Professional Documents
Culture Documents
En-Gendering AIDS Prevention
En-Gendering AIDS Prevention
Anirudha Alam
Contents
Fazle Hasan Abed
Gender Awareness, Stepping Stone to HIV Prevention 09
an enlightened person dedicating his whole life
Training to Develop Human Resources for AIDS Prevention 12
to women empowerment and poverty Steering Environment Preservation with Capacity Building
alleviation in Bangladesh through Training 15
his radiant thoughts and works Risky Behavior Fuels Vulnerability to HIV/AIDS in Low
Prevalence Country 19
Life Skill Development through Training Bolsters AIDS
Prevention 22
Reproductive Health Literacy Undermines the Spread of
Vulnerability to HIV/AIDS 25
Environment Protection Underpinned by Sustainable Awareness
through Training 28
Building Life Skill through Reproductive Health Literacy Reduces
Vulnerability to HIV/AIDS 32
Protecting Bio-diversity Promoted by Trained Human
Resources 35
Community based strategic plan to curb spread of HIV/AIDS 39
Gender Equality, Beacon of Hope for AIDS Prevention 42
Reducing HIV/AIDS vulnerability among adolescents 45
Signposting Human Resources for Biodiversity Preservation
through Timely Training 48
Women Empowerment, Cornerstone of HIV Prevention 52
Counting on Gender Development Containing Spread of AIDS 55
HIV/AIDS Prevention through Qualitative Adolescent
Reproductive Health Literacy 58
Reducing Vulnerability to AIDS through Comprehensive Training
Program 61
Stamping out Gender Discrimination to Prevent HIV/AIDS 64
AIDS Mushrooms through Gender-based Violence and
Discrimination 67
AIDS Prevention Spotlighted by Gender Mainstreaming 70
En-gendering AIDS Prevention Gateway to Sustainable
Development 73
Gender Mainstreaming: Mainspring Of AIDS Prevention 76
3
Gender Awareness, Stepping Stone According to the findings of BEES (Bangladesh Extension
to HIV Prevention Education Services), 95% of the rural adolescent girls in
Bangladesh are vulnerable to STIs and ill health due to
The spread of HIV and STI is mounting in developing gender discrimination, sexual violence and lack of
countries through gender inequality and taboos around knowledge regarding reproductive health. They do not know
sexuality. It results in discrimination and stigma associated how to protect themselves from HIV/AIDS. Rainbow Nari O
with drastic poverty and marginalization. Leading to Shishu Kallyan Foundation found that adolescent girls are
empowerment, happiness and well being, gender awareness two times more vulnerable to HIV and STD (Sexually
can help to promote both rights to be free of violence and Transmitted Disease) than the adolescent boys in urban areas
coercion around sexuality. Sexual rights, an inclusive of Bangladesh because of sexual harassment. In the name of
framework, guide to have knowledge of the links between so called gender equality, their reckless free mixing
different sexuality issues thoroughly recognizing that subculture is making them vulnerable significantly as well.
campaign against sexual violence must continue.
To curb the spread of HIV/AIDS, it is necessary to challenge
The number of women living with HIV is mushrooming than the stigmatization and discrimination faced by women living
the number of men through out the world. In 2004, the with HIV/AIDS. Counting on collective action at all levels
number of women (15+) living with HIV was 12.7 million in from community to national level, gender equality can
Sub-Saharan Africa. But the number was increased to 13.3 strengthen the HIV and STI prevention through a
million in 2006. HIV epidemic is disproportionately coordinated action for establishing the right of safe sex. In
affecting women of South Africa. Young women (15-24 2005, half of the new HIV infections occurred due to
years) are four times more likely to be infected by HIV than unprotected sex in China. Moreover with HIV spreading
are young men in this region. Prevalence among young successively from most-at-risk population to general
women was 17% compared with 4.4% among young men in population, the number of HIV infections among women is
2005. increasing fast.
HIV/AIDS entrenches gender inequality, denial and as well In the developing countries, most of the women have very
as threats to basic human rights. The relationship between little or no knowledge about HIV transmission as well as risk
HIV, gender and sexuality may be intertwined as a vicious before they are diagnosed HIV positive. Married women do
circle. Unfortunately this aftermath limits women’s access to not want to think that they may be at risk of infection. In
reproductive health information, STI (Sexually Transmitted Bangladesh, the women are induced by their family
Infection) prevention technologies and treatment. There is no members to conceive. On the other hand, they feel under
doubt that gender inequality makes women experience presser from healthcare workers to avoid conception. But in
poverty and vulnerable to STIs gravely. most cases, none of them provides necessary information
4
clearly to help the vulnerable women conceive safely or to Training to Develop Human Resources for AIDS
lessen risk of mother to child transmissions. Prevention
Involving women living with HIV, national social welfare HIV/AIDS has been turned into a very grave threat to overall
organizations, community based organizations (CBOs), development of human resource in today’s world. The
academies and policymakers, there may be a promising plan spread of AIDS gaining more speed day to day in every
to develop advocacy strategies and extend counseling to remote corner of the world is terrorizing us as the potential
women diagnosed in antenatal clinics. It will highlight the source of constant anxiety, distress and stress. There is no
necessity to ameliorate the plight as for gendered response to doubt that it is endangering the whole human race. As per
the needs and desires of vulnerable women. Consequently it the global statistics on the world epidemic of HIV/AIDS
will be possible to build their life skills to enable them to published by UNAIDS/WHO in July 2008, 33 million
work with field workers, researchers, monitors, evaluators, people were living with HIV/ADS in 2007; whereas during
policymakers at all levels of program design and only the period of 2007, 2.7 million people were newly
implementation, research, monitoring, evaluation and infected with HIV and 2.0 million people died of AIDS
policymaking. Then it would be possible to keep HIV in bay related ailment.
effectively stamping out discrimination, stigmatization and
sexual violence through gender awareness as a whole. So to confront this endemic with great confidence, we have
to have some well-defined plans and programs. These plans
Published: The Bangladesh Observer, 23 March 2007 and programs will comprise human resource development
activities contributing effetely to making people aware of
HIV/AIDS and other STDs (sexually transmitted diseases).
In thus way, they will be trained up and prepared to protect
themselves from HIV/AIDS. Training is an effective means
to provide life skill to the vulnerable people that they may be
able to have enough courage for leaving bad practices
associated with dowry, early marriage, polygamy, sexual
violence and gender discrimination in personal, family and
social life. In this case, it is necessary to keep in mind that
training and human resource development effort should be
based on need.
development and networking organizations may take sufficient knowledge and skills which are not achievable
training on developing and preparing action plan, programs, going through only a lot of printed publications and
methods, approaches, policy and strategy to conduct, materials.
organize, implement, supervise and monitor any kind of The human resource development activities should be
development activities mostly related to HIV/AIDS outlined catering to the different stakeholders. Spread of
prevention. They will be oriented on different social issues HIV/AIDS involves a wide range of community issues
and consequences which are fueling the vulnerability to making social life more complicated. In the light of several
HIV/AIDS, ill-health, malnutrition, ignorance and so on. studies initiated by Rainbow Nari O Shishu Kallayan
After being trained up, the workforce will be expert in Foundation in the urban areas of Dhaka district, if only one
initiating and conducting interpersonal communication (IPA) or two social issues are addressed and others are avoided the
related to developing the practices, concepts and inclusive HIV/AIDS prevention program will fail drastically. So,
techniques of different public health care services. The human resource development should be organized in an
ultimate result is that their skills will be enhanced in integrated way through comprehensive training oriented
determining priority health risks and problems by activities that the stakeholders especially the target groups
assembling and analyzing available STDs and behavioral are able to be aware of HIV/AIDS profundity.
