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促进感染艾滋病毒妇女的性健康和生殖健康及人权。

Advancing the sexual and reproductive health and human rights of women living with HIV.

作者信息

Loutfy Mona, Khosla Rajat, Narasimhan Manjulaa

机构信息

Women's College Research Institute, Women's College Hospital, University of Toronto, Toronto, Ontario, Canada;

Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.

出版信息

J Int AIDS Soc. 2015 Dec 1;18(Suppl 5):20760. doi: 10.7448/IAS.18.6.20760. eCollection 2015.

Abstract

INTRODUCTION

Many women living with HIV can have safe, healthy and satisfying sexual and reproductive health, but there is still a long way to go for this to be a reality, especially for the most vulnerable amongst them who face repeated violations of their rights.

DISCUSSION

The contributions in this Supplement from researchers, clinicians, programme managers, policy makers, and women living with HIV demands an important appreciation that the field of sexual and reproductive health and human rights for women living with HIV is complex on many levels, and women living with HIV form a very diverse community.

CONCLUSIONS

The manuscripts emphasize that attention must be paid to the following critical dimensions: 1) Placing human rights and gender equality at the centre of a comprehensive approach to health programming, in particular in relation to sexuality and sexual health; 2) Ensuring health systems responsiveness to minimizing inequalities in access to health care and quality of care that often do not meet the needs of women living with HIV; 3) Engaging and empowering women living with HIV in the development of policies and programmes that affect them; and 4) Strengthening monitoring, evaluation and accountability procedures to provide good quality data and ensuring remedies for violations of health and human rights of women living with HIV.

摘要

引言

许多感染艾滋病毒的女性能够拥有安全、健康且令人满意的性与生殖健康,但要实现这一目标仍有很长的路要走,尤其是对于她们中最脆弱的群体而言,她们的权利屡屡遭到侵犯。

讨论

本增刊中研究人员、临床医生、项目管理人员、政策制定者以及感染艾滋病毒的女性所做出的贡献,让我们深刻认识到,艾滋病毒感染女性的性与生殖健康及人权领域在许多层面都很复杂,而且感染艾滋病毒的女性群体非常多样化。

结论

这些稿件强调必须关注以下关键层面:1)将人权和性别平等置于全面健康规划方法的核心位置,特别是在性与性健康方面;2)确保卫生系统做出响应,尽量减少在获得医疗保健和护理质量方面的不平等现象,因为这些往往无法满足感染艾滋病毒女性的需求;3)让感染艾滋病毒的女性参与并赋权她们制定影响自身的政策和项目;4)加强监测、评估和问责程序,以提供高质量数据,并确保对侵犯感染艾滋病毒女性的健康和人权行为进行补救。

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本文引用的文献

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Addressing gender inequalities to improve the sexual and reproductive health and wellbeing of women living with HIV.
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Safer disclosure of HIV serostatus for women living with HIV who experience or fear violence: a systematic review.
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Human rights and the sexual and reproductive health of women living with HIV--a literature review.
J Int AIDS Soc. 2015 Dec 1;18(Suppl 5):20290. doi: 10.7448/IAS.18.6.20290. eCollection 2015.
5
How does living with HIV impact on women's mental health? Voices from a global survey.
J Int AIDS Soc. 2015 Dec 1;18(Suppl 5):20289. doi: 10.7448/IAS.18.6.20289. eCollection 2015.
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Fundamental concerns of women living with HIV around the implementation of Option B+.
J Int AIDS Soc. 2015 Dec 1;18(Suppl 5):20286. doi: 10.7448/IAS.18.6.20286. eCollection 2015.
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"Violence. Enough already": findings from a global participatory survey among women living with HIV.
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