Orza Luisa, Crone Tyler, Mellin Julie, Westerhof Nienke, Stackpool-Moore Lucy, Restoy Enrique, Gray Greg, Stevenson Jacqui
ATHENA Network, London, United Kingdom.
ATHENA Network, Seattle, Washington.
J Adolesc Health. 2017 Feb;60(2S2):S10-S14. doi: 10.1016/j.jadohealth.2016.11.006.
Sexual and reproductive health and rights have gained prominence in the HIV response. The role of sexual and reproductive health in underpinning a successful approach to HIV prevention, treatment, care, and services has increasingly been recognized. However, the "second R," referring to sexual and reproductive rights, is often neglected. This leads to policies and programs which both fail to uphold and fulfill these rights and which fail to meet the needs of those most affected by HIV by neglecting to take account of the human right-based barriers and challenges they face. In this commentary, the authors draw on the approach and practical experiences of the Link Up program, and the findings of a global consultation led for and by young people living with and most affected by HIV, to present a five-point framework to improve programming and health outomces by better protecting, respecting, and fulfilling the sexual health and reproductive rights of young people living with and most vulnerable to HIV.
性与生殖健康及权利在应对艾滋病病毒方面已受到重视。性与生殖健康在支撑成功的艾滋病病毒预防、治疗、护理及服务方法中所起的作用日益得到认可。然而，“第二个R”，即性与生殖权利，却常常被忽视。这导致一些政策和项目既未能维护和实现这些权利，又因忽视了受艾滋病病毒影响最严重者所面临的基于人权的障碍和挑战而无法满足他们的需求。在这篇评论文章中，作者借鉴了“联系起来”项目的方法和实践经验，以及一项由感染艾滋病病毒且受其影响最严重的年轻人主导并参与的全球磋商的结果，提出了一个五点框架，旨在通过更好地保护、尊重和实现感染艾滋病病毒及最易感染艾滋病病毒的年轻人的性健康和生殖权利，来改进项目规划和健康成果。
