Increased antenatal HIV testing among rural pregnant women: a community-based HIV prevention services program in rural Maharashtra, India

Dyalchand, Ashok; Sinha, Gita

doi:10.1186/1742-4690-7-s1-p146

Cited by 3 publications

(3 citation statements)

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“…Rural women, in contrast, sought HIV testing primarily after their husbands' HIV diagnoses. In one rural community study, 4.5% of men and 3.3% of recently pregnant women had ever utilized HIV testing (Dyalchand et al 2008;Sinha et al 2008). Men sought testing out of personal concern, whereas women utilized testing on the recommendation of, and in some cases reported mandatory testing by, their antenatal care provider.…”

Section: Gender Differences In Hiv Testingmentioning

confidence: 99%

Strategies for gender-equitable HIV services in rural India

Sinha¹,

Peters²,

Bollinger³

2009

Health Policy and Planning

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The emergence of HIV in rural India has the potential to heighten gender inequity in a context where women already suffer significant health disparities. Recent Indian health policies provide new opportunities to identify and implement gender-equitable rural HIV services. In this review, we adapt Mosley and Chen's conceptual framework of health to outline determinants for HIV health services utilization and outcomes. Examining the framework through a gender lens, we conduct a comprehensive literature review for gender-related gaps in HIV clinical services in rural India, focusing on patient access and outcomes, provider practices, and institutional partnerships. Contextualizing findings from rural India in the broader international literature, we describe potential strategies for gender-equitable HIV services in rural India, as responses to the following three questions: (1) What gender-specific patient needs should be addressed for gender-equitable HIV testing and care? (2) What do health care providers need to deliver HIV services with gender equity? (3) How should institutions enforce and sustain gender-equitable HIV services? Data at this early stage indicate substantial gender-related differences in HIV services in rural India, reflecting prevailing gender norms. Strategies including gender-specific HIV testing and care services would directly address current gender-specific patient needs. Rural care providers urgently need training in gender sensitivity and HIV-related communication and clinical skills. To enforce and sustain gender equity, multi-sectoral institutions must establish gender-equitable medical workplaces, interdisciplinary HIV services partnerships, and oversight methods, including analysis of gender-disaggregated data. A gender-equitable approach to rural India's rapidly evolving HIV services programmes could serve as a foundation for gender equity in the overall health care system.

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Section: Gender Differences In Hiv Testingmentioning

confidence: 99%

Strategies for gender-equitable HIV services in rural India

Sinha¹,

Peters²,

Bollinger³

2009

Health Policy and Planning

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“…Although routine HIV testing has successfully improved access to screening in some parts of developed countries (Dyalchand & Sinha, ; Dzangare et al., ), the relative economic impact of this strategy has not been fully established. Many healthcare interventions are expensive, and the decision‐makers require appropriate information to make informed decisions in allocating the scarce resources efficiently.…”

Section: Introductionmentioning

confidence: 99%

Economic impact of routine opt‐out antenatal human immune deficiency virus screening: A systematic review

Ibekwe

Haigh

Duncan

et al. 2017

Journal of Clinical Nursing

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“…The primary sources of such education include teachers, educational institutes, family members, including elder sisters or sisters-in-law, friends, and peers [ 62 ]. The community-based campaign is one of the significant determinants of HIV testing facility awareness [ 63 ]. Mass media campaigns increased HIV knowledge (22.8%) and decreased perceived risk [ 64 ].…”

Section: Resultsmentioning

confidence: 99%

Vulnerability to Sexually Transmitted Infections (STI) / Human Immunodeficiency Virus (HIV) among adolescent girls and young women in India: A rapid review

Paul,

Sharma,

Dayal

et al. 2024

PLoS ONE

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Limited evidence is available on the vulnerability of Adolescent Girls and Young Women (AGYW) to sexual risk behaviour and STI/HIV. Though there are almost no statistics available on vulnerability, related literature suggests that AGYW have low awareness about sexual risk behaviour/ transmission and the prevalence of STI/HIV, making them vulnerable. We conducted a rapid review of peer-reviewed studies addressing transmission network, prevalence, incidence awareness, common determinants of sexual risk behaviour/STI/HIV, health-seeking behaviour and existing interventions addressing the situation among AGYW (age 15–24) to inform the evidence gap in this crucial area of research. We registered the study in PROSPERO (CRD42023403713). We developed detailed inclusion/exclusion criteria, searched JSTOR, PubMed, Google Scholar, Science Direct and Population Council Knowledge Commons databases and followed the guidance from Cochrane Rapid Review to develop the rapid review. We also searched the bibliography of the included studies. We included the English language peer-reviewed quantitative, qualitative, mixed method studies published from Jan 1 2000 to Mar 31 2023. Six reviewers extracted data, and the seventh reviewer independently assessed the quality. Ninety-six studies met the inclusion criteria. We used descriptive statistics and narrative synthesis methods for data analysis. We also conducted a Risk of Bias Assessment (RoB) to check the quality of the included studies. Inadequate literature was found on the transmission network. Prevalence and awareness of STI/HIV are low among AGYW. However, Female Sex Workers, sex-trafficked women or drug users in this age group suffer more. Age, education, income, relationship dynamics with spouses/partners, multiple partners, and substance use are crucial in determining STI/HIV. Traditional sources of health seeking are more popular than formal sources because of social stigma. Mass media campaigns, community mobilization programs, and life skills training programs increase awareness about HIV, condom use and self-efficacy. The inclusion of only English language studies and not conducting meta-analysis because of high heterogeneity are some of the limitations of the study.

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Increased antenatal HIV testing among rural pregnant women: a community-based HIV prevention services program in rural Maharashtra, India

Cited by 3 publications

References 0 publications

Strategies for gender-equitable HIV services in rural India

Strategies for gender-equitable HIV services in rural India

Economic impact of routine opt‐out antenatal human immune deficiency virus screening: A systematic review

Vulnerability to Sexually Transmitted Infections (STI) / Human Immunodeficiency Virus (HIV) among adolescent girls and young women in India: A rapid review

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