Migración Internacional desde Cuba

nnd conlidcn1inll) Pll C shnll be tori;etcd not only 01 ,vomcn presenting I antenatal core penods, bu1 nlso those presenting for delivel) and po�• ^{n:11al e11n:} ,, hose HTV st.alUS is unkn0\\1l in onler to reduce missed opportunities.

•I R'-"COl!Jliring the current lo,v level of utili,:itinn of formal health $Crvices and ,killed nucnd1mls for ontcnotal con: nnd delivery, innovotivc partncr.:hips shall be

cncnumgcd between fonnal health care :-.crviccs nod 11011-fonnul n1111cm.1l hc.1hh servie� provide� such ns trnd1honnl b1rtb nllcndonlS to promote lhc i,cccss of all

plt'.cnant \\Omen to 1'1\.1 f(T

S ;\s P3J1 or primnry pre.vent ion of Ill V in Lhe context of PM l'CI scn·i ^ccs. 1 ICI "·ill be offered ¹⁰ nil ,vomen of reprotluc11ve ngc using mulu pronged nppro.ichcs nnJ multiple outlcl!i, including fnmily planning service:$, well ,,om:in clinics. and co1111nun1ty basctl outn:uch selling!!.

(, All n1ntcm1ty �crviccs shall provide counsclhng on potentials for molhcr - ¹⁰ -child tn1nsm1ss1on of I UV (�ITCl) dunng prei;nnncy, JclivCT) nnd brea-;tfc:cding;

in 1111, n:g.1nl, I ITV !)O)i11vc motl\CTS slu1ll he thoroughly counsclcd on ^Y.'ll)S to n:ducc Ille potcn1illl of tmnsn11t11ng the ^\'illb to her clnld as \\cll os ,\lher relevant

s.:n·iccs for hcr-.elf including. n:fcmils for fwnil> plnnninc. STIS MJ «nicnl screening scrvi\.�

7. In recu11n111on of the cfrccli\'CllCS.'1 or nnti rctm\11ml mcdicnuon., to rrc,cn1 mo1hcr-10-child Cmnsmis,ion of I IIV. N1scrio con,mits hcrsclt to cn,unnu un1,cr,al oc"-cs.�

nf .ii lllV- po,itivc prc1inan1 women nntl their child� to nn11 n:1ro,1111l mc:Jicullon ru,d 01h-,r rdc\·unl n,cdicnl intcncntion.5 to prc,cnt ,crttcnl 1run..tt111ss1un of IUV

and cnlwnc0 the hc:nhh nnd qu.:ihty ol hfc ol the \\Unlllll

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H Appropri111e mcchuni�m� shall be pul in place 10 ensure 1hc opr,ropria1c 1ro.in1ng o r

heahh core for 1hc:_1nstl\'(S and their children ocoording to the best ll!llionally Jllld

i1111:n1111ionnlly 11pplic.1hlc ^C\ idcncc. .. nnd protocols, taling due cogn12J1ncc of the ,vnmnn'!l 5J)Ccilic phy1ically mental nnd 5'>Ci.1l cin:umslAJlCCs

•> Enrly infant dingnosis (FID) �rvicc shall he offered to all babies delncrcd by I !IV

posith e ,vorncn and opprornote comrrehcnsivc IITV related �rvices, including mcdiCAtion oOcn:d rreet)' nficf\vards in public sector facilities to pn:vcnl vertical Ll'IIJ\Smission to those \\ho an: HIV-negali\e to rnsurc surviV3l and qullily of life for tho;;c founJ 10 be I l fV po�uivc ElD ,viii also be carried out for habi� ^of

mothel"!I \\.1lh unkno,"11 IIIV m111s who die .,1 childhinh or during post r:u,um period.