surveillance data; prioritizing health hazards and issues to be Under training oriented integrated activities, target people
addressed; widening HIV prevention; identifying prevention may get the scope gradually to have necessary access to
activity strengths, opportunity, weakness and threats as well latest information, knowledge and know how to get rid of the
as improving local resource management in true sense. attack of HIV/AIDS. This activity may incorporate arranging
training, orientation, workshop, seminar, open discussion,
People of third world like Bangladesh are vehemently symposium, colloquium, community convention, courtyard
susceptible to HIV/AIDS. Because, they have not minimal meeting, door to door counseling and so forth.
access to knowledge, information and general health care. Unlocking the value of human resources is the core
Their reproductive health literacy is extremely poor. Trained prerequisite in making any development implementation
social workers may prepare easy understanding messages fruitful. Without timely and need based training activity, it
and materials for being used in training program about the can’t be imagined that human resource development is being
dangerous aftermaths of HIV/AIDS. According to the ensured in its own way. So in the aspect of AIDS prevention,
findings of the research entitled ‘Role of Human Resource if we want to attain quality and sustainable outcome we have
Development in Preventing AIDS’ conducted by Bangladesh to set the priority for training of all respective stakeholders
Extension Education Services in 2008, 90% of the field as a whole.
workers without having comprehensive and necessary
training can not provide their best services in field based Published: The Independent, 31 October 2009
HIV prevention activities . The main reason of this undesired
performance result is that this kind of services requires
6
Steering Environment Preservation with Capacity same time, the wastages ejected from the factories are
Building Training polluting water and soil tremendously. But we may decrease
such kind of vulnerabilities easily. Trainings may play
Relying on capacity building training significant role in this regard. The universities and other
Tying environment preservation to sustainable achievement academic institutions may provide both short & long term
necessary training to the owner of the motor vehicles and
We are using pesticide in our cultivation in the name of factories on how they can contribute to environmental
green revolution. This kind of initiatives is generating preservations. For instance, we may mention the name of
environmental burdens and has been already identified as United States Environmental Protection Agency working to
boomerang for our existence. Pesticide plays important role protect the environment and human health through capacity
in eliminating species from the nature and damaging our building of their stakeholders since 1970. Through the lens
food security cycle. Using pesticide is one common example of holistic approach, environmental studies, environmental
of practicing risky behaviors in our modern life that is managements, environmental engineering, history and
endangering the human race ultimately on the earth. methods of environmental protection and so on may be
included in integrated life skill development training
Farmers should be trained up in using environment friendly curriculum. The participants may be oriented thoroughly
methods of cultivation in true sense. They have to have about the consequences of environmental degradation and
enough access to latest information, technology and know the pollution concerned in spoiling their individual and
how through training oriented program for scaling up their social life. The owner of the factories may take steps for
knowledge and skills for environmental protection. initiating training for the workforce as well.
Otherwise, unconsciously they will do harm for our
environment and it results in great circle of problem in our Since the beginning of the industrial revolution, the average
daily life consecutively and continuously. amount of carbon dioxide in the atmosphere has been
increasing continuously. It is occurring due to anthropogenic
On the other hand, urbanization is polluting our environment i.e. man-induced factors, for example burning fossil fuels,
on a great scale. The amount of carbon in the air is being deforestation and industrial production. Generally, humans
increased day by day. Over the past few decades the volume emit around 32 gigatons of carbon dioxide on an average
of global consumption has grown dramatically. The results yearly. Half of these exits in the atmosphere and the rest are
of a recent study show that the current growth rate of absorbed by oceans and plants. Coping with increasing man-
Japanese household consumption is greater than the rate of made carbon dioxide emissions, the carbon dioxide cycle in
technological advance to mitigate carbon dioxide emissions. nature gets thrown out of balance. Trees can no longer
transform the amount of carbon dioxide greater than before
Sky-rocketing usages of motor vehicles and establishing into oxygen as well as oceans are steadily reaching
industries are always increasing smoke in the air. At the saturation level. Imparting training under the technical
7
cooperation scheme, general people from various walks of tremendously harmful for our environment. Thus, we are
life may be oriented about such kind of general getting vulnerable to being affected by harmful ultraviolet
environmental issues. So they will be encouraged to be rays. But, it is unfortunately true for us that general people
habituated with environment friendly activites in their daily even most of the highly educated persons do not know how
life. they are ensuring their contribution to enlarging the ozone
hole. Thinking over this pivotal point very seriously in the
The growing amount of carbon dioxide in the nature results perspective of Bangladesh, Rainbow Nari O Shishu Kallayan
in enhanced greenhouse effect contributing to climate Foundation is implementing demand driven capacity
change drastically. Carbon dioxide is only responsible for 20 building oriented comprehensive environmental technical
percent of the natural greenhouse effect. But it is yielding program at community level spurring a greater need for
about 60 percent of the anthropogenic greenhouse effect environmental education and training. This kind of
causing global warming gradually. Nowadays, it is the great initiatives is very much helpful to lessen the gap between
threat for environmental protection. Carbon dioxide knowledge and skills needed for environmental protection.
increases the heat of our planet with a great speed. Though it
is a very common phenomenon, most of the people are not Emphasizing on how we learn, what we know and why we
very much conscious of how the growing amount of carbon bother, capacity building orientated environment awareness
is contributing to damaging soundness of our environment. interventions are effective within both the formal and
So there is a great demand for environmental training to informal training program with sustainable impact. In this
protect and safeguard the environment. case, the curriculum of the training program has to be
conceptualized and formulated keeping pace with the ever
Being involved with uncountable risky behaviors, we are changing technologies and regulations in response to the
widening the hole of ozone layer by creating CFC interest and need of the respective stakeholders.
(chlorofluorocarbon) for time being comfort in our daily life.
CFC is a type of compound in which some or all of the Published: The Independent, 14 November 2009
hydrogen atoms of a hydrocarbon (usually an alkane) is
replaced by chlorine and fluorine atoms. It is used as aerosol
propellants, refrigerants, and solvents, and in the
manufacture of rigid packaging foam. CFCs rise to the
stratosphere15–50 km above the earth's surface. Due to their
chemical inertness, they diffuse unchanged into the upper
atmosphere. There they react with ultraviolet light to release
chlorine atoms. These kinds of atoms highly reactive
catalyze the destruction of ozone. Therefore, their use is
8
are severely vulnerable to ill health, HIV/AIDS and Hepatitis Life Skill Development through Training Bolsters AIDS
C in Bangladesh. Therefore a great urgency exists to ensure Prevention
availability of health care services which protect young drug
users from contracting blood-borne viruses all along the HIV/AIDS is now globally a very fearful phenomenon. It is
country. On the other hand, Rainbow Nari O Shishu Kallyan an extremely complicated social concern demanding an
Foundation estimated that HIV prevalence among adolescent unparalleled response from all sectors of development effort.
girls involved in such risky behavior as using drugs is higher The latest statistics shows that 5 million adults and children
than 60% in urban and suburban areas of Bangladesh. They were living with HIV/AIDS only in Asia in the end of 2007.
must have access to health and social care services which If we consider all the socio-economic aspects comprising
provide support to change their high risk behavior and cultures and practices of the third world, it is the very worthy
reduce the vulnerability caused by transmission of place for spread of HIV/AIDS. Most of the people of
HIV/AIDS. developing countries like Bangladesh are constantly
experiencing poverty related social challenges within the
Injecting drug use, unprotected paid sex as well as unbearable cruel situation. They have not enough life-skill to
unprotected sex between men considered as the centrality of cope with social disaster or epidemic like HIV/AIDS due to
high-risk behavior are fueling the skyrocketing spread of the curse of their impoverishment. If their livelihood
HIV/AIDS in Asia, Eastern Europe and Latin America. Two development is not ensured they will be turned into a great
in three (67%) prevalent HIV infections in 2005 were caused burden to their own nation and country.
