In 2010, an estimated 2. Million people became newly infected with HIV. In 2005, the world witnessed Women and Girls increasingly infected by HIV / AIDS. In most societies, the rules governing sexual relationships differ for women and men. For many women, their male partners' sexual behavior is the most important HIV-risk factor.
In 2010, an estimated 2. Million people became newly infected with HIV. In 2005, the world witnessed Women and Girls increasingly infected by HIV / AIDS. In most societies, the rules governing sexual relationships differ for women and men. For many women, their male partners' sexual behavior is the most important HIV-risk factor.
In 2010, an estimated 2. Million people became newly infected with HIV. In 2005, the world witnessed Women and Girls increasingly infected by HIV / AIDS. In most societies, the rules governing sexual relationships differ for women and men. For many women, their male partners' sexual behavior is the most important HIV-risk factor.
newly infected with HIV. Today, some 34 million people are living with HIV, which killed about 2 million in 2010, and over 30 million since the first cases of AIDS were identified in 1981.
In late 1980s, researchers throughout the world
suggested that women and girls might be a special risk of HIV infection because of cultural, psychosocial and legal barriers towards protection, economic vulnerabilities and attitudes regarding sexuality.
In 2005, the world witnessed Women and Girls
increasingly infected by HIV/AIDS. Sociology of gender discourse It is now widely established that Women and Girls are more physically susceptible to HIV infection than men. Data from a number of studies suggest that male-to-female transmission during sex is
about twice as likely to occur as female-to-male
transmission, if no other sexually transmitted infections are present. Moreover, young women are biologically more susceptible to infection than older women before menopause. Womens increased risk is also a reflection of gender inequalities. In most societies, the rules governing sexual relationships differ for women and men, with men holding most of the power.
This means that for many women, including
married women, their male partners sexual behavior is the most important HIV-risk factor. Challenging negative gender roles is critical to the global AIDS response. The 2001 UN Declaration of Commitment on HIV/AIDS recognized that gender inequality is fuelling the epidemic.
In the Declaration, governments pledged to create
multisectoral strategies to reduce girls and womens vulnerabilities. Its 20032005 benchmarks include:
addressing the epidemics gender dimensions
(article 37); accelerating national strategies that promote womens advancement and their full enjoyment of all human rights; the sharing of responsibility by men and women to ensure safer sexual behavior and empowering women to make decisions about their sexuality and protect themselves from HIV (article 59);
eliminating discrimination against women,
including violence against women, harmful traditional practices, trafficking and sexual exploitation (articles 612); reducing mother-to-child HIV transmission by increasing womens access to antenatal care, information, counselling and testing, other prevention services, and treatment (article 54); and reviewing the epidemics social and economic impact, especially on women in their role as caregivers (article 68). Since 2001, a variety of regional, national and international initiatives have emerged.
The United Nations Development Fund for Women
launched a programme to intensify gender and human rights activities within 10 highly affected countries national responses.
Among other activities, the programme aims to
enhance national capacity to review legislation or policies with implications for the epidemics gender dimensions.
In Bangladesh we have not heard anything in this
regard. Women face greater riskDuring the last few years, the overall proportion of HIV-positive women has remarkably increased.
In 1997, women were 41% of people living with
HIV; by 2004, this figure rose to almost 50%. This trend is most marked in places where heterosexual sex is the dominant mode of transmission. In sub-Saharan Africa 57% of adults infected are women, and 75% of young people infected are women and girls. Several sociocultural factors are driving this trend.
Young African women tend to have male partners
much older than themselvespartners who are more likely than young men to be HIV-infected.
Gender inequalities in the region make it much
more difficult for African women to negotiate condom use. Furthermore, sexual violence, which damages tissues and increases the risk of HIV transmission, is widespread, particularly in the context of violent conflict. According to recent UN press conference women in South and South-East Asia are becoming increasingly vulnerable to HIV infection because of their poor education, dominance and physical susceptibility.
At the end of 2004, women accounted for 30% of
infections in this region. In South Asia, womens low economic and social position has profound implications.
In this region, women typically have limited access
to reproductive health services and are often
ignorant about HIV, the ways in which it can spread
and prevention options.
Social and cultural norms often prevent them from
insisting on prevention methods such as use of condoms in their relations with their husbands. Women and girls affected more than men The epidemics impact on women and girls is especially marked. Most women in the hardest- hit countries face heavy economic, legal, cultural and social disadvantages which increase their vulnerability to the epidemics impact. (see boxes on gender beginning each chapter). In many countries, women are the carers, producers and guardians of family life. This means they bear the largest AIDS burden. Families may withdraw young girls from school to care for ill family members with HIV.
