INVESTIGADORES
MANZELLI Hernan Martin
congresos y reuniones científicas
Título:
Acknowledging women?s sexual and reproductive rights: a key to the provision of more integrated and effective health care in the metropolitan area of Buenos Aires (Argentina)
Autor/es:
GOGNA, MONICA; MANZELLI, HERNÁN; FERNÁNDEZ, SILVIA
Lugar:
Viena
Reunión:
Conferencia; XVIII International AIDS Conference; 2010
Institución organizadora:
International AIDS Conference
Resumen:
Background: The paper analyzes to what extent and how are
the contraceptive needs and rights of people living with HIV being acknowledged
and fulfilled in Argentina from the perspective of both health care users and
service managers/providers.
Methods: The paper builds on the findings of:
a) a qualitative research jointly developed by CEDES and
the Buenos Aires AIDS Coordination; b) a national quantitative-qualitative
study that included a survey amongst men and women living with HIV (N=841) and
49 semi-structured interviews with female and male NGO representatives and
health providers/HIV-AIDS program coordinators (Pecheny, M. and Manzelli, H.,
2006).
Results: 55 percent of women and 30 percent of men had
had children after their HIV diagnosis. Half of those pregnancies had been
unintended, thus revealing an unmet need for contraception. At the time of the
survey, 73 percent of men and 64 percent of women didn?t want a (new)
pregnancy. Double protection is not encouraged by the vast majority of
physicians, who only recommend condoms to prevent infections or re-infections
and unwanted pregnancies. Only one out of ten people interviewed who risk an
unwanted pregnancy uses condoms plus another birth-control method.
Professionals? lack of updated information about interactions between
antiretroviral drugs and contraceptive methods and inefficient referral among
infectious diseases specialists and family planning providers were the main
problems identified. Physicians? lack of ?gender competence? and of abilities
to address sexuality-related issues also hindered an adequate response to
users? contraceptive needs.
Conclusions: Physicians? knowledge regarding HIV and
contraception needs to be updated (when necessary) in trainings that also
provide them with a gender and rights perspective. Interdisciplinary approaches
to contraceptive counselling and the incorporation of people living with HIV as
counsellors are also key strategies to enhance service efficiency as well as to
the fulfilment of sexual and reproductive rights.