What Works for Women and Girls

Gaps in Programming—Malaria1. Further studies are needed to determine whether standard intermittent preventivetreatment (IPT) and antiretroviral therapy regimens are medically and operationallycompatible in pregnancy and to determine safe and effective protocols for managementof concurrent HIV and malarial infections in pregnant and non-pregnant HIV-positivewomen.2. Alternate efficacious drugs for intermittent preventive treatment are needed due toresistance to SP.3. Additional efforts are needed to offer VCT to women presenting at health care settingswith malaria symptoms to identify HIV disease before the development of moreserious complications.4. Further research is needed on infant transmission risks of malaria and/or HIV inpregnant women who have malaria-HIV co-infection.5. Young women, in particular, need access to services and treatment for HIV andmalaria during the perinatal period because they are more likely to be pregnant forthe first time.1. Further studies are needed to determine whether standard intermittent preventive treatment(IPT) and antiretroviral therapy regimens are medically and operationally compatiblein pregnancy and to determine safe and effective protocols for management of concurrentHIV and malarial infections in pregnant and non-pregnant HIV-positive women.Gap noted generally (Ter Kuile email, July 2, 2009, Uneke and Ogbonna, 2009,Meshnick et al., 2006 cited in Uneke and Ogbonna, 2009, Brentlinger et al., 2007,Ward et al., 2008, Slutsker and Marston, 2007, Brentlinger et al., 2006).2. Alternate efficacious drugs for intermittent preventive treatment are needed due to resistanceto SP.Gap noted generally (Newman et al., 2003 and EANMAT, 2003 cited in Brentlinger etal., 2006, Ter Kuile, email, July 2, 2009, Slutsker, email, July 2, 2009).3. Additional efforts are needed to offer VCT to women presenting at health care settingswith malaria symptoms to identify HIV disease before the development of more seriouscomplications.Gap noted, for example, in Uganda (Kamya et al., 2006).WHAT WORKS FOR WOMEN AND GIRLS283