10, All PMTCT sc:rv1ce5 .. h:ill have strong linl:1ge \\-ilh or integrated flkus on mnlnria prc,cn1ion nnd 1rea1n1cnt scrviCC!I for IIIV-po�iti'lle women, including promotion of insecticide • 11,;.ited nelS und in1crmi11cn1 presumptive t.r=tn1cnt. ,n "ic,v of the scicnhfic lo1owlc:dgc on the intcroctions bchvccn m:ilnria and IIIV in prcgn11.11t) 11. Male 111, oh cmcnl nnd nclivc panici _pa don ,luill be s\ronglv cncourogcd ns pi111 of

Pl\fl C I progrommc:., PM re r �ccs �hAII c Kplorc cn:nti\'c mcchAnisms nnd inn0\111\i�c ,vays to invite men's pt111icipa1ion. :iddrcss men's con= and I IIV­

rclntc:d 1rcatment 1,;..�ues. and lc11erngc their supr,on as panncn "ith an le,cniges 1hc:ir ,u11rort a, p:utncr".'i ,�;th �troni: stal:c in Pl\fTCT in the cont(:)O.t or oVffllll fomily hcallh and ,,-ell being. lhe!<c ,viii includ<' mcn-tAJ:gctc:d communication.

nc1iv11ics, couple counselling, couple foccW$ed I ICl, rclcrrals to 111 V tn:almCnt ttnd SIIR -...:�Ices nml linknp.c to �urpon service:. ^ll-\ relevant to the health 1'CClb

nnd 111 V �tntu.s of the n111n

2,15 \Vorhl flcallh Ornanl,.acton (\\'TIO) 111'' 11nd AJn.<; gulJtlln" for P\tTCT and Orta1lft'tdin1?,

In J11ly 2010, 1he "arid h:.1llh nrvnniuuinn (\VIIO) issued na,.· }-ll\' and ,\IDS gu1Jch�

on PM I CT bnJ nn I IIV hrc.i tf«d1n11 fnr hoth P�I lCT nnd lor 1nfMt 1('(.'\j1ns thctc ntt m11j1,r dirtcrcnccs bct"-cen those 2010 rc�ommc:ndot1on and 1hc rrc-.·iou.« 1.1uu.lc:l11l<.-... ^l�

In 200(, Undtt 1hc 2010 11uhkhncs, nil IIIV•J'<ISlll\t" mod:1cn, 1Jcn11tl.:J dunns p1c:gn;1nc)', �hould rcctiVc n cnul'liC nf nntirc1n1\'1ral drugs "' prc,-cnt motbc:r,t0<hild

UNIVERSITY OF IBADAN LIBRARY

I , ml All 1n ^lihowj al r :n, a CC1'

,u-.�,..,,_ n11n Dnd houhl be c. ' , h ^{bn- cd ((If} u, montM and c,ump mcnW)

r I (,u Ufl m n ⁾ l�v,ous ^:,.ac:a, luucd 1 2006. � lh:u m.1, �nm

W\lh ^II lnw c 1)4 tOUJr.t ,moidd ^rttcl\(: a c:om!Jlr.;J.1JOft of HI\ im:I All> d _,,u,i ,.. ¹⁰ J'i

t.11 C I fllld nll I IIV mot.hm, ,..� a:h1.1cd ¹⁰ n ' ,d) hrca-:tfiX'd (or "" mootl and

II P 'IIJ'II lh n ¹⁰ ;,;:I UW-...nutu,a Ill\' ^{lo L�r} tnf�t I ^or IOI ^t1 frcd.ns. " ^ff'

1, :oun:n re ltmu.:d, lialth �vrlcn ^{11tt �} IO Cont.:::Je 1, � 2006 nu ¹ Ii.

