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Health Systems Reform

Last edited: March 08, 2011

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  • It is important that health systems are reformed in a way that ensures service delivery addresses needs related to both HIV/AIDS and violence against women and girls.

Source: Ward, J., 2008. “Designing Programming to Address GBV and HIV in East, Central, and Southern Africa:  A Framework for Action”, Draft Working Paper, UNFPA, Nairobi.

Example: The South African Gender-Based Violence and Health Initiative The South African Gender-based Violence Health Initiative (SAGBVHI) is a national, specialist partnership of organizations and individuals working on violence against women and girls and health issues. This initiative has contributed to the improvement of the health response to violence against women and girls in South Africa and has also contributed to the integration of violence against women and girls and HIV services by developing a 2-day training programme for health professionals on post exposure prophylaxis (Guedes, 2004).

Illustrative Tools:

Gender-based Violence and HIV: A Prpgram Guide for Integrating Gender-based Violence Prevention and Response in PEPFAR Programs. 2011, by USAID’s AIDS Support and Technical Assistance Resources, AIDSTAR-One, Task Order 1. Available in English.

Sexual and Reproductive Health for HIV-Positive Women and Adolescent Girls: Manual for Trainers and Programme Managers. 2006, by EngenderHealth and International Community of Women Living with HIV/AIDS (ICW), is for experienced trainers and facilitators working with sexual and reproductive health (SRH) and HIV/AIDS programme managers and health workers. The manual provides guidance for a four-day training and two-day planning workshop on offering comprehensive care and support to HIV-positive women and adolescent girls. The manual includes an overview for trainers, detailed training modules, handouts and references that may be adapted to the local context and cover integrated SRH counselling within programmes that link SRH and HIV/AIDS. Available in English, French, Spanish, Portuguese, and Russian; 239 pages.

 Integrating HIV Voluntary Counselling and Testing Services into Reproductive Health Settings: Stepwise Guidelines for Programme Planners, Managers and Service Providers (IPPF South Asia Regional Office and UNFPA, 2004).  Available in English.

Development Connections: A Manual for Integrating the Programmes and Services of HIV and Violence Against Women (Luciano, D./Development Connections and UNIFEM, 2009). Available from in English and Spanish. See also the Development Connections website for additional resources, including an on-going online course.

An Essential Service Package for an Integrated Response to HIV and Violence Against Women (Women Won’t Wait, 2010). Available in English.

Operational Guide on Gender & HIV/AIDS: A Rights Based Approach (UNAIDS Interagency Task Team on Gender & HIV/AIDS, 2005). Available in English.

Resource Pack on Gender and HIV/AIDS (UNAIDS,2006), by the Inter-agency Task Force on Gender and HIV/AIDS, is for development practitioners and policy-makers. The Resource Pack provides programming and advocacy guidance on addressing gender inequality and its negative impact on national HIV/AIDS programmes. The pack contains an operational guide with a conceptual framework, tools and checklists for gender-sensitive and rights-based programming; a review paper for expert consultation ‘Integrating gender into HIV/AIDS Programmes’; and 17 fact sheets on gender-related aspects of HIV/AIDS. 

 Addressing Gender-based Violence from the Reproductive Health/HIV Sector: A Literature Review and Analysis (Guedes, A./Bureau for Global Health,  2004). Available in English.

 Delivering Post-rape Care Services: Kenya’s Experience in Developing Integrated Services (Kilonzo, N., Theobald, S.J., Nyamato, E., Ajema, C., Muchela, H., Kibaru, J., Rogena, E. and Taegtmeyer, M. , 2008). Available in English.

Strategic Interventions: Intersections between Gender-based Violence and HIV/AIDS (Muthien, B. 2003). Available in English. 

The Refentse Model for Post-Rape Care: Strengthening Sexual Assault Care and HIV Post-Exposure Prophylaxis in a District Hospital in Rural South Africa (Kim, J.C., Askew, I., Muvhango, L., Dwane, N., Abramsky, T., Jan, S., Ntlemo, E., Chege, J. and Watts, C./Population Council, 2009).  Available in English.

Gender-based Violence and Reproductive Health and HIV/AIDS: Summary of a Technical Update (USAID, 2002.). Available in English.