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Unit 1 hiv and reproductive health

Unit 1 hiv and reproductive health






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    Unit 1 hiv and reproductive health Unit 1 hiv and reproductive health Presentation Transcript

    • HIV/AIDS and reproductive health
    • 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
    • Maternal morbidity and mortality
    • 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
    • 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
    • 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
    • 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
    • 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