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FOCUS ON HIV/AIDS

In this section:
Natsios, Tobias Say U.S. Leads World AIDS Fight
Women Focus of World AIDS Day


Natsios, Tobias Say U.S. Leads World AIDS Fight

The mounting rates of HIV/AIDS infection among women—especially in Africa where they face social and economic inequality—sparked a decision to dedicate this year’s World AIDS Campaign, which culminates on World AIDS Day December 1, to gender inequality and AIDS.

“Today, 60 percent of all people in sub-Saharan Africa with HIV/AIDS are women,” said Dr. Kathleen Cravero, deputy director of UNAIDS, the Joint U.N. Program on HIV/AIDS, at the Woodrow Wilson International Center for Scholars Nov. 10.

“Getting HIV from older boyfriends, or unfaithful husbands, or through forced marriages all stem from one stark reality: that women lack control over their bodies and their daily lives and lack the tools, resources, and support they need to change their situations,” Cravero said.

“If we don’t expand our concept of what prevention means and make our strategies more relevant for women and girls, time, energy, and countless lives will be lost,” she added.

In South Africa, girls make up 75 percent of those infected with HIV. In Kenya, there are 45 young women with the virus for every 10 young men with HIV.

Dr. Anne Peterson, USAID Assistant Administrator for Global Health, said she came to understand the issue of female vulnerability in Kenya in the 1980s when women would knock on her door and ask what they could do to protect themselves from their husbands.

The husbands had just come back from Nairobi, and the women knew they had been with prostitutes and might have contracted the AIDS virus, she said. But the wives were powerless to protect themselves—physically, socially, or legally.

Young schoolgirls, she explained, also were at the mercy of men if they wanted to pass their school exams.

“If women had more options, the option to choose marriage rather than have it be forced upon them, to decide when and with whom they have sex, to negotiate condom use with their partners, to live their lives free from violence, and to earn incomes adequate to feed their families, then their ability to protect themselves from HIV might be real,” Cravero said.

A UNAIDS coalition—the Global Coalition on Women and AIDS, which was launched earlier this year by an informal group of 10 partners—has designed a new program to deal with gender inequalities characteristic of many African countries and make women more autonomous in family and community life.

In addressing the five key issues for women—domestic violence, property rights, access to healthcare, female-controlled HIV prevention methods, and access to education—the coalition is working to pass laws that make rape and domestic violence serious crimes, protect women’s property rights, and provide access to free legal aid.

Image of: A bar chart tracks the HIV prevalence rate in percent among young people (ages 15 to 24), and the ratio between men and women, in seven Sub-Saharan African countries (Niger, Mali, Burundi, Kenya, Zambia, South Africa, and Zimbabwe) in the early years of this century. The data shows that the HIV prevalence rate for men rises from 0.3 percent in Niger (in 2002) and Mali (in 2001) to a high of 6.1 percent in South Africa (in 2002). The prevalence rate for women rises from 0.8 percent in Niger (in 2002) to a staggering 18 percent in Zimbabwe (in 2001-2002). The ratio of men to women rises from a low of 2.0 in South Africa (in 2002) to 4.5 in Mali (in 2001) and Kenya (2003).

 


Women Focus of World AIDS Day

The mounting rates of HIV/AIDS infection among women—especially in Africa where they face social and economic inequality—sparked a decision to dedicate this year’s World AIDS Campaign, which culminates on World AIDS Day December 1, to gender inequality and AIDS.

“Today, 60 percent of all people in sub-Saharan Africa with HIV/AIDS are women,” said Dr. Kathleen Cravero, deputy director of UNAIDS, the Joint U.N. Program on HIV/AIDS, at the Woodrow Wilson International Center for Scholars Nov. 10.

“Getting HIV from older boyfriends, or unfaithful husbands, or through forced marriages all stem from one stark reality: that women lack control over their bodies and their daily lives and lack the tools, resources, and support they need to change their situations,” Cravero said.

“If we don’t expand our concept of what prevention means and make our strategies more relevant for women and girls, time, energy, and countless lives will be lost,” she added.

In South Africa, girls make up 75 percent of those infected with HIV. In Kenya, there are 45 young women with the virus for every 10 young men with HIV.

Dr. Anne Peterson, USAID Assistant Administrator for Global Health, said she came to understand the issue of female vulnerability in Kenya in the 1980s when women would knock on her door and ask what they could do to protect themselves from their husbands.

The husbands had just come back from Nairobi, and the women knew they had been with prostitutes and might have contracted the AIDS virus, she said. But the wives were powerless to protect themselves—physically, socially, or legally.

Young schoolgirls, she explained, also were at the mercy of men if they wanted to pass their school exams.

“If women had more options, the option to choose marriage rather than have it be forced upon them, to decide when and with whom they have sex, to negotiate condom use with their partners, to live their lives free from violence, and to earn incomes adequate to feed their families, then their ability to protect themselves from HIV might be real,” Cravero said.

A UNAIDS coalition—the Global Coalition on Women and AIDS, which was launched earlier this year by an informal group of 10 partners—has designed a new program to deal with gender inequalities characteristic of many African countries and make women more autonomous in family and community life.

In addressing the five key issues for women—domestic violence, property rights, access to healthcare, female-controlled HIV prevention methods, and access to education—the coalition is working to pass laws that make rape and domestic violence serious crimes, protect women’s property rights, and provide access to free legal aid.

This article was written by Emily Harter of the State Department Washington File.

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Tue, 01 Feb 2005 15:38:20 -0500
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