Faith-based organizations (FBOs) play an important role in addressing HIV/AIDS in Malawi. [1] Women are disproportionately affected by HIV in Malawi, representing 58% of people living with HIV due to socioeconomic inequalities and lack of power in relationships that increase vulnerability. [2] FBOs deliver a large portion of healthcare in Malawi and have significant influence in communities through religious leaders, making them well positioned to address issues related to HIV like stigma. [3] The document examines the effectiveness of FBO approaches in Malawi in relation to women in areas like reducing new infections, deaths, and discrimination.
The Madison County AIDS Program (MadCAP) is seeking funding to implement an HIV/AIDS risk reduction program for adolescents in Madison County high schools. The program will use the evidence-based BART (Becoming a Responsible Teen) curriculum over the 2016-2017 school year. The goal is to reduce HIV rates among teens and young adults by increasing HIV knowledge, perceived risk of infection, and safe sex practices. Freshmen students will participate in sessions on causes, transmission, testing and prevention. The program aims to have 75% of participants increase essential HIV knowledge and perceive themselves at higher risk of infection after. It will also teach proper condom use through demonstrations to further prevent spread of HIV. Evaluation will compare pre-
This document discusses women's disparities in access to HIV mitigation in three sub-Saharan African countries - Swaziland, Kenya, and Cameroon. It hypothesizes that women with higher levels of education will have greater access to HIV prevention and treatment services. The analysis found a strong correlation between increased educational attainment and HIV testing and access to test results for women in the three countries. However, overall testing rates remain low, likely due to social stigma rather than lack of accessibility. Women face greater HIV risk due to cultural practices like polygamy, child marriage, and lack of autonomy over sexual and reproductive health decisions.
Minorities, especially African Americans, account for nearly half the population of Fulton County, Georgia but experience disproportionate rates of health issues like sexually transmitted diseases (STDs). STD rates in Fulton County, particularly for conditions like chlamydia, gonorrhea, and syphilis, are among the highest in the state. African Americans contract STDs at much higher rates than other groups. Social factors like poverty, lack of access to healthcare, and segregation of minority populations likely contribute to these disparities.
Madridge Journal of AIDS (ISSN: 2638-1958); HIV-related stigma is a global issue. Its perpetuation varies in magnitude across and within countries, and serves as a major barrier to HIV prevention efforts.
Global Medical Cures™ | HIV Among Women
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
From 2004-2008, Nevada saw a shift in the HIV/AIDS epidemic toward blacks, youth, and heterosexual adults. To effectively plan prevention and care, it is important to identify at-risk populations. The document discusses Nevada's HIV epidemiology, including increases in infections among blacks, Hispanics, youth, MSM, and older age groups. It also summarizes community input that identified priority populations as MSM, HIV-positive individuals, youth/young adults, and minorities. Goals and strategies focused on increasing awareness, testing, interventions, condom access, and linkages to care for these at-risk groups.
America cares hiv-aids in black america#GOMOJO, INC.
Increase community awareness of HIV/AIDS and HIV prevention strategies.
Increase community understanding of the clinical research process.
Develop and strengthen relationships with community stakeholders, including (but not limited to) medical care providers, STD/HIV counseling and testing providers, faith leaders, Non Governmental Organizations and Community Based Organizations.
Increasingly, African Americans in general are recognizing that HIV is wreaking devastation across our communities. Those who have joined the fight against HIV and AIDS in Black communities are coming to understand that it is a difficult and multifaceted problem—but that it is also a winnable war. With this report, we aim to arm those people with the information they need to get there.
Community capacity proposal gomojo for WORLD CHANGE FROM DTLV #GOMOJO, INC.
The document discusses strategies to combat the HIV/AIDS epidemic in the United States and Nevada. It provides background on HIV/AIDS rates nationally and in Nevada, highlighting disproportionate impacts among certain groups. Key strategies discussed include increasing availability of media campaigns, online interventions, substance use interventions, and HIV testing. Specific tactics proposed under each strategy, such as developing culturally appropriate media campaigns targeting various communities, increasing online outreach and education, and requiring acknowledgement of safe sex practices on dating websites. The document emphasizes the need for a coordinated response using evidence-based approaches to reduce transmission rates and improve health outcomes.
The Madison County AIDS Program (MadCAP) is seeking funding to implement an HIV/AIDS risk reduction program for adolescents in Madison County high schools. The program will use the evidence-based BART (Becoming a Responsible Teen) curriculum over the 2016-2017 school year. The goal is to reduce HIV rates among teens and young adults by increasing HIV knowledge, perceived risk of infection, and safe sex practices. Freshmen students will participate in sessions on causes, transmission, testing and prevention. The program aims to have 75% of participants increase essential HIV knowledge and perceive themselves at higher risk of infection after. It will also teach proper condom use through demonstrations to further prevent spread of HIV. Evaluation will compare pre-
This document discusses women's disparities in access to HIV mitigation in three sub-Saharan African countries - Swaziland, Kenya, and Cameroon. It hypothesizes that women with higher levels of education will have greater access to HIV prevention and treatment services. The analysis found a strong correlation between increased educational attainment and HIV testing and access to test results for women in the three countries. However, overall testing rates remain low, likely due to social stigma rather than lack of accessibility. Women face greater HIV risk due to cultural practices like polygamy, child marriage, and lack of autonomy over sexual and reproductive health decisions.
Minorities, especially African Americans, account for nearly half the population of Fulton County, Georgia but experience disproportionate rates of health issues like sexually transmitted diseases (STDs). STD rates in Fulton County, particularly for conditions like chlamydia, gonorrhea, and syphilis, are among the highest in the state. African Americans contract STDs at much higher rates than other groups. Social factors like poverty, lack of access to healthcare, and segregation of minority populations likely contribute to these disparities.
Madridge Journal of AIDS (ISSN: 2638-1958); HIV-related stigma is a global issue. Its perpetuation varies in magnitude across and within countries, and serves as a major barrier to HIV prevention efforts.
Global Medical Cures™ | HIV Among Women
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
From 2004-2008, Nevada saw a shift in the HIV/AIDS epidemic toward blacks, youth, and heterosexual adults. To effectively plan prevention and care, it is important to identify at-risk populations. The document discusses Nevada's HIV epidemiology, including increases in infections among blacks, Hispanics, youth, MSM, and older age groups. It also summarizes community input that identified priority populations as MSM, HIV-positive individuals, youth/young adults, and minorities. Goals and strategies focused on increasing awareness, testing, interventions, condom access, and linkages to care for these at-risk groups.
America cares hiv-aids in black america#GOMOJO, INC.
Increase community awareness of HIV/AIDS and HIV prevention strategies.
Increase community understanding of the clinical research process.
Develop and strengthen relationships with community stakeholders, including (but not limited to) medical care providers, STD/HIV counseling and testing providers, faith leaders, Non Governmental Organizations and Community Based Organizations.
Increasingly, African Americans in general are recognizing that HIV is wreaking devastation across our communities. Those who have joined the fight against HIV and AIDS in Black communities are coming to understand that it is a difficult and multifaceted problem—but that it is also a winnable war. With this report, we aim to arm those people with the information they need to get there.
Community capacity proposal gomojo for WORLD CHANGE FROM DTLV #GOMOJO, INC.
The document discusses strategies to combat the HIV/AIDS epidemic in the United States and Nevada. It provides background on HIV/AIDS rates nationally and in Nevada, highlighting disproportionate impacts among certain groups. Key strategies discussed include increasing availability of media campaigns, online interventions, substance use interventions, and HIV testing. Specific tactics proposed under each strategy, such as developing culturally appropriate media campaigns targeting various communities, increasing online outreach and education, and requiring acknowledgement of safe sex practices on dating websites. The document emphasizes the need for a coordinated response using evidence-based approaches to reduce transmission rates and improve health outcomes.
The National Women and AIDS Collective (NWAC) is advocating for policy changes to better support HIV-positive women. It represents 25 organizations across the US that provide services to HIV+ women. NWAC aims to improve HIV surveillance data to better reflect women's realities and needs. It has achieved several policy successes and positions itself to influence national strategies. Sustaining NWAC is important to advance women's leadership and acknowledge socioeconomic factors driving HIV risks for women.
Madridge Journal of AIDS (ISSN: 2638-1958); An approach to preventing new HIV infections is the expectation that people living with the virus will disclose their status to their partners, healthcare providers, and family members.
