1 / 17

HIV and reproductive health Which aspects need more attention?

HIV and reproductive health Which aspects need more attention?. Daniela Draghici and Maria de Bruyn Ipas Women and HIV/AIDS in CEE: Bringing different communities together to advance common goals 11 to 12 November 2005, Warsaw, Poland. The neglected and sensitive issues.

gin
Download Presentation

HIV and reproductive health Which aspects need more attention?

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. HIV and reproductive healthWhich aspects need more attention? Daniela Draghici andMaria de Bruyn Ipas Women and HIV/AIDS in CEE: Bringing different communities together to advance common goals 11 to 12 November 2005, Warsaw, Poland

  2. The neglected and sensitive issues • Contraceptive information and counselling in the context of HIV • Ethical issues related to routine, “opt-out” antenatal testing • Rights issues related to HIV testing during labour • Abortion care for HIV-positive women • “Alternative” parenting options

  3. Tailored contraceptive services Potential drawbacks to various methods should be described in counselling IUDs and anaemia Hormonal contraceptives and STIs Hormonal contraceptives and interactions with HIV-related drugs

  4. Integration of FP &AIDS-related services VCT centres Programmes to prevent perinatal transmission Postpartum care and MCH services

  5. Change the terminology! Is someone to “blame?” • Mother to child? • Parent to child? “Perinatal transmission” is a more neutral term T-shirt at the Bangkok AIDS conference

  6. Routine opt-out antenatal testing • Is the voluntary nature of testing preserved? • Is high-quality pre-test counselling possible in resource-constrained settings? • Do women have a true informed choice?

  7. Testing during labour Do women have sufficient time to make an informed choice? How feasible is pre-test counselling for a woman in labour?

  8. Testing during labour How can confidentiality be guaranteed? What are the consequences for women (and their babies) who test false-positive?

  9. Expand VCT outside the antenatal care setting Primary health care Family planning centres Other reproductive health services

  10. Abortion-related care 95% of unsafe abortions occur in developing countries Unsafe abortion must be addressed in AIDS-related reproductive health care

  11. Abortion-related care UNAIDS and WHO support access to safe abortion where permitted by law Guidance on abortion care largely neglects mention of HIV Research is needed to determine whether current protocols sufficiently address needs of HIV-positive women Coercion or pressure on HIV-positive women to have abortions is a violation of their human rights!

  12. Assisted reproduction Sperm washing Donor sperm In vitro fertilization Access of pregnant women to services to prevent perinatal transmission WHO coverage survey 2004

  13. Adoption by HIV-positive people Changes in norms needed Changes in policies and regulations required

  14. Advocate for HIV-positive women’s rights Promote the Barcelona Bill of Rights Join the Barcelona Bill of Rights network Alice Welbourn, ICW; Mabel Bianco, IAS/FEIM, Monruedee Laphimon, SWAT; Thai woman living with HIV

  15. Monitoring tool Fulfilling reproductive rights for women affected by HIV A tool for monitoring achievement of Millennium Development Goals Center for Health and Gender Equity (CHANGE) International Community of Women Living with HIV/AIDS (ICW) Ipas Pacific Institute for Women’s Health (PIWH) August 2004

  16. What can we do? Address all the reproductive health needs of women living with HIV Involve HIV-positive women in developing policies on HIV testing during antenatal care, labour & delivery Expand access to VCT outside the antenatal care setting Stop avoiding the issue of unwanted pregnancies and abortion in relation to HIV/AIDS

  17. Work within a framework of ethics and human rights

More Related