Breaking the silence: South African HIV policies and the needs of men who have sex with men.

Abstract:

:Although the HIV epidemic among men who have sex with men (MSM) in South Africa preceded the onset of the generalised HIV epidemic by several years, current policies and programmes focus on heterosexual transmission and mother-to-child transmission. We used an adaptation of the UNAIDS Country Harmonised Alignment Tool (CHAT) to assess whether existing HIV policies and programmes in South Africa address the needs of MSM. This covered mapping of key risk factors and epidemiology of HIV among MSM; participation of MSM in the HIV response; and an enabling environment for service provision, funding and human resources. We found that current policies and programmes are unresponsive to the needs of MSM and that epidemiologic information is lacking, in spite of policy on MSM in the National Strategic Plan. We recommend that government initiate sentinel surveillance to determine HIV prevalence among MSM, social science research on the contexts of HIV transmission among MSM, and appropriate HIV prevention and care strategies. MSM should be closely involved in the design of policies and programmes. Supportive programme development should include dedicated financial and human resources, appropriate guidelines, and improved access to and coverage of HIV prevention, treatment and care services for MSM.

journal_name

Reprod Health Matters

authors

Rispel LC,Metcalf CA

doi

10.1016/S0968-8080(09)33442-4

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

133-42

issue

33

eissn

0968-8080

issn

1460-9576

pii

S0968-8080(09)33442-4

journal_volume

17

pub_type

杂志文章
  • Sexual health in the International Classification of Diseases (ICD): implications for measurement and beyond.

    abstract::This paper examines different dimensions of sexual health as related to the measurement of sexual health indicators and the proposed changes in the International Classification of Diseases to address issues related to sexuality and sexual health with an aim of informing health policy-making and programming. The lack o...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/j.rhm.2015.11.008

    authors: Chou D,Cottler S,Khosla R,Reed GM,Say L

    更新日期:2015-11-01 00:00:00

  • The Copper-T 380A IUD: a ten-year alternative to female sterilisation in India.

    abstract::High unmet need for limiting contraception persists in most states of India despite wide access to sterilisation. Qualitative evidence from a rural community in which child mortality is high and women's autonomy is low suggests that women may seek reversibility in a contraceptive even if they have finished childbearin...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(00)90194-0

    authors: Iyengar K,Iyengar SD

    更新日期:2000-11-01 00:00:00

  • Between intent and achievement in sector-wide approaches: staking a claim for reproductive health.

    abstract::Since 1995, sector-wide approaches (SWAps) to health development have significantly influenced health aid to developing countries. SWAps offer guidelines for new partnerships with international donors led by government, new relationships between donors and shared financing, development and implementation of agreed pac...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(02)00082-4

    authors: Hill PS

    更新日期:2002-11-01 00:00:00

  • Intimate partner violence during pregnancy: analysis of prevalence data from 19 countries.

    abstract::We aimed to describe the prevalence of intimate partner violence (IPV) during pregnancy across 19 countries, and examine trends across age groups and UN regions. We conducted a secondary analysis of data from the Demographic and Health Surveys (20 surveys from 15 countries) and the International Violence Against Women...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(10)36533-5

    authors: Devries KM,Kishor S,Johnson H,Stöckl H,Bacchus LJ,Garcia-Moreno C,Watts C

    更新日期:2010-11-01 00:00:00

  • Ten reasons to oppose the criminalization of HIV exposure or transmission.

    abstract::Recent years have seen a push to apply criminal law to HIV exposure and transmission, often driven by the wish to respond to concerns about the ongoing rapid spread of HIV in many countries. Particularly in Africa, some groups have begun to advocate for criminalization in response to the serious phenomenon of women be...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(09)34462-6

    authors: Jürgens R,Cohen J,Cameron E,Burris S,Clayton M,Elliott R,Pearshouse R,Gathumbi A,Cupido D

    更新日期:2009-11-01 00:00:00

  • Materno-infantilism, feminism and maternal health policy in Brazil.

    abstract::In the last days of 2011, President of Brazil Dilma Rousseff issued a provisional measure (or draft law) entitled "National Surveillance and Monitoring Registration System for the Prevention of Maternal Mortality" (MP 557), as part of a new maternal health programme. It was supposed to address the pressing issue of ma...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(12)39616-X

    authors: Diniz S

    更新日期:2012-06-01 00:00:00

  • Implications of the Federal Abortion Ban for Women's Health in the United States.

    abstract::In 2007, the US Supreme Court upheld the Partial Birth Abortion Ban Act of 2003, also known as the Federal Abortion Ban or "the Ban." The decision undermines decades of established US abortion law that had recognised the preservation of the health of women as a paramount consideration. The Ban asserts that the state's...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(08)31374-3

    authors: Weitz TA,Yanow S

    更新日期:2008-05-01 00:00:00

  • Microbicides 2000: report of an international conference, 13-16 March, Washington DC.