HIV/AIDS is a national disaster in Tanzania that requires comprehensive management. Around 1.6 million people in Tanzania are living with HIV, though prevalence varies widely by region from under 2% to over 16%. The epidemic poses serious social and economic threats and has left over 1 million orphans. Tanzania has implemented various prevention strategies, including voluntary counseling and testing, promoting abstinence and faithfulness, condom distribution, preventing mother-to-child transmission, and youth education programs. However, HIV/AIDS continues to devastate the country.
- African American men account for 70% of new HIV/AIDS cases in Los Angeles County, though they represent only 12-14% of the population. The majority of cases are in men ages 20-49.
- Poverty, lack of health insurance, and high incarceration rates negatively impact access to healthcare for African American men with HIV/AIDS in Los Angeles. However, community organizations provide support and work to increase access.
- HIV/AIDS has disproportionate effects in the African American community in Los Angeles County. Efforts are being made to increase testing, prevention, and treatment through programs tailored for at-risk groups.
The document discusses barriers to HIV prevention and care for gay and bisexual African American males aged 18-24 in Sacramento County. It notes that this group has disproportionately high rates of HIV infection locally and nationally. Some key barriers include poverty, lack of health insurance, discrimination, homophobia, and lack of access to healthcare. The proposed "PrEP for Love" program aims to address this issue by providing HIV/STI education, access to pre-exposure prophylaxis medication, and linkage to culturally competent healthcare providers to reduce new HIV infections in this high-risk population. It seeks to replicate the success of a similar program in San Francisco that reported zero new HIV cases during its operation.
This document discusses sexually transmitted infections (STIs) among adolescents in Snowflake, Arizona. It notes that STI rates have been rising nationwide and in Navajo County specifically. Snowflake has a small, conservative, and religious population that provides little sexual education. The author conducted a clinical project to provide STI education and resources to patients at a clinic in Snowflake. The project aimed to raise awareness of the rising local STI rates and provide prevention information to address the lack of existing education. Barriers to the project included personal and religious discomfort discussing sexuality, but the author implemented the project by offering handouts and discussing local STI data and prevention strategies depending on patient receptiveness.
Marama Pala Ngātiawa ki Kapiti, Kaiwhakahaere/Executive Director (INA), an HIV positive Māori woman, plans to promote the visibility of Indigenous People’s HIV and AIDS issues; to increase the support from local, regional and international Indigenous people.
“History shows us that HIV is not openly discussed at Indigenous conferences. It’s an issue that gets left off the agenda.” says Marama Pala, “Even though Indigenous Peoples experience high rates of HIV and AIDS, it needs to be made visible at all Indigenous conferences and gatherings. It’s time that all Indigenous peoples became aware that we are a marginalised community vulnerable to HIV”
Indigenous people globally continue to under represented in HIV prevention, research, policy and funding initiatives, and this contributes to ongoing HIV disparities and resource allocation. The stigma within Indigenous communities further marginalises this health issue, making it difficult to discuss.
“I hope am able to stress the importance of HIV, speaking openly about HIV and facing the stigma of HIV with my Indigenous and aboriginal brothers and sisters” urges Marama. “Silence No More...for the sake of my HIV negative children; we need to eliminate stigma and discrimination and make our people safe.”
HIV compromises the immune system, leading to AIDS. Early HIV symptoms include fever and swollen glands. Late stage AIDS symptoms include weight loss, fatigue, and infections. HIV is transmitted through contact with infected bodily fluids like during unprotected sex or sharing needles. Prevention methods include condoms, needle exchange programs, and avoiding contact with infected fluids. Currently over 33 million people have HIV/AIDS globally, with most cases in sub-Saharan Africa.
Social Challenges Facing Low Income Earning Women Living With HIV/AIDS: A Cas...paperpublications3
Abstract: Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) has been in existence for more than twenty years and women account for nearly half the 40 million people living with HIV/AIDS. Women’s rate of new infection surpasses men’s because biological, cultural, and social economic conditions contribute to women’s greater vulnerability to HIV. The challenges that these low-income earning women living with HIV/AIDS face are social, economic, and psychological. When a woman is sick the family’s property, the children’s education, savings and food security are threatened because women provide the majority of labour and managerial services for their household. The purpose of the study was to establish the social challenges that face low-income earning women living with HIV/AIDS. A sample of 248 out of a population of 700 who were receiving Home Based Care within Nakuru Municipality was selected. The study was a survey where Questionnaire and interviews were used to collect data. The data was analyzed using descriptive statistics. The findings of the study revealed that low income women living with HIV/AIDS faced various social challenges such as shame, discrimination, and causing strain in the family among others. The disparities that existed among the singles and the married revealed that one’s marital status determined the extent to which one was ashamed, evoked negative changes in the behaviour of family members and experienced discrimination based on their HIV/AIDS status. The implications of the findings is that the public support for the low-income women living with HIV/AIDS is inadequate and mostly material, and emotional support is also crucial in the management and coping with HIV/AIDS.
1) Mainstream economics approaches to understanding HIV transmission and prevalence, like rational choice theory, provide insights but have weaknesses due to unrealistic assumptions about free choice and risk perceptions. They also fail to consider important cultural factors.
2) Religious affiliation, like Islam, may show relationships to HIV rates and should be included in analyses, as demonstrated by a study finding lower prevalence in countries with higher Muslim populations.
3) Data on Burkina Faso and Zimbabwe show Burkina Faso has lower HIV prevalence despite similar demographics, which may relate to it being majority Muslim while Zimbabwe is majority Christian.
Access to HIV prevention and care: Persons with disabilities still left behin...terre des hommes schweiz
Access to HIV prevention and care: Persons with disabilities still left behind
presented by: Muriel Mac-Seing (Handicap International)
at: AIDSFocus Meeting
on: 07. Mai 2015
in: Bern
HIV & AIDS Care, Prevention & Treatment for LGBTIs – Addressing Stigma & seco...terre des hommes schweiz
The document discusses challenges facing LGBTQ individuals in South Africa, including high rates of HIV, stigma, lack of inclusion in research and services, and misconceptions about transmission. It summarizes the work of the Gay and Lesbian Network (GLN) to address these issues through outreach, education, advocacy, and lobbying for more inclusive policies. Key efforts include research on men who have sex with men, HIV testing, addressing stigma through workshops and theater, and training healthcare workers and police to be more sensitive to LGBTQ issues. Moving forward, GLN aims to empower the community through more educational programs and advocacy to improve access to healthcare services.
This document discusses issues related to advancing the sexual and reproductive health and human rights of men who have sex with men (MSM) living with HIV. It notes that MSM living with HIV face double stigma due to fear/ignorance around HIV transmission and negative attitudes towards MSM. Young MSM living with HIV face additional challenges accessing healthcare without parental consent. The document argues for a rights-based approach and inclusion of MSM in policymaking to address their disproportionately high rates of HIV infection worldwide due to criminalization, discrimination, and lack of access to appropriate healthcare services.
The document discusses the importance of addressing gender equality in Global Fund proposals and responses to HIV, TB, and malaria. It notes that women often have less access to health services and information than men due to social and economic inequalities. It provides examples of how diseases like HIV, malaria, and TB disproportionately impact women. The document advises applicants to involve gender experts and conduct a gender analysis to ensure their proposals address the specific needs of women, men, girls and boys. It also recommends integrating gender-sensitive and transformative interventions that promote human rights and reduce health inequalities.
This document summarizes a presentation about structural inequities and their disproportionate impact on children. It discusses key concepts like disparities versus inequities, equality versus equity, and race versus racism. It also examines how COVID-19 disproportionately affected minority groups. The presentation identifies gaps in current approaches, such as an overemphasis on personal responsibility. It outlines future directions, like how to better track disparities, close the research-to-practice gap, and make equity a priority from the beginning. Barriers to achieving equity are discussed, along with parting words of wisdom for community members.
Women & Girls: Behavioral Health, HIV, HEP and more Alton King
Whether at home or abroad, women and girls are feeling the lopsided effects of HIV. Put another way, nearly 1,000 young women are newly infected with HIV daily. Trauma and intimate
partner violence (IPV) are but numerous factors driving this epidemic. SAMHSA is undertaking a multifaceted approach to engage behavioral health issues, the SAVA syndemic, and the opioid epidemic through innovative behavioral health programs.
Development of a Sleep Education Program for College Students at UDDana Alexander
The document describes a proposed sleep education program for college students at the University of Delaware. The 14-week program would meet weekly and teach students about sleep habits, time management, and goal setting to help reduce anxiety caused by lack of sleep. Unhealthy sleep habits are common among college students due to late nights, early classes, and poor time management. The program aims to provide resources to improve students' sleep quality and mental health through interactive discussions, personal scheduling assistance, and social support components.
