44901 - Integrating HIV/AIDS Care into Reproductive Health...

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Integrating HIV/AIDS Care into Reproductive Health Services: Opportunities missed, Lessons Learned Dr Bola Oyeledun Country Director
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Background Women constitute about 60 percent of those living with HIV/AIDS in sub-Saharan Africa, Young women account for three quarters of 15- to 24-year olds living with the virus Clients are the same people living within the same facilities Reproductive health and HIV services have generally been funded separately and operate vertically, with clients virtually seeing a different provider for each health service. Resources are finite and need to be judiciously utilized
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Changes in Life Expectancy in Africa with high HIV prevalence: Zimbabwe South Africa Botswana with low HIV prevalence: Madagascar Senegal Mali Source: UN Department of Economic and Social Affairs (2001) World Population Prospects, the 2000 Revision . 30 35 40 45 50 55 60 65 Life expectancy (years) 1950– 1955 1955- 1960 1960- 1965 1965- 1970 1970- 1975 1975- 1980 1980- 1985 1985- 1990 1990- 1995 1995- 2000 2000- 2005
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Why do we need to integrate services? Core obstacles to addressing reproductive health are the same as those fueling the AIDS epidemic, vicious cycles of poverty, gender-based violence, discrimination in access to education and services, women’s lack of control over their sexual and reproductive lives. Adolescent girls often bear the consequences of teenage pregnancy, sexually transmitted infections (STIs), and HIV, exacerbated by intergenerational sex and sexual violence
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services? : 2 Integration is a feasible means to achieve multiple key goals: prevent new HIV infections among women and girls; reduce HIV transmission from mother to child (prevention of mother to- child transmission [PMTCT]); prevent more AIDS orphans; support HIV-positive women’s reproductive rights and fertility choices. MDG-4: to reduce child mortality;
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44901 - Integrating HIV/AIDS Care into Reproductive Health...

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