by drug abuse in central Asia and Eastern Europe. Near
about 13% of HIV infections was due to use of non-sterile Lacking of life skill fuels poverty. On the contrary, poverty
injecting drug use equipment among sex workers and their creates favorable environment that people do not get proper
clients in the same countries. So the countries with low opportunity of having adequate access to knowledge,
levels of HIV infections have to improve surveillance information and general health care as well. As a result, poor
systems that they may better understand the factors people’s life skill is not developed. So they are easily getting
identifying obstacles and opportunities for scaling up vulnerable to different social problem, for instance, being
national HIV prevention, treatment, care and support efforts. infected with HIV/AIDS and STDs (sexually transmitted
diseases). If we want to turn this unskilled people into
Published: The Financial Express, 7 March 2007 valuable human resources we have to provide them
necessary life-skill through comprehensive and consecutive
training. As per the findings of the research on life skill
development of the people vulnerable to HIV/AIDS/STDs
initiated by Rainbow Nari O Shishu Kallayan Foundation in
2008, if life skill training is provided to target groups
through peer education approach, 90% participants are able
10
to change their behavior leaving bad practices in their daily Education Services), training in the name of regular
lives, get aware of their health rights as well as gain courtyard meeting at the community level is very helpful to
confidence for facing any social challenges existed. develop life skill of the target group efficiently.
It is undoubtedly necessary to set up the very priority to Target groups as well as stakeholders should be geared up to
unlock the value of neglected human resources. Well- deal with any social disaster and distress. Most of the people
defined training program obviously need-based may play especially the adolescents in rural areas are not properly
significant role in this regard being integrated with core aware of their reproductive health oriented rights. They may
program AIDS prevention. Under this training program, the be literate but they do not properly know that what the
regular staff and volunteers employed by the development severe consequences of HIV/AIDS are. Several studies give
and community based agencies will be well-equipped with an idea that more than 80% of the rural adolescents do not
latest information, knowledge, technologies, approaches, know clearly what HIV/AIDS is. So they have to have
methods, strategies and policies to conduct, supervise, enough life skill shaped by latest information, knowledge
monitor and evaluate HIV/AIDS prevention program. If the and awareness to cope with the social disaster HIV/AIDS.
workforce is not groomed up in such prospective way, the Thinking over this pivotal point, life skill development
result will be reversed. training and education through peer leading approach may
get more attention to make them potential human resources
Already it has been twenty-seven years into the epidemic. effectively.
But HIV/AIDS is moving forward wildly and making
challenges more and more vicious for our development Published: The Independent, 23 October 2009
efforts. The 2008 Report on the global AIDS epidemic shows
that it is very much essential to scale up universal
involvement to HIV prevention emphasizing on human
resource development through widening life skill of the
vulnerable people. We would like to build an appropriate
world of skilled human resources. So we have to place a blue
print to make the poor have enough access to treatment, care,
and support by 2010. Otherwise it would be very much
difficult to contain the spread of AIDS. In that view, we have
to take urgent steps to intensify HIV prevention by way of
sustaining the gains in human resource development
consecutively. According to the report of various surveys on
community people’s vulnerability to reproductive health
oriented ailment initiated by BEES (Bangladesh Extension
11
Reproductive Health Literacy Undermines the Spread of curbing harassment, violence and sexual abuse. They may
Vulnerability to HIV/AIDS organize committed and dexterous leadership capitalizing on
social mobilization.
Undermining the possibility of STIs, reproductive health
literacy creates a safe and supportive environment for
adolescents in a world with HIV/AIDS. It ensures their Adolescents girls are physiologically, socially, culturally and
protection from sexual abuse, ill-believes and so-called economically more vulnerable to HIV/AIDS. Sexual
dogmas. With particular attention to HIV/AIDS mitigation, behavior guided by ill-believes, dogmatic social attitudes,
flexible non-formal approaches for making sure reproductive lack of economic empowerment and equal accesses to
health literacy should be adopted by the academic livelihood education promote vulnerability of adolescent
curriculum in which sustainable development and poverty girls to HIV/AIDS as a whole. Gender-related social norms
alleviation would have the highest priority. In all aspects of may diversify adolescent girls’ vulnerability to HIV/AIDS.
planning and policy making, a comprehensive curriculum Cultural and social factors confine their choices and
should be launched essentially internalizing demand driven opportunities to get information regarding reproductive
steps to reduce stigma, discrimination and poverty brought health and how to practice safe sex.
about by HIV/AIDS. Bringing in and upgrading life skill
education as well as making HIV/AIDS awareness an inbuilt Intending to come up with a spontaneous and effective
chapter of the text-curriculum, qualitative reproductive response to HIV/AIDS, it is very much necessary to have
health literacy promotes the culture of preventing stigma, key knowledge about reproductive health and how to
denial and discrimination. Nowadays in the name of confront the epidemic. According to the findings of recent
qualitative reproductive health literacy, it is very much research works, if prevention programs are not successful as
necessary to incorporate HIV/AIDS into a broader health per the desired outcome, China alone will have more than 3
education approach and into other subjects. Adolescents are million adolescents with HIV/AIDS as well as India
very much threatened in the aspect of HIV/AIDS due to their undoubtedly will have 5 million adolescents by 2010. Only
tremendous curiosity and immaturity. So the qualitative far-reaching and comprehensive program integrated by
reproductive health literacy, first and foremost, should be reproductive health packages can foil the spread of
ensured for adolescents any how. vulnerability to HIV/AIDS.
More than one third of all new infections – about 4600 every Promotion of gender equality and women’s empowerment
day – occurs among adolescents. But in changing the course leads to extensive awareness maintaining linkage between
of HIV/AIDS epidemic, adolescents may play a vital role. At sexual and reproductive health (SRH), existing social issues
first they have to be empowered through reproductive health and HIV/AIDS. Having it in mind, adolescents should be
literacy in light of life skill education. Then they will be able made strengthen their voices receiving skill development
to increase awareness of the particular vulnerabilities training to be a successful social advocate. For that reason
12
they will be able to arrange and conduct focus group Environment Protection Underpinned by Sustainable
discussion, courtyard meeting, colloquium, workshop, and Awareness through Training
in-depth interview with peer group to get their views on how
to protect themselves. With the help of local level Gearing human resources
implementers, adolescents’ group can take steps collectively Greening environment with long-lasting achievement
to understand the interplay of challenging economic and
social factors that brings about vulnerability to HIV/AIDS. Our environment on the planet earth is the only known
These kinds of study oriented initiatives have to be done in a environment that is supporting human survival in full sense.
way guided by text-curriculum under the local educational But environmental condition all over the world is degrading
institute that would make possible to generate findings every day very severely. The existence of human being is
consistently. In the course of exchanging views and very much interrelated concern of maintaining sound
interaction with target community people, the adolescents environment in sound dealing. Environment is being
having reproductive health literacy may share their exclusive deformed frequently in different ways related to
findings and result of message dissemination among the overpopulation, unplanned urbanization, pollution,
local policy makers and relevant stakeholders to reduce declination of cultivable land, deforestation, global warming,
vulnerability in the community as a whole. using pesticides, unsustainable agricultural and fishing
practices, over consumption, mishandling and
mismanagement of wealth, sky-rocketing corruption,
illiteracy & ignorance, drastic poverty in the third world,
militarization and wars and so on.
environmental concerns had increasingly become the subject minimum number of Bangladeshi people does not know
of mainstream socioeconomic policies and strategies. The about the rules and regulations to protect the environment.
