''Even if you 're positive, you still have rights because you are a person': Human rights and the reproductive choice of hiv-positive persons
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
Developing World Bioethics 8 (1):11-22 (2008)
Global debates in approaches to HIV/AIDS control have recently moved away from a uniformly strong human rights-based focus. Public health utilitarianism has become increasingly important in shaping national and international policies. However, potentially contradictory imperatives may require reconciliation of individual reproductive and other human rights with public health objectives. Current reproductive health guidelines remain largely nonprescriptive on the advisability of pregnancy amongst HIV-positive couples, mainly relying on effective counselling to enable autonomous decision-making by clients. Yet, health care provider values and attitudes may substantially impact on the effectiveness of nonprescriptive guidelines, particularly where social norms and stereotypes regarding childbearing are powerful, and where providers are subjected to dual loyalty pressures, with potentially adverse impacts on rights of service users. Data from a study of user experiences and perceptions of reproductive and HIV/AIDS services are used to illustrate a rights analysis of how reproductive health policy should integrate a rights perspective into the way services engage with HIV-positive persons and their reproductive choices. The analysis draws on recognised tools developed to evaluate health policies for their human rights impacts and on a model developed for health equity research in South Africa to argue for greater recognition of agency on the part of persons affected by HIV/AIDS in the development and content of policies on reproductive choices. We conclude by proposing strategies that are based upon a synergy between human rights and public health approaches to policy on reproductive health choices for persons with HIV/AIDS.
|Keywords||rights reproduction gender HIV/AIDS developing world informed consent|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
Peter A. Clark (2006). Mother-to-Child Transmission of Hiv in Botswana: An Ethical Perspective on Mandatory Testing. Developing World Bioethics 6 (1):1–12.
Leslie London (2002). Human Rights and Public Health: Dichotomies or Synergies in Developing Countries? Examining the Case of HIV in South Africa. Journal of Law, Medicine & Ethics 30 (4):677-691.
Mark V. Sauer (2003). Providing Fertility Care to Those with HIV: Time to Re-Examine Healthcare Policy. American Journal of Bioethics 3 (1):33 – 40.
Citations of this work BETA
No citations found.
Similar books and articles
Lutz Preuss & Donna Brown (2012). Business Policies on Human Rights: An Analysis of Their Content and Prevalence Among FTSE 100 Firms. [REVIEW] Journal of Business Ethics 109 (3):289-299.
Lucinda Vandervort (2006). Reproductive Choice: Screening Policy and Access to the Means of Reproduction. Human Rights Quarterly 28 (2):438-464.
Charles G. Ngwena & Rebecca J. Cook Guest Editors (2008). Hiv/Aids, Pregnancy and Reproductive Autonomy: Rights and Duties. Developing World Bioethics 8 (1):iii–vi.
Lisa Forman (2005). Ensuring Reasonable Health: Health Rights, the Judiciary, and South African HIV/AIDS Policy. Journal of Law, Medicine & Ethics 33 (4):711-724.
Stuart Rennie & Bavon Mupenda (2008). Ethics of Mandatory Premarital Hiv Testing in Africa: The Case of Goma, Democratic Republic of Congo. Developing World Bioethics 8 (2):126-137.
Stephanie Nixon & Lisa Forman, Exploring the Synergies Between Human Rights and Public Health Ethics: A Whole Greater Than the Sum of its Parts.
Sofia Gruskin, Shahira Ahmed & Laura Ferguson (2008). Provider-Initiated Hiv Testing and Counseling in Health Facilities – What Does This Mean for the Health and Human Rights of Pregnant Women? Developing World Bioethics 8 (1):23–32.
Rebecca J. Cook, Bernard M. Dickens & Mahmoud F. Fathalla (2003). Reproductive Health and Human Rights: Integrating Medicine, Ethics, and Law. Clarendon Press.
Audrey R. Chapman (2009). Globalization, Human Rights, and the Social Determinants of Health. Bioethics 23 (2):97-111.
Added to index2009-01-28
Total downloads17 ( #205,063 of 1,790,408 )
Recent downloads (6 months)2 ( #325,851 of 1,790,408 )
How can I increase my downloads?