Access to maternal and reproductive health services for women living with HIV in Asia Melbourne 2014 Baby Rivona Member of IPPI (Indonesian Positive Women Network) Board Director of ICWAP (International Community Women living with HIV Asia Pacific) Member of CCM Indonesia Steering Committee Member WWW (Women Won’t Wait campaign) Advisory Member GCWA (Global Coalition Women on AIDS )

How Dare You..?  Study in AP  Bangladesh, Cambodia, India, Indonesia, Nepal, Viet Nam (2011) Full report: “Positive and pregnant: How dare you” available at  Study in Indonesia  DKI Jakarta, Bandung; Jawa Barat, Medan; Sumatera Utara, Papua; Jayapura (2011) Full report: “Study quality and recommendation PMTCT services in 4 cities” available at 30% women in AP (respondent 757 WLHIV) and 13% women in Indonesia (respondent 112 WLHIV) encouraged to consider sterilisation, most commonly by gynaecologists Strong correlation between caesarean sections and recommendations for sterilisation Some women do not know whether they were sterilised during their caesarean Coerced Sterilization to WLHIV Lack of information and education on SRH&R

Recommendation in AP  Uphold sexual and reproductive rights of women with HIV  Invest in positive women's organisations  Expand counselling by positive women  Improve sensitivity of maternal health workers  Ensure social security for women to access health care

Recommendation in Indonesia  Prevention of HIV Transmission from Mother to Child (PMTCT) more appropriately to the Prevention of HIV Transmission from Parent to Child (PPTCT). The word "mother" in the course of PMTCT resulted in the programs that it is only focused on women alone without involving the husband / partner which is more meaningful. In addition, women also includes women with HIV feel that the imposition of pregnancy, childbirth and child care is the responsibility of the mother alone.  Need to improve the quality of counseling services to accommodate the rights issue of Sexual Health and Reproductive Health for women with HIV, the provision of information to the husband / partner, including information related to nutrition and infant feeding and family planning which is part of the Prevention of HIV Transmission from Parent to Children and establish cooperation with peer support groups in providing information related to HIV- positive women, couples and families.  Violence against women with HIV of any party should be of particular concern in the care of HIV Transmission Prevention of Parent to Child. Health care workers should be sensitive, able to identify and protect the sexual and reproductive health rights of women, including violence against women. Besides health care workers need to provide a referral service if found cases of violence against women.  In relation to the case for forced sterilization in women with HIV need to be required follow-up by the government in this case is the Ministry of Health.

What we did…?  Develop module on SRH&R based on WLHIV experiences in Indonesia by IPPI  Increased capacity of WLHIV on SRH&R in Asia Pacific by ICWAP  Part of CEDAW Report Indonesia

We are WLHIV in AP Call for action  Stop Forced sterilization to WLHIV  Addressing Violence, HIV and maternal health  Linkage SRH&R and HIV  Integrated VAW and HIV

Thank You “We are Women living with HIV My body is My choice We have the same RIGHT (as Human right)”