Sexual and reproductive health and human rights of women living with HIV

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Introduction Many women living with HIV can have safe, healthy and satisfying sexual and reproductive health, but there is still a long way to go for this to be a reality, especially for the most vulnerable amongst them who face repeated violations of their rights. Discussion The contributions in this Supplement from researchers, clinicians, programme managers, policy makers, and women living with HIV demands an important appreciation that the field of sexual and reproductive health and human rights for women living with HIV is complex on many levels, and women living with HIV form a very diverse community. Conclusions The manuscripts emphasize that attention must be paid to the following critical dimensions: 1) Placing human rights and gender equality at the centre of a comprehensive approach to health programming, in particular in relation to sexuality and sexual health; 2) Ensuring health systems responsiveness to minimizing inequalities in access to health care and quality of care that often do not meet the needs of women living with HIV; 3) Engaging and empowering women living with HIV in the development of policies and programmes that affect them; and 4) Strengthening monitoring, evaluation and accountability procedures to provide good quality data and ensuring remedies for violations of health and human rights of women living with HIV.

Related collections

Most cited references 464

Record: found
Abstract: not found
Article: not found

Global health. The global prevalence of intimate partner violence against women.

K Devries, J Mak, C Garcia-Moreno … (2013)

0 comments Cited 456 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Stigma in the HIV/AIDS epidemic: a review of the literature and recommendations for the way forward.

Anish P Mahajan, Jennifer N. Sayles, Vishal A. Patel … (2008)

Although stigma is considered a major barrier to effective responses to the HIV/AIDS epidemic, stigma reduction efforts are relegated to the bottom of AIDS programme priorities. The complexity of HIV/AIDS-related stigma is often cited as a primary reason for the limited response to this pervasive phenomenon. In this paper, we systematically review the scientific literature on HIV/AIDS-related stigma to document the current state of research, identify gaps in the available evidence and highlight promising strategies to address stigma. We focus on the following key challenges: defining, measuring and reducing HIV/AIDS-related stigma as well as assessing the impact of stigma on the effectiveness of HIV prevention and treatment programmes. Based on the literature, we conclude by offering a set of recommendations that may represent important next steps in a multifaceted response to stigma in the HIV/AIDS epidemic.

0 comments Cited 356 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Effect of a structural intervention for the prevention of intimate-partner violence and HIV in rural South Africa: a cluster randomised trial.

Paul M Pronyk, James R M Hargreaves, Julia Kim … (2006)

HIV infection and intimate-partner violence share a common risk environment in much of southern Africa. The aim of the Intervention with Microfinance for AIDS and Gender Equity (IMAGE) study was to assess a structural intervention that combined a microfinance programme with a gender and HIV training curriculum. Villages in the rural Limpopo province of South Africa were pair-matched and randomly allocated to receive the intervention at study onset (intervention group, n=4) or 3 years later (comparison group, n=4). Loans were provided to poor women who enrolled in the intervention group. A participatory learning and action curriculum was integrated into loan meetings, which took place every 2 weeks. Both arms of the trial were divided into three groups: direct programme participants or matched controls (cohort one), randomly selected 14-35-year-old household co-residents (cohort two), and randomly selected community members (cohort three). Primary outcomes were experience of intimate-partner violence--either physical or sexual--in the past 12 months by a spouse or other sexual intimate (cohort one), unprotected sexual intercourse at last occurrence with a non-spousal partner in the past 12 months (cohorts two and three), and HIV incidence (cohort three). Analyses were done on a per-protocol basis. This trial is registered with ClinicalTrials.gov, number NCT00242957. In cohort one, experience of intimate-partner violence was reduced by 55% (adjusted risk ratio [aRR] 0.45, 95% CI 0.23-0.91; adjusted risk difference -7.3%, -16.2 to 1.5). The intervention did not affect the rate of unprotected sexual intercourse with a non-spousal partner in cohort two (aRR 1.02, 0.85-1.23), and there was no effect on the rate of unprotected sexual intercourse at last occurrence with a non-spousal partner (0.89, 0.66-1.19) or HIV incidence (1.06, 0.66-1.69) in cohort three. A combined microfinance and training intervention can lead to reductions in levels of intimate-partner violence in programme participants. Social and economic development interventions have the potential to alter risk environments for HIV and intimate-partner violence in southern Africa.