    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

    pub_type:

    doi:10.1016/s0968-8080(00)90014-4

    authors: Berer M

    更新日期:2000-05-01 00:00:00

  • The value of advocacy in promoting social change: implementing the new Domestic Violence Act in South Africa.

    abstract::South Africa's first democratic government passed the Domestic Violence Act (DVA) into law in 1998 as part of local and international commitments to protecting the human rights of women. Although the Act was welcomed as groundbreaking legislation, delays in implementing it led to increasing frustration. This paper des...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(00)90187-3

    authors: Usdin S,Christofides N,Malepe L,Maker A

    更新日期:2000-11-01 00:00:00

  • Achieving effective cervical screening coverage in South Africa through human resources and health systems development.

    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

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(08)32403-3

    authors: Kawonga M,Fonn S

    更新日期:2008-11-01 00:00:00

  • Implementation of emergency obstetric care training in Bangladesh: lessons learned.

    abstract::The Women's Right to Life and Health project aimed to reduce maternal morbidity and mortality in Bangladesh through provision of comprehensive emergency obstetric care (EmOC) in the country's district and sub-district hospitals. Human resources development was one of the project's major activities. This paper describe...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(06)27229-X

    authors: Islam MT,Haque YA,Waxman R,Bhuiyan AB

    更新日期:2006-05-01 00:00:00

  • Short-changing reproductive health.

    abstract::Health sector reformers, particularly the economists among them, are prone to reject calls for more financial support for reproductive health as "special pleading" even when the argument is made that reproductive health is a basic human right. Reproductive health is not alone in this. Up to now, however, the idea that...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(02)00079-4

    authors: Merrick T

    更新日期:2002-11-01 00:00:00

  • Let's talk about sex work in humanitarian settings: piloting a rights-based approach to working with refugee women selling sex in Kampala.

    abstract::Although it is well known that refugees engage in sex work as a form of livelihood, stigma and silence around this issue persist within humanitarian circles. As a result, these refugees' sexual and reproductive health and rights, and related vulnerabilities, remain overlooked. Their protection and health needs, which ...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1080/09688080.2017.1405674

    authors: Rosenberg JS,Bakomeza D

    更新日期:2017-11-01 00:00:00

  • "I wouldn't even know where to start": unwanted pregnancy and abortion decision-making in Central Appalachia.

    abstract::How rurality relates to women's abortion decision-making in the United States remains largely unexplored in existing literature. The present study relies on qualitative methods to analyze rural women's experiences related to pregnancy decision-making and pathways to abortion services in Central Appalachia. This analys...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1080/09688080.2018.1513270

    authors: O'Donnell J,Goldberg A,Lieberman E,Betancourt T

    更新日期:2018-12-01 00:00:00

  • Speaking of sex workers: How suppression of research has distorted the United States' domestic HIV response.

    abstract::Sex workers remain a vulnerable population at risk for HIV acquisition and transmission. Research suggests that interventions at the individual level, such as condom distribution, are less effective in preventing HIV among sex workers than structural changes such as allowing safer work settings and reducing the harass...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/j.rhm.2015.06.008

    authors: Forbes A

    更新日期:2015-05-01 00:00:00

  • Young men's project: Great Yarmouth, UK.

    abstract::The Young Men's Project has been working with young men and young fathers as part of Great Yarmouth Primary Care Trust in the UK since June 2001. The Project works in schools and other educational environments to promote positive personal development, particularly around sex and relationships, and to increase accessib...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(06)28252-1

    authors: Osborn M

    更新日期:2006-11-01 00:00:00

  • Low use of rural maternity services in Uganda: impact of women's status, traditional beliefs and limited resources.

    abstract::In Uganda, lack of resources and skilled staff to improve quality and delivery of maternity services, despite good policies and concerted efforts, have not yielded an increase in utilisation of these services by women or a reduction in the high ratio of maternal deaths. This paper reports a study conducted from Novemb...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(03)02176-1

    authors: Kyomuhendo GB

    更新日期:2003-05-01 00:00:00

  • Sex workers in Kenya, numbers of clients and associated risks: an exploratory survey.

    abstract::In Kenya in 1999, an estimated 6.9% of women nationally said they had exchanged sex for money, gifts or favours in the previous year. In 2000 and 2001, in collaboration with sex workers who had formed a network of self-help groups, we conducted an exploratory survey among 475 sex workers in four rural towns and three ...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(04)23125-1

    authors: Elmore-Meegan M,Conroy RM,Agala CB

    更新日期:2004-05-01 00:00:00

  • Emerging changes in reproductive behaviour among married adolescent girls in an urban slum in Dhaka, Bangladesh.

