1. Women and HIV Roundtable Discussion on the Occasion of International Women’s Day 2010 “ Equal Rights, Equal Opportunities: Progress for All” Annami Löfving, UNAIDS
What has happened globally since 2004- access to treatment has increased; the proportion of new infections among women is increasing. more recognition of women’s vulnerabilities and the fact that addressing them needs a collaborative approach at the same time focusing on empowering women socially and economically while involving men and boys in prevention programmes In less than ten years this figure has increased from 19% (2000) to 35% (2008).
Priorities for prevention usually includes scaling up HIV prevention interventions among sex workers, men who have sex with men and injecting drug users but lack a strong additional component of reaching out to their long-term intimate sexual partners. Other interventions include preventing intimate partner violence, including sexual violence, promoting gender equality, reducing economic inequities, promoting property rights, reducing vulnerability conditions associated with migration, reducing stigma and discrimination, and improving disclosure within serodiscordant couples. Need to better understand t he impact of gendered norms and expectations which: cause women to have limited opportunities to inform and protect themselves sexually promote male behaviour such as having pre-marital and extra marital sex partners may fuel stigma towards individuals not conforming to dominant norms and limit health seeking behaviour
From Spectrum 2009 Estimated 238 000 PLHIV*, Adult Prevalence 0.6%** [ *Technical Working Group on Estimates and Projections, 2009) ** WHO; National AIDS Programme, 2009] Within the overall declining number of people living with HIV, an increasing proportion are women* HIV prevalence among sex workers (2009) estimated to 18%
Increasing proportion of new infections among women who are long term partners of key populations at higher risk of infection
Joint initiative led by National AIDS Programme and UNAIDS, also a Joint UN Team on AIDS priority. Involvement of stakeholders from all parts of the HIV response including affected communities as team members.
therefore not reached by positive prevention interventions; Stigma Index Study carried out by Myanmar Positive Group among their members show significantly lower education level among female respondents, where the majority had completed primary school. Access to information is low. If VCCT offered as part of routine RH and STI care this is believed to make it easier for the woman to explain to her partner/husband why she was tested. Stigma Index sample size: 324
2.these decisions not made on medical criteria 3. Increase of about 400 mother-baby pairs from 2008-2009. 2008: 1923 (total) 172 on ART. 2009: 2352 (total) 281 on ART. For programmes with only PMCT, effective referral is still an issue.