0 comments Cited 274 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Journal

Journal ID (nlm-ta): J Int AIDS Soc

Journal ID (iso-abbrev): J Int AIDS Soc

Journal ID (publisher-id): JIAS

Title: Journal of the International AIDS Society

Publisher: International AIDS Society

ISSN (Electronic): 1758-2652

Publication date (Electronic): 01 December 2015

Publication date Collection: 2015

Volume: 18

Issue: 6Suppl 5

Electronic Location Identifier: 20834

Affiliations

[1 ]Women's College Research Institute, Women's College Hospital, University of Toronto, Toronto, Ontario, Canada

[2 ]Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland

Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland

[1 ]Department of Preventive Medicine, Institute for Global Health, University of Southern California, Los Angeles, CA, USA

[2 ]Program on Global Health & Human Rights, Institute for Global Health, University of Southern California, Los Angeles, CA, USA

[3 ]Department of Reproductive Health & Research, World Health Organization, Geneva, Switzerland

[1 ]Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada

[2 ]British Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada

[3 ]Chronic Viral Illness Service, McGill University Health Centre, Montreal, Quebec, Canada

[4 ]Department of Family Medicine, McGill University, Montreal, Quebec, Canada

[5 ]Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada

[6 ]Women's Health in Women's Hands Community Health Centre, Toronto, Ontario, Canada

[7 ]Département de Sexologie, Université du Québec à Montréal, Montréal, Quebec, Canada

[8 ]Department of Medicine and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada

[1 ]Department of Obstetrics, Gynecology and Reproductive Sciences, University of California San Francisco, San Francisco, CA, USA

[2 ]Family AIDS Care and Education Services, Kenya Medical Research Institute, Kisumu, Kenya

[3 ]Department of Obstetrics and Gynaecology and Infectious Disease Institute, Makerere University, Kampala, Uganda

[1 ]Department of Global Health, University of Washington, Seattle, WA, USA;

[2 ]Department of Epidemiology, University of Washington, Seattle, WA, USA

[3 ]Wits Reproductive Health and HIV Institute, University of Witwatersrand, Johannesburg, South Africa

[4 ]Department of Human Metabolism, University of Sheffield, Sheffield, UK

[5 ]Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada

[6 ]Albert Einstein College of Medicine, Bronx, NY, USA

[7 ]Department of Reproductive Health and Research Including the Human Reproduction Research Programme, World Health Organization, Geneva, Switzerland

[8 ]Department of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, San Francisco, CA, USA

[9 ]Department of Obstetrics & Gynecology, University of Michigan, Ann Arbor, MI, USA

[10 ]Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI, USA

[1 ]International Community of Women Living with HIV (ICW), Nairobi, Kenya

[2 ]Global Network of People Living with HIV (GNP+), Amsterdam, The Netherlands

[3 ]Global Network of People Living with HIV (GNP+), Brooklyn, NY, USA

[4 ]International Community of Women Living with HIV (ICW), Harare, Zimbabwe

[5 ]International Community of Women Living with HIV (ICW), Kampala, Uganda

[6 ]International Community of Women Living with HIV (ICW), Lusaka, Zambia

[7 ]Network of Zambian People Living with HIV (NZP+), Lusaka, Zambia

[8 ]International Community of Women Living with HIV (ICW), Washington, DC, USA

[9 ]Global Network of People Living with HIV (GNP+), Brighton, UK

[1 ]ATHENA Network, London, UK

[2 ]Salamander Trust, London, UK

[3 ]Women's Health Academic Centre, King's College London, London, UK

[4 ]Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada

[5 ]ATHENA Network, Seattle, WA, USA

[6 ]Eurasian Women's Network on AIDS, Kiev, Ukraine

[7 ]UNAIDS Dialogue Platform, London, UK

[1 ]Salamander Trust, London, UK

[2 ]ATHENA Network, London, UK

[3 ]Women's Health Academic Centre, King's College London, London, UK

[4 ]Transgender Law Center, Oakland, CA, USA

[5 ]ATHENA Network, Seattle, WA, USA

[6 ]International Community of Women Living with HIV and AIDS (ICW) East Africa, Kampala, Uganda

[1 ]Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

[2 ]Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

[3 ]Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland

[4 ]Department of HIV/AIDS, World Health Organization, Geneva, Switzerland

[1 ]Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland

[2 ]Department of HIV/AIDS, World Health Organization, Geneva, Switzerland

[3 ]Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Geneva, Switzerland

Author notes

[§ ] Corresponding author: Mona Loutfy, Women's College Research Institute, Women's College Hospital, University of Toronto, Room 6415, 76 Grenville St, 6th Floor, Toronto, ON, Canada M5S 1B1. Tel: +1 416 725 9566. Fax: +1 416 351 3746. ( mona.loutfy@ 123456wchospital.ca )

[* ]All authors contributed equally to this work.

