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Objectives for Section 1:
There are (at least) 4 reasons for testing all of our clients
Reason 1 Women who get services in family planning clinics are at risk for getting HIV
Why are women in family planning clinics at risk? Because women are at risk
Why are women in family planning clinics at risk? Because young women are at risk and they represent a large proportion of family planning clinic clients
Why are women in family planning clinics at risk? Because of their sexual partner
So, what does put women at risk?
U. S. Women and Risk
U. S. Women and Risk (continued)
Why are women in family planning clinics at risk? They may be at an increased risk, due to hormone use, sexual activity, or sexually transmitted infections (STIs)
Progesterone and Increased Vulnerability to HIV-1 (Marx et al. , 1996)
Hormones and HIV
Hormones and HIV (continued)
Integrity of the Mucosal Barriers
Type of Sexual Activity
Risk of STI Transmission per Episode of Unprotected Vaginal Intercourse (Alan Guttmacher Institute, 1996)
Reason 2 There are too many missed opportunities for clients to understand their HIV status.
Healthcare Providers Diagnosing HIV Infection (Mac. Donald et al. , 1998)
Role of Reproductive Healthcare Practitioners in Diagnosing HIV
Who Initiates Testing?
Definition of “Missed Opportunity”
Key Findings in the Mac. Donald Study
Avoiding Missed Opportunities
Reason 3 Knowing your status is good for your health
Health Benefits of Knowing Your HIV Status
Reason 4 Testing and clinical identification can be integrated into current family planning services, and who else could do this better and with more sensitivity?
Why reproductive health clinics?
Recommendations For Routine Screening