The document discusses how HIV/AIDS disproportionately affects women and girls globally. It outlines that nearly half of all HIV cases worldwide are among women, and young women ages 15-24 are most at risk. Factors like gender inequality, lack of education, poverty, and violence against women increase women's vulnerability to infection. Effective prevention requires empowering women through education, access to healthcare and protection methods, and eliminating discrimination.
The National Women and AIDS Collective (NWAC) is advocating for policy changes to better support HIV-positive women. It represents 25 organizations across the US that provide services to HIV+ women. NWAC aims to improve HIV surveillance data to better reflect women's realities and needs. It has achieved several policy successes and positions itself to influence national strategies. Sustaining NWAC is important to advance women's leadership and acknowledge socioeconomic factors driving HIV risks for women.
Madridge Journal of AIDS (ISSN: 2638-1958); An approach to preventing new HIV infections is the expectation that people living with the virus will disclose their status to their partners, healthcare providers, and family members.
HIV/AIDS is a national disaster in Tanzania that requires comprehensive management. Around 1.6 million people in Tanzania are living with HIV, though prevalence varies widely by region from under 2% to over 16%. The epidemic poses serious social and economic threats and has left over 1 million orphans. Tanzania has implemented various prevention strategies, including voluntary counseling and testing, promoting abstinence and faithfulness, condom distribution, preventing mother-to-child transmission, and youth education programs. However, HIV/AIDS continues to devastate the country.
- African American men account for 70% of new HIV/AIDS cases in Los Angeles County, though they represent only 12-14% of the population. The majority of cases are in men ages 20-49.
- Poverty, lack of health insurance, and high incarceration rates negatively impact access to healthcare for African American men with HIV/AIDS in Los Angeles. However, community organizations provide support and work to increase access.
- HIV/AIDS has disproportionate effects in the African American community in Los Angeles County. Efforts are being made to increase testing, prevention, and treatment through programs tailored for at-risk groups.
The document discusses barriers to HIV prevention and care for gay and bisexual African American males aged 18-24 in Sacramento County. It notes that this group has disproportionately high rates of HIV infection locally and nationally. Some key barriers include poverty, lack of health insurance, discrimination, homophobia, and lack of access to healthcare. The proposed "PrEP for Love" program aims to address this issue by providing HIV/STI education, access to pre-exposure prophylaxis medication, and linkage to culturally competent healthcare providers to reduce new HIV infections in this high-risk population. It seeks to replicate the success of a similar program in San Francisco that reported zero new HIV cases during its operation.
This document discusses sexually transmitted infections (STIs) among adolescents in Snowflake, Arizona. It notes that STI rates have been rising nationwide and in Navajo County specifically. Snowflake has a small, conservative, and religious population that provides little sexual education. The author conducted a clinical project to provide STI education and resources to patients at a clinic in Snowflake. The project aimed to raise awareness of the rising local STI rates and provide prevention information to address the lack of existing education. Barriers to the project included personal and religious discomfort discussing sexuality, but the author implemented the project by offering handouts and discussing local STI data and prevention strategies depending on patient receptiveness.
Marama Pala Ngātiawa ki Kapiti, Kaiwhakahaere/Executive Director (INA), an HIV positive Māori woman, plans to promote the visibility of Indigenous People’s HIV and AIDS issues; to increase the support from local, regional and international Indigenous people.
“History shows us that HIV is not openly discussed at Indigenous conferences. It’s an issue that gets left off the agenda.” says Marama Pala, “Even though Indigenous Peoples experience high rates of HIV and AIDS, it needs to be made visible at all Indigenous conferences and gatherings. It’s time that all Indigenous peoples became aware that we are a marginalised community vulnerable to HIV”
Indigenous people globally continue to under represented in HIV prevention, research, policy and funding initiatives, and this contributes to ongoing HIV disparities and resource allocation. The stigma within Indigenous communities further marginalises this health issue, making it difficult to discuss.
“I hope am able to stress the importance of HIV, speaking openly about HIV and facing the stigma of HIV with my Indigenous and aboriginal brothers and sisters” urges Marama. “Silence No More...for the sake of my HIV negative children; we need to eliminate stigma and discrimination and make our people safe.”
HIV compromises the immune system, leading to AIDS. Early HIV symptoms include fever and swollen glands. Late stage AIDS symptoms include weight loss, fatigue, and infections. HIV is transmitted through contact with infected bodily fluids like during unprotected sex or sharing needles. Prevention methods include condoms, needle exchange programs, and avoiding contact with infected fluids. Currently over 33 million people have HIV/AIDS globally, with most cases in sub-Saharan Africa.
Social Challenges Facing Low Income Earning Women Living With HIV/AIDS: A Cas...paperpublications3
Abstract: Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) has been in existence for more than twenty years and women account for nearly half the 40 million people living with HIV/AIDS. Women’s rate of new infection surpasses men’s because biological, cultural, and social economic conditions contribute to women’s greater vulnerability to HIV. The challenges that these low-income earning women living with HIV/AIDS face are social, economic, and psychological. When a woman is sick the family’s property, the children’s education, savings and food security are threatened because women provide the majority of labour and managerial services for their household. The purpose of the study was to establish the social challenges that face low-income earning women living with HIV/AIDS. A sample of 248 out of a population of 700 who were receiving Home Based Care within Nakuru Municipality was selected. The study was a survey where Questionnaire and interviews were used to collect data. The data was analyzed using descriptive statistics. The findings of the study revealed that low income women living with HIV/AIDS faced various social challenges such as shame, discrimination, and causing strain in the family among others. The disparities that existed among the singles and the married revealed that one’s marital status determined the extent to which one was ashamed, evoked negative changes in the behaviour of family members and experienced discrimination based on their HIV/AIDS status. The implications of the findings is that the public support for the low-income women living with HIV/AIDS is inadequate and mostly material, and emotional support is also crucial in the management and coping with HIV/AIDS.
1) Mainstream economics approaches to understanding HIV transmission and prevalence, like rational choice theory, provide insights but have weaknesses due to unrealistic assumptions about free choice and risk perceptions. They also fail to consider important cultural factors.
2) Religious affiliation, like Islam, may show relationships to HIV rates and should be included in analyses, as demonstrated by a study finding lower prevalence in countries with higher Muslim populations.
3) Data on Burkina Faso and Zimbabwe show Burkina Faso has lower HIV prevalence despite similar demographics, which may relate to it being majority Muslim while Zimbabwe is majority Christian.
Access to HIV prevention and care: Persons with disabilities still left behin...terre des hommes schweiz
Access to HIV prevention and care: Persons with disabilities still left behind
presented by: Muriel Mac-Seing (Handicap International)
at: AIDSFocus Meeting
on: 07. Mai 2015
in: Bern
HIV & AIDS Care, Prevention & Treatment for LGBTIs – Addressing Stigma & seco...terre des hommes schweiz
The document discusses challenges facing LGBTQ individuals in South Africa, including high rates of HIV, stigma, lack of inclusion in research and services, and misconceptions about transmission. It summarizes the work of the Gay and Lesbian Network (GLN) to address these issues through outreach, education, advocacy, and lobbying for more inclusive policies. Key efforts include research on men who have sex with men, HIV testing, addressing stigma through workshops and theater, and training healthcare workers and police to be more sensitive to LGBTQ issues. Moving forward, GLN aims to empower the community through more educational programs and advocacy to improve access to healthcare services.
This document discusses issues related to advancing the sexual and reproductive health and human rights of men who have sex with men (MSM) living with HIV. It notes that MSM living with HIV face double stigma due to fear/ignorance around HIV transmission and negative attitudes towards MSM. Young MSM living with HIV face additional challenges accessing healthcare without parental consent. The document argues for a rights-based approach and inclusion of MSM in policymaking to address their disproportionately high rates of HIV infection worldwide due to criminalization, discrimination, and lack of access to appropriate healthcare services.
The document discusses the importance of addressing gender equality in Global Fund proposals and responses to HIV, TB, and malaria. It notes that women often have less access to health services and information than men due to social and economic inequalities. It provides examples of how diseases like HIV, malaria, and TB disproportionately impact women. The document advises applicants to involve gender experts and conduct a gender analysis to ensure their proposals address the specific needs of women, men, girls and boys. It also recommends integrating gender-sensitive and transformative interventions that promote human rights and reduce health inequalities.
This document summarizes a presentation about structural inequities and their disproportionate impact on children. It discusses key concepts like disparities versus inequities, equality versus equity, and race versus racism. It also examines how COVID-19 disproportionately affected minority groups. The presentation identifies gaps in current approaches, such as an overemphasis on personal responsibility. It outlines future directions, like how to better track disparities, close the research-to-practice gap, and make equity a priority from the beginning. Barriers to achieving equity are discussed, along with parting words of wisdom for community members.
