Living with Uncertainty : Acting in the Best Interests of Women
Joint Authors
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-11-01
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
A recent multi-country study on hormonal contraceptives (HC) and HIV acquisition and transmission among African HIV-serodiscordant couples reported a statistically significant doubling of risk for HIV acquisition among women as well as transmission from women to men for injectable contraceptives.
Together with a prior cohort study on African women seeking health services, these data are the strongest yet to appear on the HC-HIV risk.
This paper will briefly review the Heffron study strengths and relevant biological and epidemiologic evidence; address the futility of further trials; and propose instead an alternative framework for next steps.
The weight of the evidence calls for a discontinuation of progestin-dominant methods.
We propose here five types of productive activities: (1) scaling injectable hormones down and out of the contraceptive mix; (2) strengthening and introducing public health strategies with proven potential to reduce HIV spread; (3) providing maximal choice to reduce unplanned pregnancy, starting with quality sexuality education through to safe abortion access; (4) expanding provider training, end-user counseling and access to male and female barriers, with a special renewed focus on female condom; (5) initiating a serious research agenda to determine anti-STI/HIV potential of the contraceptive cervical cap.
Trusting women to make informed choices is critical to achieve real progress in dual protection.
American Psychological Association (APA)
Gollub, Erica& Stein, Zena. 2012. Living with Uncertainty : Acting in the Best Interests of Women. AIDS Research and Treatment،Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-478588
Modern Language Association (MLA)
Gollub, Erica& Stein, Zena. Living with Uncertainty : Acting in the Best Interests of Women. AIDS Research and Treatment No. 2012 (2012), pp.1-9.
https://search.emarefa.net/detail/BIM-478588
American Medical Association (AMA)
Gollub, Erica& Stein, Zena. Living with Uncertainty : Acting in the Best Interests of Women. AIDS Research and Treatment. 2012. Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-478588
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-478588