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Unit 1 hiv and reproductive health
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Unit 1 hiv and reproductive health

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  • 1. HIV/AIDS and reproductive health
  • 2.  
  • 3.  
  • 4. Session Objective and content
    • Objective: At the end of the session the participant should be able to Outline the impact of HIV and AIDS on reproductive health
    • Content
      • Maternal and child morbidity and mortality
      • Recurrent pregnancy losses
      • Fertility/fecundity and HIV
      • Effect of pregnancy on HIV
      • Socio family issues
  • 5. Maternal morbidity and mortality
  • 6. Child morbidity and mortality Western Europe < 500 North Africa & Middle East 13 000 sub-Saharan Africa 720 000 Eastern Europe & Central Asia 1 000 East Asia & Pacific 3 000 South & South-East Asia 60 000 Australia & New Zealand < 100 North America < 500 Caribbean 7 000 Latin America 10 000 Total: 800 000
  • 7. HIV and Pregnancy
    • HIV may adversely affect the course of pregnancy
    • More than 90% of paediatric AIDS cases due to MTCT
    • Many children born to HIV positive parents will be orphaned when 1 or both parents die
    • Women without HIV place themselves at risk of infection when trying to become pregnant
    • Majority of women with HIV are of child bearing age
  • 8. HIV and Fertility
    • Prior STI and or PID
    • Decreased fertility after adjustment for lactation, age, illness and STI
    • Fertility further reduced with symptomatic disease or syphilis co- infection
    • reduced sexual activity with advanced disease have
    • Increased pregnancy loss with HIV
  • 9. Effect of pregnancy on HIV
    • CD4 decline in pregnancy due to dilutional effect. CD4% remain stable
    • Viral load remains stable in pregnancy
    • No significant difference in survival among HIV positive women who become pregnant and those that do not
  • 10. Consequences of Stigma in PMTCT
    • Discourages women from accessing ANC services
    • Prevents access to HIV CT and PMTCT services
    • Discourages disclosure of HIV test results
    • Discourages acceptance of PMTCT interventions
    • Discourages use of recommended PMTCT safer infant-feeding practices

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