoms is used to prosecute sex workers.
Female Sex Workers
1 study
Strategies are needed to ensure that women are able to complete their PEP regimen. One study found that travel costs and distance were factors in women not completing their PEP regimen. A meta-analysis found that adherence to PEP is poor in all settings (Chacko et al., 2012).
Addressing Violence Against Women
1 study
Programs should encourage male involvement in children’s treatment and orphan care. A systematic review and several studies found that fathers are often overlooked in orphan care when the mother has died.
Orphans and Vulnerable Children
1 study
Providers and HIV testing counselors need training on female condoms to promote use. Studies found that providers and counselors need training in order to be able to promote female condom use.
Male and Female Condom Use
1 study
All sex workers, but particularly sex workers living with HIV, need access to information and services for contraception and dual method use. Studies found that sex workers, particularly HIV-positive sex workers, lacked access to contraceptive options and had high rates of abortion. [See also %{c:15}]
Female Sex Workers
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
Additional strategies are needed to address the cultural, gender and other contextual barriers that influence the behavior or decisions of people living with HIV to engage in unsafe sex. [See also %{c:21}] Studies found that factors such as difficulties negotiating condoms, partner refusal, high unemployment, alcohol use, financial dependency, expectations of childbearing, fear of disclosure, etc., influenced protective behavior.
Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
1 study
Efforts are needed to capitalize on opportunities to integrate family planning and HIV services. Studies found that both men and women wanted greater integration of services and also found high rates of unintended pregnancies among HIV-positive women. In one study, VCT clients report infrequent reproductive health counseling.
Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
1 study
In some settings, repeat testing of HIV-negative women during pregnancy is warranted. One study found that acute infection resulted in high rates of vertical transmission. Another study found that of 750 consecutive pregnant women, with an HIV prevalence of 37.3%, 0.9% of women were acutely infected and thus at a high risk of vertical transmission. HIV RNA assays to detect acute infection are very costly (US$1,313) and have not been used routinely in resource-limited settings.
Antenatal Care - Testing and Counseling
1 study
Legislation that allows women the right to refuse forced marriage and to divorce and that penalizes marital and non-marital rape is necessary to reduce coercive sex and the risk of HIV transmission. Studies found that in some countries, particularly in regions where there are generalized epidemics, legislation penalizing marital rape does not exist. For younger women: laws stating that a girl under age 16 cannot consent to sex but also that she cannot claim protection from the law if someone has sex with her against her will must be changed: "By granting her neither agency nor security, the law renders her a non-person" (Global Commission on HIV and the Law, 2012).
Advancing Human Rights and Access to Justice for Women and Girls
1 study
Further interventions are needed to provide couples counseling and testing to reduce seroconversion during pregnancy. Studies found that inadequate numbers of couples are counseled on safer sex during pregnancy and that despite national guidelines, repeat testing during pregnancy is not routinely done. Studies also found that inadequate spaces for men in antenatal care as well as gender norms that discouraged men from accompanying women to antenatal care discouraged couples testing.
Antenatal Care - Testing and Counseling
1 study
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
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
Health care settings need to offer appropriate, non-discriminatory services—and be attentive to HIV risk behaviors—to meet the sexual and reproductive health needs of WSW. Studies found that a number of WSW also have sexual relationships with men yet did not get tested for HIV.
Women Who Have Sex With Women (WSW)
1 study