Women & Girls: Behavioral Health, HIV, HEP and more Alton King
Whether at home or abroad, women and girls are feeling the lopsided effects of HIV. Put another way, nearly 1,000 young women are newly infected with HIV daily. Trauma and intimate
partner violence (IPV) are but numerous factors driving this epidemic. SAMHSA is undertaking a multifaceted approach to engage behavioral health issues, the SAVA syndemic, and the opioid epidemic through innovative behavioral health programs.
Development of a Sleep Education Program for College Students at UDDana Alexander
The document describes a proposed sleep education program for college students at the University of Delaware. The 14-week program would meet weekly and teach students about sleep habits, time management, and goal setting to help reduce anxiety caused by lack of sleep. Unhealthy sleep habits are common among college students due to late nights, early classes, and poor time management. The program aims to provide resources to improve students' sleep quality and mental health through interactive discussions, personal scheduling assistance, and social support components.
The document discusses how HIV/AIDS disproportionately affects women and girls globally. It outlines that nearly half of all HIV cases worldwide are among women, and young women ages 15-24 are most at risk. Factors like gender inequality, lack of education, poverty, and violence against women increase women's vulnerability to infection. Effective prevention requires empowering women through education, access to healthcare and protection methods, and eliminating discrimination.
This document provides a situational analysis of the gender dimensions of the HIV/AIDS epidemic in Zimbabwe. It notes that women are disproportionately affected, accounting for nearly 60% of those living with HIV in Sub-Saharan Africa. Socially, women have less power to negotiate safer sex, greater economic vulnerability pushing some into transactional relationships, and take on most of the unpaid care burden. This is exacerbated by high poverty levels, limited access to information and services in rural areas, and increased risk of gender-based violence. The epidemic thus intensifies pre-existing gender inequalities and vulnerabilities.
Gender inequality poses significant barriers to women's ability to prevent and manage HIV infection. Women face higher biological and social vulnerability to HIV due to unequal power dynamics and lack of control over sexual decision making. Violence against women and girls is widespread in many parts of the world, increasing vulnerability. Fear of violence also prevents women from accessing HIV testing, treatment and support services. Addressing gender inequality is critical to effectively respond to the HIV/AIDS epidemic.
This is technical writing Assignment, no emotions go straight to t.docxchristalgrieg
This is technical writing Assignment, no emotions go straight to the point.
Section 1: Introduction
The rise in the numbers of Human Immunodeficiency Virus (HIV) diagnoses is notable especially for racial and ethnic minority youth and adolescents aged 13 to 19 years (National Institute of Health, 2013). Approximately one half of all new HIV infections in the United States occur among person(s) younger than 25 years. Nearly 4 million new sexually transmitted infection (STI) cases each year occur among youth and adolescents (NIH, 2013). Reconciling data of 2015, 54.2% of high school students reported having sexual intercourse; of students reported sex during the previous months, 39% stated they didn’t use a condom during their last sexual encounter (United States Census Bureau, 2014). The number of sexually active among youth and adolescents, from 2001 to 2014, there’s been a significant increase in the percentage of youth and adolescents who were never taught about HIV/AIDS. Unified national HIV/AIDS surveillance system has enhanced the ability to monitor and characterize racial and ethnic minority youth populations affected by the HIV epidemic and provide information on the entire population of HIV infected persons who have been tested confidentially (NIH, 2014). Approximately 1.2 million people were living with HIV in the United States in 2014, 49% and 51% undiagnosed infections. Almost 50,000 people become newly infected each year, and in 2014, the estimated rate of diagnoses of HIV infection was 13.8 per 100,000 population (National Institute of Health, 2014). Social trust is associated with lowering the of course mortality rates and that associated HIV infection varied within racial and ethnic minority youth and adolescents. The risk factors that will be addressed in this paper are unprotected vaginal or anal sex, improving access to prevention and care services, inadequate sex education and drug use
Unprotected vaginal and anal sex
Participating in unprotected vaginal and anal sex, or sex without latex or polyurethane condoms is a major contributing factor of HIV rate in racial and ethnic minority youth and adolescents. In an infected youth or adolescents, the semen and blood contains high amount of HIV. During unprotected vaginal and anal sex HIV can easily pass from one person to another. Several studies link alcohol and drug use to higher rates of unprotected anal intercourse, higher numbers of sex partners, and inconsistent condom use (NIH, 2014). With these trends among racial and ethnic minority National HIV Behavioral Surveillance (2015) reported 21% minority youth and adolescent are infected with HIV while 79% youth and adolescent don’t know their status (National HIV Behavioral Surveillance, 2015).
Improving access to prevention and care services
Access to HIV prevention and treatment is an important step in helping achieve an HIV free generation, especially among racial and ethnic minority youth and adolescent. If someone ...
Information needs and resource utilization by people living with hiv/aidsResearchWap
1.2 Objectives of the study
The main purpose of this study is to depict a comprehensive picture of information need and resource utilization by people living with HIV/AIDS in ESUT Teaching Hospital Park lane, Enugu. The specific purposes of the study are as follows:
a. To determine the areas in which people living with HIV/AIDS needs information ESUT teaching Hospital.
b. To find out the information resource used by people living with HIV/AIDS in ESUT Teaching Hospital Park lane, Enugu.
c. To determine the extent to which information resources encourage and support the people living with HIV/AIDS to take positive actions to deal with HIV/AIDS in ESUT Teaching Hospital Park lane, Enugu.
d. To determine the benefits derived from the use of information resources by the PLWHA in ESUT Teaching Hospital Park lane, Enugu.
e. To find out the barriers to access and utilization of information resources by PLWHA in ESUT Teaching Hospital Park lane, Enugu.
This document reviews international experience on the role of agriculture and natural resource management in preventing and alleviating HIV/AIDS. It discusses how rural livelihoods dependent on agriculture and NRM can influence the spread of HIV infection and how HIV/AIDS in turn undermines these livelihoods. Local innovations that have helped address HIV/AIDS are described. The review outlines key features of HIV/AIDS epidemics and their relationship to rural livelihoods. Food insecurity can increase risky sexual behaviors and susceptibility to infection, while illness and death from AIDS undermines households' agriculture and natural resource management. Local innovations play a role in addressing HIV/AIDS but often face constraints.
Nevada profile 2015 stda re'port for cdc#GOMOJO, INC.
Core practices that are moving from a pilot state to implementation at scale: Many of the
barriers facing HIV programs are common across countries. PEPFAR’s ECTs (described below in
Sections 2.3.2 and 2.3.3) identified common issues affecting countries at various levels of
epidemic control and then developed a compendium of evidence-based solutions, approaches
and case-studies that highlight successful means of addressing common barriers. Additional
evidence-based approaches and case-studies will be incorporated into this living compendium
over time. As highlighted in this PEPFAR Solutions Platform, these practices can be rapidly
adapted and scaled to move countries forward.
Key considerations for all PEPFAR programs include:
• Bringing Interventions to Scale with Fidelity: Getting to HIV epidemic control is dependent on
several factors; not the least of which is the ability to rapidly scale successful interventions with
fidelity and demonstrated impact. However, the logistics of cost- effective programmatic scale
have proven challenging, with several implementation barriers. Implementation science
defines scalability as the capacity to expand or extend an intervention to account for a growth
factor that aims to fill a gap or address unmet need in a defined population group/geographic
area.
• Data and Information Technology: The enabling environment for data and information
technology is rapidly maturing across countries, creating space, opportunity, and needed
political will to harness the Data Revolution for epidemic control. OUs should consider
innovative ways to use data and information technology to improve efficiency and
sustainability in achieving epidemic control, beyond immediate PEPFAR indicator data
collection needs. As highlighted in the Data Revolution Innovation Toolkit, available on the
PEPFAR SharePoint, OUs are encouraged to explore, adapt, and scale these and other data
driven approaches to move country epidemic control forward.
This document summarizes key statistics and trends related to the global AIDS epidemic from the UNAIDS 2013 report. Some of the key points include:
- There has been a 33% decrease in new HIV infections and a 29% decrease in AIDS-related deaths since 2001.
- Access to antiretroviral therapy has increased dramatically, with 9.7 million people in low- and middle-income countries receiving treatment by 2012.
- However, challenges remain, including inadequate access to treatment for many who need it, rising infections among men who have sex with men in some areas, and persistent stigma and discrimination. Ending the AIDS epidemic by 2030 will require continued scale up of prevention and treatment efforts.
