The Salamander Trust led the creation of this document in an effort to ensure the full implementation of the 2017 WHO Consolidated guideline on sexual and reproductive health and rights of women living with HIV. The document presents a checklist created by, with and for women living with HIV to advocate for the full rollout of the guideline in their own countries. The context of the development of the World Health Organization (WHO) guideline – and this checklist – is that women living with HIV face barriers to service uptake, use and meaningful engagement. In all epidemic contexts, these barriers occur at the individual, interpersonal, community and societal levels. They may include challenges such as social exclusion and marginalisation, criminalisation, stigma, gender-based violence and gender inequality. Strategies are needed across health system building blocks to address barriers and improve the accessibility, acceptability, affordability, uptake, equitable coverage, quality, effectiveness and efficiency of health services for women living with HIV. 

The WHO Consolidated guideline seeks to support frontline health-care providers, programme managers and public health policymakers to better address the sexual and reproductive health and rights (SRHR) of women living with HIV in all their diversity. It was developed with engagement from communities of women living with HIV throughout its development, and publication. In line with this collaborative process, it provides: (i) evidence-based recommendations for the SRHR of women living with HIV, with a focus on where the health system has limited capacity and resources; (ii) good practice statements on key operational and service delivery issues that need to be addressed to: increase access to, uptake of and quality of outcomes of the SRHR services; improve human rights; and promote gender equality for women living with HIV.