In the development of any of its global guidelines, the World Health Organization (WHO) places importance on the values and preferences of the population or individuals that could be affected by the recommendations made within the guidelines. WHO has guidelines on the care, treatment and support for women living with HIV and their children in resource-con-strained settings, but these guidelines were published in 2006 and require updating. As an initial step in the updating process, WHO commissioned a global survey to listen to the voices of women living with HIV and determine these women’s sexual and reproductive health priorities. The main aim of the survey was to ensure that the values and preferences of women living with HIV would inform the guidelines from the very start of its development. The methods and key outcomes of the global survey are described and discussed below.
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This study examined the association between sexual relationship power, intimate partner violence, and condom use among African American and Hispanic urban girls. In this sample of 56 sexually active girls, 50% did not use condoms consistently and therefore were at higher risk for acquiring HIV or sexually transmitted diseases (STDs). Teens who experienced more intimate partner violence had a significantly higher likelihood of inconsistent condom use and therefore a greater risk for HIV/STDs. Girls' sense of sexual control in their relationships was not directly associated with inconsistent condom use but was inversely related to verbal and emotional abuse. Interventions aimed at reducing HIV/STD risk for adolescent girls need to address patterns of dominance and control in adolescent relationships as well as multiple forms of partner violence. This suggests the need for multilevel intervention approaches that promote girls' agency and multiple ways to keep girls safe from perpetrators of partner abuse.