• R Baryamutuma and F Baingana.
• Makerere University School of Public Health, SPH-CDC HIV/AIDS Fellowship Program, Kampala, Uganda. kabacwezi@yahoo.com
• Afr Health Sci. 2011 Jun 1; 11 (2): 211-8.

BackgroundNumbers of young people with perinatally acquired HIV is growing significantly. With antiretroviral drugs, children who get infected at birth with HIV have an opportunity to graduate into adolescence and adulthood. This achievement notwithstanding, new challenges have emerged in their care and support needs. The most dynamic being, their sexual and reproductive health needs and rights (SRHR).ObjectivesThis paper aimed at establishing the gaps at policy, program and health systems level as far as addressing sexual and reproductive health needs of young people who have lived with HIV since infancy is concerned.MethodsThis paper is based on a desk review of existing literature on sexual and reproductive health needs and rights of young positives.ResultsThe results indicate young positives are sexually active and are engaging in risky sexual encounters. Yet, existing policies, programs and services are inadequate in responding to their sexual and reproductive health needs and rights.ConclusionAgainst these findings, it is important, that policies specifically targeting this subgroup are formulated and to make sure that such policies result in programs and services that are youth friendly. It is also important that integration of Sexual Reproductive Health (SRH) and HIV services is prioritized.

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