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HIV testing for pregnant women: A rights-based analysis of national policies

机译:孕妇艾滋病毒检测:基于权利的国家政策分析

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摘要

Ethical and human rights concerns have been expressed regarding the global shift in policies on HIV testing of pregnant women. The main purpose of this research was to conduct a policy analysis using a human rights-based approach of national policies for HIV testing of pregnant women. We collected HIV testing policies from 19 countries including: Cambodia, China, Guyana, Haiti, India, Jamaica, Kenya, Moldova, Papua New Guinea, Russian Federation, South Africa, Sudan, Swaziland, Tanzania, Ukraine, United States, Uzbekistan, Zambia and Zimbabwe. We analysed the HIV testing policies using a standardised framework that focused on government obligations to respect, protect and fulfil. Our results highlight the need for more attention to issues of pregnant women's autonomy in consenting to HIV testing, confidentiality in antenatal care settings and provision of counselling and care services. We conclude with a discussion about potential implications of the current testing policies and provide recommendations for ways that HIV testing policies can more effectively uphold the human rights of pregnant women.
机译:对于全球对孕妇艾滋病毒检测政策的转变,人们表达了伦理和人权方面的关注。这项研究的主要目的是使用基于人权的孕妇艾滋病毒检测国家政策的方法进行政策分析。我们从19个国家/地区收集了艾滋病毒检测政策,这些国家包括:柬埔寨,中国,圭亚那,海地,印度,牙买加,肯尼亚,摩尔多瓦,巴布亚新几内亚,俄罗斯联邦,南非,苏丹,斯威士兰,坦桑尼亚,乌克兰,美国,乌兹别克斯坦,赞比亚和津巴布韦。我们使用标准化框架分析了HIV检测政策,该框架关注政府尊重,保护和实现义务。我们的结果表明,在同意进行HIV检测,产前护理环境的保密以及提供咨询和护理服务方面,需要更多地关注孕妇的自主权问题。最后,我们讨论了当前检测政策的潜在影响,并为艾滋病检测政策可以更有效地维护孕妇的人权提供了建议。

著录项

  • 来源
    《Global public health》 |2013年第4期|326-341|共16页
  • 作者单位

    Yale University School of Public Health, New Haven, CT, USA;

    Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;

    Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;

    Health Law & Justice Program at American University, Washington College of Law, Washington, DC, USA;

    Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    HIV testing; pregnant women; human rights; consent; HIV counselling;

    机译:艾滋病毒检测;孕妇人权;同意;艾滋病咨询;

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