Meeting the sexual and reproductive health needs of people living with HIV.

KEY POINTS: (1) Sexual expression and the desire for parenthood are central to the lives of most people. Acknowledging these aspirations is essential to vindicating the human rights of people living with HIV. (2) Meeting the sexual health needs of HIV positive people is essential to global HIV prevention efforts. (3) Efforts to provide sexual and reproductive health services to HIV-positive people are impeded worldwide by weak and fragmented health systems and by sexual taboos, gender inequality, and HIV stigma and discrimination. (4) Effective HIV programming demands taking advantage of the perspectives, expertise and accumulated experiences of people living with HIV.