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Key populations, specifically people who sell sex (PWSS), people who inject drugs (PWID) and lesbian, and gay, bisexual, transgender and intersex (LGBTI) people experience significant human rights violations which underpin the continued high HIV incidence in these populations. This rapid assessment of human rights violations in Eastern and southern Africa focuses on three priority key populations – PWSS, LGBTI (including MSM), and PWID. The report outlines the normative international treaties that establish a basis for a human rights framework for the HIV response.
From 2010–2012, the global Health Policy Project (funded by the United States Agency for International Development), in partnership with African Men for Sexual Health and Rights (AMSHeR), developed Policy Analysis and Advocacy Decision Model for HIV-Related Services: Males Who Have Sex with Males, Transgender People, and Sex Workers (Beardsley K., 2013), hereafter referred to as the Decision Model. …
Resolution on Protection against Violence and other Human Rights Violations against Persons on the basis of their real or imputed Sexual Orientation or Gender Identity adopted at the 55th Ordinary Session of the African Commission on Human and Peoples’ Rights in Luanda, Angola, 28 April to 12 May 2014.
This population size estimation (PSE) was undertaken in order to inform HIV prevention programming for key populations in the fight against HIV in Sierra Leone. This PSE focused on female sex workers (FSWs), men who have sex with men (MSM) and people who inject drugs (PWID) because these groups are typically the first and hardest affected by HIV, and addressing their needs to prevent HIV can prevent or diminish the effect of HIV/AIDS on the general population. …
This 73-page report documents how government inaction and misinformation from high-level officials have undermined the effectiveness of South Africa’s program to provide rape survivors with post-exposure prophylaxis (PEP) — antiretroviral drugs that can reduce the risk of contracting HIV from an HIV-positive attacker.
This report gives an overview of what it means to be gay and African in the early part of the 21st century. Commissioned by The Atlantic Philanthropies and the OTHER Foundation, it also highlights organisations working to improve the situation and the funders supporting such activities. This is not an academic publication. It is meant to provide information about the conditions facing gay people throughout the continent and show that lesbian, gay, bisexual, transgender and intersex (LGBTI) people are often pawns, vulnerable pawns, for those seeking power. …
The impact of the HIV and AIDS epidemic is felt hardest by the individuals who are infected or affected by the disease, and in particular by individuals who are especially vulnerable to HIV infection due to stigma and discrimination, poverty, a lack of access to education, health and other services that promote HIV awareness. However, the impact of HIV and AIDS goes beyond the individual or household level – it affects nations as a whole. …
Since the beginning of the epidemic sex workers have experienced a heightened burden of HIV across settings, despite their higher levels of HIV protective behaviors (UNAIDS, 2009). By gaining a deeper understanding of the epidemiologic and broader policy and social context within which sex work is set one begins to quickly gain a sense of the complex backdrop for increased risk to HIV among sex workers. …
The AIDS Legal Network (ALN), in collaboration with Her Rights Initiative (HRI), South Africa Positive Women Ambassadors (SAPWA), South Africa Partners, and the Mitchell’s Plain Network Opposing Abuse, engaged in a study to assess perceptions and experiences of violence and other rights abuses against women living with HIV. …
This report examines the problem of sexual violence against girls in Zambian schools. In Zambia, many girls are raped, sexually abused, harassed, and assaulted by teachers and male classmates. They are also subjected to sexual harassment and attack while travelling to and from school. Such abuse is a devastating and often overlooked manifestation of the gender-based violence that occurs in numerous settings in Zambia and other countries throughout the world. …
In South Africa, both HIV and gender-based violence are highly prevalent. Gender inequalities give men considerable relational power over young women, particularly in circumstances of poverty and where sex is materially rewarded. Young women are often described as victims of men, but this inadequately explains women's observed sexual agency. This paper takes a different approach. The authors use qualitative interviews and ethnographic observation among 16 young women from the rural Eastern Cape to explore ways young women construct their femininities and exercise agency. …
Youth who engage in early and premarital sex are at risk of HIV and sexually transmitted infections. Most prevention programs ignore the mediating influence of the threat and experience of violence on these outcomes. Using nationally representative data from Lesotho, Malawi, Zimbabwe, Kenya, Tanzania, and Uganda, the autors used multivariate analyses to examine the association between individual- and community-level tolerance of spouse abuse on the age and circumstances of sexual debut among female youth. The youth sample sizes ranged from a high of 5007 in Malawi to a low of 3050 in Lesotho. …
In Uganda, HIV prevalence remains high with young people at higher risk of infection than adults. Much is known about the sexual risk factors for HIV transmission among youths, including sexual encounters that are coerced. On the other hand, relatively little is known about the barriers to preventing sexual coercion and what strategies may overcome those barriers with adolescents. …
The past decade has witnessed a dramatic increase in awareness about early and forced marriage of girls as a widespread violation of human rights. In short, early and forced marriage exacerbate gender inequality and the likelihood of poor outcomes throughout life. Combining public education about the negative effects of early and forced marriage with positive preventive strategies is valuable. The Association for the Struggle Against Violence Against Women (ALVF) in Cameroon is one such example. …
Ipas and the International Community of Women Living with HIV (ICW) collaborated on a project to enhance the capacity of ICW members in Namibia to work on issues of gender, violence, HIV/AIDS and reproductive rights with members of their communities. This summary report discusses a follow-up initiative to a 2007 training-of-trainers course held in Namibia and offers concluding observations of successes and challenges of the initiative.
