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spread of HIV/AIDS
Anirudha Alam
According to UNAIDS estimates, over half of new HIV infections are occurring among
young people (15-24 years) – or over 7,000 new infections a day worldwide. Around
95% of people with HIV/AIDS live in the communities of developing countries.
Nowadays HIV is a common threat to men, women and children in all communities
throughout the world. The challenges in responding to HIV/AIDS may vary enormously
from community to community owing to geographical location, livelihood status, social
infrastructure and so on. Cross border movement, women trafficking, neighboring to
high prevalent communities, gaps in health care delivery, low levels of HIV/AIDS
awareness and sexual bondage because of poverty make the communities vulnerable
affecting public health systems. To combat this vulnerability with regard to HIV/AIDS,
there is no single solution. But integrated community approach may play an influential
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role to protect from sexually transmitted infections (STIs). This is why adopting a gender
sensitive and human rights based approach, community oriented strategic plan will be
well-equipped and groomed with a wide range of local stakeholders’ support and
participation to address HIV/AIDS. Side by side community people will be efficient to
discuss and develop norms, values and practice as to safe sexual behavior.
Community focused strategic plan for HIV/AIDS has to be based on the reality of the
epidemic engendered from thorough case studies. The prevalence of HIV may remain
low in communities. But there are some considerable factors that can play vital role to
fuel its rapid spread extensively. As per the findings of the survey on ‘Reasons of
Vulnerability to HIV/AIDS in Bangladesh’ recently conducted by Bangladesh Extension
Education Services (BEES), ‘Polygamy, dowry, gender violence & discrimination,
believes in superstitions as well as lack of safe health practice are kindling the spread of
HIV/AIDS drastically in rural areas. If the awareness is not shaped fruitfully community
wise in integrated way, all of the programs to undermine the spread of HIV/AIDS will
fail.’ HIV/AIDS prevalence was low for many years in Indonesia even with lots of risky
behavior. But in the past two or three years, the circumstances have been changed. At
present, HIV/AIDS prevalence is growing severely in several communities of the
country.
At last we may infer that any kind of community based strategic plan should be
comprehensive, consistent, coordinated, constructive, consequence oriented and above all
committed to community exclusively. Capitalizing on these key characteristics indicated
by six C’s, it will be possible to attain a high watermark of success to combat
skyrocketing vulnerability to HIV/AIDS.
Anirudha Alam
Deputy Director (Information & Development Communication) & Trainer
BEES (Bangladesh Extension Education Services)
183, Lane 2, Eastern Road, New DOHS
Mohakhali, Dhaka 1206
Bangladesh.
Website: http://www.bees-bd.org
Phone: 01718342876, 9889732, 9889733 (office), 8050514 (res.)
E-mail: anirudhaalam@yahoo.com
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