United Nations Conference on Environment and People’s lack of information, knowledge and technology
Development (UNCED) held in Rio de Janeiro in June 1992 widens the scope of environmental degradation. In this case,
was the second major global conference in the field of general people should be properly aware of environmental
protecting environment. It was recognized through this calamity and familiar with the means and ways through
conference that sustainable development should integrate different training oriented activities to overcome different
environmental issues. For sustainable development, environmental disaster.
developing human resources is one of the main
preconditions. Awareness building through training oriented Throughout their lifespan, people should be learned that how
activities on different social issues like environmental they will be able to contribute to the well being of
preservation may translate the unskilled human resources in environment. Training arranged by government and non-
the skilled human resources for maintaining environmental government initiatives on environmental conservation issues
soundness in innovative and their own ways. Under these may relate the awareness of causes and consequences as to
activities, courtyard meeting, community convention, poverty endemic, overcrowding, food crisis and food
workshop, orientation and so forth may be organized as the insecurity, weather extreme, introduction of invasive species,
part of knowledge management at disadvantaged community species loss i.e. loss of biodiversity, acute and chronic
level for making their awareness sustainable. medical illnesses, release of genetically modified organisms
and toxics, war & human resource abuses and a growing
Burning sensation of environmental degradation is mayhem among global green community portending
mushrooming constantly with wide ranging speed. It results Malthusian chaos and disaster. For instance, the name of
in undesired natural calamity like flood, tornadoes, volcanic Environment Protection Training and Research Institute
eruptions, earthquakes, hurricanes, landslide, avalanche, (EPTRI) may be mentioned. It a premier agency set up in
tsunami, draught, arsenic contamination and so on. In the 1992 in India has been providing training, orientation,
1990s, it was discovered that many of shallow wells of consultancy, applied research services and extending
Bangladesh established by aid agencies like UNICEF got advocacy in the area of environment protection to industries,
contaminated by arsenic. Arsenic is a poison that is created regulatory bodies, Government Organizations and NGOs and
naturally in alluvial soils. As per the estimation of the World works towards bringing about change for a more balanced
Bank, 25 per cent of the century’s 4 million wells may be development.
affected by arsenic. The people of some part of Bangladesh
are tremendously suffering from arsenic problem. But most If environmental preservation training program is mapped
of them do not know how they will cope up with such kind out involving people's participation and social mobilization
of environmental disaster. The Environment Conservation for ensuring environmental sustainability it would be with
Rules 1997 has already been passed by the Parliament. But the essence of demand driven approach. Specific suggestions
14
for action may be discussed and well-defined guidance Building Life Skill through Reproductive Health
should be provided in the training sessions. At the same Literacy Reduces Vulnerability to HIV/AIDS
time, the scopes and opportunities of taking such kind of
training should be available. Otherwise, people feel Reproductive health literacy has a sustainable preventive
discouraged and lose their interest for taking the desired one. impact to promote a healthy lifestyle as well as responsible
According to the findings of the research recently initiated behavior. It is among the most powerful tools for reducing
by Rainbow Nari O Shishu Kallyan Foundation, adolescents’ vulnerability to HIV/AIDS through providing
disadvantaged community people may get the proper necessary knowledge, stimulating positive attitudes and
messages and skills as to environmental preservation easily bringing about life skills. Life skill engendered from
and effectively through training in the form of participatory reproductive health literacy mobilizes efforts targeting to
rural appraisal (PRA). As they have no minimum lessen high risk behavior.
educational background and do not have the possibility to go
to any educational or training institute for being educated Best practices may be adopted undoubtedly through peer
about environmental preservation, it would be the right way education resulting in positive attitude within positive
to arrange community based training program for them. environment. An effective reproductive health literacy
approach is multi-sectoral and integrated to address all
Any how we have to be committed to our environment factors that increase vulnerability as for HIV/AIDS.
because the soundness of environment controls the quality of Vulnerable sexual behavior nourished by ill believes,
our living on earth. Environment in good condition ensures discrimination, drug and alcohol abuse, peer pressure and so
our all goodness. All of these are maintained by proper on deprives people to enhance ability to prevent STIs.
preservation of biodiversity. Minimum 40 per cent of the Ensuring to attain life skill, reproductive health literacy
world’s economy and 80 per cent of the needs of the poor fosters analytical thinking and healthy habits. Adolescents
are derived from biological resources. Human resources having qualitative reproductive health literacy are very much
should be geared to be well-equipped with a range of life responsible to gather adequate knowledge and potential
skills which will be the key instrument for protecting the expertise to curb infection of HIV/AIDS.
environment. They should learn that how they will be able to
increase the environmental security catering to them and Adolescents need skills necessarily to practice safe behavior
make the environment greener towards sustainable green. through reproductive health literacy with a view to creating
self-esteem extensively to foil undesired peer and adult
Published: The Financial Express, 7 November 2009 pressure. Thus they may have such core life skills as
negotiation, ability of working together, self-awareness,
decision-making, critical thinking, bargaining and diversity
of creativity through gender session, orientation, training,
courtyard meeting for exchanging views and experiences.
15
Bangladesh. The National Herbarium has made a list of 96 Improving knowledge and skill as for biodiversity
plants as threatened species in Bangladesh. Royal Bengal preservation should be ensured in all areas of life including
Tiger and Hilsa fish for which Bangladesh is exceptionally home, community and at work. In relation with this,
famous are no longer available in plenty. In view of the utilization of local training providers may be set as the
nature of human activities in overexploiting the habitat of necessary part of strong community network to provide
these species, it is evident from the list of endangered environmental learning opportunity for all.
species that the ecology of Bangladesh is deteriorating under
pressures of overpopulation, industrialization and Published: The News Today, 17 November 2009
urbanization. In the light of previous history, we may say
that it is a fairly recent phenomenon.
and cultural factors interwoven inextricably. As a result, it equality underpins human rights protected in law and
would be easy to take any kind of promotional activities practice. It supports fruitfully capacity development of
fruitfully for reducing vulnerabilities to STDs (sexually women enhancing women’s participation in development
transmitted diseases) and HIV/AIDS. activities.
Sexual and reproductive ill-health results in dire poverty led As per the findings of a recent research entitled ‘Role of
to widespread vulnerabilities to HIV/AIDS. Sexual and Poverty Reduction to Reduce Vulnerability to HIV/AIDS in
reproductive health problems account for about 20% of ill- Bangladesh’ initiated by Rainbow Nari O Shishu Kallayan
health of women globally and 14% of men occurred owing Foundation, “To track how epidemic often widens when
to lack of appropriate sexual and reproductive health. In vulnerability deepens, gender mainstreaming in poverty
Saudi Arabia, approximately half (46 per cent) of HIV reduction strategies has to integrate multi-disciplinary
infection was eventuated due to unprotected sex in 2005. All approach specially focusing on good governance and gender
are mostly the consequences of gender discrimination equality through promoting participatory resource planning
attributed by religious dogmas, social ill-beliefs and and internalizing HIV/AIDS prevention into overall
monopolistic male hegemony intertwined with unsafe sex development initiatives. Poverty is closely associated with
practices. illiteracy and women’s so called participation in
development programs. As a result, vulnerability to
According to the social development specialist Saiful Islam HIV/AIDS is fueled promoted by gender discrimination and
Robin, “It should be realized that there is no alternative to power imbalances between male and female.”
develop and enhance life skills of vulnerable girls and
women to cope with epidemic. They may be assisted on the An essential fact is that everybody should be committed to
various levels to become engaged in grooming their gender mainstreaming. Gender mainstreaming is the
confidence and organized. At the same time, their voices keystone in human development. So every development
should be allowed to be heard loud and clear. Thus the program like HIV/AIDS prevention should be deliberate in
collective effort of women is born with the sense or purpose providing support to establish human rights that women may
that they will be stirred up to share perceptions improving be benefited equally from gender neutral development
their access to reproductive health related information and strategies.
services.”
Published: The Bangladesh Observer, 13 June 2007
Gender equality helps vulnerable women to be benefited
from poverty reduction, activities for sustainable
development, access to information & communication
technology as well as HIV prevention. As a cross-cutting
dimension of human development, campaigning for gender
21
Reducing HIV/AIDS Vulnerability Among Adolescents equity, harmful effect of early marriage, premarital sex and
unplanned pregnancy.
