Ensuring sexual and reproductive health for people living with HIV: an overview of key human rights, policy and health systems issues.


Gruskin, S; Ferguson, L; O'Malley, J; (2007) Ensuring sexual and reproductive health for people living with HIV: an overview of key human rights, policy and health systems issues. Reproductive health matters, 15 (29 Suppl). pp. 4-26. ISSN 0968-8080 DOI: https://doi.org/10.1016/S0968-8080(07)29028-7

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Abstract

Despite rhetorical attention there is little programmatic guidance as to how best to ensure that women and men living with HIV have access to sexual and reproductive health services that help them realise their reproductive goals, while ensuring their human rights. A dynamic relationship exists between the manner in which health services and programmes are delivered, and the individuals who seek these services. A review of the literature shows clear gaps and highlights areas of concern not yet sufficiently addressed. The delivery and use of health services and programmes is shaped by the underlying determinants of people's access to and use of these services, the health systems in place at community and country level, and the legal and policy environment these systems operate in. Few governments can provide the full range of services that might be required by their populations. In most places, people access health services from a variety of formal and informal providers, and health-related behaviour is influenced from many directions. The synergistic roles of health systems, law and policy and underlying social determinants in helping or hindering the development and delivery of adequate programmes and services for HIV positive people must be addressed.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
PubMed ID: 17531746
Web of Science ID: 247743100002
URI: http://researchonline.lshtm.ac.uk/id/eprint/4527

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