PMID- 31138222
OWN - NLM
STAT- MEDLINE
DCOM- 20191206
LR  - 20231011
IS  - 1742-4755 (Electronic)
IS  - 1742-4755 (Linking)
VI  - 16
IP  - Suppl 1
DP  - 2019 May 29
TI  - Prioritizing the sexual and reproductive health and rights of adolescent girls 
      and young women within HIV treatment and care services in emergency settings: a 
      girl-centered agenda.
PG  - 57
LID - 10.1186/s12978-019-0710-0 [doi]
LID - 57
AB  - BACKGROUND: Extensive documentation exists on a range of negative sexual and 
      reproductive health outcomes and rights violations occurring during humanitarian 
      emergencies. We explore two central questions: Do existing policies, services, 
      and research adequately address the SRH rights, priorities and HIV risks of 
      adolescent girls and young women in emergency settings? What are the missed 
      opportunities for holistically addressing the vulnerabilities experienced by 
      those living with HIV during rapid onset disasters and long term, protracted 
      emergencies? Authors review considerations informing real-time decision making, 
      and highlight missed opportunities to apply a gendered lens in the delivery of 
      AGYW-centered SRHR/HIV services. METHODS: A scoping review identified studies on 
      HIV intervention and outcomes in emergency settings, published in the 
      peer-reviewed literature (2002-2017). This exercise was complemented with a desk 
      review of normative guidance, frameworks, and implementation guidelines on HIV 
      and SRH in emergency responses, and by consultations with subject matter experts. 
      RESULTS: The existing frameworks and guidance pay scant attention to the sexual 
      reproductive health and rights of young women living with HIV (WLHIV), focusing 
      mainly on prevention of mother to child transmission (PMTCT), antiretroviral 
      therapy (ART), HIV testing services, and linkage to treatment services. Applying 
      a gendered sexual and reproductive health lens to the response offers 
      opportunities to identify critical implementation questions, and highlight 
      promising practices, to better tailor current services for AGYW. CONCLUSIONS: A 
      plurality of competing needs crowds out dedicated time and space to effectively 
      integrate HIV and sexual and reproductive health interventions in emergency 
      settings. Political will is required to advance multi-sectoral cooperation, 
      through joint planning, rights-informed learning and integrative responses, and 
      to promote creative solutions for ART continuation, drug supply and HIV testing, 
      treatment and care. Recent advancements in policy and practice would suggest that 
      a more AGYW-centered response is feasible.
FAU - Roxo, Uchechi
AU  - Roxo U
AD  - USAID, 2100 Crystal Drive, Arlington, VA, USA. uroxo@usaid.gov.
FAU - Mobula, M Linda
AU  - Mobula ML
AD  - USAID, 1300 Pennsylvania Ave NW, Washington, DC, USA.
FAU - Walker, Damilola
AU  - Walker D
AD  - UNICEF, 3 UN Plaza, New York City, New York, USA.
FAU - Ficht, Allison
AU  - Ficht A
AD  - USAID, 2100 Crystal Drive, Arlington, VA, USA.
FAU - Yeiser, Sarah
AU  - Yeiser S
AD  - USAID, 2100 Crystal Drive, Arlington, VA, USA.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20190529
PL  - England
TA  - Reprod Health
JT  - Reproductive health
JID - 101224380
SB  - IM
MH  - Adolescent
MH  - Adolescent Health Services/*organization & administration
MH  - Adult
MH  - Female
MH  - HIV/isolation & purification
MH  - HIV Infections/*prevention & control/virology
MH  - *Health Policy
MH  - Health Services Needs and Demand
MH  - Humans
MH  - Meta-Analysis as Topic
MH  - Pregnancy
MH  - Reproductive Health Services/*organization & administration
MH  - Reproductive Rights/*legislation & jurisprudence/*standards
MH  - Sexual Behavior
MH  - *Sexual Health
MH  - Young Adult
PMC - PMC6538549
OTO - NOTNLM
OT  - ART
OT  - Adolescent girls and young women
OT  - Conflict
OT  - Crisis
OT  - Disaster
OT  - Emergency
OT  - Framework
OT  - Guidelines
OT  - HIV/AIDS
OT  - Humanitarian
OT  - Rights
OT  - Sexual and reproductive health
COIS- The authors declare that they have no competing interests.
EDAT- 2019/05/30 06:00
MHDA- 2019/12/18 06:00
PMCR- 2019/05/29
CRDT- 2019/05/30 06:00
PHST- 2019/05/30 06:00 [entrez]
PHST- 2019/05/30 06:00 [pubmed]
PHST- 2019/12/18 06:00 [medline]
PHST- 2019/05/29 00:00 [pmc-release]
AID - 10.1186/s12978-019-0710-0 [pii]
AID - 710 [pii]
AID - 10.1186/s12978-019-0710-0 [doi]
PST - epublish
SO  - Reprod Health. 2019 May 29;16(Suppl 1):57. doi: 10.1186/s12978-019-0710-0.