[§ ] Corresponding author: Avni Amin, 20 Avenue Appia, CH-1201 Geneva 27, Switzerland. Tel: +41 22 791 23 06. ( amina@ 123456who.int )

[§ ] Corresponding author: Rajat Khosla, Department of Reproductive Health and Research, World Health Organization, 20, Avenue Appia, CH-1211 Geneva 27, Switzerland. Tel:+41 22 791 10 95. Fax:+41 22 791 41 71. ( khoslar@ 123456who.int )

[§ ] Corresponding author: Sofia Gruskin, Program on Global Health and Human Rights, Institute for Global Health, University of Southern California, 2001 N. Soto Street, SSB 318J, MC 9239, Los Angeles, CA 90032, USA. Tel: +1 (323) 865 0826. ( gruskin@ 123456med.usc.edu )

[§ ] Corresponding author: Angela Kaida, Faculty of Health Sciences, Simon Fraser University, Blusson Hall Rm 10522, 8888 University Drive, Burnaby, BC, Canada V5A 1S6. Tel: +1 778 782 9068. Fax: +1 778 782 5927. ( kangela@ 123456sfu.ca )

[† ]Additional team members are listed at the end of the manuscript.

[§ ] Corresponding author: Megan J Huchko, Mission Hall, 550 16th Street, Box 1224, San Francisco, CA 94158, USA. Tel: +1 415 476 5882. ( megan.huchko@ 123456ucsf.edu )

[* ]All authors have contributed equally to this work.

[§ ] Corresponding author: Renee Heffron, 325 Ninth Avenue Box 359927, Seattle, WA 98104, USA. Tel: +1 206 520 3817. Fax: +1 206 520 3831. ( rheffron@ 123456uw.edu )

[§ ] Corresponding author: Amy C Hsieh, 256 Cumberland Street, #1, Brooklyn, NY 11205, USA. Tel: +1 917 797 2880. ( amyhsiehesq@ 123456gmail.com )

[* ]These authors have contributed equally to the work.

[§ ] Corresponding author: Alice Welbourn, Salamander Trust, c/o Positively UK, 345 City Road, London EC1V 1LR, UK. Tel: +44 203 289 7398. ( alice@ 123456salamandertrust.net )

[* ]All authors contributed equally to this work.

[§ ] Corresponding author: Alice Welbourn, Salamander Trust, c/o Positively UK, 345 City Road, London EC1V 1LR, UK. Tel: +44 203 289 7398. ( alice@ 123456salamandertrust.net )

[* ]These authors have contributed equally to the work.

[§ ] Corresponding author: Caitlin E Kennedy, Social and Behavioral Interventions Program, Department of International Health, Room E5033, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205, USA. Tel: +1 443 287 8794. Fax: +1 410 614 7553. ( caitlinkennedy@ 123456jhu.edu )

[§ ] Corresponding author: Venkatraman Chandra-Mouli, Department of Reproductive Health and Research, World Health Organization, Geneva, CH-1211, Switzerland. Tel: +41 22 791 48 14. ( chandramouliv@ 123456who.int )

[* ]V Chandra-Mouli and A Armstrong equally contributed to the work.

Article

Publisher ID: 20834

DOI: 10.7448/IAS.18.6.20834

PMC ID: 4813610

SO-VID: 833046f4-c202-4383-b18f-76a656a1cb3f

License:

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Sexual and reproductive health and human rights of women living with HIV

Read this article at

Abstract

Related collections

Research from Ukraine

Most cited references 464

Global health. The global prevalence of intimate partner violence against women.

Stigma in the HIV/AIDS epidemic: a review of the literature and recommendations for the way forward.

Effect of a structural intervention for the prevention of intimate-partner violence and HIV in rural South Africa: a cluster randomised trial.

Author and article information

Journal

Affiliations

Author notes

Article

History

Categories

Comments

Comment on this article

Similar content 177

Cited by 4

Most referenced authors 6,552