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Voluntary Medical Male Circumcision
Male circumcision has now been shown in three randomized clinical trials to reduce the risk of HIV acquisition for men by 50-60% (Auvert et al., 2005; Bailey et al., 2007; Gray et al., 2007). Male circumcision at birth as part of postnatal care could result, upon sexual initiation and during his lifetime, in a reduction in the risk of HIV acquisition. Voluntary medical male circumcision (VMMC) ...
Women Who Have Sex With Women (WSW)
At least seventy-six countries criminalize consensual samesex relations, making access to HIV prevention, treatment and care a challenge for women who have sex with women (UN General Assembly, 2011). According to a report by the International Gay and Lesbian Human Rights Commission, although prevalence rates are lower than heterosexual women, same-sex practicing South African women self-report ...
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...
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...
Advancing Education
Increasing girls' access to education is critical to combating the AIDS pandemic. "There is a well-established protective effect of schooling on HIV risk" (Pettifor et al., 2008a; Hargreaves et al., 2008a; Jukes et al., 2008 cited in Pettifor et al., 2012a: 1). Education of girls is associated with delayed marriage and childbearing, lower fertility, healthier babies, and increased earning poten...
Increasing Access to Services
While the literature on access to HIV services by adolescents is limited, the literature on access to sexual and reproductive health services more broadly demonstrates that youth-friendly approaches can increase use of reproductive health care services by female adolescents (Gay et al., 2015). Young peoples service needs are frequently overlooked in HIV programming that is not specifically for ...
Community-based interventions (including media) that provide accurate information about HIV transmission can significantly reduce HIV stigma and discrimination.
Reducing Stigma and Discrimination
7 studies
Gray
IIIa, IIIb, IV
HIV testing, discrimination, education, knowledge, mass media, microfinance, stigma
China, Ghana, Malawi, Nigeria, Thailand, Vietnam
Peer counseling by mother mentors may improve treatment adherence among pregnant women living with HIV.
Antenatal Care - Treatment
6 studies
Gray
II, IIIa, IIIb, IV, V
adherence, peer support, pregnancy, treatment
Ethiopia, Kenya, Malawi, Namibia, Nigeria, South Africa, Uganda
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...
Prevention and Services for Adolescents and Young People
The interventions in this section should also be viewed in conjunction with other topics where young women are included. Studies with adolescent-specific data are also included in the following sections: %{c:5}; %{c:7}; %{c:11}; %{c:13}; %{c:17}; %{c:21}; and %{c:23}.
HIV among adolescents is a growing concern. UNAIDS notes that adolescent girls and young women are a key population in danger o...
Providing HIV testing and counseling together with other health services can increase the number of people accessing HIV testing and counseling. [See also %{c:25}]
HIV Testing and Counseling for Women
4 studies
Gray
IIIb, IV
HIV testing, STIs, condoms, contraception, counseling, family planning, health facilities, sexually transmitted infections
Ethiopia, Haiti, Kenya, South Africa
Migrant Women and Female Partners of Male Migrants
Women and men migrate for any number of reasons: lack of food or employment opportunities, war, etc. "In much of South Asia and sub-Saharan Africa, millions of people living in poverty have no viable employment opportunities close to home, forcing individuals to migrate from their communities in search of... a means to provide economic resources for their families. Because of changing market de...
Treating Sexually Transmitted Infections (STIs)
Worldwide, the burden of sexually transmitted infections in women is more than five times that in men (Sciarra, 2009). Multiple observational studies have found an association between STIs and HIV (Venkatesh et al., 2011b; Cohen and Eron, 2011; Mavedzenge et al., 2010b; Weber et al., 2010). A recent study found that the odds of acquiring HIV were 2.4 times higher in women with prior cervical HP...
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
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
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...
Home testing, consented to by household members, can increase the number of people who learn their serostatus.
HIV Testing and Counseling for Women
9 studies
Gray
I, IIIa, IIIb
HIV testing, condoms, counseling, disclosure, health facilities, home-based testing
Kenya, South Africa, Uganda, Zambia
Community outreach and mobilization can increase uptake of HIV testing and counseling by reaching clients who may not present at a hospital or clinic.
HIV Testing and Counseling for Women
8 studies
Gray
II, IIIa, IIIb, IV
HIV testing, adolescents, community, community outreach, community-based testing, counseling, couples, health facilities, malaria, support groups, tuberculosis
Indonesia, Kenya, South Africa, Tanzania, Thailand, Uganda, Zambia, Zimbabwe
