Abstract
A substantial proportion of HIV-1 infected individuals in sub-Saharan Africa are in stable relationships with HIV-1 uninfected partners, and HIV-1 serodiscordant couples thus represent an important target population for HIV-1 prevention. Couple-based HIV-1 testing and counseling facilitates identification of HIV-1 serodiscordant couples, counseling about risk reduction, and referrals to HIV-1 treatment, reproductive health services, and support services. Maximizing HIV-1 prevention for HIV-1 serodiscordant couples requires a combination of strategies, including counseling about condoms, sexual risk, fertility, contraception, and the clinical and prevention benefits of antiretroviral therapy (ART) for the HIV-1-infected partner; provision of clinical care and ART for the HIV-1-infected partner; antenatal care and services to prevent mother-to-child transmission for HIV-1-infected pregnant women; male circumcision for HIV-1-uninfected men; and, pending guidelines and demonstration projects, oral pre-exposure prophylaxis (PrEP) for HIV-1-uninfected partners.
Original language | English (US) |
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Pages (from-to) | 160-170 |
Number of pages | 11 |
Journal | Current HIV/AIDS Reports |
Volume | 9 |
Issue number | 2 |
DOIs | |
State | Published - Jun 2012 |
Keywords
- ART
- Africa
- Antiretroviral
- HIV-1 Serodiscordant couples
- HIV-1 prevention
- PrEP
ASJC Scopus subject areas
- Virology
- Infectious Diseases