Integrating legal services into antenatal and postnatal care for HIV positive and HIV negative women...
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S. Maman 1 , D. Holness 2 , D. Moodley 3 , A.K. Groves 1 , T Ezer 4 PowerPoint PPT Presentation


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Integrating legal services into antenatal and postnatal care for HIV positive and HIV negative women in South Africa. S. Maman 1 , D. Holness 2 , D. Moodley 3 , A.K. Groves 1 , T Ezer 4 1 University of North Carolina at Chapel Hill, Gillings School of Global Public Health

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S. Maman 1 , D. Holness 2 , D. Moodley 3 , A.K. Groves 1 , T Ezer 4

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S maman 1 d holness 2 d moodley 3 a k groves 1 t ezer 4

Integrating legal services into antenatal and postnatal care for HIV positive and HIV negative women in South Africa

S. Maman1, D. Holness2, D. Moodley3, A.K. Groves1, T Ezer4

1 University of North Carolina at Chapel Hill, Gillings School of Global Public Health

2 University of KwaZulu-Natal, Campus Law Clinic

3 University of KwaZulu-Natal, Women’s Health and HIV Research Unit

4 Soros Foundation, Law and Health Initiative


Background and methods

Background and Methods

  • Background

    • Pregnant women , particularly HIV+ women, face health & social risks

    • Contact with the health care system during pregnancy represents an opportunity to address the legal and social needs of women

    • However clinics are often not equipped to address non-clinical needs

    • Access to legal services for poor women has been a major challenge

    • Bringing legal services into health care setting during pregnancy is one approach that could prevent HIV and address issues faced by women

  • Methods

    • The South Africa HIV Antenatal Post-test Support Study (SAHAPS) is a randomized controlled trial designed to evaluate the efficacy of enhanced post-test support for HIV+ and HIV- pregnant women in Durban.

    • 1,500 women have been enrolled & randomized  to receive either standard PMTCT services or a model that includes enhanced post-test support

    • Onsite legal services is one component of post-test support for women.  


Results and conclusion

Results and Conclusion

  • Among 611 women offered legal services, 69 (11.3%) opened a legal case, and 25 women opened more than one case.

  • 83 cases were opened, including child maintenance (n=39), protection orders (n=10), labor disputes (n=10), child related legal issues (n=7), discrimination (n=5), housing (n=5) and smaller numbers of other cases.

  • More HIV + women than HIV- women opened cases (19% vs. 10%, p<.001).

  • The types of legal cases did not differ by HIV status, except that 4/5 of the discrimination cases were opened by HIV+ women.

  • This study demonstrates the feasibility of integrating legal services into a health care setting, however lengthy judicial process is a major challenge to integration

  • The higher uptake of services among HIV+ women suggests that their legal needs may be amplified as a result of their status


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