To reduce HIV/AIDS vulnerability among adolescents, there
is a need to develop strategies and methods for effective
curriculum focusing on sex education and life skills Reducing HIV/AIDS vulnerability among adolescents may
especially. Internalizing more participatory learning-teaching be promoted auspiciously through evaluating the attitudes
method, it is felt that a stronger integration of prevention and values within community based social norms/beliefs,
education vis-à-vis sex & reproductive health approaches is cooperation and teamwork. From the salad days, adolescents
essential for improving the high-quality HIV prevention & have to be guided by active and participatory learning that
care. It is estimated that there are 1.2 billion adolescents in they may analyze, study ideas, solve problems and apply
the world. According to the recent survey conducted by what they learn. It is important to ensure that active learning
Rural Health Development Society (RHDS), near about would be fast-paced, enjoyable and personally engaging. In
eighty seven percent of these adolescents live in the this regard, cooperative learning may play a vital role to
developing countries. More than eighty five percent make the adolescents aware of HIV/AIDS significantly. It is
adolescents of Bangladesh do not know what reproductive one kind of effective group approaches with a view to
health is and how to practice safe sex. Most of them are not learning with common objectives, mutual rewards, shared
aware of how to undermine the vulnerability to HIV/AIDS. resources and complementary roles. Through this approach,
To make them free from such encumbrance as HIV/AIDS, group members are stimulated to help each other to master
we have to ensure a healthy and promising environment. It is the lesson or activity. Thus an atmosphere of mutual trust
believed that if the adolescents have qualitative reproductive and respect are established. Eventually the learning
health literacy ultimately HIV/AIDS prevention programs environment is warm as well as adolescents are made to
initiated by GOs and NGos will be successful. express their views, opinions, attitudes and behaviors freely.
Only effective education can ensure qualitative reproductive Adolescence is the prime and sensitive period of so many
health literacy. This kind of literacy helps adolescents physical, emotional and cognitive developments. So
analyze thoroughly basic information, core messages, values adolescents have to experience many changes unexpectedly.
and praxis related to HIV/AIDS prevention. Simultaneously In most cases, they remain unaware of how to efficiently
they are able to inculcate caring and supportive attitudes cope with these kinds of physical and psychological changes.
towards people living with HIV/AIDS (PLWHA). They Attitudes to sexuality are being developed gradually during
possess the basic facts and information bringing about puberty. In this time, if adolescents are misguided or
acquisition of knowledge and development of attitudes, deprived of acquiring reproductive health literacy they will
values, skills and practices (KAVSP) as to undermining the suffer all the time in their lives. There is no doubt that sexual
spread of HIV/AIDS. Consequently they have profound maturity leads to happiness and fulfillment in future personal
awareness on practicing safe sex, use of condoms, gender and social relationships. So there is no alternative for
22
adolescents to learn about issues related to reproductive Signposting Human Resources for Biodiversity
health from parents, teachers and other elders for being able Preservation through Timely Training
to understand and develop a healthy attitude.
Biodiversity boosts ecosystem productivity where every
Vulnerability to HIV/AIDS is skyrocketing in the developing living organism has an individual role to play in our
countries jeopardized by lack of qualitative reproductive environment. A larger number of plant species is ensuring a
health literacy among the adolescents. But reproductive greater variety of crops catering to us. It is to say that more
health literacy itself offers one of the key hopes against than 90 per cent of the calories consumed by people
HIV/AIDS epidemic as well as its influential eventualities. worldwide are produced from 80 plant species. What’s
In fighting the pandemic, reproductive health literacy more! Almost 30 percent of medicines are developed
comprising transfer of skills and attitudes to reduce directly from plants and animals and numerous are derived
adolescents’ vulnerabilities to HIV/AIDS is the most from these sources. For instance, we may say about the
effective means. It is seriously necessary to reduce the fear medicine of heart disease still produced from wild foxgloves.
of HIV/AIDS any how. Reproductive health literacy can do But general people are not properly aware of how their
a lot to combat HIV/AIDS facilitating adolescents in behaviors are endangering these kinds of species gravely.
attaining the knowledge, attitudes and skills that they need to They have not enough environmental education and training
delay sexual intercourse, reduce their number of sex by which they will be able to contribute to sustaining
partners, prevent illicit drug/substance use and avoid biodiversity in a sound condition.
infection by using condoms.
The academic curriculum of the developing countries like Scientists and researchers are consecutively screening wild
Bangladesh should provide adolescents with opportunities to plants in search of cures for cancer, HIV/AIDS and other
learn and practice life skills, such as decision-making and serious diseases. All farm crops and animals are emerged
communication skills, which can strengthen other important from wild organisms. Fruit crops are dependable on many
areas of early life development. It is expected that different insects that are pollinating their flowers. We gather the
aspects of inclusive HIV/AIDS/STI study must be built-in natural biodiversity from the oceans and rivers for fulfilling
into all suitable subject areas, such as reproductive health, our needs. Endangered species have to be protected and
human rights & legal aids, home economics, gender saved that future generations may experience their existence
development & women empowerment, social studies and and importance. So it is urgently necessary to signpost the
science. whole human resources globally for environmental
education and training that they are well-equipped with latest
Published: The Bangladesh Observer, 12 January 2009 information, knowledge, timely technology and know-how
to preserve biodiversity as a whole. Since 1996, Rainbow
Nari O Shishu Kallyan Foundation has been organizing
23
knowledge management activities in its intervention areas gets delayed or bogged down by different negligence for
and through these need based performances, the deprived long time. Relocation of the tanneries at Hazaribag of Dhaka
people of Bangladesh are being motivated and empowered to city is a case to be mentioned as a perfect example in point
own the problems and identify solutions as to biodiversity and still is endangering the species in the river water and the
i.e. environment preservations. located area tremendously. All of these are happening
because we have not enough access to necessary awareness,
It is a very cruel crime to endanger any species of the nature. knowledge, information, messages, training and education
There are a lot of rules and regulations launched previously with technical know-how to maintain such kinds of rules.
in response to the need. To safeguard the endangered
species, it has no option of initiating legal steps on behalf of Different species are not only saving and sustaining our lives
society, country as well as the United Nations. The United on earth. They are supporting on a great scale to flourishing
Nations Environment Program (UNEP) a branch of the UN pharmaceutical industry worth over $ 40 billion annually.
specifically for dealing with worldwide environmental The unfortunate fact for us is that, only 5 per cent of known
problems has helped with different flagship efforts at global plant species have been screened for their medicinal values;
environmental regulations entitled: The 1987 Montreal whereas, 100 species on an average are being lost from our
Protocol on Substances that Deplete the Ozone Layer, The environment daily. To make us get rid of this critical and
Prior Informed Consent Procedure for Certain Hazardous unpleasant situation, different human resource development
Chemicals and Pesticides in International Trade, The institutions may play significant role and execute such
Convention on International Trade in Endangered Species support programs as behavior change communication
of Wild Fauna and Flora (CITES) and so on. There are very (BCC), advocacy, social networking and community
little people who know that to retain the soundness of our mobilization integrating training oriented activities. In this
biodiversity they should be aware of some rules and point of view and with all of these development
regulations. In this case, human resource development interventions, Bangladesh Extension Education Services has
through training is necessary by which general people’s been implementing Agriculture & Social Forestry Program
inner beings may be stimulated to learn new information and over the years in 30 districts of Bangladesh in down-to-earth
be familiar with existing laws and conventions to practice method for safeguarding environment and protecting
them in their individual and social life. common species from being endangered.
