PREVENTING HIV AND UNINTENDED PREGNANCIES ... - UNFPA

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ii Preventing HIV and Unintended Pregnancies: Strategic Framework 2011–2015
ContentsAbout this frameworkNote on terminologyiiAbbreviations 1Executive summary 21234567891011121314Introduction 4Framework at a glance 9Purpose, scope and intended audience 10Related programming guidance 12Guiding principles 16Prong 1: Primary prevention of HIV: Rationale and package of essential services 18Prong 2: Prevention of unintended pregnancies in women living with HIV: 26Rationale and package of essential servicesEntry points: Service delivery settings 34Checklists for national programme implementation 39Key strategies and actions 50Strategy 1: Link srh and hiv at the policy, systems and service delivery levels 51Strategy 2: Strengthen community engagement 55Strategy 3: Promote greater involvement of men 57Strategy 4: Engage organizations of people living with HIV 59Strategy 5: Ensure non-discriminatory service provision in stigma-free settings 61Elimination of mtct monitoring framework for 2015: Targets and indicators 63Operational research 64Endnotes 65References to packages of essential services, and key strategies and actions 74Annexes 78Annex 1: Global initiatives on the health of women, newborns and children 78Annex 2: Annotated bibliography of supporting policy and programming guidance 79Annex 3: Additional discussion of guiding principles 88Annex 4: Package of essential services for high-quality maternal care 91Annex 5: Key terms 9215Endnotes to annexes 95Preventing HIV and Unintended Pregnancies: Strategic Framework 2011–2015 iii
Page 1 and 2: Preventing HIV andunintended pregna
Page 3: About thisframeworkThis framework s
Page 7: ExecutivesummaryWe are at a turning
Page 10 and 11: A new era has dawned for helping wo
Page 12 and 13: Contribution of prongs 1 and 2 toel
Page 14 and 15: FrAMEWORK AT A GLANCEsections 10 an
Page 16 and 17: PurposeThe purpose of this framewor
Page 18 and 19: This framework should be used in co
Page 20 and 21: Table 1: (continued)These intervent
Page 22 and 23: Principles relevant for this framew
Page 24 and 25: RationalePrimary prevention of HIV
Page 26 and 27: Antiretroviral treatment contribute
Page 28 and 29: Table 2: Prong 1 Package of Essenti
Page 32 and 33: RationalePreventing unintended preg
Page 34 and 35: In addition to the family planning
Page 40 and 41: Priority health service entry point
Page 42 and 43: Entry points for prong 2There are f
Page 44 and 45: 8Checklists fornational programmeim
Page 46 and 47: National programme implementationBu
Page 48 and 49: Table 7: Implementation areas for f
Page 50 and 51: Table 7: Implementation areas for f
Page 52 and 53: Checklist for services that support
Page 54 and 55:
Table 9: Checklist for services tha
Page 56 and 57:
Strategy 1:Link SRH and HIV at thep
Page 58 and 59:
Table 10: Bi-directional srh and hi
Page 60 and 61:
Strategy 2:Strengthen communityenga
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Male partner involvement is critica
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Strategy 4:Engage organizationsof p
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Key actions to implement the strate
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11OperationalresearchThe need for f
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14. If a mother living with HIV pro
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www.unicef.org/publications/files/C
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100. UNAIDS Expanded Business Case:
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• It is often assumed that integr
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24. Global Guidance Briefs: HIV Int
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84. WHO is currently developing glo
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Annex 2 Annotated bibliography ofsu
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n Overview of HIV interventions for
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Guidance on testing and counselling
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and vulnerable and marginalized pop
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Involving men in promoting gender e
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Box A: Risk and vulnerabilityHIV in
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Annex 4 Package of essential servic
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People living with HIV have indicat
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15endnotesto annexes1. www.un.org/m
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50. Rapid Assessment Tool for Sexua
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