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Ensuring universal access to sexual and reproductive health and rights and HIV prevention, treatment, care and support are essential for development, including in the post 2015 agenda. However, while there are many separate sexual and reproductive health (SRH) related and HIV-related indicators, a key challenge has been the lack of internationally agreed indicators to measure progress in linking SRH and HIV. …
Objective: This qualitative study explored the views and experiences of adolescents with perinatally acquired HIV in Kigali, Rwanda, regarding sex, love, marriage, children and hope for the future. Design: The study enrolled 42 adolescents who had received combination antiretroviral therapy for at least 12 months, and a selection of their primary caregivers. Study methods included 3 multiple day workshops consisting of role-playing and focus group discussions (FGDs) with adolescents, 8 in-depth interviews with adolescents, and one FGD with caregivers. …
Across the Asia Pacific region, adolescents aged 10 – 19 years who are living with HIV face unique challenges as they transition from childhood to adolescence and into adulthood. This report aims to document and capture some of the experiences of adolescents living with HIV as they disclose their HIV status, deal with life-long antiretroviral treatment (ART), move from pediatric to adult health care services, navigate sexuality and relationships and build their independent lives. …
A growing number of adolescents are living with HIV/AIDS. For their well-being and for prevention, age- and culturally appropriate interventions become increasingly important. This qualitative study was conducted as the first step to develop a sexual and reproductive health (SRH) intervention. The study's objective was to assess the impact of HIV and related contextual conditions on identity formation of adolescents living with HIV/AIDS (ALH) in the domains of physical, cognitive, social, and sexual development. Data were collected using focus group discussions (FGDs). …
The impact of the HIV and AIDS epidemic is felt hardest by the individuals who are infected or affected by the disease, and in particular by individuals who are especially vulnerable to HIV infection due to stigma and discrimination, poverty, a lack of access to education, health and other services that promote HIV awareness. However, the impact of HIV and AIDS goes beyond the individual or household level – it affects nations as a whole. …
This is a report on a study conducted with Lesbian, Gay, Bisexual, Transgender and Intersex (LGBTI) people to explore their sexual and reproductive health and rights experiences and needs. The research exercise involved HIV positive LGBTI people and LGBTI NGOs in the greater Johannesburg area in Gauteng, South Africa. The main objective of the research was to collect data on sexual and reproductive health needs and experiences of LGBTI community, especially among people who are living with HIV.
Access to antiretroviral (ARV) drugs in Sub-Saharan Africa has rapidly expanded - from fewer than 10,000 people treated in 2000 to more than 8 million in 2011. To measure the impact of this expansion, it is necessary to identify the behavioral response of individuals to drug access. This paper combines geocoded information about the timing of introduction of ARVs in all Kenyan health facilities with two waves of geocoded population surveys to estimate the impact of proximity to an ARV provider on risky sexual behavior. …
Between your hands are the stories of several Egyptians who have suffered the stigma associated with living with HIV/AIDS. They are ordinary citizens who have lived among us, speaking about their emotional and psychological suffering - as if the infection was not sufficient agony in itself. Here we present people who have been exposed to daily to stigma and discrimination, be it by neighbors, friends, police officers, religious figures, or even doctors. They have become outcasts in their own society because of the prevailing stereotypes about people living with the virus. …
The number of young people with perinatally acquired HIV is growing significantly. With antiretroviral drugs, children who get infected at birth with HIV have an opportunity to graduate into adolescence and adulthood. This achievement notwithstanding, new challenges have emerged in their care and support needs, the most dynamic being their sexual and reproductive health needs and rights (SRHR). …
A prevenção tem sido uma questão crucial para os programas de controle da Aids. Os enormes progressos doá conhecimento e da técnica nesse campo não chegaram a alterar substantivamente os determinantes fundamentais da infecção e adoecimento de significativos contingentes populacionais. Neste ensaio busca-se sistematizar as lições que aprendemos no campo da prevenção nessas duas décadas de epidemia, tomando como base, em especial, a experiência brasileira. …
O Ministério da Saúde, em parceria com o Conselho Nacional dos Secretários de Saúde (CONASS) e o Conselho Nacional de Secretários Municipais de Saúde (CONASEMS), apresenta às instituições que atuam no campo da promoção da saúde, dos direitos humanos, dos direitos sexuais e reprodutivos o Plano Nacional de Enfrentamento da Epidemia de Aids e DST entre Gays, outros Homens que fazem Sexo com Homens (HSH) e Travestis. …
The overarching objective of the consultation was to review and synthesize the experiences of young people living with HIV and health workers responsible for providing services for them, including the identification of gaps and obstacles in the provision and use of services, in order to offer practical recommendations on how to improve the health sector response. …
À partir du constat des bénéfices associés à la thérapie antirétrovirale - amélioration des conditions de vie de personnes séropositives, augmentation de leur espérance de vie, etc. - et du fait que la personne séropositive peut désormais envisager la grossesse, l'article indique la nécessité de la prise en charge de ce souhait de fonder une famille par les équipes soignante, tout en soulignant l'importance de la minimisation maximale du risque de contamination et les avantages de la procréation médicalement assistée.
O presente artigo apresenta os resultados de uma pesquisa com 250 homens portadores do HIV com vida sexualmente ativa em relaçâo ao cuidado com a sua saúde reprodutiva em centros de referência de Aids, comparando-os com estudos realizados com mulheres portadoras. Apesar das conquistas queápermitem a paternidade sem infecção da parceira e da criança, os resultados indicam pouco acolhimento, mesmo nos centros de excelência pesquisados. …
Este trabajo de investigación fue motivado por la preocupación que ha generado la creciente infección de VIH/SIDA entre las mujeres, principalmente "amas de casa" del Ecuador. La hipótesis de partida fue que esta realidad tiene directa relación con los patrones culturales de género existentes en el país, los cuales hacen más vulnerable a ese grupo poblacional. Para la investigación se realizaron entrevistas semi-estructuradas con 11 mujeres y 10 hombres viviendo con VIH/SIDA de las ciudades de Quito y Guayaquil. …
