The contribution of sexual and reproductive health services to the fight against HIV/AIDS: A review (PDF)
Reproductive Health Matters 11(22): 51-73
Publication date: 2003
Approximately 80% of HIV cases are transmitted sexually and a further 10% perinatallyor during breastfeeding. Hence, the health sector has looked to sexual and reproductive healthprogrammes for leadership and guidance in providing information and counselling to prevent theseforms of transmission, and more recently to undertake some aspects of treatment. This paper reviewsand assesses the contributions made to date by sexual and reproductive health services to HIV/AIDSprevention and treatment, mainly by services for family planning, sexually transmitted infectionsand antenatal and delivery care. It also describes other sexual and reproductive health problemsexperienced by HIV-positive women, such as the need for abortion services, infertility services andcervical cancer screening and treatment. This paper shows that sexual and reproductive healthprogrammes can make an important contribution to HIV prevention and treatment, and that STIcontrol is important both for sexual and reproductive health and HIV/AIDS control. It concludes thatmore integrated programmes of sexual and reproductive health care and STI/HIV/AIDS controlshould be developed which jointly offer certain services, expand outreach to new population groups,and create well-functioning referral links to optimize the outreach and impact of what are to dateessentially vertical programmes.