Meeting the sexual and reproductive health needs of people living with HIV: Challenges for health care providers
Meeting the sexual and reproductive health needs of people living with HIV: Challenges for health care providers
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DOI：
10.1016/s0968-8080(07)29030-5
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发表时间：
2007-05-01
影响因子：
--
通讯作者：
Mahendra, Vaishali Sharma
中科院分区：
文献类型：
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作者：
Bharat, Shalini;Mahendra, Vaishali Sharma
一支训练有素的保健服务队伍对于确保向艾滋病毒感染者提供高质量的服务至关重要。关于保健提供者在满足艾滋病毒阳性妇女和男子的性健康和生殖健康需求方面所面临的挑战和制约的文献资料有限。本文综述了在人力资源危机和新出现的治疗和预防战略的背景下，提供者在解决艾滋病毒感染者的性健康和生殖健康需求方面的态度、动机和准备水平的信息。需要进行大量投资，以改善保健基础设施和提供者在保健环境中普遍采取预防感染措施的能力。此外，需要对保健核心提供者进行全面和适当的培训，以建立他们满足艾滋病毒阳性者不同亚群的要求和期望的能力。这不仅包括医生，还包括护士和助产士，他们是许多资源贫乏环境中大多数人口的主要照顾者。支持性和知识渊博的提供者对于帮助艾滋病毒阳性患者寻求和坚持治疗，预防性传播感染，意外怀孕和艾滋病毒垂直传播以及支持没有耻辱和歧视的积极生活至关重要。提供者，其中一些人本身可能是艾滋病毒阳性，可以发挥重要作用，特别是如果他们在工作条件中得到支持，了解艾滋病毒以及性健康和生殖健康，并具有提供优质护理的技能。(c) 2007年生殖健康事项。版权所有。
A trained health service workforce is critical to ensuring good quality service delivery to people with HIV There is only limited documented information on the challenges and constraints facing health care providers in meeting the sexual and reproductive health needs of HIV positive women and men. This paper reviews information on providers' attitudes, motivation and level of preparedness in addressing the sexual and reproductive health needs of people living with HIV in the context of the human resources crisis and emerging treatment and prevention strategies. There is a need for significant investment in improving the health infrastructure and providers' ability to take universal precautions against infection in health care settings. Additionally, there is need for comprehensive and appropriate training for health core providers to build their capacity to meet the requirements and expectations of different sub-populations of HIV positive people. This includes not only physicians but also nurses and midwives, who are the primary caregivers for most of the population in many resource-poor settings. Supportive and knowledgeable providers ore crucial for helping HIV positive people seek and adhere to treatment, prevent sexually transmitted infections, unintended pregnancies and vertical transmission of HIV and support positive living free from stigma and discrimination. Providers, some of whom may themselves be HIV positive, con make an important difference, especially if they are supported in their working conditions, are knowledgeable about HIV and sexual and reproductive health and have the skills to provide good quality care. (c) 2007 Reproductive Health Matters. All rights reserved.