Bangladesh has National Environment Policy 1992 and To conserve the great variety of species with special
Environmental Conservation Act 1995 to identify source of attention and their habitats, we should feel the need of a
pollution and control it. But we are not obeying or caring for diverse range of life skills for all that can be used in real life
them. The laws regarding aspects of environmental enterprise, educational and conservation activities. It is
preservation are not always seriously being implemented. necessary to expand the scope of providing expertise through
Even of when an urgent decision is taken, its implementation orientation training on nature interpretation and conservation
24
to both of the educated people with all of basic amenities and Women Empowerment, Cornerstone
the disadvantaged & poor people – the greatest part of the of HIV Prevention
population in the developing countries like Bangladesh –
bringing knowledge as to importance of nature and natural There are some forms of risky behavior that directly makes
resources. By the way, developing local people’s capacity on women vulnerable to HIV/AIDS in the developing countries
biodiversity preservation may get especial emphasis in the like Bangladesh. It should be cornerstone of life to get rid of
point of making all the segments of the communities risky behavior through improving living standard any how.
involved with sustainable environment awareness campaign. For the greater involvement of vulnerable women in every
aspect of curbing epidemic, they have to be able to respond
Published: The Independent, 21 November 2009 to the epidemic in a meaningful manner.
multiple clients, high prevalence of STIs among the maternal & child care should be ensured through the
commercial sex workers, unsafe sex practice through HIV/AIDS prevention program.
bridging population, sexual bondage, the trend of rise of HIV
among injecting drug users, unprotected pre-marital sex as As per the findings of National Assessment of Situation and
well as dire poverty. On the other hand, sustainable family Responses to Opioid/Opiate use in Bangladesh (NASROB)
bondage as well as integrated praxis of religious and social conducted in 2001, 14% of the female heroin smokers
values make these countries less vulnerable comparatively. started heroin use below 18 years of age and 38% by 18
year. 22% of the current female injectors started injecting
According to AIDS researcher Mohammad Khairul Alam, drug by 19 years of age. BEES (Bangladesh Extension
“Women empowerment is the first step to stamp out gender Education Services) found that 90% young girls (15-25
discrimination and stigmatization. If we promote gender years) of Bangladesh are very much vulnerable to AIDS and
equality poverty will be reduced significantly. It is STIs that they do not know how to take care of their
recognized that poverty helps to trigger vulnerability to reproductive and sexual health. They have no inclination or
HIV/AIDS. So women empowerment through development are not enough empowered to believe it necessary to seek
initiatives should be ensured to keep HIV/AIDS in bay. In advice on safe reproductive health as well.
this aspect, such promotional activities as organizing gender
sensitization workshop, seminar, symposium, open Reproductive health is still a taboo in Bangladesh,
discussion, popular theatre, door to door work, advocacy particularly with adolescent girls. With very limited access
session and so on may play important role bringing about to health care facilities, knowledge and education, they have
effective social mobilization. Thus counting on local no understanding about the ways of protecting themselves.
resource mobilization and capitalizing on collective action, But women should be empowered through developing life
women empowerment program may be led by integrated skills that they can have more control over their reproductive
approach more efficiently to undermine vulnerabilities to and sexual health. Consequently HIV/AIDS prevention
HIV/AIDS.” program will sustain comprehensively attaining high
watermark of success in reducing vulnerabilities to STIs.
It is estimated that more than 14,000 people are getting
infected with HIV all over the world every day. Among of
them, 2000 are children under 15 years mostly getting Published: The Financial Express, 5 April 2007
infection of HIV through mother to child transmission. So
mother to child transmission (MTCT) is considered as an
important issue in spreading HIV/AIDS. There is scientific
evidence of likely presence of HIV virus in breast milk.
Therefore gender issues comprising improved services as to
26
Counting on Gender Development Containing Spread of earning their livelihood apparently engaging themselves in
AIDS risky behaviors.
financially and socially. They will not be compelled by HIV/AIDS Prevention through
hunger and poverty to be engaged in risky behaviors. Qualitative Adolescent Reproductive Health Literacy
According to a survey conducted in Central Asia, one third Parents should be thoroughly taught about HIV/AIDS
of young women had not still heard of HIV/AIDS – yet prevention from the Community Learning Centre (CLC).
globally the rate of infection among women is mounting Then they will be able to build up their capacity properly to
inexorably. In the light of the recent study conducted by make their children aware of HIV/AIDS initially.
Rainbow Nari O Shishu Kallayan Foundation, inclusive Adolescents have more opportunities to be misguided due to
initiatives have to be taken on the urgent basis in Bangladesh their peer pressure and involved in danger for having
to empower women and enhance their abilities to withstand inadequate knowledge as to safe reproductive health. So the
health threats like HIV/AIDS. Catering to the vulnerable scopes should be made available for the adolescents that they
groups especially the destitute and disadvantaged women, can learn about reproductive health care through their
there is a need for generating different pilot interventions academic curriculum. In this regard, teachers having more
and educational effort in response to campaign of AIDS friendly behavior may play an important and essential role
prevention. coming in close contact with the students. They may arrange
peer group session regularly under the respective course
Strategies and interventions should tune in to sensitizing curriculum. Operating various kinds of cultural and
policy makers, senior health planners, program managers entertainment oriented events in the campus may add extra
and other implementers to create a willing and friendly attraction stimulating students’ interest in HIV/AIDS
environment for achieving equality in every sector. There is Prevention Program. If we fail to take necessary and timely
no doubt that gender equality is the key way to sustainable initiatives comprehensively for ensuring qualitative
development. So it is necessary to ensure that both women adolescents reproductive health literacy HIV/AIDS
and men have to have equal access to information, treatment, prevalence will be climbing higher into new population
care, support and productive resources. Then in true sense, rapidly in the vulnerable parts of the world.
gender development will be meaningful all along in
preventing HIV/AIDS. Qualitative reproductive health literacy comes in to bring
about positive attitude among the adolescents to prevent
The Bangladesh Observer, 12 January 2009 HIV/AIDS. Simultaneously a promising and profound
perception is engendered throughout their inner beings to
practice general health care regularly. As a result they will
not be affected easily by superstitions and ill believes. They
can help other people to combat such kind of social
problems as well. Early marriage, dowry, polygamy and so
on create various kinds of social ailment which gives rise to
28
sexual wantonness. The adolescents may be involved to foil welfare organization all along. This strategic plan results in
the spread of social deterioration promoted by early more community participation through the perspective of
marriage, dowry and polygamy. They may create awareness action research. Community’s participation towards the
working door to door and arranging courtyard meeting on HIV/AIDS prevention program promoted by social
the importance of reproductive health literacy. Thus mobilization can equips people to make healthy decisions
community based reproductive health campaign can be concerning their own lives. To bring about long-term healthy
strengthened with the help of collective effort of local behaviors and give community people the scope for
adolescents. This promising endeavor has far-reaching economic independence and hope, qualitative reproductive
sustainable impact to lessen the vulnerability related to health literacy may play a significant role. It helps to slow
HIV/AIDS calamity communitywise. and reverse the spread of STIs contributing to social
upliftment through preventing dowry, early marriage,
Qualitative reproductive health literacy helps to kindle the polygamy and other social diseases.
inner beings and values of adolescents to do something
having a well-thought-out plan. Thus counting on strong and So to outline an integrated and ideal HIV/AIDS prevention
deepest confidence, adolescents begin to learn that they have program, participation of community people comprising
right to know how they can protect themselves and how to adolescents having qualitative reproductive health literacy
mitigate the impact of HIV/AIDS. Many persons think that should be ensured any how. As a whole in the aspect of
reproductive health literacy may lead to greater sexual implementation of HIV/AIDS prevention program
activity and promiscuity among the adolescents. But it is not successfully, it certainly needs to fulfill and guarantee the
true at all. As per the findings of various in-depth surveys, right to qualitative reproductive health literacy for the
there is no alternative of qualitative health literacy to adolescents.
increase responsible behavior. Responsible behavior makes
adolescents interested to know about basic facts on
HIV/AIDS and other STIs and the essential skills to protect
themselves. Concurrently adolescents are stirred up to know
how to safeguard their family members and friends from
HIV/AIDS as well as how to make them participate in
promoting HIV/AIDS awareness campaign.