    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

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(06)27221-5

    authors: Rashid SF

    更新日期:2006-05-01 00:00:00

  • A project to improve the quality of abortion services in Moldova.

    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

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(05)26206-7

    authors: Comendant R

    更新日期:2005-11-01 00:00:00

  • Reproductive health financing in Kenya: an analysis of national commitments, donor assistance, and the resources tracking process.

    abstract::Understanding the flow of resources at the country level to reproductive health is essential for effective financing of this key component of health. This paper gives a comprehensive picture of the allocation of resources for reproductive health in Kenya and the challenges faced in the resource-tracking process. Data ...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(13)42738-6

    authors: Sidze EM,Pradhan J,Beekink E,Maina TM,Maina BW

    更新日期:2013-11-01 00:00:00

  • Uptake of postabortion care services and acceptance of postabortion contraception in Puntland, Somalia.

    abstract::Unsafe abortion is responsible for at least 9% of all maternal deaths worldwide; however, in humanitarian emergencies where health systems are weak and reproductive health services are often unavailable or disrupted, this figure is higher. In Puntland, Somalia, Save the Children International (SCI) implemented postabo...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1080/09688080.2017.1402670

    authors: Chukwumalu K,Gallagher MC,Baunach S,Cannon A

    更新日期:2017-11-01 00:00:00

  • Human rights accountability for maternal death and failure to provide safe, legal abortion: the significance of two ground-breaking CEDAW decisions.

    abstract::In 2011, the Committee on the Elimination of Discrimination against Women (CEDAW) issued two landmark decisions. In Alyne da Silva Pimentel v. Brazil, the first maternal death case decided by an international human rights body, it confirms that States have a human rights obligation to guarantee that all women, irrespe...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(12)39610-9

    authors: Kismödi E,de Mesquita JB,Ibañez XA,Khosla R,Sepúlveda L

    更新日期:2012-06-01 00:00:00

  • The church, the state and women's bodies in the context of religious fundamentalism in the Philippines.

    abstract::After almost 500 years of Spanish colonial rule, Canon law and laws of Spanish origin continue to dominate Philippine family, civil and penal law. Most if not all of these laws place serious limitations on the realisation of women's sexual and reproductive rights. Since 2002, the current president, Gloria Mocapagal Ar...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(04)24152-0

    authors: Ruiz Austria CS

    更新日期:2004-11-01 00:00:00

  • The female condom: the international denial of a strong potential.

    abstract::The female condom has received surprisingly little serious attention since its introduction in 1984. Given the numbers of women with HIV globally, international support for women's reproductive and sexual health and rights and the empowerment of women, and, not least, due to the demand expressed by users, one would ha...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(10)35499-1

    authors: Peters A,Jansen W,van Driel F

    更新日期:2010-05-01 00:00:00

  • Unsafe sexual behaviour among schoolgirls in Mozambique: a matter of gender and class.

    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

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(01)90011-4

    authors: Machel JZ

    更新日期:2001-05-01 00:00:00

  • Politics, policies, pronatalism, and practice: availability and accessibility of abortion and reproductive health services in Turkey.

    abstract::Turkey has maintained liberal contraception and abortion policies since the 1980s. In 2012, the government proposed to restrict abortion; a bill limiting abortion was later drafted but never passed into law. Since the proposed restriction, women have reported difficulty accessing abortion services across Turkey. We ai...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/j.rhm.2016.11.002

    authors: MacFarlane KA,O'Neil ML,Tekdemir D,Çetin E,Bilgen B,Foster AM

    更新日期:2016-11-01 00:00:00

  • Self-aware sex education: a theoretical and practical approach in Venezuela.

    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

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(01)90018-7

    authors: Muñoz M

    更新日期:2001-05-01 00:00:00

  • Rights-based services for adolescents living with HIV: adolescent self-efficacy and implications for health systems in Zambia.

    abstract::A rights-based approach in HIV service delivery for adults is increasingly taking root in sub-Saharan Africa in the context of greater availability of antiretroviral therapy. Yet there has been comparatively little progress in strengthening a rights-based approach to adolescent HIV services, which we learned during a ...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(13)41701-9

    authors: Mburu G,Hodgson I,Teltschik A,Ram M,Haamujompa C,Bajpai D,Mutali B

    更新日期:2013-05-01 00:00:00

  • A, B and C in Uganda: the roles of abstinence, monogamy and condom use in HIV decline.

    abstract::Uganda is often cited as a role model in the fight against HIV/AIDS because of its success in reducing both prevalence and incidence of HIV infection since the late 1980s. Although an increase in sexual abstinence has been highlighted as a primary cause of the declines, large increases have also been recorded in monog...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(04)23118-4

    authors: Singh S,Darroch JE,Bankole A

    更新日期:2004-05-01 00:00:00