Abstract:
:A trained health service workforce is critical to ensuring good quality service delivery to people with HIV. There is only limited documented information on the challenges and constraints facing health care providers in meeting the sexual and reproductive health needs of HIV positive women and men. This paper reviews information on providers' attitudes, motivation and level of preparedness in addressing the sexual and reproductive health needs of people living with HIV in the context of the human resources crisis and emerging treatment and prevention strategies. There is a need for significant investment in improving the health infrastructure and providers' ability to take universal precautions against infection in health care settings. Additionally, there is need for comprehensive and appropriate training for health care providers to build their capacity to meet the requirements and expectations of different sub-populations of HIV positive people. This includes not only physicians but also nurses and midwives, who are the primary caregivers for most of the population in many resource-poor settings. Supportive and knowledgeable providers are crucial for helping HIV positive people seek and adhere to treatment, prevent sexually transmitted infections, unintended pregnancies and vertical transmission of HIV and support positive living free from stigma and discrimination. Providers, some of whom may themselves be HIV positive, can make an important difference, especially if they are supported in their working conditions, are knowledgeable about HIV and sexual and reproductive health and have the skills to provide good quality care.
journal_name
Reprod Health Mattersjournal_title
Reproductive health mattersauthors
Bharat S,Mahendra VSdoi
10.1016/S0968-8080(07)29030-5subject
Has Abstractpub_date
2007-05-01 00:00:00pages
93-112issue
29 Suppleissn
0968-8080issn
1460-9576pii
S0968-8080(07)29030-5journal_volume
15pub_type
杂志文章,评审abstract::Abortion has been available legally in Moldova since 1955, and since then the abortion rate has gradually declined. The quality of abortion care remains low, however, and there is a high level of maternal mortality related to unsafe abortion. The goals of the 2005-2015 National Reproductive Health Strategy are to redu...
journal_title:Reproductive health matters
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journal_title:Reproductive health matters
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abstract::Population-Health-Environment (PHE) is an interdisciplinary model of programme design which recognises the complex interconnections between people, their health and their environment. PHE responds holistically to the challenges faced by ecosystems and the communities dependent on them, with thematically distinct but i...
journal_title:Reproductive health matters
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abstract::In 1997, the Supreme Court of India recognised sexual harassment in the workplace as a violation of human rights. However, little is known about the extent or persistence of sexual harassment. To obtain an understanding of women's experiences of sexual harassment in the health sector, an exploratory study was undertak...
journal_title:Reproductive health matters
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journal_title:Reproductive health matters
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abstract::This study seeks to examine the reasons why young women aged 14-20 in Maputo, Mozambique were engaging in risky sexual behaviour, and to ascertain whether the spread of HIV is due to socioeconomic factors and/or patriarchal beliefs and mores, or both. It is based on in-depth interviews and questionnaires among 182 gir...
journal_title:Reproductive health matters
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journal_title:Reproductive health matters
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journal_title:Reproductive health matters
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更新日期:2008-05-01 00:00:00
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journal_title:Reproductive health matters
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journal_title:Reproductive health matters
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abstract::Violence against women is a social mechanism confirming women's subordination in many societies. Sexual violence and harassment have various negative psychological impacts on girls, including a persistent feeling of insecurity and loss of self-esteem. This article aims to contextualize a particular form of sexual hara...
journal_title:Reproductive health matters
pub_type: 杂志文章
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abstract::This paper explores sexual and reproductive health and rights (SRHR) among young people, identifying intersecting factors that create inequities in access to services, health-seeking behaviour, and ultimately health outcomes. Based on qualitative interviews with young people in the Maldives, it demonstrates how these ...
journal_title:Reproductive health matters
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更新日期:2018-11-01 00:00:00
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journal_title:Reproductive health matters
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abstract::Organizational changes, increased funding and the demands of HIV antiretroviral (ARV) treatment create particular challenges for governance in the health sector. We assess resource allocation, policy making and integration of the national responses to ARV provision and reproductive health in Burkina Faso, using nation...
journal_title:Reproductive health matters
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abstract::South Africa's cervical screening policy recommends three free Pap smears at ten-year intervals for all women over 30 years of age, aiming to achieve 70% coverage by 2010 by targeting the age group most at risk of developing pre-cancerous cervical lesions. Attaining wide coverage requires an adequate supply of motivat...
journal_title:Reproductive health matters
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doi:10.1016/S0968-8080(08)32403-3
更新日期:2008-11-01 00:00:00
abstract::Drug regimens and procedures now exist that will prevent parents from transmitting HIV to infants, and the ethical and legal obligation to promote and protect the reproductive rights of those living with HIV should form part of training for HIV/AIDS care and prevention. This paper reports a study that investigated iss...
journal_title:Reproductive health matters
pub_type: 杂志文章
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更新日期:2003-11-01 00:00:00
abstract::'Microbicide' is the name for a number of new products currently under research which could become a new class of barrier method for use in the vagina and rectum for protection against HIV, prevention and/or treatment of other sexually transmitted diseases and/or act as a contraceptive. This is a summary report of thi...
journal_title:Reproductive health matters
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更新日期:2000-05-01 00:00:00
abstract::In support of maternal health, disease-specific and target-oriented global policy initiatives, such as in Millennium Development Goal 5, have led to a prioritisation of narrow indicators at the expense of more comprehensive approaches. In line with global policy, Nicaragua has made skilled attendants and institutional...
journal_title:Reproductive health matters
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abstract::This paper reports on a community-based study in 1999 of the beliefs and practices of people in Faranah District, Guinea regarding female genital excision (FGE). Semi-structured individual interviews and focus group discussions were carried out with women of reproductive age, older women, married men, community and re...
journal_title:Reproductive health matters
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更新日期:2001-11-01 00:00:00
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journal_title:Reproductive health matters
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journal_title:Reproductive health matters
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abstract::The Irish Protection of Life During Pregnancy Act seeks to clarify the legal ground for abortion in cases of risk to life, and to create procedures to regulate women's access to services under it. This article explores the new law as the outcome of an international human rights litigation strategy premised on state du...
journal_title:Reproductive health matters
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abstract::Even a few decades ago, it was considered normal and even desirable in Latin America for young women to become pregnant before they were 20--provided they were married; while young men were expected to become sexually active as soon as they entered adolescence, without much concern about potential risks or with whom t...
journal_title:Reproductive health matters
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abstract::At the mid-point of the Programme of Action of the 1994 International Conference on Population and Development, we reviewed the situation in the UK in key areas. In recent years, greater attention has been paid to sexual health at a national policy level, including strategies on teenage pregnancy and sexual health, bu...
journal_title:Reproductive health matters
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abstract::Structural and social inequalities, a harsh political economy and neglect on the part of the state have made married adolescent girls an extremely vulnerable group in the urban slum environment in Bangladesh. The importance placed on newly married girls' fertility results in high fertility rates and low rates of contr...
journal_title:Reproductive health matters
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journal_title:Reproductive health matters
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journal_title:Reproductive health matters
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journal_title:Reproductive health matters
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