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Gender Power and Hiv Prevention Tcm8-11326

Gender Power and Hiv Prevention Tcm8-11326

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Published by Allan

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Published by: Allan on Jan 06, 2009
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05/09/2014

 
GENDER, POWER AND HIVPREVENTION
VSO POLICY BRIEF
 
CONTENTS
FOREWORD 3GLOSSARY 4EXECUTIVE SUMMARY 5INTRODUCTION 6CHAPTER 1: GENDER INEQUALITY AND HIV PREVENTION8ECONOMIC POWER 8SOCIAL POWER 10CHAPTER 2: RECOMMENDATIONS FOR HIV PREVENTION PROGRAMMING14ABC DOESNT WORK 14BEYOND ABC: THE FULL ALPHABET 16– COMPREHENSIVE EVIDENCE-BASED HIV PREVENTION FOR ALLCHAPTER 3: ENABLING COMPREHENSIVE HIV PREVENTION– GOOD PRACTICE22STRONG PUBLIC HEALTH SYSTEMS 22MAINSTREAMING 22THE THREE-PRONGED APPROACH 23VSOS RESPONSE 28CHAPTER 4: RECOMMENDATIONS FOR INTERNATIONAL 29AND NATIONAL BODIESPOLICY GAPS AND IMPLEMENTATION 30A CALL TO ACTION FOR GOVERNMENTS, DONORS 31AND INTERNATIONAL INSTITUTIONSCONCLUSION 35BIBLIOGRAPHY 36
GENDER, POWER AND HIV PREVENTION 2
POLICY BRIEF PRODUCED BY VSO IN 2007©VSO 2007Photos ©Peter Barker/Panos PicturesReport Author: Nina O’FarrellReport Editors: Lucy Jenks and Michael PodmoreWith thanks for their input to Danielle Alford, Kieran Breen, Sara Cottingham, Phil Hudson, Clive Ingleby, Kate Iorpenda, Michael Kelly,Tamsin Langford, Etelvina Mahanjane, Karen Mingelers, Grace Mukasa, Bongai Mundeta and VSO RAISA, Stephen Nock, Aisatou Ngong,Kevin Osbourne, Fiona Pettit, Stephen Porter, Alan Smith, Barbara Trapiro, Patrick Wajero, Samantha Willan.
 
More than 26 years have passed since what we know as HIV & AIDS came to theattention of the world. These were years of some successes but more numerousfailures in getting ahead of the epidemic. Today, more widespread access totreatment means that lives are being saved. This is as it should be and we wantto see more of it so that every person who is in need can have access, soonerrather than later, to life-preserving treatment. But in the area of prevention thesuccesses have been less remarkable. HIV transmission continues to grow apace,outstripping each year the numbers being provided with treatment, and evenoutstripping the numbers who die from AIDS-related illnesses.One reason for this totally unsatisfactory situation is that prevention responseshave tended to focus on short-term pragmatic solutions. Responding to today’semergency prevention needs is effective and necessary as a short-term tacticwithin the framework of a long-term strategic response. But the tactic shouldnever have become a strategy on its own. The sorry story of the first quartercentury of the epidemic is the story of the outcome. It shows that HIVtransmission continued almost unabated because we had been missing muchthat was vital. Specifically, we had been less than half-hearted in our effortsagainst the fundamental drivers of the epidemic, especially gender inequality,stigma and discrimination, homophobia and poverty. In particular, global, nationaland local action did not match the many good words about tackling the femini-sation of the epidemic.This policy brief strives to remedy this situation by its holistic and long-termapproach. It deals squarely with the power issues that are at the root of genderinequality, proposes a comprehensive range of prevention interventions, andestablishes the basics of a conducive environment for comprehensive HIVprevention measures. The three-pronged approach that it advocates – addressingstructural inequalities; addressing the immediate needs of women, girls andvulnerable men; and involving men – brings a new dimension to the discourse onHIV prevention.Careful adoption of the recommendations contained in this policy brief shouldsignal considerable progress in reducing HIV transmission and in hastening theday when equality between women and men will become a lived reality. With thestranglehold of HIV & AIDS being broken and equality becoming a reality, women,men and their children will then be better able to experience a life of dignity,fulfilment and mutual support.MICHAEL J. KELLYLUSAKA1 JULY 2007
GENDER, POWER AND HIV PREVENTION 3
FOREWORD

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