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  1. 1
    308140

    Preventing pregnancy among HIV-infected women: most contraceptive methods can be used safely.

    Best K; Shears KH

    Mera. 2006 Sep; (26):iii-iv.

    Women with HIV have a right to decide whether they want to become pregnant and bear children. But if an HIV-infected woman chooses not to have children, or wants to space her family, she should be able to make informed, voluntary decisions about contraception and then receive her method of choice. Such use of contraception by HIV-infected women is an important way to reduce HIV-positive births. In addition, HIV-infected women using antiretroviral (ARV) therapy may want to use family planning until the effects of these drugs on maternal and child health are better understood. Numerous studies suggest that contraceptive use by HIV-infected women can be surprisingly low. One reason is that some infected women may very much want to have children. The increasing availability of ARV drugs - which can restore fertility in infected women - may also make pregnancy more appealing, since treatment offers hope for better health, better quality of life, and survival. However, many women on ARV drugs are experiencing unintended pregnancies, with disastrous consequences for some. One factor that deters some HIV-infected women from using contraception is fear of its possible health effects. However, HIV-infected women can use most contraceptive methods safely. (excerpt)
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  2. 2
    762112

    Senegal.

    Menes RJ

    Washington, D.C., U.S. Office of International Health, Division of Planning and Evaluation, 1976. 144 p. (Syncrisis: the dynamics of health, XIX)

    This report uses available statistics to examine health conditions in Senegal and their interaction with socioeconomic development. Background data are presented, after which population, health status, nutrition, environmental health, health infrastructure, facilities, services and manpower, national health policy and planning, international organizations, and the Sahel are discussed. Diseases such as malaria, measles, tuberculosis, trachoma and venereal diseases are endemic in Senegal, and high levels of infant and childhood mortality exist throughout the country but especially in rural areas. Diarrhea, respiratory infections, and neonatal tetanus contribute to this mortality and are evidence of the poor health environment, and lack of basic services including nutrition assistance, health education, and potable water. Nutrition in Senegal appears to be good in general, but seasonal and local variations sometimes produce malnutrition. Lowered fertility rates would reduce infant and maternal mortality and morbidity and might slow the present decline in per capita food intake. At present the government of Senegal has no population policy and almost no provisions for family planning services. Health services are inadequate and inefficient, with shortages of all levels of health manpower, poor planning, and overemphasis on curative services.
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