Addressing the sexual and reproductive health and rights of WLHIV and Young
WLHIV
Oldri Sherli MukuanIndonesia Positive Women Network
Background
• Women comprise about 35% of people living with HIV in Asia and the Pacific, a proportion that has remained stable in the past decade.
• The majority of women living with HIV in the ASIA Pacific region were infected by their intimate partners.
UNAIDS ASIA PACIFIC, Getting to Zero-2011
SRHR and HIV&AIDS
• Poor sexual reproductive health and HIV infection share many root causes in poverty, gender inequality, stigma and cultural norms.
• As an outcome of the HLM, the 2011 Political Declaration on HIV/AIDS, Women and girls should be able to exercise their right to have control over matters related to their sexuality including sexual and reproductive health, free of coercion, discrimination and violence
Invocus Vol3: Women&Girls, APCASO
WLHIV Situation in ASIA PACIFIC
Lack of Information and Education Regarding SRHR on WLHIV. Impact:1. Condoms are only contraception promoted
among women with HIV in AP - not used consistently
2. Unwanted pregnancy on WLHIV3. Lack of awareness and economy dependency
factor on WLHIV to access SRHR services
Positive & Pregnant, How Dare You- WAPN+
WLHIV Situation in ASIA PACIFIC, cont..
Discrimination in Health Services:1. Women living with HIV have reported force
sterilization by health care workers.2. Women Sex worker Indonesia have reported
discrimination by health care workers when they accessed STI services.
"When I was delivering the doctor left me alone and the baby came and just fell down.“ (X, Vietnam)
Positive & Pregnant, How dare You?-WAPN+Violence Against Women Living With HIV survey, Indonesia - IPPI
Challenges
The SRHR services do not integrated with HIV & AIDS services.
1. There is no specific program and budget allocated to integrated this services.
2. There is no referral services on HIV to SRH services. (Eg. Family Planning)
3. Indonesia Citizen Law do not encourage women who are not marriage to access SRH services. This law became barrier for young women to access information and services related SRHR
4. Gender inequality and cultural norms are not support Women Right issues.
Monitoring respond VAW and HIV&AIDS, WWW (Women WON’T Wait) Indonesia
What We do??
IPPI Photo Documentation
• We conducted a protest in Indonesia National AIDS Summit to raise SRHR and VAW issues
What We do??
We conducted a study related to SRHR (PMTCT, VAW, etc) in ASIA Pacific.– Maternal Health Study in 6 country , WAPN+– PPTCT study in South ASIA, ICW AP– Violence Against WLHIV Survey, IPPI-Indonesia– Gender Analysis Study on PPTCT, IPPI-Indonesia– SRHR Module for Women specifically for WLHIV
and Young WLHIV, IPPI-Indonesia
What We do??
• CEDAW Training (Cambodia, Indonesia, Malaysia)
UNWOMEN, UNAIDS, WAPN+ & IPPI
What We do???
• SRHR Training on IPPI’s member in Indonesia
IPPI Photo Documentation
Achievement
• Indonesia1. “NAC now is preparing for women and HIV/AIDS action
plan that would create gender-perspective AIDS prevention program.” (Baby, IPPI) FGD with AIDS organization at www project
2. Succeed collaboration with CWGI to integrate violence WLHIV and WWW research into shadow CEDAW report.
3. The good news is Indonesia new Minister of Health committed to solve sterilization issues among WLHIV together with Women HIV group and other CSO.
IPPI Annual Report 2011