INTRODUCTION
HIV is a sexually-transmitted infection (STI) that can also be transmitted by blood transfusion or intravenous drug
injection. It raises more interest than other STIs mainly because of its incurability and association in some communities
with homosexuality. Victims of HIV infection are more likely than victims of other STIs to be stigmatized, marginalized, and
discriminated.
ETHICO-LEGAL ISSUES IN TESTING FOR HIV
- Compulsory testing of people at risk who are
sexually active (commercial sex workers, gays etc)
- Testing at the workplace for workers likely
to transmit the infection (health care workers, fire, police)
- Testing of prisoners and sex offenders
- Testing and disclosure for victims of rape
- Pre-marital HIV testing
- Ante-natal testing of pregnant mothers
- Anonymous testing of donated blood for epidemiological
purposes
- Anonymous testing of ante-natal mothers for
epidemiological purposes
- Disclosure of test results to the spouse or
sexual contact
- Disclosure of test results to the employer
- Disclosure of positive results in anonymous
testing
- False negative and false positive results
- Pre-testing and post-testing counseling
ETHICO-LEGAL ISSUES IN TREATMENT OF HIV
- Compulsory anti-retroviral treatment of pregnant
HIV+ mothers
- Provision of free anti-retroviral treatment
for all HIV+ve patients
- patents making anti-retroviral drugs prohibitively
expensive
ETHICO-LEGAL ISSUES IN PREVENTION OF HIV
- Provision of condoms vs. teaching abstinence
in schools
- Health education (general and targeted) in the
community
- Provision of free condoms for at risk groups
who are sexually active (commercial sex workers, gays etc)
- Provision of free sterile needles for intravenous
drug users
- Compulsory contact tracing
- Mandatory reporting of new HIV cases
HUMAN RIGHTS OF HIV+ PERSONS
- Social discrimination and ostracization
- Discrimination in employment, immigration, and
medical care
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