Reducing Vulnerability to AIDS through Comprehensive Services (BEES), poverty and illiteracy, and other
Training Program developmental deficiencies that is to say food insecurity,
poor healthcare provision, disempowerment of women are
Gearing human resources through training contributing to the further spread of HIV extremely.
Steering AIDS prevention towards sustainable attainment Addressing all of these social issues, integrated training
program should be mapped out on the basis of need. This
HIV/AIDS has been multiplying human resource crisis will contribute to scaling up life skill of the underprivileged
throughout the world. So it is sorrow for us that development people as a whole. When training is provided to the target
efforts are being stumbled again and again. Already a lot of groups it should be ensured that they are getting the
vulnerable people have been on the way to be turned into the messages in the understandable way. Consequently, they are
burden of their country and nation. It is happening because encouraged to participate in preventing HIV/AIDS. What’s
they are not well groomed with necessary knowledge and more. In so doing, they will be well-equipped with enough
skill. The findings of Surveys conducted in different efforts and timely life skill to tackle the epidemic.
countries shows that in Bangladesh over the period of 1999-
2000 and in Nepal over the period of 2001, at least 50% and Social mobilization is another important factor to make
72% of men have heard of AIDS respectively. On the other training program on HIV/AIDS prevention more effective. It
hand, in four countries, like—Bangladesh, Haiti, India, and helps programs to be cost effective and achieve the desired
Nepal—no more than half of women have heard of AIDS. outcome. Social mobilization stimulates the community
People susceptible to AIDS are practicing risky behavior due people to participate such kind of development program
to their ignorance and lack of awareness. If we want to related to reproductive health awareness. In thus way, it is
safeguard our social existence from such kind of possible to utilize their interest, eagerness, enterprising
vulnerability we have to ensure and orchestrate attitudes and courage for providing potential pace and
comprehensive and quality training for them. prosperity to the program. There is no doubt that in this case,
utilization of local resources will add an extra dimension in
Gender discrimination associated with trafficking, preventing AIDS.
psychological and financial abuse, stigmatization, biasness,
domestic & social violence, lack of access to legal aid & In the training session, some case studies may be presented.
productive resources like land, loan and so on is the root Going through the case study, the trainees may realize that
cause of gender violence. Moreover, gender violence any how they have to gain enough life skill to confront the
increases the likelihood to be affected by AIDS. Then again, social disparities. As resource person, HIV positives may be
some social ill-practices i.e. dowry, early marriage and invited in such training session to present their real life
polygamy make our society worthy of being attacked by experience what made their life severely unrest. Under this
AIDS. In the light of the findings emerged from the recent training program, advocacy session may be arranged as well.
research organized by Bangladesh Extension Education Influential persons like doctors, teachers, Kazi, social
30
workers, CBO (community based organization) Leaders, Stamping out Gender Discrimination to Prevent
such representatives from local government as Union HIV/AIDS
Parishad Chairman, Member and so forth in the community
play important role as local policy maker. If they are Gender discrimination saps social consistency jeopardizing
involved in HIV prevention the program will gain extra health and educational development. It is increasingly
stride. So they should be oriented properly on the social recognized as a key factor that makes women gravely
issues contributing to the spread of HIV and trained up on vulnerable to AIDS and STIs (Sexually Transmitted
the means and ways to reduce the vulnerability of the Infections). Improving and intensifying poverty reduction
community people. strategies pragmatically, overall development programs
should be en-gendered. Otherwise development
If we want to translate vulnerable people into potential achievements may be endangered failing to contain
human resources they have to have enough awareness of epidemic.
reproductive health, accurate perceptions of HIV/AIDS, and
coping ability to protect themselves from HIV/AIDS and Approximately 17.7 million women were living with
other STIs (sexually transmitted infections). As per the HIV/AIDS in 2006 all over the world. Multiple
research on reproductive health literacy conducted by vulnerabilities like social, cultural, economical and
Rainbow Nari O Shishu Kallayan Foundation in 2008 both biological factors intertwined as a vicious circle may make
in rural and urban areas of Bangladesh, awareness of AIDS prevalence sky-high anytime among women in the
is by and large lower among men and women in rural areas developing countries of Asia. So we have to raise a clarion
than among urban men and women. Awareness of AIDS is call on combating the spread of epidemic through ensuring
poorer among men and women with little or no schooling gender equality.
and training than those with more schooling and training.
That is why, it is urgently necessary to improve the Gender discrimination promotes unequal access to resources
knowledge, attitude and practice (KAP) of the disadvantaged and opportunities, sexual violence, practice of unprotected
community people especially in rural areas. In this regard, sex, women trafficking and women’s paltry representation
behavior change communication (BCC) should be brought and participation in social development activities. All of this
about through integrated training activities. By way of BCC, result in power disparities that characterize personal
the inner beings of community people will be stimulated to relationships between male and female undermine the
leave their bad practices as well as to be updated in having development of not only women but also a nation to a great
knowledge and information to prevent HIV/AIDS. extent. In this context, capitalizing on capacity building
initiatives for vulnerable women encompassing sensitization,
Published: The Independent, 13 November 2009 training & orientation, exchanging information, experience
& views and networking may play an important role to
reduce the incidents of HIV as a whole.
31
oriented violence. So role of cultural, family, ethical AIDS Prevention Spotlighted by Gender Mainstreaming
and religious factors should be gender sensitized
internalizing right-based approach in combating Spread of HIV/AIDS results in risk of losing forms of
endemic and ensuring treatment, care and support. social and economic protection. There is no doubt that
As per the findings of the research entitled ‘Role of onslaught of HIV/AIDS is closely associated with
Safe Sexual Practices Reduce Gender-based Violence’ gender inequality and poor respect for the rights of
conducted by Rainbow Nari O Shishu Kallyan women. So to mitigate the multiple impacts of
Foundation in 2006, ABC – Abstain (from sexual epidemic, gender mainstreaming should be significantly
intercourse), Be faithful (to one sexual partner) and use integrated into HIV/AIDS prevention programs.
Condom – approach has a great impact to protect the Eventually, HIV prevention and impact mitigation
vulnerable women stigmatized often for their risky policy will be able to make the realization of gender
behavior. It has the potential comprehensively to equality one of the most important strategies.
contribute to protection from exposure to HIV/AIDS.
This approach is the stepping stone to reducing gender Gender mainstreaming for HIV/AIDS is to ensure
based violence as a whole. gender equality in all policies, programs and activities
Bearing in mind empowering women is essential for that it would be possible to keep the epidemic in bay. It
reducing vulnerability, their social security and is the most efficient and equitable means for using
economic opportunities have to be ensured. existing resources with a view to combating HIV/AIDS
Discrimination, unequal property and inheritance laws internalizing need based approach. At a rough estimate
and petty access to knowledge confine women’s since the beginning of the epidemic, over 10 million
income-earning possibilities. Thus inequality between women have died from HIV/AIDS-resulted illness. 48
male and female thrives on enhancing the means of per cent of adults newly affected by HIV/AIDS in 2001
violence. This is why in the aspect of preventing were certainly women. The fact that lack of gender
HIV/AIDS, there is no alternative of making women mainstreaming along with domination of social stigma
self-reliance that they would be able to protect them and discrimination creates a tremendous barrier to
from onslaught of discriminations and gender-based women making them unable to adopt HIV risk-reducing
violence. behavior.
