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The purpose of this report is to guide regional and global advocacy and inform political dialogue over the coming year, including in the contexts of the African Union Agenda 2063 and the post-2015 sustainable development agenda. …
This paper discusses the limitations of conventional Information, Education and Communication (IEC) approaches to HIV prevention and describes Stepping Stones, one approach which 1) is more holistic in recognising the location of HIV in a broader sexual and reproductive health (SRH) context; 2) emphasises the importance of a gendered perspective throughout; and 3) works on the basis that, with good facilitation, ordinary community members are those most able to develop the best solutions for their own sexual health needs.
This report is a call to decision makers, parents, communities and to the world to end child marriage. It documents the current scope, prevalence and inequities associated with child marriage. This document argues that child marriage jeopardizes girls’ rights and stands in the way of girls living educated, healthy and productive lives. Furthemore, early marriage also excludes girls from fundamental decisions, such as the timing of marriage and choice of spouse. Not to mention that all of the effects of early marriage put girls more at risk of contracting HIV and other STIs. …
One in every three girls in the developing world is married by the age of 18. One in seven marries before they reach the age of 15. In countries like Niger, Chad, Mali, Bangladesh, Guinea and the Central African Republic (CAR), the rate of early and forced marriage is 60 per cent and over. It is particularly high in South Asia (46 per cent) and in sub-Saharan Africa (38 per cent). …
Young people are at the heart of the HIV/AIDS pandemic. Not only are they disproportionately represented in terms of new infections, but they are also key to overcoming the disease. Effective HIV prevention efforts that focus on youth are crucial to reversing the pandemic. The World Bank is one of the largest official financiers of HIV/AIDS programs in the world, with over $2.7 billion committed for HIV/AIDS prevention, care, support and treatment since 1988. …
A growing body of evidence links HIV risk with women's social and economic inequality, male norms that drive sexual risk, and the social marginalization of individuals whose sexual identity or behavior is perceived to fall outside accepted norms. In recognition of this, many international donor agencies are funding programs that aim to reduce gender inequality as a driver of the epidemic. HIV service providers are already responding with innovative and often courageous strategies for overcoming gender-based drivers of the epidemic. But more is needed at the national level. …
This study aimed to identify risk factors for HIV infection among women aged 15-24 years who reported having one lifetime sexual partner in South Africa. A 2003 household survey of 11,904 15-24 year old women on sexual behavior and HIV testing was used. The analysis focuses on a sample of 1,708 women reporting one lifetime partner. Results show that 15% of the women reporting one lifetime partner were HIV positive. In multivariable analysis, completion of high school was associated withábeing HIV-negative (AOR 3.75; 95% CI 1.34-10.46). …
This report focuses on the gender dimensions of HIV-related stigma. It aims to fill a gap and advance a more nuanced understanding and more effective advocacy on how stigma affects women and girls living with HIV more, less or differently to men and boys. This is an advocacy tool for use by relevant stakeholders - from international donors to global policy makers, national governments, programme managers, civil society and people living with HIV. …
This report summarizes multi-country findings from the International Men and Gender Equality Survey (IMAGES), a comprehensive household questionnaire on men's attitudes and practices - along with women's opinions and reports of men's practices - on a wide variety of topics related to gender equality. From 2009 to 2010, household surveys were administered to more than 8,000 men and 3,500 women ages 18 to 59 in Brazil, Chile, Croatia, India, Mexico and Rwanda. …
While violence against women and girls (VAW/G) is a factor in all the MDGs, it is linked particularly closely with HIV/AIDS, as both a cause and a consequence of the pandemic. Like HIV/AIDS, violence against women and girls has complex roots, driven by socio-economic issues and gendered power dynamics. Similarly, both HIV/AIDS and VAW/G require a holistic response that cuts across sectors and stakeholders. This report assesses the programs and policies being implemented by the Global Fund, the U.S. …
Legislation can be instrumental in impeding or promoting initiatives to address the HIV/AIDS epidemic. The widespread legal, social, economic and political ramifications of the epidemic make it necessary to review and reform a broad range of laws. Within a context of entrenched gender discrimination, the devastating impacts of HIV/AIDS, widespread poverty and increasing competition for resources such as property and land, legislative solutions to the denial of women's rights are urgently needed. …