From choice, a world of possibilities

Linking Sexual and Reproductive Health to HIV: a missed opportunity

Integrating HIV/AIDS and Sexual and Reproductive Health: Finding common ground - Risk or Reality?

Dr Nono SimelelaDirector, Technical Knowledge and Support, IPPF

Reality Check

Increased treatment, increases demand for SRH services

Culture, tradition added pressures for procreation

Discordant relationships part of fabric of society

Dreams and Desires

“I know of some positive women who have been pressured into terminating pregnancies simply because some health care workers are ignorant of the real risk of mother-to-child transmission.”

Susan, UK

‘Dreams & Desires, Sexual and reproductive health experiences of HIV positive women’, IPPF 2004

A framework for priority linkages

A framework for priority linkages,

WHO, UNFPA, UNAIDS, IPPF, 2005

Reorientation of programmes

PLHIV are not a homogenous group: IDUs, SW, MSM,….

Responding to a seamless continuum of prevention to care

Positive Prevention

ARV programmes in a SRH setting

Emergency contraception; safe abortion

FHOK : SRH and ARVs

FP FP (All methods) 5,750Non-FP SRH Services 1,550

VCT 2,422 people went for testing315 tested positive

PMTCT 412 pregnant mothers,31 tested positive, and received Nevirapine

ART By the end of Dec 05 63 people on ART

Results for the period, June – Dec 2005

Profamilia Colombia: MSM 14 workshops for 200 services providers in 35

clinics to: - integrate HIV/AIDS into service provision- promote sexual rights and HIV prevention amongst MSM and their partners- sensitize staff on sexual diversity and gender sensitivity

Development of SRH protocol on Gender, Sexuality and Sexual Diversity in the provision on SRH services

Profamilia Colombia: MSM

“The timely and direct openness to the trans population has been generous, participative, and humane. The desire within PROFAMILIA for training shows its great desire and will to continue providing qualified and specialized SRH services.”

Santa María Foundation, Cali

Sexual Health and HIV

Treatment is part of SRH agenda

Interaction between FP and ARVs for HIV positive people

Acting as a modality of stigma reduction

Global Fund Round 6:Global AIDS Alliance

“Understanding and addressing the specific sexual and reproductive health needsof HIV positive people is an important part of linking prevention and treatment.Some people are amazed that my wife (who is HIV negative) and I are parents.”

Christo Greyling, a father living with HIV, South Africa

‘Fulfilling Fatherhood, Experiences of HIV positive fathers’, IPPF 2005

Fulfilling Fatherhood