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Contraceptive Eligibility for Women at High Risk of HIV

Contraceptive Eligibility for Women at High Risk of HIV PDF Author: World Health Organization
Publisher:
ISBN: 9789241550574
Category :
Languages : en
Pages : 24

Book Description
The World Health Organization (WHO) convened a Guideline Development Group (GDG) meeting from 29 to 31 July 2019 to review global guidance on contraceptive eligibility for women at high risk of HIV acquisition to and determine whether revisions to the fifth edition of the Medical eligibility criteria for contraceptive use (MEC) were needed. The issue was deemed critical, particularly for sub-Saharan Africa, given the high lifetime risk of acquiring HIV alongside the importance of hormonal contraception in offering women and adolescent girls' choice and in reducing their risk of unintended pregnancy, a common threat to the health, well-being and lives of women and adolescent girls. The GDG consisted of 28 participants from 19 countries, including experts in family planning and HIV, representatives from affected populations, clinicians, epidemiologists, researchers, programme managers, policy-makers and guideline methodologists.

Contraceptive Eligibility for Women at High Risk of HIV

Contraceptive Eligibility for Women at High Risk of HIV PDF Author: World Health Organization
Publisher:
ISBN: 9789241550574
Category :
Languages : en
Pages : 24

Book Description
The World Health Organization (WHO) convened a Guideline Development Group (GDG) meeting from 29 to 31 July 2019 to review global guidance on contraceptive eligibility for women at high risk of HIV acquisition to and determine whether revisions to the fifth edition of the Medical eligibility criteria for contraceptive use (MEC) were needed. The issue was deemed critical, particularly for sub-Saharan Africa, given the high lifetime risk of acquiring HIV alongside the importance of hormonal contraception in offering women and adolescent girls' choice and in reducing their risk of unintended pregnancy, a common threat to the health, well-being and lives of women and adolescent girls. The GDG consisted of 28 participants from 19 countries, including experts in family planning and HIV, representatives from affected populations, clinicians, epidemiologists, researchers, programme managers, policy-makers and guideline methodologists.

Medical Eligibility Criteria for Contraceptive Use

Medical Eligibility Criteria for Contraceptive Use PDF Author:
Publisher: World Health Organization
ISBN: 9241563885
Category : Business & Economics
Languages : en
Pages : 130

Book Description
Medical Eligibility Criteria for Contraceptive Use reviews the medical eligibility criteria for use of contraception, offering guidance on the safety and use of different methods for women and men with specific characteristics or known medical conditions. The recommendations are based on systematic reviews of available clinical and epidemiological research. It is a companion guideline to Selected Practice Recommendations for Contraceptive Use. Together, these documents are intended to be used by policy-makers, program managers, and the scientific community to support national programs in the preparation of service delivery guidelines. The fourth edition of this useful resource supersedes previous editions, and has been fully updated and expanded. It includes over 86 new recommendations and 165 updates to recommendations in the previous edition. Guidance for populations with special needs is now provided, and a new annex details evidence on drug interactions from concomitant use of antiretroviral therapies and hormonal contraceptives. To assist users familiar with the third edition, new and updated recommendations are highlighted. Everyone involved in providing family planning services and contraception should have the fourth edition of Medical Eligibility Criteria for Contraceptive Use at hand.

Hormonal Contraceptive Methods for Women at High Risk of HIV and Living with HIV

Hormonal Contraceptive Methods for Women at High Risk of HIV and Living with HIV PDF Author: World Health Organization
Publisher:
ISBN:
Category :
Languages : en
Pages : 13

Book Description
Given the public health importance of this topic, and at the encouragement of the GDG, the World Health Organization is issuing its contraceptive eligibility guidance for women at high risk of HIV and women living with HIV in advance of the entire guideline revision. It is anticipated that the revised fifth edition of the MEC will be completed in 2015. Recommendations for hormonal contraceptive use are provided for: women at high risk of HIV infection; women living with asymptomatic or mild HIV clinical disease (WHO stage 1 or 2); women living with severe or advanced HIV clinical disease (WHO stage 3 or 4); women living with HIV using antiretroviral therapy (ART). Hormonal contraceptives include: combined oral contraceptive pills (COCs), combined injectable contraceptives (CICs), combined contraceptive patches and rings, progestogen-only injectables (depot medroxyprogesterone acetate [DMPA] and norethisterone enantate [NET-EN]), progestogen-only pills (POPs), levonorgestrel (LNG) and etonogestrel (ETG) implants, and levonorgestrel-releasing IUDs (LNG-IUDs). These are all effective or highly effective methods of pregnancy prevention. These contraceptive methods alleviate overall pregnancy- related morbidity and mortality, improve infant and child health, and reduce vertical transmission of HIV among women living with HIV who wish to prevent pregnancy. For women at high risk of HIV, living with HIV, or taking antiretroviral medicines (ARVs), consideration must be given to the relationship between the use of hormonal contraceptive methods and HIV-related risks. Additionally, women at high risk of HIV or living with HIV may require information about and access to HIV preventive measures. Such measures include, among others, condoms (male or female), voluntary male circumcision, voluntary HIV counselling and testing, and antiretroviral treatment (ART) for HIV- positive partners in serodiscordant partnerships.