Older women often shoulder the burden of care
when their adult children fall ill. Later they may become surrogate parents to their bereaved grandchildren.
Young women widowed by AIDS may lose their land
and property after their husbands diewhether or not inheritance laws are designed to protect them.
Widows are often responsible for producing their
families food and may be unable to manage alone. As a result, some are driven to transactional sex in exchange for food and other commodities.
When the male head of a household becomes ill,
women invariably take on the additional care duties. Providing care to an AIDS patient is arduous and time-consuming; even more so when it is done on top of other household duties.
A caregivers burden is especially heavy when
water must be fetched from a distance, and sanitation and washing chores cannot be carried out in or near the home.
South Africa aptly illustrates this. It is one of the
most developed countries on the continent.
Yet, a 2002 survey of AIDS-affected households
found fewer than half had running water in the dwelling and almost a quarter of rural households had no toilet (Steinberg et al., 2002).
Stigma has concrete repercussions for people living
with HIV. Family support and solidarity cannot be assumed. A woman who discloses her HIV status may be stigmatized and rejected by her family.
In most cases, women are the first in the family to
be diagnosed with HIV and may be accused of being the source of it in the family. In Bangladesh patriarchal social structures have historically and systematically excluded women from those aspects of society that are responsible for leadership, policy formation, resource allocation and decision making.
In the light of the above discussion, the following
sections will highlight the risk and vulnerabilities of Bangladeshi women in contracting HIV/AIDS.
Perceived Invulnerability: Reality of Bangladeshi
Adolescents Girls and Women at Risk Despite strong religiosity and sociocultural norms, several qualitative and quantitative studies show that promiscuity, illicit sexual behavior, and multiple sex partners are much common among Bangladeshi population (UNFPA, 2004; BCCP, 2004; Amanullah, 2002; Caldwell and Pieris, 1999; Aziz and Maloney, 1985).
Young adolescents girls and women are often
victims of these pre-marital sexual activities. In a study, 50% of young men had engaged in intercourse before their marriage, adolescents were not punished for their premarital sex, and such acts were related to respondents socioeconomic status. Families were not worried about pre-marital discreet sexual relationships of their sons. Social and religious sanctions against pre-marital sexual relations are weak if it happens between a powerful man and a poor woman (Amanullah, 2004; Aziz and Maloney,1985). The practice of extra-marital sex is much frequent among adolescents and young boys and girls as
well as small professional groups (UNFPA, 2004;
BCCP, 2004; Amanullah, 1998; 2002). It is now well established that the presence of both ulcerative and non-ulcerative STDs increases the risk of HIV transmission as much as 3 to 5 folds.
In a Save the Children (USA) (1992), 54% of the
women visiting a four-day free health clinic conducted in Rangunia, a conservative, predominantly Muslim rural area about 30 km from port city Chittagong, had a history of present or past STDs, 61%, having current symptoms of STDs, had an abnormal vaginal discharge, 5% had genital ulcers, 34% had lower abdominal tenderness, and 4% had genital warts.
The study warned that in absence of adequate
testing and treatment facilities, the high incidence of STDs in such a poor and remote rural community would provide a fertile ground for explosive and unchecked outbreak of HIV (SCF, 1993). Several national studies show that the awareness and usefulness of condoms have risen in Bangladesh for last few decades among ever-
married women/men (Mitra et al., 2001),
adolescents (Mitra, Islam and Amanullah, 1996) and SWs and their clients (Amanullah and Islam, 1996; Jenkins, 1999).
Overall 40% Bangladeshi ever married women do
not know of HIV/AIDS. The ignorance was higher among women with no education (63%); only 8% of them know about condom as a way to avoid HIV infection (BDHS, 2004).
However, the most discoursing fact for HIV
program planners is that, of those women who were currently using FP methods, only 4.2% women stated that they were using condoms and the practice was strikingly related to their education and place of residence (BDHS, 2004). Overall, as of the end of 2004, an estimated 7.1 million adults and children have become infected with HIV in South and Southeast Asia (UNAIDS, 2004).
It is feared that the explosive sex trade, abject
poverty, illiteracy, patriarchy and large scale population movements have already made this region a fertile ground for rapid expansion of HIV epidemic. The success achieved in Thailand and many other African Muslim and Non-Muslim countries such as Senegal, Zimbabwe and Uganda reveals that, despite structural and cultural barriers such as poverty, illiteracy, stigma and male dominance, there is still some hope to increase safe sex practices through culturally sustainable HIV/AIDS prevention programs and providing support services to vulnerable groups, specially riskpracticing women and children.