FACTORS THAT CONTRIBUTE TO AND PREVENT THE SPREAD OF HIVAIDS IN T.docxssuser454af01
FACTORS THAT CONTRIBUTE TO AND PREVENT THE SPREAD OF HIV/AIDS IN THE UNITED STATES AND SOUTH AFRICA
Disparities in the Global North and Global South are reflected in the socio-economic and political positions of these two respective regions in the world. This gap is also best exemplified by the disparities in healthcare systems, education, and prevalence of diseases between these two regions. The Global North, which is comprised of advanced countries like the United States has a robust healthcare system and an educated mass. This in turn plays a significant role in reducing the rate of infectious diseases. Contrary, the Global South, comprised of many poor and conflicting countries has problems of high rate of diseases such as HIV/AIDS. What are the primary factors that contribute to the spread of HIV/AIDS? What preventative measures work best in halting the rapid spread of this virus? This paper will briefly analyze these questions and more with an emphasis on HIV/AIDS in the Global North and Global South.
This paper assumes that the Global North and the Global South are considerably different in their social, cultural, political, and economic make-up. However, since this paper is a brief analysis, which aims to compare this disparity and its effects on health, it will proceed by using the United States (Global North) and South Africa (Global South) as representative samples for these regions respectively. The United States, with a population of approximately 320 million is regarded as the vanguard of the developed world, if not the world in general. A hub of diversity and immigrants from all over the world, America is perceived as a rich country of opportunities. South Africa, on the other hand, is a relatively small country with a population of roughly 53 million. It is considered to be the political and economic leader and one of the success stories of sub-Saharan Africa. Nonetheless, its wealth and socio-political maturity is by no means comparable to that of the United States.
The World Health Organization defines HIV as a virus that targets and weakens an individual’s immune system (immunodeficiency) thus making the infected individual susceptible to other infections. (WHO Cite) HIV becomes AIDS only when an infected individual contracts other infections. In advanced countries such as the U.S, Canada, and their likes, HIV infected individuals are able to live longer due to readily available retroviral drugs. On the other hand, underdeveloped or developing countries suffer high rates of mortality due to lack of medication in rural areas and at times urban areas alike. From this reality, it can be highlighted that economically advanced countries are better equipped to diagnose, treat, and perhaps prevent and deter infectious diseases compared to their economically dependent counterparts.
Data from Centers for Disease Control and Prevention (CDC) shows that nearly 1.2 Americans are carriers of the HIV virus. (CDC CITE2)) However, the ...
The document discusses the nature and status of the HIV/AIDS epidemic in India. It notes that there are an estimated 3.8-4.6 million people living with HIV/AIDS in India, with heterosexual sex being the main mode of transmission. Certain populations such as female sex workers and men who have sex with men have particularly high infection rates. The epidemic is growing and spreading from urban to rural areas.
The document discusses the nature and status of the HIV/AIDS epidemic in India. It notes that there are an estimated 3.8-4.6 million people living with HIV/AIDS in India, with heterosexual sex being the main mode of transmission. Certain populations such as female sex workers and men who have sex with men have particularly high infection rates. The epidemic is spreading from urban to rural areas through migrant workers.
Princess Tessy of Luxembourg is a UNAIDS Global Advocate who works to empower young women and adolescent girls in the global response to HIV/AIDS. She hopes to reach these groups to foster respect and dignity for all. Her unique background in the military, education, psychology and diplomacy motivates her work with UNAIDS to achieve long-term, positive change. Young women face disproportionate risks of HIV infection due to lack of control over their lives and decisions. UNAIDS aims to address gender inequalities and empower adolescent girls through education, health services, and programs to end gender-based violence.
Factors Influencing Gender Disparities in the Prevalence of HIV AIDS in Fako ...ijtsrd
There is a prevalence of HIV AIDS in the society among men and women and there is gender disparity in the prevalence of HIV AIDS. Biological and other factors are pointing to the fact that the women are more vulnerable and therefore have more possibilities of spreading it. This study was done in Fako Division in the South West Region of Cameroon. The general objective of this study was to investigate the factors leading to the gender disparity in the prevalence of HIV AIDS. The research is a descriptive survey. The target population was the HIV AIDS patients that are treated in the Limbe and Buea Regional Hospitals. These hospitals were purposively selected with a purposive sampling of 50 males and female. This research involves the use of both primary and secondary data with the use of questionnaires, check list and review of secondary data on problems leading to a gender difference in the prevalence of HIV AIDS in these areas. Analysis of data was done with the use of windows SPSS. Findings of the study show that there is a high gender difference of about 39.21 in Buea Regional Hospital and a gender difference of 24.4 in Limbe Regional Hospital. Some factors were found responsible for this disparity that include early start of sexual activities for females, low level of education, multiple sexual partners, unemployment for females and others. Recommendations have been made to the government, the women themselves, health professionals, NGOs and other significant stakeholders. Bisong Prisca Mboh "Factors Influencing Gender Disparities in the Prevalence of HIV/AIDS in Fako Division Cameroon: Case Study of Limbe and Buea Regional Hospitals" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-6 , October 2019, URL: https://www.ijtsrd.com/papers/ijtsrd29236.pdf Paper URL: https://www.ijtsrd.com/medicine/other/29236/factors-influencing-gender-disparities-in-the-prevalence-of-hivaids-in-fako-division-cameroon-case-study-of-limbe-and-buea-regional-hospitals/bisong-prisca-mboh
Impact of syndromic management of sexually transmittedAlexander Decker
The document summarizes a study that investigated the impact of syndromic management of sexually transmitted infections (STIs) among out-of-school female youths in Sagamu, Nigeria. An intervention training on syndromic management lasted 4 weeks for 80 female youths. Based on pre- and post-test analysis, syndromic management was found to have a significant impact on treating urethra discharge symptoms and abnormal vaginal discharge symptoms, but no significant impact on genital ulcer disease or lower abdominal pain symptoms. The study concludes that syndromic management can help address STIs and related issues among youths if properly implemented.
Addressing hiv infection risks and consequences among elderly Africans by Niy...Hidzuan Hashim
This document summarizes a presentation given by Professor Niyi Awofeso on addressing HIV infection risks and consequences among elderly (>50 years) sub-Saharan Africans. It provides statistics on HIV prevalence and the physical, mental, and socioeconomic burdens of HIV/AIDS in this population. It also discusses policies and programs that could help reduce infection risks, such as expanding HIV testing and treatment, promoting circumcision, implementing social pensions and healthy aging programs, and reducing stigma through education. Successful models from Botswana and South Africa are presented.
По оценкам программы Организации Объединенных Наций по ВИЧ/СПИД UNAIDS, по количеству инфицированных и по методам борьбы с болезнью Россия занимает место в одном ряду с Центральноафриканской Республикой, Демократической Республикой Конго, Индонезией, Нигерией и Южным Суданом. В этих странах не только постоянно увеличивается и без того большое число инфицированных, но они также испытывают недостаток в антиретровирусных препаратах.
IHP 501 Module Five Project Preparation WorksheetPrecious Te.docxpauline234567
IHP 501 Module Five Project Preparation Worksheet
Precious Teasley
Southern New Hampshire University
IHP-501-Q2461 Global Health and Diversity
22TW2
Professor Esther Johnstone
December 6,2022
Complete this worksheet by replacing the bracketed text with the relevant information.
Analysis Table
Other Health Challenge #1: Maternal Health
Other Health Challenge #2: Ebola Virus Disease
Other Health Challenge #3: Nutrition
Incidence
The maternal mortality rate in Sierra Leone is one of the highest in the world at 1,360 per 100,000 live births. (Trani et al.,2011).
.
In 2014 and 2015, the rate of new cases of Ebola Virus Disease in the Western Area of Sierra Leone, including Calaba Town, was between 17.32 and 36.10 for every 10,000 persons. More than half of the recorded cases and fatalities occurred in the WA Region, which encompasses two of the country's 14 districts (Richards et al., 2015).
Nearly half a million children under the age of five are stunted, and another 30,000 are malnourished and in danger of dying soon because of poor food and the prevalence of preventable childhood diseases. (Keeley, Little and Zuehlke, 2019).
Prevalence
With 1,360 maternal deaths for every 100,000 births, Sierra Leone has the highest maternal mortality rate in the world. (Trani et al.,2011).
Five new cases of Ebola were reported per hour on October 2, 2014, in Sierra Leone. A doubling of the diseased population was assumed to have occurred every 20 days.
(Richards et al.,2015.