1 hr culdtl,nn

I. tvlollicis. \\hct11ndcnJ1ficd In Jll"CtlWIC), � bci:na Ill pmtll\'C, � !'12,,: a C1>4 IL"St lO detrrmmc \\bCthcr they need LO ul:e 111C(h0J.tWI (ar 1bcir o"TI hnlth nr for lhclr unborn inf.ints' hQ!lh If lhdr ^{C� 00Uci 1} 1 bclo" or cqu.ll ¹⁰ 150 cells per mm ^{1 ,} they nc:d ¹⁰ !il.illt ttJ,;u,n anti retro, ,nil drugs ^(or Cheu o\\n hchh I ( ¹¹

\\'OUWI t, C04 ^roun1 hl&hc'r 1tmn JS<• <-elb per mm ¹ , lhcn lhc doo ^no1 need 10 ule mcd1�1Jon Car tt,dr m,11 health, but ^\\Ill need ¹⁰ 1&1:c mcd1art1on ^ID rirc�cru

I II ^\I tnrul!l�oo 10 tier inf.:m

2. A mothrr 1n1nn anumm,,ral (AR\') ,I� fiu hct own health, ,hould tlltc • romb ¹ n:ulon of Alt\' a1 aoon ns pouiblc l'his oounc of mcdicmioo ^{dtould be}

f"'l11Ul'C'll en.I 1al,;cn C'�dny 1n onkr 10 f"051ponc 1hc de\,:lopmm1 of her illncn.

In 1hl, lllllllllOn, tf 1nran1 I, hccn httm1fcJ, she should h:n-e ..tail) nc,,uapiue (N\'I') for ,;h ".:et..

l I or mo1hcni 111king ARVs for lhe health nflhcir infanl..._ !here should be 1"-0 � l-.>mhinn ¹ ion orlion. Option ,\ � cl�I) l'CSa!111hks lhc \\'IIO's 2-006

ttt1,n1 ¹ ncntl.llion nnd n1ill,h1 be n S)'llcm aln-;ady in riac,c ^{III COUUII) kvcl,}

110,vc:,'tr, oll4ion 13 is o simrle n:1:11mcn for hmhh pro,,dcrs and mothers to in1plen1cn1, II it cnn11ilcml 111!11 hoth opcians M\'C ad\'antlgCS and dis;xh�

in 1o:m1 or (c:i,ih ¹ lhr, IKCCJ'llhilit)', cos1 and 53fc1y for both mother and 1nCm1 The: choice for 11 �f<netl nption lhould be nl!ll.lo 111 Che c.,,untn· k,d

,1 ,\111111'11111 li.lm 10 Ill\ !'4-"iti\'C 1001hcn ,1.,.,ulJ �"c II ro= af nicJi..�tkm f. ^lr PIii l'C:1', \\hich , lint..cJ lo 1hc Jrus n-girmu 1hn1 th<- nioth .. .., is u\.,n;:; ^{11 o}

n1111hcr i1 pcm1:m.·11tl)' toJ.1ng ,\R\' 11,c.li�;llinn, the inlun1 !'.hi.1Ut.l l"C'\h'I:' J:uh NVI' fl,r �,x \\-.Xl..�. If 1hc n101ti«·� 1ne.hnnlon c..utrsc ,, ,•ptkm A., lhc 1nf.am

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houkl n,c1,-c d;ul> NVI' for ^(lOC "\'.cl. a.flcr hn::lsif�1n hn ("n&d If rh1ld 1 bi:ing 1-. tfed. 1hen 1hts lihould hc up to Sil!. months. Afler this o mo1hrr hould

UJ)(lletncnt her btc;ist mill. \\ilh Clmlplcmrnlm) f�hng D.llll oil brca llccdln!

