What Works for Women and Girls

accessing PMTCT. An evaluation of 3 “Hub” sites and 13 “Spoke” sites showed that at“Hub” sites 6,882 new women received antenatal care, 74% of whom were counseled,tested for HIV, and given results, while at “Spoke” sites 33,119 new women receivedantenatal care, of which 87% were counseled, tested for HIV, and given results. Womenwho tested HIV-positive at “Spoke” sites and required HAART for their own health wereprovided transportation to a “Hub” site, while women who did not require HAART weregiven short course ARTs at the same “Spoke” site. However, women were more likelyto return for delivery at “Hub” sites (61.2% of women returning) compared to “Spoke”sites (48.5% of women returning) (Akinmurele et al., 2008). (Abstract) (PMTCT, healthfacilities, HIV testing, HAART, Nigeria)5. Clinic-based interventions with outreach workers can be effective in increasing condomuse among sex workers. [See Chapter 4A. Prevention for Key Affected Populations: Female SexWorkers]6. Providing accessible, routine, high quality, voluntary and confidential STI clinical servicesthat include condom promotion can be successful in reducing HIV risk among sex workers.[See Chapter 4A. Prevention for Key Affected Populations: Female Sex Workers]7. Home testing, consented to by household members, can increase the number of peoplewho learn their serostatus. [See Chapter 6. HIV Testing and Counseling for Women]8. Training providers can reduce discrimination against people with HIV/AIDS. [See Chapter11F. Strengthening the Enabling Environment: Reducing Stigma and Discrimination]9. Establishing comprehensive post-rape care protocols, which include PEP, can improveservices for women. [See Chapter 11B. Strengthening the Enabling Environment: AddressingViolence Against Women]10. Providing clinic services that are youth-friendly, conveniently located, affordable, confidentialand non-judgmental can increase use of clinic reproductive health services, includingVCT. [See Chapter 5B. Prevention for Young People: Increasing Access to Services]Promising Strategies:11. Integrating testing and treatment for syphilis with HIV testing for pregnant women willreduce congenital syphilis and may reduce perinatal transmission of HIV. [See Chapter9C-1. Safe Motherhood and Prevention of Vertical Transmission: Testing and Counseling]380 CHAPTER 13 STRUCTURING HEALTH SERVICES TO MEET WOMEN’S NEEDS