hiv and aids form an integral part of the landscape of srhr and gender globally
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HIV – the (almost) missing link HIV – the (almost) missing link
SRHR, Gender and HIV/AIDSRHR, Gender and HIV/AIDS – parallel session at the S – parallel session at the “Gender and SRHR at the heart of the MDGs” “Gender and SRHR at the heart of the MDGs”
Conference, 8/9 November 2010Conference, 8/9 November 2010
Lydia Mungherera MD: Policy/Advocacy Officer, Lydia Mungherera MD: Policy/Advocacy Officer, TASO; & Founding Director, Mama’s Club;TASO; & Founding Director, Mama’s Club;
Alice Welbourn PhD: Founding Director Alice Welbourn PhD: Founding Director
Salamander Trust; Author Stepping StonesSalamander Trust; Author Stepping Stones
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HIV and AIDS form an integral part of HIV and AIDS form an integral part of the landscape of SRHR and gender the landscape of SRHR and gender
globallyglobally
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IN AFRICA ALSO…IN AFRICA ALSO…
• HIV and AIDS bear a female face• Cultural, social, economic status of women…• Community determines a girl’s and woman’s
destiny• Men are seen just as the problem…• Huge access issues in rural areas: EOC etc…
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HEALTH STAFF CRISISHEALTH STAFF CRISIS• Lack of support for health staff with HIV…• Annual drop-outs (Shisana, Odetoyinbo et al)• Max. 10% HIV work-place-related
(WHO) • Female health staff no PEP (LVCT Kenya)• Health staff 80% female (WHO)• Lack of WHO GRC acceptance of TREAT…• Lack of WHO awareness of HIV/SRH linkages for
health staff….• MMC investments….. (WHiPT)
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Therefore…..Therefore…..
• Entire public health service under strain because of lack of attention to comprehensive SRHR, gender and HIV linkages within the health care setting
• Other female-staffed public sector services, eg education, equally affected by HIV
• Without sufficient staff in place, with full access to integrated SRH & HIV care in their own right, no MDGs will be achieved
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HIV and institutionalised violenceHIV and institutionalised violence
• Violence in ANC settings• Coerced sterilisations (Namibia, PNG, Chile,
Romania)• Avoidance of ANC or travelling out of area• Thus MDGs 4 and 5 undermined
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CRIMINALISATION OF HIV CRIMINALISATION OF HIV TRANSMISSIONTRANSMISSION
• Increasing numbers of countries rolling this out
• Including vertical transmission• 10 reasons why (ATHENA Network)• Increases fear of accessing health services• Undermines MDGs 3, 4, 5, and 6
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RESOURCES…..RESOURCES…..
• Active community responses but…• No grassroots resources, no support…..• Who is best placed to talk to a grassroots
woman?
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CONCLUSIONSCONCLUSIONS• SRHR and gender should be viewed holistically with
HIV, not with HIV as an add-on• Addressing HIV in relation to vertical transmission is
the entry point to reaching MDGs 4 and 5• Legal, medical, social, economic, educational and
political dimensions all inter-related, not separate• Good programmes include those most affected at
their core: eg Mama’s Club, From Pregnancy to Baby and Beyond, Stepping Stones, working with men..…
• RESOURCES, RESOURCES, RESOURCES• The WHO should take the lead in upholding health
workers’ SRH, HIV and related rights9
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CONCLUSIONS contd…...CONCLUSIONS contd…...• PCB and Agenda for Accelerated Action on
Women, Girls and Gender Equality• Cochrane Review on linking SRH/HIV• Sex worker rights, drug user rights, LGBT
rights…..• Criminalisation issues• Violence HIV Violence• Sex-disaggregated data does NOT equal
gender-disaggregated data• MIWA, MIWA, MIWA…..
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USEFUL LINKSUSEFUL LINKS• Athena Network www.athenanetwork.org• Mama’s Club www.clubmamas.org• Salamander Trust www.salamandertrust.net• Stepping Stones www.steppingstonesfeedback.org • TASO www.taso.org• UNAIDS Agenda for Action www.unaids.org • WNZ 2010 resources: www.womeneurope.net
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