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Access to HIV and AIDS care: persons with disabilities still left behind

MAC-SEING, Muriel
October 2015

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This article presents disability-inclusive good practices, policy and program related opportunities. It highlights a series of facts and figures related to people with disabilities and HIV infection and the interaction between HIV and disability.  The article goes on to outline Handicap International’s proposal to “remove HIV-related barriers for persons with disabilities” in a two-track approach that includes decision makers, service providers, and service users. Finally, the article shares discussions of successful inclusive practices involving HIV and persons with disabilities in various communities around the world and the key challenges and opportunities to include disability into HIV and AIDS

World AIDS day 2012

ALAM, Mohammed Khorshed
2012

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This factsheet presents information about HIV and AIDS and ten related goals for 2015
The user has given permission for the uploaded document to be reproduced and made publicly available on the Source website

Training of trainers manual on disability-inclusive HIV services and disability-inclusive sexual and reproductive health for health workers

ADEREMI, Toyin Janet
September 2011

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This training of trainers manual has been designed as a guide for providers of HIV prevention, treatment, care and support and sexual and reproductive health (SRH) services to ensure services are disability-inclusive. This training is divided in 5 parts: Part 1 - Introduction; Part 2 - Disability awareness and disability inclusion; Part 3 - Disability-inclusive HIV prevention, treatment, care and support services; Part 4 - Disability-inclusive sexual and reproductive health services; Part 5 - Disability-inclusive HIV prevention integrated into sexual and reproductive health services. This manual is useful for anyone interested in trainings on disability-inclusive HIV services and disability-inclusive sexual and reproductive health for health workers
Note: the manual is available to download in three parts using the links provided

Access to HIV/AIDS and sexual violence protection services among women and men with hearing, visual and physical impairments in Battambang and Kampong Cham provinces of Cambodia

MAC-SEING, Muriel
August 2010

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"This article presents the findings of a study on access to HIV prevention and sexual violence protection services among persons with disabilities in Cambodia, based on a gender and cross-impairment analysis. The results show obvious discrepancies between women and men of different impairments in regards to their level of HIV knowledge and risks to sexual violence, in particular among women with disabilities. Furthermore, local services providers revealed their lack of awareness on disability issues and capacity in providing accessible services to them. Ways forward in addressing the rights of women and men with disabilities, as well as gaps in services delivery will have to be addressed in concerted manners at political, societal and community levels"

PMTCT strategic vision 2010 - 2015 : preventing mother-to-child transmission of HIV to reach the UNGASS and millennium development goals

WORLD HEALTH ORGANIZATION (WHO)
February 2010

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This strategic vision defines WHO’s commitment to help countries achieve agreed international goals on the prevention of mother to child transmission (PMTCT) of HIV, increase access to quality PMTCT services and integrate these services with maternal, newborn and child health and sexual and reproductive health programmes

Sexual vulnerability and HIV seroprevalence among the deaf and hearing impaired in Cameroon

TOUKO, Adonis
et al
February 2010

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This article describes a study to investigate the prevalence of HIV in people who are hearing impaired among the population of Yaounde, the capital of Cameroon, and assess their sexual vulnerability, through interviews and, in most cases, HIV testing. The research concludes that hearing impairment is a significant risk factor for contracting sexually transmitted infections and HIV, and that more research is needed into the impact of HIV and AIDS on people with disabilities, particularly those who are hearing impaired, in order to tackle this vulnerability

Sexual-health communication across and within cultures : the clown project, Guatemala

SAVDIE, Anthony
CHETLEY, Andrew
June 2009

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This paper puts forward an argument in favour of careful and critical analysis of culture in formulating communication strategies with and for specific groups, based on experience drawn from the Clown Project in Guatemala and other countries in Central America. The Clown Project uses labour-intensive face-to-face street theatre and dialogue, participatory workshops, and symbolic communication such as print-based material to reach those most vulnerable to the spread and impact of HIV and AIDS . The analysis takes into account relations of power within and between vulnerable groups, examining the centre-periphery dynamic between classes, genders, ethnicities, age groups, and other social identities. Both appropriately supported insider perspectives and appropriately processed outsider knowledge are recommended, along with ways of bridging science and the field, theory and practice

Advancing the sexual and reproductive health and human rights of people living with HIV : a guidance package

THE GLOBAL NETWORK OF PEOPLE LIVING WITH HIV/AIDS (GNP+)
et al
May 2009

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This resource examines the sexual and reproductive health benefit of reforms in diverse sectors. It makes 12 recommendations which highlight changes that must be made in health services, in the policy and legal arena, and in advocacy efforts. People living with HIV developed this guidance package to help policymakers, programme managers, health professionals, donors, and advocates better understand the specific steps that should be taken to support their sexual and reproductive health and rights

Preventing HIV/AIDS among persons with disabilities : a handbook for policy makers, healthcare providers and care givers of people with disabilities

IVOM, Damian O
2009

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This handbook highlights the factors responsible for the spread of HIV, methods of preventing it within persons with disabilities and how they can be reached and integrated into HIV and AIDS programmes and activities, so as to cause a reduction within its communities and in the general population. It is premised on the fact that many programmes and activities on HIV and AIDS in developing countries especially Sub-Saharan Africa have not realised the need to include persons with disabilities

