Family Health International, Research Triangle Park, NC 27709, USA.
Bull World Health Organ. 2009 Nov;87(11):833-9. doi: 10.2471/blt.08.059360.
Access to reproductive health services for women with HIV is critical to ensuring their reproductive needs are addressed and their reproductive rights are protected. In addition, preventing unintended pregnancies in women with HIV is an essential component of a comprehensive prevention of mother-to-child transmission (PMTCT) programme. As a result, a call for stronger linkages between sexual and reproductive health and HIV policies, programmes and services has been issued by several international organizations. However, implementers of PMTCT and other HIV programmes have been constrained in translating these goals into practice. The obstacles include: (i) the narrow focus of current PMTCT programmes on treating HIV-positive women who are already pregnant; (ii) separate, parallel funding mechanisms for sexual and reproductive health and HIV programmes; (iii) political resistance from major HIV funders and policy-makers to include sexual and reproductive health as an important HIV programme component; and (iv) gaps in the evidence base regarding effective approaches for integrating sexual and reproductive health and HIV services. However, we now have a new opportunity to address these essential linkages. More supportive political views in the United States of America and the emergence of health systems strengthening as a priority global health initiative provide important springboards for advancing the agenda on linkages between sexual and reproductive health and HIV. By tapping into these platforms for advocating and by continuing to invest in research to identify integrated service delivery best practices, we have an opportunity to strengthen ties between the two synergistic fields.
为感染艾滋病毒的妇女提供生殖健康服务对于满足其生殖需求和保护其生殖权利至关重要。此外，预防感染艾滋病毒的妇女意外怀孕是全面预防母婴传播（PMTCT）计划的重要组成部分。因此，一些国际组织呼吁在性健康和生殖健康与艾滋病毒政策、方案和服务之间建立更强有力的联系。然而，PMTCT 和其他艾滋病毒方案的实施者在将这些目标转化为实践方面受到限制。障碍包括：（i）当前 PMTCT 方案狭隘地关注已经怀孕的艾滋病毒阳性妇女；（ii）性健康和生殖健康与艾滋病毒方案的单独、平行供资机制；（iii）主要艾滋病毒供资者和决策者对将性健康和生殖健康纳入艾滋病毒方案重要组成部分的政治抵制；以及（iv）将性健康和生殖健康与艾滋病毒服务相结合的有效方法方面的证据基础存在差距。然而，我们现在有一个新的机会来解决这些重要的联系。美国更支持的政治观点以及将卫生系统加强作为优先全球卫生倡议的出现，为推进性健康和生殖健康与艾滋病毒之间联系的议程提供了重要的跳板。通过利用这些倡导平台，并继续投资于研究以确定综合服务提供的最佳实践，我们有机会加强这两个协同领域之间的联系。
