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Drugs, Sex, Gender-Based Violence, and the Intersection of the HIV/AIDS Epidemic with Vulnerable Women in South Africa

Drugs, Sex, Gender-Based Violence, and the Intersection of the HIV/AIDS Epidemic with Vulnerable Women in South Africa
Author: Wendee M. Wechsberg
Publisher: RTI Press
Total Pages: 5
Release: 2010-05-20
Genre: Health & Fitness
ISBN:

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Recent innovative research has identified key factors that put vulnerable South African women at risk of HIV/AIDS and gender-based violence, including high-risk patterns of alcohol abuse and sexual partnering, gender norms that place men in control in sexual relationships, low educational levels and limited access to employment, poor health care, inadequate housing, and sex work. These studies suggest that targeted HIV-prevention interventions can effect improvement for this vulnerable population when programs remain sensitive to gender and cultural differences and expectations and address the social and economic inequalities that make women vulnerable. Solving these problems on a larger economic scale will require institutional participation and political support for women’s equity, HIV-prevention literacy, and a broader HIV-prevention agenda. This can be accomplished with a multilevel, collaborative response from government, community, and international partners using multiple prevention strategies and fostering sustainability.


HIV/AIDS, Gender, Human Security, and Violence in Southern Africa

HIV/AIDS, Gender, Human Security, and Violence in Southern Africa
Author: Monica Kathina Juma
Publisher: African Books Collective
Total Pages: 112
Release: 2011
Genre: Health & Fitness
ISBN: 0798302534

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In the 10 years since the United Nations Security Council's first resolution on HIV/AIDS, the pandemic has had far-reaching implications for human security. In sub-Saharan Africa, the epicentre of the pandemic, the consequences have been borne disproportionately by women. Violent conflicts and insecurity throughout the region, characterised by population movements, forced migration and environmental crises, have overwhelmed the capacity of states to provide preventative measures against HIV/AIDS, care and treatment. In many areas, the related stress factors on health systems and basic service provision have pushed community and kinship networks beyond their breaking points. The plight of women is exacerbated because they are vulnerable and at high risk of HIV infection, due to increased care burdens within the household and community, sexual and gender-based violence and exploitation, as well as coercive interpersonal relationships. This volume is a welcome addition to the literature on HIV/AIDS and should serve as a useful tool for Aids activists, community health workers as well as for policy makers in the region


Women's Property Rights HIV and AIDS & Domestic Violence

Women's Property Rights HIV and AIDS & Domestic Violence
Author: Human Sciences Research Council
Publisher: HSRC Publishers
Total Pages: 192
Release: 2008
Genre: Business & Economics
ISBN:

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Revealing how women in many developing countries do not have the right to own or inherit property, this monograph clarifies the role of tenure security in protecting against and mitigating the effects of HIV amongst women and domestic violence. Exploring these linkages in Amajuba, South Africa, and Iganga, Uganda, this qualitative work based on peer-reviewed scientific studies and personal interviews with native women argues that property ownership, while not easily linked to women’s ability to prevent HIV infection, can nonetheless mitigate the impact of AIDS and enhance a woman’s ability to leave a violent situation. An invaluable resource for policymakers, western donors, nongovernmental organization workers, and academics, this analysis details the current land reform efforts as well as HIV/AIDS and domestic-violence policies in both countries, in Africa as a whole, and beyond.


Gender and HIV in South Africa

Gender and HIV in South Africa
Author: Courtenay Sprague
Publisher: Springer
Total Pages: 423
Release: 2018-03-16
Genre: Political Science
ISBN: 1137559977

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This book addresses the ongoing problem of HIV in black South African women as a health inequity. Importantly, it argues that this urgent problem of justice is changeable. Sprague uses the capabilities approach to bring a theory of health justice, together with multiple sources of evidence, to investigate the complex problem of HIV and accompanying poor health outcomes in black South African women. Motivated by a concern for application of knowledge, this work discusses how to better conceptualise what health justice demands of state and society, and how to mobilise available evidence on health inequities in ways that compel greater state action to address problems of gender and health. HIV in women, and possible responses, are investigated on four distinct levels: conceptual, social structure, health systems, and law. The analysis demonstrates that this problem is indeed modifiable with long-term interventions and an enhanced state response targeted at multiple levels. This book will be of interest to academics and students in the social health sciences, gender and development studies, and global health, as well as HIV/health activists, government officials, policy makers, HIV clinicians and health providers interested in HIV.


