Rethinking Mandatory HIV Testing During Pregnancy in Areas With High HIV Prevalence Rates: Ethical and Policy Issues
| Autor: | Udo Schuklenk, Anita Kleinsmidt |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2007 |
| Předmět: |
Adult
medicine.medical_specialty Letter Anti-HIV Agents Maternal Welfare HIV Infections Mandatory Programs Prenatal care Maternal and Infant Health in Diverse Settings Risk Assessment Acquired immunodeficiency syndrome (AIDS) Pregnancy Prevalence medicine Humans Confidentiality Pregnancy Complications Infectious Health policy Fetal viability business.industry Health Policy Public health Public Health Environmental and Occupational Health AIDS Serodiagnosis virus diseases Prenatal Care Patient Acceptance of Health Care medicine.disease Infectious Disease Transmission Vertical humanities Surgery Family medicine Female Pregnant Women Risk assessment business |
| Popis: | We analyzed the ethical and policy issues surrounding mandatory HIV testing of pregnant women in areas with high HIV prevalence rates. Through this analysis, we seek to demonstrate that a mandatory approach to testing and treatment has the potential to significantly reduce perinatal transmission of HIV and defend the view that mandatory testing is morally required if a number of conditions can be met. If such programs are to be introduced, continuing medical care, including highly active antiretroviral therapy, must be provided and pregnant women must have reasonable alternatives to compulsory testing and treatment. We propose that a liberal regime entailing abortion rights up to the point of fetal viability would satisfy these requirements. Pilot studies in the high-prevalence region of southern African countries should investigate the feasibility of this approach. |
| Databáze: | OpenAIRE |
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