Gender inequality and violations of women's rights still keep making women and girls particularly vulnerable to HIV, leaving them with less control than men over their bodies and their economic lives.
There is widespread failure to integrate HIV and AIDS policies with sexual and reproductive health – SRH – policies and evidence suggests that the efforts and actions to support women's SRH have mostly bee the responsibility of civil society, whereas they should be the governments' responsibility.
Existing reproductive health actions – reducing maternal mortality, the expansion of the offer of male condoms – and sexual health actions – sexuality education, diagnosis and treatment of STI – often do not reach women in need.
There is lack of comprehensive sexual and reproductive rights and health programs and policies that guarantee women's rights to exercise their sexuality free from discrimination, violence, and coercion. Integrated services must have comprehensive sexuality education; contraceptives – including female and male condoms; – maternity care – antenatal care, skilled birth attendance, emergency obstetric care; – STI and HIV diagnosis, counseling and treatment; safe abortion services and address violence against women.