Women with HIV Essay

Document Type:Essay

Subject Area:Nursing

Document 1

Women with HIV also present a significant risk in the vertical spread of HIV which makes their inclusion into care an imperative primary and public health concern. HIV spread is connected to highly marginalized communities in the USA which have increased health disparities, limited access to health education and information and social-cultural imbalances between women and men. This write-up will explore the issue of women with HIV exploring their demographics, backgrounds of these women, the economic aspects associated with the group and social justice associated with women with HIV. The paper will also explore ways and interventions through which women can be involved in healthcare services. Background Women in the USA continue to face the common social, cultural and economic challenges most women face across the world.

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An assessment of counties that had the highest number of women with HIV revealed that majority of the women with HIV lived in counties in the deep South of USA (Breskin, Adimora & Westreich, 2017). A common characteristic of these counties was that they were the counties with the highest poverty rates, low education levels and lower median income rates (Breskin, Adimora & Westreich, 2017). The overall enrolment to care for HIV manifests among the HIV positive women with only a few of the women enrolled in care. Despite worldwide efforts for viral suppression by 2030, only a quarter of the women with HIV have reached viral suppression. Access to care for women with HIV is often barred by several reasons such as sexual and gender-based violence, economic and social factors such as cultural and financial barriers to care and the sacrifice for a family that women undergo placing the family's value over themselves.

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In the present, social justice has immensely been supportive of women with HIV in certain aspects, however generally social justice such as wealth distribution has led to the marginalization of women with HIV. Majority of women with HIV are from poor backgrounds, a study on the prevalence of HIV in women in the USA highlighted that majority of women who had HIV were from the most impoverished counties. Poverty depicts low social justice and directly contributes to the existence of health disparities due to low access to care for such groups of individuals either due to cost or in the availability of the services within their reach which delays access to critical medical care interventions. Ethical issues on women with HIV HIV is associated with a multitude of ethical issues that face those infected by the virus.

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One of the key ethical concerns for marginalized women with HIV is disclosure. In mitigating the ethical challenges in the management of HIV positive women, the ethical principles of care are essential in directing the interventions and actions of the nurses and other healthcare workers. The ethical principle of beneficence is a specific critical principle in measuring up action against inactions in the care of HIV women in marginalized areas. It is essential for the care providers to respect the patient decisions and ensure adequate patient education to enable patients to make informed decisions on their care in HIV treatment and care management. Interventions for the marginalized group One of the most outstanding care concern for women with HIV is the low rate of retention in care (Momplaisir, Storm, Nkwihoreze, Jayeola & Jemmott, 2017).

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To improve retention in care for women with HIV I will incorporate expanded health education to include the family and other support structures for the individual women. I will measure the success of this initiative through assessing the level of shift in social justice and policies/decisions that impact on the care of HIV women triggered through the peer support groups and also measuring the level of patient adherence to care and support of care through the home-based care support. Conclusion HIV in women is a serious health and economic concern that requires attention. The prevalence of HIV in women although declining in the USA is a critical concern more so in marginalized women such as African Blacks and those living impoverished areas and with low education status.

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Enhancement of social justice to provide a fair opportunity to women in terms of education, jobs, and policies that are friendly to women needs is a critical intervention that must be put in place to improve outcomes of women with HIV. Through interventions such as the formation of peer support groups, home-based visit and care and involvement of community and interdisciplinary teams in caring for women in HIV the needs of this group which often is marginalized in care provision can be able to experience more positive health outcomes in the care and treatment of HIV and its complications. 0172367 Center for Disease Control.  Women | Gender | HIV by Group | HIV/AIDS | CDC.  Cdc. gov. Retrieved 29 March 2018, from https://www. , & Harper, F. An Empowerment Forum for Women Living with HIV.

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