The regional average for obesity is 20.7 per cent for women and 9.2 percent for men. However, the rates in Sierra Leone are lower. However, 7.6 percent of adult women and 8.3 percent of adult males are predicted to have diabetes.
(Maust et al.,2015). .
Presentation
Premature death, defined as dying before 70, affects around 63 percent of Sierra Leoneans (Trani et al.,2011).
From its first detection in February 2014 in Guinea, the Ebola virus illness rapidly expanded to Sierra Leone, with the first case reported on May 25 2014. By October 17, 2014, the epidemic had spread to all districts, infecting a total of 3,097 individuals, including at least 124 healthcare personnel (HCW)
More than half, that is 57 percent , of all deaths in children under five in Sierra Leone can be attributed to malnutrition. Still, the country's health ministry and government officials have begun working to reduce this horrifying statistic by signing the Nutrition for Growth agreement and becoming part of the Scaling Up Nutrition initiative.
Social Determinants
Transportation, housing, and education are all examples of social determinants of health (SDOH) that may affect individual and population health. Differentiating SDOH using Z Codes may enhance the precision of therapy and healthcare access.
The connection between weddings, deaths, and tenure is explored in detail. Attending a funeral increases one's chance of contracting an illness. Changing local patterns of behavio.
HIV originated in non-human primates in Africa and was transferred to humans in the late 19th/early 20th century. It attacks CD4+ T cells and can be spread through bodily fluids. There are two main types, HIV-1 and HIV-2. HIV is not spread through air, water, insects, or casual contact. Acquired Immunodeficiency Syndrome (AIDS) is the later stage of HIV when the immune system is severely damaged. Sub-Saharan Africa has been most heavily affected, with 68% of global cases. Women and children in Africa are especially vulnerable victims due to gender inequality, violence, lack of inheritance/property rights, and inability to negotiate condom use or number of partners
Adolescent hiv indian perspective-current and future scope - dr. baxiIndian Health Journal
The document discusses adolescent HIV in India. It notes that while adolescents aged 15-24 years make up 25% of India's population, they account for 31% of AIDS cases. HIV prevalence is 0.04% among those aged 15-19 and 0.18% among those aged 20-24. Factors like gender inequality, lack of education, poverty, and early marriage make many female adolescents particularly vulnerable to HIV. Efforts are needed to provide adolescents with correct information on sexuality and HIV, promote safer sex practices, empower female youth, and involve NGOs in HIV prevention programs targeting this group.
Similar to Faith-based Responses to HIV and AIDS relating to Women in Malawi - Elena Sarra (20)
Adolescent hiv indian perspective-current and future scope - dr. baxi
Faith-based Responses to HIV and AIDS relating to Women in Malawi - Elena Sarra
1.
Faith-based Responses to HIV and AIDS relating to Women in Malawi 1
Elena Sarra
Faith-based Responses to HIV & AIDS relating to Women in Malawi
Introduction
According to UNAIDS, in 2012 more than 35 million people worldwide were living with HIV, of
which 25 million, in Sub-Saharan Africa (SSA). Since its emergence as a pandemic, HIV has
attracted national and international responses leading to varied interventions globally (UNAIDS,
2013).
Malawi has been considerably successful in fighting the epidemic, with HIV prevalence declining
from almost 17% in 1999 to 10.6% in 2010 (Malawi Government, 2013). Despite this decline,
vulnerable groups remain disproportionately affected. In developing countries women are
particularly vulnerable to HIV due to their low socio-economic status, and in Malawi they
represent 58% of all people living with HIV (PLWH). In tackling the epidemic much remains to be
done, in particular to address stigma and to install a right-based approach to prevention and
care.
In recent years, Faith Based Organisations (FBOs) have been increasingly recognised as having
an integral role in the fight against HIV and AIDS. In many developing countries, including
Malawi, the overwhelming majority of the population belong to a faith group, and FBOs deliver
40% or more of healthcare services. Consequently, religious leaders and FBOs are extremely
influential in African communities and are uniquely placed to address issues relating to HIV. Their
depth of reach, particularly in rural areas, and ability to mobilise communities, make FBOs an
integral partner in delivering services to mitigate the effects of the epidemic.
Considering the leadership of the UNAIDS in this area, this essay aims to explore and critique
faith-based approaches in relation to women in Malawi, focusing on the assessment of the
effectiveness of these in addressing stigma and gender inequality, promoting a rights-based
approach to HIV prevention and care. The first part of this essay will provide context by exploring
the HIV epidemic in Malawi, examining the vulnerability of women and framing the role of FBOs
in the national fight against HIV and AIDS. The second part will proceed to examine the
2. Faith-based Responses to HIV and AIDS relating to Women in Malawi 2
Elena Sarra
effectiveness of faith-based approaches in relation to women in three different target areas, as
identified by the UNAIDS 2011-2015 Strategy “Getting to Zero”: Zero New Infections, Zero AIDS
related Deaths and Zero Discrimination.
Part I: Exploring the Context
Malawi Epidemiology
Malawi’s first case of AIDS was reported in Kamuzu Central Hospital in Lilongwe in 1985, with a
further 17 cases reported by the end of that year. In following years the prevalence amongst
persons aged 15-49 rose significantly, reaching a peak of 16.9% in 1999. Since then, Malawi has
been successful in reducing new infections and increasing access to treatment. According to the
2012 National Progress Report, the period between 2004 and 2010 saw the national prevalence
decline from 12% to 10.6% (Malawi Government, 2012).
However, overall prevalence is often not illustrative of inequalities within a population. For
instance, in 2010, in persons aged 15-49, prevalence was higher amongst women, at 12.9%, than
amongst men, at 8.1% (Malawi Government, 2012). Other groups such as men who have sex with
men (MSM) and female sex workers are disproportionately affected, with prevalence levels at
21.4% and 70.7% respectively. Geographically, the prevalence of urban areas is twice that of
rural areas; similarly, prevalence in the Southern region of the country is double that of the
Central and Northern regions (ibid). Such nuances and inequalities are important in order to
develop a deeper understanding of the drivers of the epidemic and to assist the mitigation of the
vulnerability of highly affected groups.
In 2011, over 75% of Malawi's HIV/AIDS interventions was funded by international donors
including the World Bank, the Global Fund, the World Health Organization, the U.S. President's
Emergency Plan for AIDS Relief (PEPFAR), and the Joint United Nations Programme on HIV and
AIDS (UNAIDS). In 2011, 65.9% of Malawi’s HIV & AIDS budget was allocated to treatment and
care, and only 11% to prevention strategies (Malawi Government, 2012).
3.
Faith-based Responses to HIV and AIDS relating to Women in Malawi 3
Elena Sarra
Government Action
In 1989, recognising the severity of the HIV/AIDS epidemic, the Government of Malawi created
the National AIDS Control Programme (NACP) and National AIDS Secretariat (NAS) to provide
technical leadership in HIV and AIDS. In 2003, the Malawi Government developed a National HIV
and AIDS Policy to provide guidelines for the design, and implementation of HIV and AIDS
interventions. More recently, the National AIDS Commission (NAC) developed the National HIV
& AIDS Strategy (2011-2016) to guide the national response to the epidemic (NAC, 2003; Malawi
Government, 2012).
Under the leadership of UNAIDS the international community has devised a wide range of
responses. The 2011 United Nations Political Declaration on AIDS aimed to set the post-2015
agenda by setting a vision to achieve Zero new HIV infections, Zero discrimination and Zero
AIDS-related deaths. Malawi’s National HIV Strategy is closely aligned with that of UNAIDS and is
currently focused on these three target areas (Malawi Government, 2013).
Women & HIV
Globally, women are disproportionately affected by HIV and AIDS, representing 52% of all
people living with HIV; however, according to UNAIDS, in Malawi this percentage increases to
58% (UNAIDS, 2014). The Government of Malawi has repeatedly recognised that the low socio-
economic status of women and gender inequalities constitute one of the major drivers of the
epidemic in the country (Malawi Government, 2013; Lindgren et al., 2005).
In addition to being physiologically more vulnerable to HIV infection than their male
counterparts, Malawian women generally have poor bargaining power in sexual relationships.
