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Six concrete measures to support women and girls in all their diversity in the context of the COVID-19 pandemic

COVID-19 is not only a health issue, just as HIV never was. It impacts on a wide range of human rights, and although it affects all people, it does so unequally. Women and girls in all their diversity are experiencing the greatest impact of the crisis. COVID-19 has highlighted the stark inequalities across societies, with a lack of pandemic...


Report of the Special Rapporteur on Extreme Poverty and Human Rights: Unpaid Care Work and Women's Human Rights

This report, submitted by the United Nations (UN) Special Rapporteur on extreme poverty and human rights analyses the relationship between unpaid care work and poverty, inequality, and women&39;s human rights. Additionally, the report clarifies the obligations of States, reminding them that failure to adequately support care contradicts their human...


Valuing and Compensating Caregivers for their Contributions to Community Health and Development in the context of HIV and AIDS: An Agenda for Action

In the first half of 2009, structured interviews were conducted with 1,366 volunteers providing care-giving in six African countries as part of the “Compensations for Contributions: Creating an enabling policy framework for effective home-base care” Initiative. This action research initiative sought to capture the realities of tens of thousands of...


Compensation for Contributions Report on Interviews with Volunteer Care-Givers in Six Countries

In the first half of 2009, structured interviews were conducted with 1,366 volunteers providing care-giving in six African countries. The interviews were conducted as part of the “Compensations for Contributions: Creating an enabling policy framework for effective home-based care” initiative, a project supported by the UNDP-Japan partnership Fund....


Expanding the Care Continuum for HIV/AIDS: Bringing Carers Into Focus

This review explores the specific issues that cluster around the provision of 'care' in the context of the global HIV/AIDS pandemic. The authors argue that the economic concept of the 'care economy' provides a useful lens through which to view the HIV/AIDS pandemic, as it illuminates the increased labour, time and other demands placed upon...


The Implications of HIV and AIDS on Women’s Unpaid Labour Burden

This Issue Paper addresses the implications of HIV/AIDS on women’s unpaid labour burden. The authors discuss care giving in the context of HIV/AIDS, care giving as women’s work, the impact this has on women and girls, as well as promoting community hom-based care as a policy response to HIV. The paper is followed by an article by Rania Antonopoulos...


A Gendered Analysis of the Burden of Care on Family and Volunteer Caregivers in Uganda and South Africa

This study was commissioned to understand the contexts in which home-based care and its variations is being provided in Uganda and South Africa, and to assess the gendered impacts that these programmes have on the members of the family and community as well as the organisations offering care for PLWHAs. This is intended to assist in designing...


The Care Economy: Gender and the Silent AIDS Crisis in Southern Africa

This article considers the impact of AIDS on women's roles and responsibilities within the household 'care economy.' It emphasizes that all interventions aimed at reversing the epidemic need to take into account the excessive work-load that members of the household, usually women, shoulder in responding to the needs of sick family members. Most...


The Impact of HIV/AIDS on Women Care Givers in Situations of Poverty: Policy Issues

The study is a joint initiative of the Institute of Public Administration and UNIFEM South Asia Regional Office with an objective to understand the impact of HIV/AIDS entering the home and on the lives and livelihoods of women care givers in situations of poverty. Focusing on the existing coping mechanisms, the study is also attentive to short and...


Stronger Together: Supporting the Vital Role Played by Older People in the Fight

This briefing report describes how older people, particularly grandmothers, carry most of the emotional and financial burden as carers. Yet their vital role is going unrecognized. This report calls for a major shift in the response to HIV/AIDS.


"It's like Giving Birth to the Sick Person for the Second Time"

This paper based on findings from the KwaZulu-Natal Income Dynamics Study (KIDS) describes caregivers' perspectives on providing care for HIV positive family members. The paper focuses on understanding what care provision means to family caregivers and in turn why they provide care. More centrally it highlights various aspects of the experience of...


Women, Girls, HIV/AIDS and the World of Work

This briefing note describes the linkages between women and HIV/AIDS, and the impact on national economies. In addition to young women being at greatest risk for transmission, women also bear the brunt of the costs of HIV/AIDS. Women's risks are exacerbated by poverty, low status and dependence on men..


Missing Mothers

Meeting the needs of children affected by AIDS Millions of children across the world have already lost their mothers to AIDS. Millions more are caring for their sick mothers, knowing they will die soon. With proper support within their communities, mothers can be cared for in their homes, and continue to care for their children. Until now, support...


Lending a Caring Hand: Tips for Home Health Care

As with other chronic illnesses, the ideal AIDS care model is a holistic combination of public health, home and community care. The WHO believes that HIV/AIDS should be managed at home because home care is more comprehensive, more compassionate, less expensive and allows the patient to maintain a certain level of dignity and normality. However,...


Programmatic Implications of a Cost Study of Home-based Care Programs in South Africa

In 2004, the Horizons Program undertook a study of six different home-based care programs to provide key information to NGOs, government ministries, donors, and the programs themselves to inform decisions about service delivery. The study analyzed the cost of Home-Based Care services, the best use of resources, and how well programs are able to...


Field-testing Costing Guidelines for Home-based Care

There is a growing acknowledgment of the importance of the continuum of care and support services to people living with HIV/AIDS outside of health facilities. Greater reliance on women in the communities to provide care and support to people living with HIV/AIDS as well as non-complex maintenance and adherence support for treatment of those who are...


The Cost of Love: Older People and the Fight against AIDS in Tanzania

This report presents the key issues facing older women and men affected by HIV/AIDS in Tanzania, including their role in providing care and support to their sons and daughters living with HIV/AIDS and to their grandchildren. It draws on participatory research with older people, community leaders, government officials and young people in five...


Coping with Love: Older People and HIV/AIDS in Thailand

This report presents the findings of research carried out in northern Thailand. It highlights the issues faced by older people affected by HIV/AIDS (including the burden of caregiving), the contributions they are making to their households, and the lack of services and support available to them. The report is intended for policy makers in...


Forgotten Families

This report focuses on the role of older carers in supporting orphans and vulnerable children. It draws on evidence collected from programme experience in Africa and Asia, in order to provide policymakers and other actors tackling the HIV/AIDS epidemic with: an overview of the issues identified by older people and orphans and vulnerable children...


HIV/AIDS and Older Persons

This issue looks at the devastating impact that HIV/AIDS is having on older people. In particular, growing numbers of older people are caring for family members with AIDS and for orphaned grandchildren, often with little or no support.