Actions for improved clinical and prevention services and choices

Actions for improved clinical and prevention services and choices PDF Author: World Health Organization
Publisher: World Health Organization
ISBN: 9240006958
Category : Medical
Languages : en
Pages : 16

Book Description


Consolidated Guideline on Sexual and Reproductive Health and Rights of Women Living with HIV

Consolidated Guideline on Sexual and Reproductive Health and Rights of Women Living with HIV PDF Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241549998
Category : Health & Fitness
Languages : en
Pages : 144

Book Description
he starting point for this guideline is the point at which a woman has learnt that she is living with HIV and it therefore covers key issues for providing comprehensive sexual and reproductive health and rights-related services and support for women living with HIV. As women living with HIV face unique challenges and human rights violations related to their sexuality and reproduction within their families and communities as well as from the health-care institutions where they seek care particular emphasis is placed on the creation of an enabling environment to support more effective health interventions and better health outcomes. This guideline is meant to help countries to more effectively and efficiently plan develop and monitor programmes and services that promote gender equality and human rights and hence are more acceptable and appropriate for women living with HIV taking into account the national and local epidemiological context. It discusses implementation issues that health interventions and service delivery must address to achieve gender equality and support human rights.

Selected Practice Recommendations for Contraceptive Use

Selected Practice Recommendations for Contraceptive Use PDF Author: World Health Organization. Reproductive Health and Research
Publisher: World Health Organization
ISBN: 9241562846
Category : Medical
Languages : en
Pages : 144

Book Description
This document is one of two evidence-based cornerstones of the World Health Organization's (WHO) new initiative to develop and implement evidence-based guidelines for family planning. The first cornerstone, the Medical eligibility criteria for contraceptive use (third edition) published in 2004, provides guidance for who can use contraceptive methods safely. This document, the Selected practice recommendations for contraceptive use (second edition), provides guidance for how to use contraceptive methods safely and effectively once they are deemed to be medically appropriate. The recommendations contained in this document are the product of a process that culminated in an expert Working Group meeting held at the World Health Organization, Geneva, 13-16 April 2004.

Contraception for the Medically Challenging Patient

Contraception for the Medically Challenging Patient PDF Author: Rebecca H. Allen
Publisher: Springer
ISBN: 149391233X
Category : Health & Fitness
Languages : en
Pages : 386

Book Description
Women with chronic medical problems are at higher risk for complications during pregnancy and therefore, they are especially in need of appropriate preconception and contraception care. Furthermore, many women with chronic medical problems do not obtain adequate preconception and contraception care. Despite published guidelines by the Centers for Disease Control and Prevention, there is a substantial gap in medical practice regarding the use of contraception in women with co-existing medical problems. Contraception for the Medically Challenging Patient fills the gap that currently exists in the knowledge of correct contraceptive prescribing practice and shows that inappropriate contraindications can easily become a barrier to effective contraception use among women. Chapters highlight obsolete views about appropriate candidates for contraception and address the complex contraceptive needs of today's medically challenging patients with HIV/AIDS, uterine fibroids or cardiac, neurologic or thyroid disease. The book gives attention to recommendations on the use of contraception in women with medical problems such as diabetes, obesity, epilepsy, and lupus, among others and provides comprehensive information regarding the effects that certain drugs may have on contraceptive hormone levels. While national guidelines do exist for contraceptive eligibility, this book discusses in more detail the evidence behind the guideline recommendations and the nuances that clinicians confront in daily practice.

Contraceptive Use and Controlled Fertility

Contraceptive Use and Controlled Fertility PDF Author: National Research Council
Publisher: National Academies Press
ISBN: 0309040965
Category : Medical
Languages : en
Pages : 172

Book Description
These four papers supplement the book Contraception and Reproduction: Health Consequences for Women and Children in the Developing World by bringing together data and analyses that would otherwise be difficult to obtain in a single source. The topics addressed are an analysis of the relationship between maternal mortality and changing reproductive patterns; the risks and benefits of contraception; the effects of changing reproductive patterns on infant health; and the psychosocial consequences to women of controlled fertility and contraceptive use.

Reducing the Odds

Reducing the Odds PDF Author: National Research Council
Publisher: National Academies Press
ISBN: 9780309062862
Category : Medical
Languages : en
Pages : 426

Book Description
Thousands of HIV-positive women give birth every year. Further, because many pregnant women are not tested for HIV and therefore do not receive treatment, the number of children born with HIV is still unacceptably high. What can we do to eliminate this tragic and costly inheritance? In response to a congressional request, this book evaluates the extent to which state efforts have been effective in reducing the perinatal transmission of HIV. The committee recommends that testing HIV be a routine part of prenatal care, and that health care providers notify women that HIV testing is part of the usual array of prenatal tests and that they have an opportunity to refuse the HIV test. This approach could help both reduce the number of pediatric AIDS cases and improve treatment for mothers with AIDS. Reducing the Odds will be of special interest to federal, state, and local health policymakers, prenatal care providers, maternal and child health specialists, public health practitioners, and advocates for HIV/AIDS patients. January

Hormonal contraceptive methods for women at high risk of HIV and living with HIV.

Hormonal contraceptive methods for women at high risk of HIV and living with HIV. PDF Author: World Health Organization
Publisher:
ISBN:
Category : HIV-positive women
Languages : en
Pages : 0

Book Description