Situation of Linkage between Sexual and Reproductive Health and HIV-Related Policies in Islamic Republic of Iran – A Rapid Assessment in 2011–2

Document Type: Short Communication

Authors

1 Kurdistan Research Center for Social Determinants of Health (KRCSDH), Kurdistan University of Medical Sciences, Sanandaj, Iran

2 Department of Epidemiology and Biostatistics, School of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran

3 Faculty of Management and Medical Informatics, Tabriz University of Medical Science, Tabriz, Iran

Abstract

The number of sexual transmission of HIV is increasing globally. Sexual and Reproductive Health (SRH) issues and HIV/AIDS related problems are rooted in common grounds such as poverty, gender inequality, and social exclusion. As a result, international health organizations have suggested the integration of SRH services with HIV/AIDS services as a strategy to control HIV and to improve people’s access to SRH services. The aim of this study was to evaluate the relationship between reproductive health and HIV/AIDS services at policy-making level in Islamic Republic of Iran (IRI). This study was conducted in 2011–2 and was a rapid assessment based on guidelines provided by the World Health Organization (WHO), United Nations Programme on HIV/AIDS (UNAIDS), Family Health International Association, and some other international organizations. In this rapid assessment we used different methods such as a review of literature and documents, visiting and interviewing professionals and experts in family health and HIV/AIDS programs, and experts working in some NonGovernmental Organizations (NGOs). Overall, based on the results obtained in this study, in most cases there was not much linkage between HIV/AIDS policies and SRH policies in Iran. Since integration of HIV/AIDS services and SRH services is recommended as a model and an appropriate response to HIV epidemics worldwide, likewise to control the HIV/AIDS epidemic in Iran it is required to integrate HIV/AIDS and SRH services at all levels, particularly at the policy-making level.

