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The gender profile of the HIV/AIDS epidemic has changed since it emerged 30 years ago when infections were concentrated in key populations of men such as injecting drug users and men who have sex with men. In 2012, women accounted for nearly 50 percent of the estimated 35.3 million people living with HIV/AIDS globally. In the Middle East and North Africa, 44 percent of infected adults are women. The past 30 years have also witnessed remarkable improvements in access to high-quality information and medical services, including services for prevention of mother-to-child transmission of the virus. With care and treatment for HIV/AIDS becoming more accessible, women living with HIV have become healthier, live longer, and make plans for a future that includes parenting. While many programs have focused on preventing mother-to-child transmission, the rights of women living with HIV to fulfill their sexual and reproductive health (SRH) needs have been greatly overlooked. This study explores the SRH needs of women living with HIV in Egypt and identifies the challenges they face in achieving their reproductive goals. The study aims to inform changes to policy and spur new programming that will lead to more comprehensive and compassionate care for women living with HIV.