Adolescents and the right to health: Eliminating age-related barriers to HIV/AIDS services in Rwanda

被引：37

作者：

Binagwaho, Agnes ^{[2
,4
]}

Fuller, Arlan ^{[3
]}

Kerry, Vanessa ^{[1
,4
]}

Dougherty, Sarah ^{[3
]}

Agbonyitor, Mawuena ^{[4
]}

Wagner, Claire ^{[4
]}

Nzayizera, Rodrigue ^{[5
]}

Farmer, Paul ^{[4
,6
]}

机构：

[1] Massachusetts Gen Hosp, Ctr Global Hlth, Boston, MA 02114 USA

[2] Minist Hlth, Kigali, Rwanda

[3] Harvard Univ, Sch Publ Hlth, FXB Ctr, Boston, MA 02115 USA

[4] Harvard Univ, Sch Med, Dept Global Hlth & Social Med, Boston, MA USA

[5] Univ Rwanda, Butare, Rwanda

[6] Brigham & Womens Hosp, Div Global Hlth Equ, Boston, MA 02115 USA

来源：

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2012年 / 24卷 / 07期

关键词：

HIV/AIDS; adolescents; age of majority; Rwanda; barriers to care;

D O I：

10.1080/09540121.2011.648159

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Under international, regional, and domestic law, adolescents are entitled to measures ensuring the highest attainable standard of health. For HIV/AIDS, this is essential as adolescents lack many social and economic protections and are disproportionately vulnerable to the effects of the disease. In many countries, legal protections do not always ensure access to health care for adolescents, including for HIV/AIDS prevention, treatment, and care. Using Rwanda as an example, this article identifies gaps, policy barriers, and inconsistencies in legal protection that can create age-related barriers to HIV/AIDS services and care. One of the most pressing challenges is defining an age of majority for access to prevention measures, such as condoms, testing and treatment, and social support. Occasionally drawing on examples of existing and proposed laws in other African countries, Rwanda and other countries may strengthen their commitment to adolescents' rights and eliminate barriers to prevention, family planning, testing and disclosure, treatment, and support. Among the improvements, Rwanda and other countries must align its age of consent with the actual behavior of adolescents and ensure privacy to adolescents regarding family planning, HIV testing, disclosure, care, and treatment.

引用

页码：936 / 942

页数：7

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