What Works for Women and Girls

2. Promoting contraceptives and family planning as part of routine HIV services (and viceversa) can increase condom use, contraceptive use, and dual method use, thus avertingunintended pregnancies among women living with HIV.3. Providing VCT together with other health services can increase the number of peopleaccessing VCT.4. Scaling up PMTCT programs increases the number of women who know theirserostatus, and improves HIV knowledge.5. Clinic-based interventions with outreach workers can be effective in increasing condomuse among sex workers.6. Providing accessible, routine, high quality, voluntary and confidential STI clinicalservices that include condom promotion can be successful in reducing HIV risk amongsex workers.7. Home testing, consented to by household members, can increase the number of peoplewho learn their serostatus.8. Training providers can reduce discrimination against people with HIV/AIDS.9. Establishing comprehensive post-rape care protocols, which include PEP, can improveservices for women.10. Providing clinic services that are youth-friendly, conveniently located, affordable, confidentialand non-judgmental can increase use of clinic reproductive health services,including VCT.Moving Forward with HIV/AIDS Programming for Women and GirlsOverall, the review demonstrates that while there is significant evidence for what works, thereare still many programming gaps related to women and girls for which no effective evaluatedinterventions were found. In addition, many studies still do not include sex-disaggregated datato begin the process of addressing the specific needs of women and girls. Structural interventionsto improve the enabling environment, such as transforming gender norms and legalreform, are clearly critical but are more difficult to correlate with HIV outcomes. Evidencebasedinterventions that have been shown to work must be scaled up with clear understandingof local epidemical and gender contexts.26 EXECUTIVE SUMMARY