INVESTIGADORES
PECHENY Mario Martin
congresos y reuniones científicas
Título:
Addressing institutional and cultural obstacles to the provision of a gender-sensitive contraceptive counselling for people living with HIV
Autor/es:
GOGNA, MÓNICA; PECHENY, MARIO; MANZELLI, HERNÁN; IBARLUCÍA INÉS; BARRÓN LÓPEZ SARA
Lugar:
México
Reunión:
Congreso; AIDS 2008 XVII International AIDS Conference 3-8 August 2008, Mexico City; 2008
Institución organizadora:
International AIDS Society
Resumen:
Background: The paper analyzes to what extent and how are the contraceptive
needs and rights of people living with HIV being acknowledged and ful-
needs and rights of people living with HIV being acknowledged and ful-
The paper analyzes to what extent and how are the contraceptive
needs and rights of people living with HIV being acknowledged and ful-
filled in Argentina from the perspective of both health care users and service
managers/providers.
Methods: The paper builds on the findings of: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 didnt 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
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 didnt 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
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 didnt 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
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
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.