Participatory research with women living with HIV

This WHO Bulletin, just published online, is about the participatory approach taken to the global values and preferences survey on the Sexual and reproductive health and human rights of women living with HIV last year. Called the Sexual and reproductive health and human rights of women living with HIV: a global community survey by Manjulaa Narasimhan, Luisa Orza, Alice Welbourn, Susan Bewley, Tyler Crone & Marijo Vazquez.

The study covered 945 women (832 in the survey and 113 in the focus groups) aged 15–72 years in 94 countries. Among the respondents to the optional survey questions, 89.0% (427/480) feared or had experienced gender based violence, 56.7% (177/312) had had an unplanned pregnancy, 72.3% (227/314) had received advice on safe conception and 58.8% (489/832) had suffered poor mental health after they had discovered their HIV-positive status.

Download PDF: BLT.14.150912.pdf

WHO Guideline on starting ART and PrEP

The World Health Organisation has issued an early-release guideline making available two key recommendations that were developed during the revision process of the consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection due to be published in 2016. These are:

  1. Antiretroviral therapy (ART) should be initiated in everyone living with HIV at any CD4 cell count.
  2. The use of daily oral pre-exposure prophylaxis (PrEP) is recommended as a prevention choice for people at substantial risk of HIV infection as part of combination prevention approaches.


Download PDF: WHO-Guidelines-on-ARV-initiation-and-PrEP.pdf

Prevention of violence against women: lessons from practice

The fourth in the Lancet Special series on violence against women and girls, this paper describes programming to prevent violence against women and girls, and emphasises the importance of systematic, sustained programming across the social ecology (ie, the delicate equilibrium of interacting social, institutional, cultural, and political contexts of people’s lives) to transform gender-power inequalities. Effective prevention policy and programming is founded on five core principles: first, analysis and actions to prevent violence across the social ecology (individual, interpersonal, community, and societal); second, intervention designs based on an intersectional gender-power analysis; third, theory-informed models developed on the basis of evidence; fourth, sustained investment in multisector interventions; and finally, aspirational programming that promotes personal and collective thought, and enables activism on women’s and girls’ rights to violence-free lives. Prevention programming of the future will depend on all of us having a vision of, and a commitment to, gender equality to make violence-free lives for women and girls a reality.

Download PDF: Lancet-Prevention-of-VAWG-lessons-from-practice.pdf

From work with men and boys to changes of social norms

The third in the Lancet Special series on violence against women and girls, this paper reviews evidence of intervention effectiveness in the reduction of violence or its risk factors, features commonly seen in more effective interventions, and how strong evidence-based interventions can be developed with more robust use of theory. Future interventions should emphasise work with both men and boys and women and girls to change social norms on gender relations, and need to appropriately accommodate the differences between men and women in the design of programmes.

Download PDF: Lancet-Working-with-men-and-boys.pdf

Guidelines and Standards for the Provision of Support to Rape Survivors in the Acute Stage of Trauma

New guidelines and standards for first responders providing immediate post-rape care, developed collectively by 33 community organisations and leading academics and published by NACOSA, with support from The Global Fund. The guidelines aim to ensure consistent standards of immediate post-rape care for survivors across the country to mitigate the impact of rape and help prevent HIV infection.

Download PDF: GuidelinesStandardsRapeSurvivors.pdf

The health systems response to violence against women

The second in the Lancet Special series on violence against women and girls, this looks at the evidence for clinical interventions and discusses components of a comprehensive health system approach that helps healthcare providers to identify and support women subjected to intimate partner or sexual violence. Five country case studies (including South Africa) show the diversity of contexts and pathways for development of a health system response to violence against women. Although additional research is needed, strengthening of health systems can enable providers to address violence against women, including protocols, capacity building, effective coordination between agencies, and referral networks.

Download PDF: Lancet-Health-Systems-Response-to-VAW.pdf

Prevention of violence against women and girls: what does the evidence say?

The first in the Lancet Special series on violence against women and girls, this paper reviews evidence for interventions to reduce the prevalence and incidence of violence against women and girls. The reviewed studies cover a broad range of intervention models, and many forms of violence – intimate partner violence, non-partner sexual assault, female genital mutilation, and child marriage. Evidence is highly skewed towards that from studies from high-income countries, with these evaluations mainly focusing on responses to violence.


Download PDF: Lancet-Prevention-of-VAWG-What-does-the-evidence-say.pdf

Integrated Programme of Action: Addressing Violence Against Women and Children

The Department of Social Development has recently published the South African Integrated Programme of Action: Addressing Violence Against Women and Children (2013-2018) on its website. The document itself has a publication date of August 2014 – although it was not in the public domain at that time – and outlines “comprehensive, multisectoral and long-term strategic interventions, emphasising government accountability, for ending violence”.

There is still no National Strategic Plan to address gender based violence – a plan that civil society has been calling for.

Download PDF: Violence-Against-Women-and-Children-Low-Resolution.pdf

HIV’s Persistence: AIDS Vaccine Research Publication

Publication examining what it will it take for HIV-infected individuals to be able to interrupt antiretroviral (ARV) therapy and achieve a sustained remission from the virus and highlighting the work of six prominent women scientists working in the AIDS field.

Download PDF: IR_Vol19No2_2015.pdf

The Right and the Real

A Shadow Report Analysing Selected Government Departments’ Implementation of the 1998 Domestic Violence Act and 2007 Sexual Offences Act. The report examines government’s compliance with their constitutionally mandated
duties, taking as its point of departure two pieces of legislation key to combating violence against women. Published by the Tshwaranang Legal Advocacy Centre to End Violence Against Women in December 2010.

Download PDF: Right-and-real-150.jpg