Published: The Financial Express, 29 September 2007 Social stigma and gender discrimination engulf series
of possibilities to reduce vulnerability to HIV/AIDS
successively. The enhanced poverty and developmental
34
decline nourished by gender inequality may make all AIDS cases have occurred in developing countries.
women and girls engaged in risky sexual behavior in
lieu of getting money, food and other facilities. Having Through promoting, facilitating and supporting the
lack of enough access to quality treatment and care, implementation of gender mainstreaming, AIDS
then they fall into enormous vulnerability to sexually prevention should be brought about under the spotlight
transmitted diseases (STIs) one after another. of women empowerment. Gender mainstreaming and
women empowerment are obviously complementary
As per the finding of Rainbow Nari O Shishu Kallyan strategies. So the strategy of gender mainstreaming
Foundation, 95 per cent adolescent girls of Bangladesh within HIV/AIDS prevention should be outlined that
are drastically vulnerable to HIV/AIDS because of their women empowerment is ensured.
paltry access to necessary information for protecting
their reproductive health. Due to their poverty at the Published: The Bangladesh Observer, 23 September 2007
levels of awareness, skill, knowledge, attitude and
practice all along, they are being more vulnerable
consecutively. When they are enough adult they are not
able to ensure their role as potential manpower in
planning, implementing, monitoring and evaluating
pro-gender programs and projects.
En-Gendering AIDS Prevention Gateway to Sustainable endeavors dedicated to establishing just society. People
Development centered planning with a view to ensuring exclusive
participation, accountability, commitment and
Nowadays gender discrimination is the key challenge transparency may promote good governance
for sustainable development. It widens the likelihood of undoubtedly. Capitalizing on this pro-poor planning,
HIV/AIDS epidemic. So we have to alleviate all the HIV/AIDS prevention should be led by gender
discriminations as regards achieving ownership, sensitized policy and strategy. Eventually, as a far-
leadership and dignity, enjoying freedom, controlling seeing impact it is possible to achieve sustainable
resources, accessing to information, establishing rights, development.
making decision, grooming voices, taking responsibility
as well as participating in development activities. A socio-economic study in 2006 conducted by Rainbow
Nari O Shishu Kallyan Foundation shows that lack of
Women are being increasingly affected by HIV. So the reproductive health literacy attributed by social stigma
reduction of gender-based discrimination has to be and poverty among adolescents at rural level in
integral to the strategic response to HIV/AIDS. Bangladesh makes 98% young women practice risky
Otherwise there is a great scope that HIV/AIDS behaviors. They are growing as unskilled manpower
epidemic may be feminized. The aftermath of having minimal livelihood development. They are
feminized endemic is very much enough for ruining turning into vulnerable especially to STDs (sexually
overall development achievement. As per the UNAIDS transmitted diseases) /HIV/AIDS on a great scale. Their
report 2004, nowhere is the epidemic’s ‘feminization’ vulnerabilities due to their too little life-skill are
more perceptible than in sub-Saharan Africa, where affecting the mainstream process of sustainable
fifty seven per cent of adults infected are women as development-extensively.
well as seventy five per cent of young people infected
are women and girls. Being affected by the negative social and economic
consequences of HIV/AIDS, women are compelled to
An essential fact is that lack of good governance is the experience various kinds of deceptions and deprivations
ideal vehicle of deprivation and poverty. Concurrently cruelly. Therefore, a gender-inclusive approach to
spread of HIV/AIDS is closely associated with poverty HIV/AIDS has to play a role to ensure women’s rights
and discrimination. All of these social issues to productive resources comprising land, credit,
intertwined with different byproducts like agricultural technologies, and other facilities. In this
stigmatization, violence and sexual abuse affect the regard, initiating outreach on HIV/AIDS to rural
36
Without having gateway to health knowledge and With a view to attaining gender equality, gender
protection comprehensively, women are very much mainstreaming plays a vital role as an effective strategy
susceptible to HIV infection. They, especially the for making both women's and men's participation,
young women, bear the vulnerability of the sharing and experience integral dimension in policy
reproductive tract tissues to the virus. The stigma of making, program implementation, monitoring and
STIs in women makes them hesitate to get proper evaluation. Mainstreaming the gender perspective, it is
treatment. They are supposed to bear the maximum easy to bring about the process for stimulating the
burden of caring for sick family members. But often gender awareness being internalized in any planned
they have less care and support when they themselves action in any area of development and at all levels.
are infected severely. Since HIV/AIDS is not just a health issue and
impacting widely on every aspect of life, it should be
As the stepping stone to sustainable development, in the prevented through developing both short and long-term
1980s a new approach was evolved. This is the gender-sensitive strategies from community to national
mainstreaming strategy which aims to make the goal of level.
gender equality central to all development activities. If
AIDS prevention is not en-gendered sustainable According to the 2005 national HIV household survey,
development might be endangered. So to en-gender all one in three women aged 30-34 years were living with
the development initiatives, especially HIV/AIDS HIV, as were one in four men aged 30-39 years in
prevention, it is necessary to involve a strategy for South Africa. Present average life expectancy (at birth)
making women’s as well as men’s concerns and for women in Zimbabwe is now among the lowest in
experiences an integral part of the design, the world: 34 years. It is estimated to be 37 years for
implementation, monitoring and evaluation of policies men (WHO, 2006). So it is significant to note that to
and programs in all political, economic and social combat HIV/AIDS epidemic, we have to ensure women
spheres. It results in that men and women will be empowerment stamping out gender discrimination
benefited equally and inequality will be removed as a through gender mainstreaming at any rate.
whole.
Prostitution has been mushrooming in Asia due to
deteriorating economic condition in this region. Young
37
girls and women having lack of educational and Foundation, "Women should be empowered by way of
economic opportunities are being driven to the big income generating activities. After being self-reliant,
cities in the hope of earning their livelihood. Sometimes they will be capable to fight for their rights coupled
they are involved in such risky behaviors as prostituting with ensuring their participation in development
themselves being trapped. They are lured into the job activities. Consequently malnutrition, maternal
by the offer of attractive salary that they are engaged mortality rate, infant mortality rate and overall the
into sex industry by men whom they trust. So vulnerability to STDs (sexually transmitted diseases)
HIV/AIDS prevention program internalized by gender and AIDS will be reduced significantly."
mainstreaming should be through a framework
integrating social mobilization, social sensitization Rainbow Nari O Shishu Kallyan Foundation's reveal
activities like advocacy, livelihood skill development extremely high levels of infections among adolescent
training and creating the scope for self employment, girls, which are higher than those for boys. This is
providing necessary assistance to indigenous group, mainly because of the fact that at young age, boys have
ensuring legal as well as financial assistance. sex with girls of similar age, while girls have relations
with older men, who are more likely to be infected.
Gender mainstreaming, very much efficient and Sexual harassment of schoolgirls by older men
equitable way of using existing resources for containing sometime may be the cause of HIV or STI infection.
the spread of HIV/AIDS, may make different Poverty also drives many adolescent girls to accept
development endeavors focus properly on the pragmatic relationships with 'sugar daddies' (older men who are
needs of the whole population of a nation. It ensures a prepared to give money, goods or favors in return for
framework for developing and implementing policies, sex).
programs and legislation as the corner stone of
sustainable development. Involving gender analysis, the Guiding, designing and implementing the process of
framework assists to reveal, classify and integrate mainstreaming gender into all areas of action research,
women's and men's different social contribution, gender management system (GMS) always intends to
relationships, commitment, realities and economic widen the incorporation of gender awareness into all
circumstances. organizational policies, programs and projects sapping
the impact of HIV/AIDS. In accordance with the spirit
As per the findings of an in-depth research entitled and principles of broad-based community approach,
'Stepping Stone to AIDS Prevention in Bangladesh gender-inclusive environment is automatically groomed
through Gender Mainstreaming' conducted by Earth to enrich the ability of community based interventions
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