Washington D.C., USA, July 2012www.aids2012.org HIV IN WOMEN THROUGHOUT THE LIFESPAN PRESENTATION BY: Mrs. SIPHIWE HLOPHE

Washington D.C., USA, July 2012www.aids2012.org Presentation Outline The presentation is divide into two parts; The first part is on Young Women in their Reproductive years Second part on Older Women (Aging & HIV/AIDS )

Washington D.C., USA, July 2012www.aids2012.org YOUNG WOMEN IN THEIR REPRODUCTIVE YEARS ISSUE #1: ACCESS TO TREATMENT In most of the countries coverage of PMTCT services is pleasing and has made treatment services accessible to women living with HIV. This has led to a huge increase of enrolled in PMTCT

Washington D.C., USA, July 2012www.aids2012.org ISSUES #1 Access to family planning information that addressee’s contraception in relation to HIV/AIDS. No information on the use of various contraceptives and their interaction with ARVs No information is available to WLHIV about methods to improve the safety of contraception and child birth especially for women living with HIV who to fall pregnant (e.g. sperm washing, methods of assisted contraception and ARVs and caesarean section for child birth.

Washington D.C., USA, July 2012www.aids2012.org ISSUE #1 CONT Family planning and maternal care clinics are often a woman's only contact with a developing country's health system, Still have parallel care systems in Africa. This is inefficient, reinforces stigma and creates a cadre of health care workers uninvolved in meeting basic needs- women are lost as they are being referred

Washington D.C., USA, July 2012www.aids2012.org ISSUE #2 Forced sterilization- Refusal to provide services hostile attitudes towards HIV positive, women who seek to have children. Many of these violations occur during the provision of health services and are perpetrated by health service personnel.

Washington D.C., USA, July 2012www.aids2012.org AGING WITH HIV Older Women have special disease burdens, and their treatment require special expertise. For instance, research and information is needed to learn whether antiretroviral treatments could interfere with drugs that older women might be taking for other chronic conditions, such as diabetes and cardiovascular disease The question of improving the quality of life and survival of aging women living with HIV is ignored at both national planning and rolling it in the treatment and care of aging positive women.

Washington D.C., USA, July 2012www.aids2012.org CHALLENGES Cervical cancer screening programs in low-resource countries are difficult to implement and maintain for a variety of reasons, including cost, inadequate laboratory facilities to provide the services. Adherence to Treatment  Drug stock outs (inconvenient dosing frequency, pill burden)  dietary restrictions vs food insecurity  side effects;  client-health-care provider relationship  The system of care

Washington D.C., USA, July 2012www.aids2012.org END OF PRESENTATION THANK YOU – NGIYABONGA!