lmuld i.torpcd b) l\\'Ch'C monlhl of hfc �1otl-=n 111C 110" oov1scd 10 rup1dl) l,l,�1n. ,ran 1nf .. 1.111 ^S, not brc:u1fc:d. he S:hould he gl\TTI WII} N\'P or 71oowdinc

ror 1111: \\'Ct:kl

1.11, IU k faclor:w and llan-lcn 10 J'!tffCT

I here urc riu. fnctor, \\hich nl10 ICf\C ^ll'I h:uricrs 10 the uoc� nf ahc P 1TC'1 rmir,rnmmc llllJ thoc intludc lhc follo\\ _ans

l.acl.: uf A,,arnics., of 111\' .Scro-slalut

Ilic n1n1n n�k f.M:tor, "hich is nlso o huricr ¹⁰ the P>i.fl Cl or pcrinnw lllV tnmsnussion, i, 1;11:I.. of ,, .. ^,uaics, <1f 111\' 1,111111.1 nnmnc 1""1)rw11 "'Jmen. hccausc arrrollinu1cly is•.

of nil J'C(>fllc infc:c1cJ wuh IIIV do nol l:na" 1heir IIIV 5Utu, IA-Im:,., CreJ'<l". onJ Jamm, :.?006). ,\hhout), I II\' �,�tcncc nmong JUCRJl,1111 "'linen In Nigeria it 1enificnn1I) high, lhc n\llJCtnl) of lbesc \\'Omen Jo not lino\\ 1hcir IIIV SCl'0-'111111'1 (1�1011, 2005) The prc,nh:ncc of 111\' umOniJ h:stcJ \\'Omen 1n Nigcn1111111gc-J from 1,� in Osun utc 10 more than 12,� 1n Cmss-Ri\'cr SU\lc (\\1110, :.?005). l',111.fly \\O= "ho an: IIIV infected nu) no1 I.no\\ lllC)' urc 1nf,-c1cd. l11i� ,, "'" 11� C '111n: for Oi!oelSC control and pn:,mtion (CDC)

h1l'i l'C\.-ommenJcJ r,1utinc, or,1-out 111V t .1inc for all r,tt�1131\I "omen (CDC. 2006). U

\\on,cn nrc 1c�1cJ c.11ly in their r,rc.gn..ncy, tll05C \\ho are inf«tcJ Clll1 be: lJ.l'i:n nnllrctru\ 1ml 1hcn1p) 11, imrrove their OY.TI hcallh and reduce the ns.k t'ftrumm111ing HI\' 10 1hc l>ab) In 1h� US, w1thou1 ,\R\' thcmr), 11rr,o,in1a1c:ly 25% of �I ^'''OUR.-n

inll!'l:lcJ ,vith IIIV \\ill lmn.qnil the ,iru.1 to their chill.I (Cnoor. Srahns and Oclt-cr.

lllll-1). <ircn1cr l.nn"IC'Jgc oflllV ^MPIUS is cntic:il ^t<' c,f',llldini; a..,,"'55 t(, 111\1 trmtmcnt.

,-arc nn,I JIIPI"'" inn tuncly n,nnncr, ond oITcn rwrtc li�ins \\ith 111\' 11.11 Ofl'\-"ll't\lnal) to

n:tt ,, c infum1111inn a.nJ 100I• to rrc,cnt 111\ 1nu�n1issi.111 to ,\lhn-. (\\ 110 "°'1 I NAIOS.2007). \\II ll> 11nd llN,\ll)S, 2007 lhctcfol't', tt'C\)llln�nJ nn l'J'I,� DWl\'\Xh so 1'11,,IJlr lnl11�1c.l 111\ u· 11n11 ,,nJ coun,.:11,na 111 IIC'nllh facihu� ancluJn� l,lm11,hficd rr�·-1c t lnl11m1n1lon. c1•n,IMcn1 \\1lh \\'I IC) rolk) nrtin111 ,kvcl,,r,.,I in 200) and '"''h the 201111 IJN,\ll)Sl\\llltl t•,,tkr Slnlt n�nt 11n I 11\1 IC$nng \\ 1th thh GJ'fll\llh:h. Ill\' l t h

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I If

(\\ I II

I•••• 111\ Tnliwa R111n

In document Migración sur-sur : el caso de los migrantes cubanos en el área metropolitana de Monterrey. (página 65-80)