Ensuring sexual and reproductive health for people living with HIV: An overview of key human rights, policy and health systems issues
Ensuring sexual and reproductive health for people living with HIV: An overview of key human rights, policy and health systems issues
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DOI：
10.1016/s0968-8080(07)29028-7
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发表时间：
2007-05-01
影响因子：
--
通讯作者：
O'Malley, Jeffrey
中科院分区：
文献类型：
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作者：
Gruskin, Sofia;Ferguson, Laura;O'Malley, Jeffrey
尽管口头上有所关注，但关于如何最好地确保感染艾滋病毒的妇女和男子获得性健康和生殖健康服务以帮助他们实现生殖目标，同时确保他们的人权的方案指导却很少。提供卫生服务和计划的方式与寻求这些服务的个人之间存在着动态关系。对文献的回顾显示了明显的差距，并强调了尚未得到充分解决的关注领域。卫生服务和计划的提供和使用取决于人们获得和使用这些服务的根本决定因素、社区和国家层面的卫生系统以及这些系统运行的法律和政策环境。很少有政府能够提供其人民可能需要的全方位服务。在大多数地方，人们从各种正式和非正式提供者处获得健康服务，与健康相关的行为受到多方面的影响。必须解决卫生系统、低水平和政策以及潜在社会决定因素在帮助或阻碍为艾滋病毒感染者制定和提供适当的规划和服务方面的协同作用。 (c) 2007 年生殖健康问题。版权所有。
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 ore 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, low 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. (c) 2007 Reproductive Health Matters. All rights reserved.