Patriarchal systems render women more susceptible to non-consensual intercourse and sexual
exploitation, which severely affects their ability to negotiate abstinence, condom use or
monogamy (UNFPA, 2013). Cultural practices such as widow inheritance (‘Choloko’), sexual
initiations and gender-based violence (GBV) create a context where women often lack ownership
and control over their sexual behaviours and practices, becoming vulnerable not only to HIV, but
4. Faith-based Responses to HIV and AIDS relating to Women in Malawi 4
Elena Sarra
also other sexually transmitted diseases or even unwanted pregnancies. Considering that 88% of
all new infections in Malawi are contracted through heterosexual sex, it becomes obvious why
women’s poor bargaining power in intimate relationships increases their vulnerability (Malawi
Government, 2012). According to UNAIDS, women are 55% more likely to be HIV positive if they
have experienced intimate partner violence asserting that ‘Much greater investment should be
made to address the intersections between HIV vulnerability, gender inequality and violence
against women and girls.’ (UNAIDS, 2010; 2014).
As a result of their lower status, women have limited access to education, employment, and
productive resources. In addition, traditional gender roles tend to relegate women to domestic
chores and subsidence farming, making men the primary breadwinners. Being dependent on
their husbands for financial support decreases women’s autonomy and bargaining power within
the marriage. Furthermore, when men are unable to provide for their families, women are likely
to resort to transactional sex under circumstances that make negotiation of condom use very
unlikely (UNAIDS, 2014).
Research conducted on the Malawi food crisis of 2002 revealed that during the crisis women
became increasingly engaged in unsafe transactional sex in order to support themselves and
their families (Fahy Bryceson and Fonseca, 2006). Traditionally, women are also expected to fulfil
care-giving duties not only for infants and children, but also for any elderly or sick relatives.
Consequently, women are extremely time poor, which affects their ability to pursue other income
generating activities in pursuit of financial autonomy.
Inequality continues to affect women once they are infected with HIV. Women are likely to be the
first ones to be tested and diagnosed within a family; this often means they are blamed for
infecting their spouse. Power imbalances often translate in women having to seek their husband’s
permission to access HIV treatment. Stigma and discrimination are perhaps the greatest factors
affecting women living with HIV. Exclusion from communal activities often results in decreased
income generating opportunities and marginalisation from support networks. It is possible to find
countless testimonies of communities and even relatives marginalising individuals upon
5.
Faith-based Responses to HIV and AIDS relating to Women in Malawi 5
Elena Sarra
disclosure (UNAIDS, 2014). Furthermore, stigma often acts as a barrier to access of services such
as testing and treatment, thus exposing sexual partner(s) as well as future children to the virus.
Considering the focal role of women in families and communities, the welfare of women has
heavy repercussions on other groups within society. Due to motherhood and care-giving duties
being such important part of women’s role in Malawi, children and relatives can be deeply
affected if a woman is ill or passes away.
Role of FBOs
Religion and spirituality play a substantial role in the life of Malawians, with 80% of the
population identifying as Christians and 13% as Muslim. In addition to their spiritual capacity,
religious bodies are significantly involved in the delivery of care and public services. According to
the Christian Health Association Malawi (CHAM), approximately 40% of all healthcare provision in
Malawi is delivered by Christian institutions, with this percentage rising to 80% in hard-to-reach
rural areas. Studies have found that faith-based health providers deliver better services than
government facilities (Samuels, Geibel and Perry, 2010).
As a result, faith-based organisations (FBOs) are considered an integral partner in the delivery of
HIV services, and their role is widely acknowledged within the National HIV and AIDS Strategic
Plan and other national and international policies relating to HIV and AIDS (NAC, 2009). For
instance, many FBOs provide facilities for the care of PLWH, orphans and vulnerable children
(OVC) and their guardians, schools, etc.(Samuels, Geibel and Perry, 2010).
Overall, religious leaders and FBOs are extremely influential and well respected in Malawi.
Capitalising on the respect they command within society, they can deeply influence the values,
behaviours and practices of entire communities. Through their networks and structures FBOs are
able to reach even the most remote communities and are more resilient to insecurity given their
ability to mobilise local volunteers and rapid access to emergency funding (Green, 2003).
FBOs however, are often criticised for reinforcing gender inequality through gender-biased
hierarchies within their structures and for being reticent about traditional gender roles and
6. Faith-based Responses to HIV and AIDS relating to Women in Malawi 6
Elena Sarra
harmful traditional practices. FBO can sometimes take an active role in fuelling stigmatisation of
PLWH through the condemnation of ‘sinful behaviours’ associated with HIV transmission. Some
testimonies report religious leaders condemning condom use and family planning tools, whilst
promoting unhelpful beliefs such as prayer being a viable substitute for ART or even a cure for
HIV. Similarly, FBOs can exercise influence with the government, particularly with regards to
policy debates on legal, moral and ethical issues, as well as punitive laws (Green, 2003).
In 2000, religious leaders from Christian and Islamic religious institutions came together to
establish the Malawi Interfaith Aids Association (MIAA) whose purpose is to provide an
institutional framework for implementing strategies in the fight against HIV and AIDS within a
faith based context (MIAA, 2006). This somewhat demonstrates efforts toward a collaborative
approach, putting aside theological differences.
7.
Faith-based Responses to HIV and AIDS relating to Women in Malawi 7
Elena Sarra
Part II: Getting to Zero
Zero New Infections: Prevention
In Malawi, heterosexual sex is the predominant method of HIV transmission, accounting for 88%
of all new infections. Vertical transmission from mother to child represents a further 10% of new
infections. The fact that women are involved in 98% of all new infections makes addressing
gender inequality indisputably essential to eradicating HIV in Malawi (Malawi Government, 2012).
In promoting prevention, faith-based responses often focus on promoting the ABC approach
(Abstinence, Being faithful and Condom use). In particularly conservative circles there has been a
tendency to promote abstinence and faithfulness primarily, with condom use being met with
mixed results (Trinitapoli, 2009). Whilst the ABC approach can be useful in delaying sexual debut
and limiting chances of infection, its success is heavily dependent on men adhering to it, as
gender inequality and GBV limit women’s bargaining power in negotiating each of the three
options of ABC.
Malawi’s National Report on HIV and AIDS indicates that women become infected in at a
younger age than men, making it extremely likely that older men are seeking younger girls and
women for intercourse (Malawi Government, 2012). Difference in age and experience further
skews the power balance in favour of men, leaving the ABC approach largely dependent on their
willingness to comply.
Research shows that theological factors can fuel unhelpful attitudes around sexual behaviours
and childbearing, with FBOs often reluctant to promote family planning and condom use.
Condoms are often perceived appropriate for non-marital relations, but inappropriate within
marriage, which is supposed to involve trust and be aimed at producing children. Despite the
Catholic Church’s relaxation on the ban of condom use in 2010 with regards to discordant
couples, the ABC approach does little to contest the societal expectations around production of
offspring, which would put the negative partner at risk of infection. Should a woman refuse to
have children in the attempt to avoid infection, she would then be vulnerable to abandonment or
8. Faith-based Responses to HIV and AIDS relating to Women in Malawi 8
Elena Sarra
divorce, which would further increase the vulnerability of her livelihood. (Trinitapoli, 2009)
Research indicates that some FBOs have promoted counter-productive beliefs such as prayer
being a substitute for condom use, illustrating a need for reinforcing HIV and AIDS training in
theological colleges and for established religious leaders, particularly in hard to reach areas
where they are often seen as the main source of information (Malawi Government, 2012;
Trinitapoli, 2009).
Although FBOs in Malawi have been instrumental in challenging traditional marriage practices
such as polygamy and in promoting faithfulness, it is estimated that over 80% of new infections
occur within stable relationships (Malawi Government, 2009). Some interventions focus on couple
counseling thus promoting communication and respect within relationships, however it remains
doubtful that these challenge traditional gender roles that lead to inequality and vulnerability of
women.
Whilst promoting communication and respect within relationships, FBOs largely fail to advocate
women sexual and reproductive rights, particularly in regards to family planning. One could
argue that, whilst FBOs approaches to prevention aim to address risky behaviours and practices,
they fail to address the structural inequalities that drive the epidemic.
Zero Related Deaths: Treatment and Care
Although women are often the first to be diagnosed within a household, they face substantial
challenges in accessing treatment. Patriarchal hierarchies undermine their agency over own
health, as they often require permission from their husbands to access treatment. There are also
reports of women being denied access to health services as a result of stigma. In this respect, the
work of FBOs can be particularly useful. FBOs are often involved in delivering care to AIDS
patients, often mobilising communities at grass-root level to generate volunteers (Green, 2003).
This counteracts marginalisation and promotes acceptance and compassion toward the sick,
which may in turn have a positive effect on women’s access to treatment. Moreover, faith-based
approaches can deliver the moral and spiritual support that is often overlooked in other
9.
Faith-based Responses to HIV and AIDS relating to Women in Malawi 9
Elena Sarra
approaches (Ibid).
