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HIV/AIDS
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HIV/AIDS has become one of the major health problems affecting people
around the world. As of 1998, more than 33 million people are currently living with HIV, and 14 million have died of AIDS.1
HIV is the Human Immunodeficiency Virus. HIV is a disease that is mainly transmitted through blood, semen, and vaginal fluid in four ways:
- Unprotected sexual intercourse -- vaginal, anal, or oral.
- Sharing needles or injection drug equipment
- Mother-to-child during pregnancy, childbirth, or breast-feeding
- Blood transfusions2, 3
HIV is not transmitted through casual contact such as shaking hands,
hugging, sharing glasses or food, kissing, using a drinking fountain,
mosquito bites, sneezing, coughing, or using a toilet. Skin provides
a natural barrier to HIV, and the virus cannot live for long outside
the body.2
HIV attacks the immune system, which is the body's defense system to
fight off diseases. HIV works very slowly to prevent the body from
making new defense cells, called T4 cells. This makes it harder for
the body to fight off infections.3
Testing is the best way to find out if a person has HIV. Many people
with HIV have no symptoms at all, or symptoms similar to having a cold
or the flu. If the test indicates that a person has HIV, they are
often called HIV-positive or sero-positive.2
AIDS is the collection of illnesses or symptoms caused by HIV.
AIDS stands for Acquired Immune Deficiency Syndrome. An HIV-positive
person is diagnosed with AIDS when her immune system cannot easily
fight off infections. This may be when she is infected with certain
types of infectious diseases or when she has a very low T4 cell count.
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HIV/AIDS affects everyone: women and men, young and old, poor and rich. However, HIV/AIDS has often been termed "The Gay Plague", "The African Problem", or "The White Man's Disease."4 These terms hide the fact that HIV/AIDS is everywhere and can affect anyone.
Women's risk for HIV/AIDS is increasing. Women currently account for 43% of the HIV infections worldwide.1 Developing countries are hit hardest: 90% of infected women live in developing countries.1 Women usually contract HIV through unprotected sexual intercourse with a male partner.5
Women are most likely to care for family members who are infected with HIV, and may become caregivers for children whose parents have died of AIDS. HIV/AIDS represents yet another burden for these women.6
Women are especially vulnerable to HIV infection for biological, economic, and social reasons. These reasons apply to most women, especially those who are poor.
Biology:
- Women's bodies are more likely to be infected by vaginal intercourse, because they have a larger exposed surface area in their vagina.5
- Semen has a higher concentration of HIV than women's vaginal secretions, so a man is more likely to give HIV to a woman.5
- Tearing and bleeding during vaginal or anal intercourse increases a woman's chance of contracting HIV. Tearing often occurs during rape or when a woman has had her genitals mutilated.5
- Some African women use drying herbs to constrict their vagina and dry vaginal secretions before sex. This tradition is designed to increase the man's pleasure and keep him faithful. A dry vagina makes bleeding more likely, and even if a condom is used, it is likely to tear.6
Economic:
- Women are often forced to be dependent on men, usually because they do not receive education, training, or employment opportunities. They may be dependent on a husband, partner, or multiple partners. They risk losing the men's support by requesting to use a condom to prevent HIV.5
- Economic conditions force men and women to move often to find work. This migration often splits up families, and leave women forced to find other means, such as prostitution, to support their children.6
- Young girls are often forced or sold into prostitution. They may not even know of AIDS, and they are not able to run away from this risk.5
- Many women are forced to trade sex for basic necessities like food, clothing and health care for them and their children. They risk loss of this income if they request their partners to use condoms.5
- Even women who have entered the formal labor force are often required to serve bosses and clients sexual needs in order to keep their jobs or get promoted.6
Social:
- Young girls do not receive education about their bodies, their reproductive system, or HIV/AIDS.5, 6
- Men's needs are expected to dominate in relationships, and violent sexuality is tolerated.5
- Men and women are not able to communication easily about sexuality, STDs, or AIDS, because women are considered inferior.6
- Women cannot get pregnant while using a condom, and pregnancy is often the only way for women to be valued.5, 6
- Married men are expected to have multiple partners, but women are expected to ignore this. Women may have only a single partner, but still be at high risk for HIV because her husband has multiple partners. Many men feel accused of cheating if a woman asks to use a condom.5
UNAIDS proposes "Six paths to empowerment" to empower vulnerable women at risk for contracting HIV. These strategies can be used be activists, health care workers, scientists, teachers, lawyers, politicians, women, and men.
Six paths to empowerment5
- Combat ignorance: Make sure girls get educated.
- Provide women-friendly services: Make sure girls and women receive health care and prevention, such as HIV testing and counseling and distributing condoms. These services must be accessible to women, and not embarassing.
- Develop female-controlled prevention methods: Conduct or support research for the female condom and vaginal microbicides. The female condom can prevent HIV transmission. Vaginal microbicides can prevent HIV transmission without killing sperm, so that women can still get pregnant.
- Build safer norms: Support women's groups that fight traditional male dominance.
- Reinforce women's economic independence: Support training opportunities, credit and loan programs, and women's cooperatives to increase women's economic independence.
- Reduce vulnerability through policy change:Support policy changes that protect human rights and basic freedoms, and improve economic independence and legal status. Support women in politics who can help make this happen.
Current solutions for HIV/AIDS often focus on:6
- reducing the number of partners
- using condoms
- faithfulness
These solutions are not appropriate for most Third World Women; their economic and social positions do not give them the power to use these suggestions.
Current Projects:
References:
- Joint United Nations Programme on HIV/AIDS (1999). AIDS: 5 years since ICPD. Emerging issues and challenges for women, young people, and infants. [Discussion Document posted on the World Wide Web]. Geneva, Switzerland: Author.
Retrieved April 2, 2000 from the World Wide Web:
http://www.unaids.org/publications/documents/human/ gender/newsletter.pdf
- Centers for Disease Control and Prevention (1998, November 30).
Frequently Asked Questions on HIV/AIDS. [FAQ posted on the World Wide
Web]. Atlanta: Author. Retrieved April 2, 2000 from the World Wide
Web:
http://www.cdc.gov/nchstp/hiv_aids/pubs/faqs.htm
- Berer, M. (Ed.). (1993). Women with HIV/AIDS: An international resource
book. London: Pandora Press.
- Curtis, S. & Taket, A. (1996). Health and societies: Changing perspecitves. London: Arnold.
- Joint United Nations Programme on HIV/AIDS (October 1997). Women and AIDS: UNAIDS point of view[UNAIDS Best Practice Collection posted on the World Wide Web]. Geneva, Switzerland: Author. Retrieved April 2, 2000 from the World Wide Web:
http://www.unaids.org/publications/documents/human/ gender/womenpve.pdf
- David, M. (1997). Gender relations and AIDS. Quebec City, Canada: Centre for International Cooperation in Health and Development. Retrieved April 8, 2000 from the World Wide Web:
http://www.ccisd.org/documents/archives/a_david.htm
Dawn Haney, April 2000
Last Modified: 6/1/2000
Contact: Dawn Haney
haneydaw@arches.uga.edu
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