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This Guide provides a basic framework, examples, resources, and contact information for health providers and managers to: Better understand and facilitate linkages with critical social and community services for comprehensive care of children and adolescents who have experienced sexual violence and exploitation beyond the clinical exam. Take additional steps to help children and adolescents receive the information and support their needs. Contribute to changes in sociocultural norms that perpetuate a culture of violence and silence that can also increase HIV risk and vulnerability.
Responding to the full needs of children and adolescents who have experienced sexual violence and exploitation can be daunting. How do we respond to something so sensitive that requires multisectoral support and funding in environments that have few resources?
It is our hope this guide will provide inspiration for even the small “next steps” that a program can take to better serve the needs of children, adolescents, and their families. The guide is intended as a general resource; we envision that the information provided here will be adapted to country-specific contexts, resources, needs, laws, and policies. This guide borrowed heavily from nongovernmental organizations (NGOs) and other programs that have developed promising guidelines and resources on various aspects of these integrated care needs.
Article Objectives: Worldwide, women face sexual and reproductive health (SRH) risks including unintended pregnancy and sexually transmitted infections (STIs) including HIV. Multipurpose prevention technologies (MPTs) combine protection against two or more SRH risks into one product. Male and female condoms are the only currently available MPT products, but several other forms of MPTs are in development. We examined the global distribution of selected SRH issues to determine where various risks have the greatest geographical overlap.
Study design: We examined four indicators relevant to MPTs in development: HIV prevalence, herpes simplex virus type 2 prevalence (HSV-2), human papillomavirus prevalence (HPV) and the proportion of women with unmet need for modern contraception. Using ArcGIS Desktop, we mapped these indicators individually and in combination on choropleth and graduated symbol maps. We conducted a principal components analysis to reduce data and enable visual mapping of all four indicators on one graphic to identify overlap.
Results: Our findings document the greatest overlapping risks in Sub-Saharan Africa, and we specify countries in greatest need by specific MPT indication.
Conclusions: These results can inform strategic planning for MPT introduction, market segmentation and demand generation; data limitations also highlight the need for improved (non-HIV) STI surveillance globally.
Implications: MPTs are products in development with the potential to empower women to prevent two or more SRH risks. Geographic analysis of overlapping SRH risks demonstrates particularly high need in Sub-Saharan Africa. This study can help to inform strategic
planning for MPT introduction, market segmentation and demand generation.
Click here for the PDF article…
Erin Schelara, Chelsea B. Polisb, Timothy Essamc, Katharine J. Lookerd, Laia Brunie, Cara J. Chrismana, and Judy Manninga. Multipurpose prevention technologies for sexual and reproductive health: mapping global needs for introduction of new preventive products. Contraception 93 (2016) 32-43. Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
© 2016 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).