Evidence map›Paper›PMID 41551282›Full record

ReviewFrontiers in public health2025

From criminalization to care: a comparative rights-based policy review of HIV responses in South Asia.

Praveen Hoogar

Abstract readReviewComparative Study
In one paragraph

Review in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Praveen HoogarSchool of Social Sciences, The Apollo University, Chittoor, Andhra Pradesh, India.

Funding

Wellcome Trust
6 · The paper itself

Abstract

Background: South Asia faces concentrated HIV epidemics rooted in legal and social marginalization of key populations. Laws criminalizing same-sex relations, sex work, and drug use, combined with gaps in anti-discrimination protections and funding constraints for civil society organizations, undermine progress toward the UNAIDS 95-95-95 targets. This review applies a rights-based approach (RBA) to compare national policies and outcomes across India, Nepal, Pakistan, and Sri Lanka, and offers actionable regional guidance. Methods: A comparative analysis was performed using a five-dimension RBA framework: legal decriminalization, anti-discrimination protections, service access, community participation, and HIV outcomes. Data were synthesized from national legal documents, UNAIDS and Global Fund reports, published research, and community organization perspectives. Comparative findings are presented in a cross-country table, and an RBA policy-outcome pathway diagram is used to visualize core mechanisms. Results: India and Nepal have partially decriminalized same-sex conduct, while criminalization of sex work and drug use persists in all four countries. Pakistan's progressive transgender rights legislation faces enforcement and political challenges; Sri Lanka retains colonial-era punitive statutes. Fragile enforcement, limited-service access, and structural health system stigma are common barriers. Where rights-based legal reforms have advanced, as in India and Nepal, higher diagnosis and treatment rates are seen. Four practical pillars-legal reform, health system transformation, funding equity, and regional collaboration-are proposed. Conclusion: Sustainable HIV epidemic control in South Asia depends on repealing punitive laws, enforcing anti-discrimination protections, and supporting community leadership. Rights-based governance not only drives epidemic control but advances dignity and equity.

Indexed as

Health PolicyHIV InfectionsHuman RightsAsia, SouthernFemaleHealth Services AccessibilityHumansIndiaMaleNepalPakistanSex WorkSri Lankaanti-discrimination protectionscommunity participationHIV outcomeslegal decriminalizationservice access

Identifiers

PMID41551282
PMCPMC12808370

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.