What Works for Women and Girls

What Works—Structuring Health Services to Meet Women’s Needs (continued)Promising Strategies:11. Integrating testing and treatment for syphilis with HIV testing for pregnant womenwill increase the number of women treated for syphilis and may reduce perinataltransmission of HIV.12. Conducting HIV testing and counseling for women who bring their children forimmunization can increase the number of women accessing testing and treatmentservices.13. Infection control of TB within health care settings can reduce the incidence of TBamong health care workers, particularly nurses.14. Screening for TB during routine antenatal care in high HIV prevalent settings resultsin increased TB detection rates in women and is acceptable to most women, thoughstigma may be a barrier.15. Screening for and treating STIs on a continuous, accessible basis improves overallhealth systems, and has been associated with reducing the risks of HIV acquisition ina setting with high STI prevalence.16. Integrating HIV test kits with condom and contraceptive supplies may decreasestock-outs.17. Integrating legal services into health care can help ensure that women retain theirproperty.18. A combination of infection control strategies may significantly reduce the rate of TBtransmission, including drug-resistant TB, in high-risk, low-resourced health caresettings.19. Implementing service-related changes based on needs assessments can result inimprovements in HIV services.EVIDENCE1. Integrating HIV services with family planning, maternal health care or within primary carefacilities can increase uptake of HIV testing and treatment and other reproductive healthservices.In Zambia from 2007 to 2008, 581 HIV-positive pregnant women were successfullyidentified and initiated on HAART in primary health centers. Of 14,815 HIV-positivepregnant women registered in the 60 primary health care centers, 1,660 had their CD4WHAT WORKS FOR WOMEN AND GIRLS373