Titre :
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Rethinking mandatory HIV testing during pregnancy in areas with high HIV prevalence rates : Ethical and policy issues. (2007)
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Auteurs :
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SCHUKLENK (Udo) : GBR. Centre for Ethics in Public Policy and Corporate Governance. Glasgow Caledonian University. Glasgow Scotland. ;
KLEINSMIDT (Anita) : ZAF. Bioethics Division. Witwatersrand University Faculty of Health Sciences. Johannesburg.
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 97, n° 7, 2007)
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Pagination :
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1179-1183
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Langues:
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Anglais
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Mots-clés :
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Sérologie
;
Dépistage
;
Sida
;
Diagnostic
;
VIH
;
Femme
;
Homme
;
Femme enceinte
;
Grossesse
;
Epidémiologie
;
Ethique
;
Politique santé
;
Afrique
;
Virose
;
Infection
;
Rétrovirus
;
Virus
;
Immunopathologie
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Résumé :
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[BDSP. Notice produite par INIST-CNRS V0R0xs81. Diffusion soumise à autorisation]. 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.
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