Introduction
Even as the number of
women living with HIV around the globe continues to grow, realization of their
sexual and reproductive health and human rights remains compromised. The
objective of this study was to review the current state of knowledge on the
sexual and reproductive health and human rights of women living with HIV to
assess evidence and gaps.
Methods
Relevant databases were
searched for peer-reviewed and grey literature. Search terms included a
combination of MeSH terms and keywords representing women, HIV/AIDS, ART, human
rights, sexual and reproductive health. We included both qualitative and
quantitative literature published in English, French, or Spanish between July
2011 and December 2014.
Results and discussion
The search yielded 2228
peer-reviewed articles, of which 40 met the inclusion criteria in the final
review. The grey literature search yielded 2186 documents of which seven met
the inclusion criteria in the final review. Of the articles and documents
reviewed, not a single peer-reviewed article described the explicit
implementation of rights in programming, and only two documents from the grey
literature did so. With one possible exception, no articles or documents were
found which addressed rights comprehensively, or addressed the majority of
relevant rights (i.e. equality; non-discrimination; participation; privacy and
confidentiality; informed decision making; availability, accessibility,
acceptability and quality (3AQ) of services individually or in their totality;
and accountability). Additional findings indicate that the language of rights
is used most often to describe the apparent neglect or violation of human
rights and what does exist only addresses a few rights in the context of a few
areas within sexual and reproductive health.
Conclusions
Findings from this
review suggest the need to better integrate rights into interventions,
particularly with attention to provider training, service delivery, raising
awareness and capacity building among the community of women living with HIV.
Further research is urgently needed to support the sexual and reproductive
health and rights of women living with HIV, to identify what works and to
inform future programming and policies to improve care, treatment and support
for women living with HIV.
Full article at: http://goo.gl/Cm3oU0
By: Shubha Kumar,1 Sofia Gruskin,§,2 Rajat Khosla,3 and Manjulaa Narasimhan3
1Department of Preventive Medicine,
Institute for Global Health, University of Southern California, Los Angeles,
CA, USA
2Program on Global Health & Human
Rights, Institute for Global Health, University of Southern California, Los
Angeles, CA, USA
3Department of Reproductive Health &
Research, World Health Organization, Geneva, Switzerland
§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. (Email: ude.csu.dem@niksurg)
More at: https://twitter.com/hiv_insight
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