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  1. Singler J, Farmer P. Treating HIV in resource-poor setting. JAMA 2002; 288: 1652-3.  doi: 10.1001/jama.288.13.1652-JMS1002-6-1
  2. Joint United Nations Program on HIV/AIDS (UNAIDS). Report on the Global AIDS Epidemic [internet]. 2012. [cited 2014 Oct 10]. Available from: http://www.unaids.org/sites/default/files/media_asset/                20121120_UNAIDS_Global_Report_2012_with_annexes_en_1.pdf
  3. Report of HIV /AIDS in Iran AIDS and STI Office, CCDC, Ministry of health [internet].  2013. [ Cited 2014 Oct 8]. Available from: http://asibha.mcls.gov.ir/fa/filepool/download/                2f1adb2fd2344e27800644aa7b74964f?redirectpage=/fa/statistics/amarekeshvari
  4. World Health Organization (WHO). Global strategy for the prevention and control of sexually transmitted infections: 2006-2015. Breaking the chain of transmission [internet]. 2007. [Cited 2014 Oct 10]. Available from: http://www.who.int/reproductivehealth/publications/ rtis/9789241563475/en/index.html
  5. Myer L, Rabkin M, Abrams EJ, Rosenfield A, El-Sadr WM. Focus on women: linking HIV care and treatment with reproductive health services in the MTCT-Plus Initiative. Reprod Health Matters 2005; 13: 136-46. 
  6. Gogna ML, Pecheny MM, Ibarlucia I, Manzelli H, Lopez SB. The reproductive needs and rights of people living with HIV in Argentina: health service users' and providers' perspectives. Soc Sci Med 2009; 69: 813-20.  doi: 10.1016/j.socscimed.2009.06.002
  7. Moradi G, Mohraz M, Gouya MM, Dejman M, Seyedalinaghi  SA, Khoshravesh S, et al. Health needs of people living with HIV/AIDS: from the perspective of policy makers, physicians and consultants, and people living with HIV/AIDS. Iranian J Publ Health 2014; 43: 1424-35. doi: 10.1016/S0968-8080(05)25185-6
  8. Moradi G, Esmaeilnasab N, Moshiri E, Nowrozinejad A, Hojatzadeh A, Hajizadeh S, et al. Rapid Assessment Tool for Sexual & Reproductive Health and HIV Linkages, a Generic Guide. Family Planning Association/IRI; 2011. 
  9. Makwiza I, Nyirenda L, Bongololo G, Banda T, Chimzizi R, Theobad S. Who has access to counseling and testing and anti-retroviral therapy in Malawi - an equity analysis. Int J Equity Health 2009; 10: 8-13.  doi: 10.1186/1475-9276-8-13
  10. World Health Organization (WHO). Linking sexual and reproductive health and HIV in countries of Eastern Europe and Central Asia: Examining the future of integrated services [internet].  2011. [Cited 2014 Oct 13]. Available from: http://www.euro.who.int/en/health-topics/communicable-diseases/   sexually-transmitted-infections/news/news/2012/11/              linking-sexual-and-reproductive-health-and-hiv-in-countries-of                -eastern-europe-and-central-asia-examining-the-future-of-integrated-services
  11. Karamouzian M, Nasirian M, Sedaghat A, Haghdoost AA. HIV in Iran. Lancet 2013; 382: 1958.  doi: 10.1016/s0140-6736(13)62645-8
  12. Patel SK. Integration of HIV and other health programmes: Implications and challenges. Int J Med Sci Public Health 2014; 3: 643-8.  doi: 10.5455/ijmsph.2014.010420141
  13. Lusti-Narasimhan M, Say L, Mbizvo MT. Linking HIV and sexual and reproductive health services to enhance program outcomes. Int J Gynaecol Obstet 2010; 110: 57-9.  doi: 10.1016/j.ijgo.2010.04.002
  14. Kashi A, Yadyad M, Hajiabdolbaghi M, Jafari S. Utilization of the Health Ministry recommended services by Iranian HIV/AIDS patients. TUMJ 2008; 66: 670-6. 
  15. Nasirian M, Doroudi F, Gooya MM, Sedaghat A, Haghdoost AA. Modeling of human immunodeficiency virus modes of transmission in iran. J Res Health Sci 2012; 12: 81-7. 
  16. Shahbazi M, Farnia M, Rahmani K, Moradi G. Trend of HIV/AIDS Prevalence and Related Interventions Administered in Prisons of Iran -13 Years’ Experience. Iran J Publ Health 2014; 43: 471-9. 
  17. 17.   Khajehkazemi R, Osooli M, Sajadi L, Karamouzian M, Sedaghat A, Fahimfar N, et al. HIV prevalence and risk behaviours among people who inject drugs in Iran: the 2010 National Surveillance Survey. Sex Transm Infect 2013; 89 Suppl 3: iii29-32. doi: 10.1136/sextrans-2013-051204
  18. Lotfi R, Ramezani Tehrani F, Yaghmaei F, Hajizadeh E. Socio-environmental barriers of condom use among women at risk for HIV/AIDS: a qualitative Study. Payesh 2012; 11: 669-78. 
  19. Karamouzian M, Akbari M, Haghdoost AA, Hamidreza S, Farzaneh Z. “I Am Dead to Them”: HIV-related Stigma Experienced by People Living With HIV in Kerman, Iran. J Assoc Nurses AIDS Care 2014; In Press. doi: 10.1016/j.jana.2014.04.005
  20. Kennedy CE, Spaulding AB, Brickley DB, Almers L, Mirjahangir J, Packel L. Linking sexual and reproductive health and HIV interventions: a systematic review. J Int AIDS Soc 2010; 13: 26.  doi: 10.1186/1758-2652-13-26
  21. United Nations Population Fund (UNFPA). Rapid Assessment Tool for Sexual & Reproductive Health and HIV Linkages [internet].  2009. [Cited 2014 Oct 10]. Available from: http://www.unfpa.org/publications/rapid-assessment-tool-             sexual-reproductive-health-and-hiv-linkages