Women and HIV in Sub-Saharan Africa
TLDR
There is no magic bullet and behavior alone is unlikely to change the course of the epidemic, but substantial progress has been made in biomedical, behavioral and structural strategies for HIV prevention with attendant challenges of developing appropriate HIV prevention packages which take into consideration the socioeconomic and cultural context of women in society at large.Abstract:
Thirty years since the discovery of HIV, the HIV pandemic in sub-Saharan Africa accounts for more than two thirds of the world’s HIV infections. Southern Africa remains the region most severely affected by the epidemic. Women continue to bear the brunt of the epidemic with young women infected almost ten years earlier compared to their male counterparts. Epidemiological evidence suggests unacceptably high HIV prevalence and incidence rates among women. A multitude of factors increase women’s vulnerability to HIV acquisition, including, biological, behavioral, socioeconomic, cultural and structural risks. There is no magic bullet and behavior alone is unlikely to change the course of the epidemic. Considerable progress has been made in biomedical, behavioral and structural strategies for HIV prevention with attendant challenges of developing appropriate HIV prevention packages which take into consideration the socioeconomic and cultural context of women in society at large.read more
Citations
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Journal ArticleDOI
Predictors of HIV Testing among Youth in Sub-Saharan Africa: A Cross-Sectional Study.
TL;DR: There was a significant association between HIV testing and respondents’ gender, age, age at sexual debut, and comprehensive knowledge of HIV in the pooled sample, suggesting that public health programs that seek to increase HIV counseling and testing among youth should pay particular attention to efforts that target high-risk subpopulations of youth.
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What explains gender inequalities in HIV/AIDS prevalence in sub-Saharan Africa? Evidence from the demographic and health surveys
TL;DR: The factors that explain gender inequality in HIV/AIDS in SSA vary by country, suggesting that country-specific interventions are needed.
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Tenofovir-based oral preexposure prophylaxis prevents HIV infection among women
TL;DR: Tenofovir-based daily oral PrEP prevents HIV acquisition in women and Pharmacokinetic studies provide supporting evidence that PrEP offers HIV protection in women who are adherent to the medication.
Journal ArticleDOI
The odd couple: using biomedical and intersectional approaches to address health inequities.
Olena Hankivsky,Lesley Doyal,Gillian Einstein,Ursula Kelly,Janet K. Shim,Lynn Weber,Robin Repta +6 more
TL;DR: It is argued that an intersectional approach can further research that integrates biological and social aspects of human lives and human health and ultimately generate better and more precise evidence for effective policies and practices aimed at tackling health inequities.
References
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Journal ArticleDOI
Men's involvement in the South African family: engendering change in the AIDS era.
Catherine Montgomery,Victoria Hosegood,Victoria Hosegood,Joanna Busza,Ian M. Timæus,Ian M. Timæus +5 more
TL;DR: Examination of data collected over two and a half years from a small sample of households affected by HIV/AIDS in rural KwaZulu Natal, South Africa finds that men are positively involved with their families and households in a wide range of ways.
Journal ArticleDOI
Increasing access to HIV counseling and testing through mobile services in Kenya: strategies, utilization, and cost-effectiveness.
Kristina L. Grabbe,Nick Menzies,Miriam Taegtmeyer,Gideon Emukule,Patrick Angala,Irene Mwega,Geraldine Musango,Elizabeth Marum +7 more
TL;DR: Adding mobile HCT to existing stand-alone HCT seems to be a cost-effective approach for expanding HCT coverage for reaching different target populations, including women and young people, and for identifying persons with newly diagnosed HIV infection for referral to treatment and care.
Journal ArticleDOI
How Uganda reversed its HIV epidemic.
Gary Slutkin,Sam Okware,Warren Naamara,Don Sutherland,Donna Flanagan,Michel Carael,Erik Blas,Paul DeLay,Daniel Tarantola +8 more
TL;DR: It is concluded that the reversed direction of the HIV epidemic in Uganda was the direct result of these interventions and that other countries in the developing world could similarly prevent or reverse the escalation of HIV epidemics with greater availability of HIV prevention resources, and well designed programs that take efforts to a critical breadth and depth of effort.
Journal ArticleDOI
Hormonal contraceptive use and HIV-1 infection in a population-based cohort in Rakai, Uganda.
Mohammed Kiddugavu,Fred Makumbi,Maria J. Wawer,David Serwadda,Nelson K. Sewankambo,Fred Wabwire-Mangen,Tom Lutalo,Mary Meehan,Xianbin,Ronald H. Gray +9 more
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Journal ArticleDOI
Intravaginal Practices, Vaginal Infections and HIV Acquisition: Systematic Review and Meta-Analysis
Adriane Martin Hilber,Suzanna C. Francis,Matthew Chersich,Matthew Chersich,Pippa Scott,Shelagh Redmond,Nicole Bender,Paolo G. Miotti,Marleen Temmerman,Nicola Low +9 more
TL;DR: A pathway linking intravaginal cleaning practices with vaginal infections that increase susceptibility to HIV infection is plausible but conclusive evidence is lacking.
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