Our future : Preparing to teach sexuality and life-skills|An awareness training manual for teachers and community workers

INTERNATIONAL HIV/AIDS ALLIANCE
January 2008

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The activities in the manual will strengthen teachers' understanding of sexuality, gender, sexual and reproductive health and HIV and AIDS as well as the self-awareness, values and skills that play an effective role in HIV prevention, care and mitigation in their schools and the community. This includes providing supportive, positive role-models, creating a safe environment, reducing stigma and discrimination and teaching sexuality and life skills effectively

Move together now! Community and youth mobilisation for HIV prevention among young people in Uganda

MINISTRY OF GENDER, LABOUR AND SOCIAL DEVELOPMENT
2008

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This guide covers basic ideas on community mobilisation, youth participation and participatory tools with examples from Africa. It aims to equip users with competencies to develop the capacity of communities and young people to work together to address sexual and reproductive health (including HIV) needs of young people in Uganda. It provides tools and processes for mobilising young people and communities at various stages and planning activities for HIV prevention

Women, harm reduction, and HIV

PINKHAM, Sophie
MALINOWSKA-SEMPRUCH, Kasia
September 2007

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This report looks at factors that reduce women drug users’ access to health care including punitive policies, discrimination by police and health care providers, the intense social stigma attached to drug use by women, a preponderance of harm reduction and drug treatment programmes directed primarily toward men, an absence of sexual and reproductive health services for drug users, and poor access to effective outpatient drug treatment. Pregnant drug users are particularly vulnerable. In too many instances, they receive little or no accurate information about drug use during pregnancy or prevention of mother-to-child transmission of HIV. In some countries pregnant drug users are rejected by health care providers, threatened with criminal penalties or loss of parental rights, or coerced into having an abortion or abandoning their newborns to the state. Poor access to medication-assisted treatment jeopardises the pregnancies of opiate-dependent drug users. It includes recommendations for consideration when designing services for women drug users and also examines issues around policies to protect women's health

Shadow report : Review of country coordinating mechanism proposals with SRH-HIV/AIDS integration submitted to the Global Fund round 7

DALY, M. Felicity
SCHECHTMAN, Lisa
August 2007

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This report considers efforts to integrate sexual and reproductive health (SRH) in the HIV & AIDS components of country coordinated proposals submitted in July 2007 by Country Coordinating Mechanisms (CCM) for the 7th Round of funding by the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund).

Voluntary counselling and testing : a gateway to linking HIV and sexual and reproductive health

INTERNATIONAL PLANNED PARENTHOOD FEDERATION (IPPF)
July 2007

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This publication identifies approaches and issues to Voluntary Counselling and Testing by drawing on the experiences of three sexual and reproductive health organisations in Cambodia, Uganda and Nepal. While the settings and client profiles of each organisation differ, the human rights based approach towards testing and counselling emerges clearly from these case studies. This publication includes an overview of the different types of HIV testing and highlights some of the different and, at times, conflicting views on the essential elements of HIV testing, and on the means by which universal access to HIV testing should be achieved

Reaching truckers in Brazil with non-stigmatizing and effective HIV/STI services

CHINAGLIA, Magda
et al
May 2007

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In 2001, the Population Council conducted an assessment in Brazilian border areas, commissioned by the Brazilian Ministry of Health, with support from USAID/Brazil, to determine which populations were most in need of HIV prevention activities. The research findings in the southern region revealed the presence of an extremely mobile, international truck driver community with little or no access to HIV prevention, testing and treatment services. In response to this need, Horizons/Population Council implemented an operations research study focused on trucker drivers (2002-2005) in the south of Brazil. In collaboration with the administration of the customs stations, municipal and state STI and AIDS programmes, and Health Ministries, the investigators sought to examine the feasibility and impact of an HIV prevention project targeted at truckers crossing the southern border of Brazil

Gender equality and the HIV pandemic

HOPE, Ruth
2007

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This paper suggests the need for a particular focus on women and women's empowerment as part of the response to the HIV pandemic, because the majority of infections are sexually transmitted

Gender equality and "sugar daddies"

HOPE, Ruth
2007

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This paper considers the risks to young women of cross-generational sex, given that young women 15-24 years in sub-Saharan Africa are three times more likely to be infected with HIV than young men of the same age. It looks at sexual risk behaviour, consent, exploitation and coercion, and transactional sex with regard to cross-generational sex and it also looks at interventions to address risky behaviour

UNAIDS expert consultation on behaviour change in the prevention of sexual transmission of HIV : highlights and recommendations

JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
2007

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This is the report of a two-day meeting to consider the state of knowledge around behaviour change measures for the prevention of the sexual transmission of HIV. Participants identified four priority issues around this: prevention measures that are effective in concentrated epidemics; analysis of and responses to sexual behaviour involving multiple concurrent partners and other hyperendemic scenarios; gender inequality, inter-generational sex and gender-based violence as major sources of vulnerablity to women and girls in hyperendemic scenarios; and HIV-related stigma and denial as barriers to behaviour change. Analyses of these issues produced a number of recommendations

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