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Longer duration of cART was not associated with poor fetal growth among term pregnancies in our cohort.
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This study used a qualitative and participatory approach to explore the messaging and restrictions imposed on adolescent girls living with HIV in Zambia. Key themes explored included experiences living with HIV , finding out about HIV status, disclosure, experiences with antiretroviral treatment, and support needs. Data were organized, coded and analysed using a grounded theory approach to thematic analysis. Family and healthcare providers, partly in a quest to protect both the health of adolescent girls living with HIV and also to protect them from blaming discourse, imposed restrictions on their behaviour around three main topics: don’t disclose your HIV status , don’t have sex, and don’t miss your medicines.
These restrictions were often delivered using tactics of fear, and usually disconnected from other options. Participants responded to these messages in several ways, including internalizing the messages, changing their behaviour either to comply with or resist the restrictions, by remaining silent and anxious when restrictions were broken, and developing concerns around their own health and sexual and reproductive aspirations.
Participants also sometimes experiencing stigma when restrictions could not be maintained. Restrictive messages were delivered to adolescent girls living with HIV through the broader social discourses of stigma, religion, and global and local narratives about HIV. Programmes aiming to support adolescent girls living with HIV need to work together with parents and healthcare providers to reflect on the impact of sanctioning messages, and to encourage more enabling and empowering messaging for adolescent girls living with HIV.
An estimated 2.
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Metrics details. Many African adults do not know that partners in steady or cohabiting relationships can have different HIV test results. INLs were identified in the faith-based, non-governmental, private, and health sectors. INLs and INAs were interviewed about demographic characteristics, promotional efforts, and working relationships. Influential social networks can successfully promote evidence-based HIV prevention in Africa. Peer Review reports. Sub-Saharan Africa, where an estimated 1.
Voluntary HIV counseling and testing VCT programs are an effective and feasible approach for increasing serostatus awareness and decreasing high-risk behavior [ 4 ]. Though CVCT is an effective prevention service, it has not yet been widely implemented. Initially, RZHRG promotions relied on influential network agents INAs to distribute invitations for CVCT and provide information about the service within the communities; after a period of pilot testing of this promotional system, these INAs suggested that they would benefit from the support of even more influential members of the community [ 17 ].
INAs interacted directly with couples in the community by giving information and written invitations for couples to seek CVCT. The information from this study aimed to determine the most effective methods of disseminating information about CVCT in the community to increase the number of couples seeking joint HIV counseling and testing. Weekly follow-up meetings were held to discuss challenges INAs encountered during their work. Questionnaires assessing INA and INL relationships were developed collaboratively by the first author, the project directors at Emory and at each field site, and in-country staff.
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Help us continue to fight human rights abuses. Please give now to support our work. It is addressing a range of obstacles to treatment and receiving substantial donor support to overcome them. However, women’s unequal status in Zambian society gravely undermines their ability to access and adhere to antiretroviral treatment ART , and the government is paying little if any attention to the gender dimension of treatment, especially the impact of entrenched discrimination and gender-based violence and abuse.
Women in Zambia report that gender-based human rights abuses are, in fact, very real barriers to accessing and adhering to treatment. HIV programs, activists, and policy makers are increasingly recognizing that discrimination and violence against women must be addressed if the world is to combat the AIDS pandemic. But treatment policies and programs still tend to ignore the connection between domestic violence or women’s insecure property rights and their ability to seek, access, and adhere to HIV treatment.
This must change if HIV treatment is to be provided equitably and to succeed in saving women’s lives. Human Rights Watch investigated the negative impact of gender-based human rights abuses on women’s access and adherence to HIV treatment in two provinces in Zambia, Lusaka and the Copperbelt, in and
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