In recent years, international actors have formalised ‘The Global Plan’ towards the elimination of
new infections among children by 2015 and keeping their mothers alive. This has been a crucial
advancement for increasing women’s access to treatment, and as a result the Ministry of Health
in Malawi has implemented an innovative approach for the treatment of HIV-infected pregnant
women, named Option B+, which consists of providing life-long antiretroviral treatment to all
mothers, regardless of CD4 count (WHO, 2012). Although Option B+ suggests a deep
understanding of women’s role in society, wording around Option B+ is often focused on its
function in PMTCT and thus proposes treating women as a means to an end, rather than as an
end in itself.
Despite this, FBOs play a significant part in the delivery of this service, as they are heavily
involved in the delivery of healthcare services, particularly in hard-to-reach areas. However, as
illustrated in a study from Zambia, the availability of the service does not automatically lead to
uptake (Musheke, Bond and Merten, 2013). In the study, individuals associated illness with
feeling unwell and therefore did not seek treatment if asymptomatic. Furthermore, some studies
have shown that religious leaders at community level have been known to promote prayer and
spiritual healing as a viable alternative to ART drugs. This illustrated the need for FBOs to speak
with a united voice, ensuring that not only healthcare providers, but also religious leaders in
communities are educated about prevention, treatment and right-based access.
Nutrition is an important part of treating HIV, as treatment has been proven to be less effective in
absence of an adequately nutritious diet. Gender inequalities within families often result in men
having priority over women in access to food (Fahy Bryceson and Fonseca, 2009). FBOs have
been involved in delivering nutritional support to HIV patients, however their ability to address
priority over food remains uncertain. It can be speculated that gender inequality issues could be
addressed in counseling, support groups and pastoral care initiatives which are often delivered
by FBOs.
Not long after diagnosis, PLWH are often considered and treated as a burden on families and
10. Faith-based Responses to HIV and AIDS relating to Women in Malawi 10
Elena Sarra
communities. Research has revealed PLWH in some instances are described as ‘walking corpses’
and are often ‘written off’ by both religious leaders and communities, which leads to further
exclusion and increased livelihood vulnerability (UNAIDS, 2014). Consequently, promoting self-
sufficiency and dignity of PLWH is essential to the eradication of stigma and the perception that
HIV is a death sentence. Whilst there is evidence of FBOs engaging in income generating
activities for PLWH, support offered normally revolves around palliative care, nutrition, home
based care and counseling, which may be less effective in promoting dignity and self-worth,
eradicating existing perceptions (St. Peters’ Church, 2012).
Zero Discrimination
Stigma has been identified by the UNAIDS and the international community as one of the
leading drivers of the HIV epidemic. Malawi’s National HIV and AIDS policy document, produced
in 2003, denotes that discrimination against PLWH constitutes a violation of their rights and
decreases likelihood of voluntarily disclose, thus increasing their vulnerability to the virus and
chances of infecting others (NAC, 2009; MIAA, 2006).
Given their high status and influence in society, religious leaders can play an important role in the
eradication or perpetuation of stigma of PLWH; with research showing that religious leaders can
be susceptible to the temptation of exercising power over others. A study conducted in 2006
shows that, in certain areas of Malawi, up to 40% of religious leaders believed HIV to be a
deserved punishment from God/Allah for promiscuous or sinful behaviour. Despite this, interfaith
umbrella bodies such as MIAA have since worked against this trend and currently place the
eradication of stigma at the top of their HIV and AIDS agenda, recognising that “For people
living with HIV, or those assumed to be HIV-positive, no area of life is untouched by stigma and
no area of life is invulnerable to discrimination.” (MIAA, 2006).
Women are especially vulnerable to stigma, as they are most likely to be the first to be tested
within a family, consequently they are often blamed for bringing HIV into the home. Women are
also more likely to be stigmatised and excluded as their roles in society are related to chores and
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Elena Sarra
tasks that can be perceived as risky of contamination, such as cooking and caregiving. In Malawi,
whilst it is widely accepted that even married men will be sexually active with multiple partners,
women are denied similar freedoms (Lindgren et al, 2005). Consequently, as HIV is perceived to
be strongly linked to polygamous behaviour, women’s HIV status disclosure often bears deeper
implication than for men.
FBOs have the capacity to mobilise volunteers and are well positioned to develop insight of the
needs of their members. As explored in the previous section, this has seen FBOs becoming
involved in the delivery of home based care initiatives through the mobilisation of members
within the community (Green, 2003). Besides delivering practical support, such an approach can
help break barriers and eradicate stigma by sensitising members of the community to the needs
and challenges faced by PLWH FBOs are also uniquely placed to promote acceptance, care and
tolerance of PLWH.
In recent years, since the formalisation of the GIPA Principle, there has been increasing
recognition amongst FBOs of the importance of adopting a Human-Rights-focused approach and
pursue the inclusion and involvement of PLWH. The GIPA Principle was stipulated at the 1994
Paris AIDS Summit, where 42 nations agreed to “support a greater involvement of people living
with HIV/AIDS at all levels and to stimulate the creation of supportive political, legal and social
environments” (UNAIDS, 2007).
More recently, in August 2013, the inclusion of religious leaders in capacity-building around HIV
and Human Rights has been reinforced by the creation of the ‘Framework for Dialogue’, a tool for
increasing efficient, inclusive and continued dialogue and collaboration between PLWH and
religious leaders to address stigma and discrimination (Ibid). This development is certainly
promising and indicative of progress toward a multi-dimensional, human rights approach to
addressing stigma where those affected have a voice and can exercise agency.
Stigma can often be legitimised by punitive laws such as criminalisation of HIV transmission and
anti-gay legislation, particularly in and African context. Adoption of legislation favouring the
Criminalisation of HIV transmission has been considered in several countries including Malawi,
12. Faith-based Responses to HIV and AIDS relating to Women in Malawi 12
Elena Sarra
however it was ultimately refused. Such legislation would be detrimental to women as they are
often mistakenly blamed for infecting partners and are frequently unable to negotiate sexual
practices, even once infected (UNAIDS, 2012).
Another point to consider is the condemnation of homosexual behaviours and practices.
Although, perhaps unsurprisingly, homosexual practices were not listed in the list of methods of
transmission in the 2013 National Report on HIV and AIDS, prevalence amongst MSM was
double that of the national average at 21.4% (Malawi Government, 2009). Malawi currently has
punitive anti-gay legislation in place, with perpetrators facing up to 14 years of imprisonment. It
is undeniable that religion has played a vital role in the condemnation of homosexuality, thus
undermining its overarching message of tolerance and compassion normally used by FBOs to
reduce stigma. This further exacerbates the vulnerability of minority groups such as MSM and
could fuel stigma and discrimination toward all groups that are perceived to be minorities.
Furthermore, this illustrates that despite efforts to reduce stigma associated with HIV, FBOs still
have progress to make with regards to adopting a non-judgement, rights-based approach to HIV
and AIDS.
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Elena Sarra
Conclusion
Preventing the spread of HIV/AIDS in Malawi is a critical public health concern. Despite success
in curbing prevalence, research has consistently shown that gender inequality and women’s lack
of autonomy in many crucial aspects of their lives is a significant barrier in controlling the
epidemic.
FBOs are uniquely placed in African societies both because of the influence and respect they
command, but also due to their ability to reach even the most remote areas and their
involvement in providing healthcare services. Religious leaders have insight and well-rounded
knowledge of their communities’ needs and at the same time have power to influence policy
making and government action.
Their influence within communities enables them to influence behaviours and attitudes,
particularly with regards to stigma and discrimination. FBOs are involved in the delivery of
grassroots projects that involve mobilisation of volunteers, with much scope for breaking barriers
and misconceptions.
Although there has been a recent progress toward human rights approaches and increasing
recognition of the need for inclusion and cooperation of PLWH, theological beliefs of FBOs still
promote unhelpful behaviours and fuel punitive laws that can be extremely detrimental for
vulnerable minority groups such as women and MSM.
The overwhelming majority of faith-based responses revolve around offering practical support
and the promotion of moral values such as compassion and acceptance at community level.
Although these can be helpful in mitigating the effects of HIV and AIDS, they do not address the
gender inequalities and social constructs that lie at the core of women’s vulnerability. Failure to
address these issues can often undermine the positive outcomes that are unique to faith-based
approaches and exacerbate vulnerability of minorities. In conclusion, FBOs’ commitment to
reducing stigma and to a rights-based approach can often be superficial. A much deeper
understanding of gender inequalities and a true commitment to addressing these is needed in
order to capitalise on the unique place and status that FBOs enjoy in African communities.
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