Gender Based Violence and HIV Risk

Gender Based Violence and HIV Risk
Author: Sarah Tyler Roberts
Publisher:
Total Pages: 122
Release: 2016
Genre:
ISBN:

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The studies within this dissertation address gender-based violence (GBV) and its relationship with risk factors for HIV acquisition in African women. Women exposed to GBV have a higher risk of HIV infection, but the mechanisms for this association are not well understood, and the mechanisms may differ according to the patterns of violence experienced. Therefore, a full assessment of pathways to HIV risk requires meaningful GBV classifications that consider variations in GBV type, frequency, and severity. This work: 1) characterizes the patterns of GBV experienced by female sex workers, 2) describes the association of those GBV patterns with mental health and sexual risk behavior, and 3) examines the relationship between GBV and adherence to pre-exposure prophylaxis (PrEP) among HIV-uninfected women in HIV serodiscordant couples. Using latent class analysis, we identified 4 GBV patterns in female sex workers, labeled Low (21% prevalence), Sexual (23%), Physical/Moderate Emotional (18%), and Severe (39%). Compared to women with Low GBV, those with Severe GBV had higher symptom scores for depression, posttraumatic stress disorder (PTSD), and alcohol abuse, and higher numbers of sex partners. Women with Sexual GBV had higher symptom scores for alcohol abuse only, but there were no differences in sexual risk behavior. Women with Physical/Moderate Emotional GBV had higher numbers of sex partners and a higher prevalence of unprotected sex, but no differences in mental health symptoms. Among women in HIV serodiscordant couples, those with recent GBV had lower PrEP adherence than women with no GBV, and the effect increased with increasing number of violent episodes. This research has contributed to HIV prevention in high-risk African women by providing a more nuanced understanding of how the relationship between GBV and on HIV risk varies by GBV type, frequency, and severity. It also provides new data on the impact of GBV on PrEP adherence, which has not been previously studied. Prevention programs for women should screen for violence and address these multiple pathways to effectively reduce HIV incidence in this vulnerable population.


Gender-Based Violence, Law, and African Society

Gender-Based Violence, Law, and African Society
Author: Abiodun Raufu
Publisher: Lexington Books
Total Pages: 189
Release: 2023-10-16
Genre: Social Science
ISBN: 1666934836

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Gender-based violence is a convoluted concept with no single explanation or solution. Abiodun Raufu, Omolade Olomola, and Edidiong Mendie bring to light the different dimensions of gender-based violence in Africa, such as the challenges of patriarchy, the limits of the law, and the cultural acceptance of violence against women in the private sphere. In spite of the different forms and causes of violence, it is universally recognized as a destructive force that has extensive consequences for both individuals and society. In order to combat violence, it is important to understand its root causes and foundational issues to facilitate workable solutions through a range of strategies, including education, prevention, and intervention programs. This book will be of interest to students and scholars in criminology, sociology, legal studies, African studies, and more.


Propagating HIV Risk

Propagating HIV Risk
Author:
Publisher:
Total Pages: 200
Release: 2014
Genre:
ISBN:

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Gender-based violence (GBV) and rape myth acceptance (RMA) have received increasing attention as the Human Immunodeficiency Virus / Acquired Immunodeficiency Syndrome (HIV/AIDS) epidemic in South Africa continues to engage researchers, health care providers, and human rights activists. South Africa has among the highest rates of HIV/AIDS and violence against women worldwide. As such, investigations into the HIV/AIDS epidemic in South Africa have shifted from a concern solely with biological transmission risks to deconstructing the sociocultural context of HIV/AIDS. The current study sought to assess the potential relationship between GBV and RMA, and the impact of alcohol use, age, and employment on these issues. Problem drinking and alcohol, marijuana, and other drug use significantly increased the likelihood of all types of GBV perpetration but did not moderate the relationship between RMA and GBV. Men below the ages of 21 years had increasing levels of sexual GBV perpetration with increasing levels of RMA whereas the opposite was true for men over 22 years. Results also revealed that while students' likelihood of psychological GBV perpetration was unaffected by RMA, employed males experienced an increasing likelihood of perpetration with increasing levels of RMA but unemployed males experienced decreasing likelihood of perpetration with increasing levels of RMA. The implications of prevention in the context of substance use and amongst younger boys and employed men are explored and have great potential for policy makers and practitioners tailoring current programming to slow the HIV/AIDS epidemic in South Africa.


HIV/AIDS in South Africa

HIV/AIDS in South Africa
Author: S. S. Abdool Karim
Publisher: Cambridge University Press
Total Pages: 612
Release: 2010-06-17
Genre: Medical
ISBN: 9781139487931

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This second edition of the book provides up-to-date information on new drugs, new proven HIV prevention interventions, a new chapter on positive prevention, and current HIV epidemiology. This definitive text covers all aspects of HIV/AIDS in South Africa, from basic science to medicine, sociology, economics and politics. It has been written by a highly respected team of South African HIV/AIDS experts and provides a thoroughly researched account of the epidemic in the region.