What Works for Women and Girls

6. Home-based antiretroviral therapy may increase family support.A study based on interviews with 654 people (72% women) receiving HAART throughhome-based care in rural Uganda found that most reported positive social outcomes,such as increased family support. Home-based care may have advantages in decreasingbarriers due to transport, along with the ability to provide for multiple family members(Apondi et al., 2007). (Gray V) (community-based care, treatment, Uganda)7. Reducing stigma improves the quality of life for women living with HIV, particularlyregarding employment and schooling. [See Chapter 11F. Strengthening the EnablingEnvironment: Reducing Stigma and Discrimination]Gaps in Programming—Women and Girls1. Further interventions are needed to provide support (physical, psychological,technological, economic) to caregivers.2. Interventions are needed to train caregivers on taking care of children living with HIV.3. The increased vulnerability of female-headed households requires targeted interventions.4. Interventions are needed to support HIV-positive women to disclose their serostatusto their children and families.5. Interventions are needed to increase access to palliative care.6. Caregiver training for male and female community health workers may benefit fromcritical reflections on gender roles and responsibilities.7. Further interventions are needed to improve quality of life for women living with HIV.8. Care and support programs should address gender-based violence.1. Further interventions are needed to provide support (physical, psychological, technological,economic) to caregivers. Studies showed that caregivers have many physical, psychological,technical and economic unmet needs, with high rates of depression and poverty.Gap noted, for example, in China (Zhou, 2008), Uganda (O’Hare et al., 2005, Kaharuza etal., 2006, Ssengonzi et al., 2007); South Africa (Akintola, 2006); Botswana (Rajaramanet al., 2006, Shaibu, 2006).WHAT WORKS FOR WOMEN AND GIRLS353