This Checklist supports the integration of gender-responsive components into the implementation of HIV programmes supported by the Global Fund to Fight AIDS, TB and Malaria (the Global Fund), as their new funding model (NFM) is rolled out. The Checklist provides specific steps and examples to ensure that the gender dimensions of HIV are addressed in all phases of programming – from country dialogues, through proposal drafting to monitoring and…
Structural factors such as poor education, poverty, and gender and power inequalities are important determinants of young women's vulnerability to HIV infection. In The Lancet, Sarah Baird and colleagues report the results of a randomised controlled trial done with adolescent girls in rural Malawi, examining the effects of a cash transfer programme on risk of HIV infection. The investigators report that schoolgirls who received monthly cash…
This statement aims to contribute to the elimination of forced, coercive and otherwise involuntary sterilization. It reaffirms that sterilization as a method of contraception and family planning should be available, accessible, acceptable, of good quality, and free from discrimination, coercion and violence, and that laws, regulations, policies and practices should ensure that the provision of procedures resulting in sterilization is based on…
This Report documents the results of a community-based research project on how grassroots women in Africa address key development challenges using innovative approaches for achieving justice in relation to land disputes and gender-based violence brought about by disinheritance and gender discrimination. The Report documents the main strategies that grassroots women's groups are using to help women attain justice, either by working within or…
This paper explores how programmes such as microfinance, livelihood training and efforts to safeguard women's food security and access to property have begun to incorporate an HIV prevention focus. Despite numerous calls to 'mainstream AIDS’ in economic development, cross-sectoral responses have not been widely taken up by government or other stakeholders. The authors suggest potential reasons for limited progress to date and conclude by…
This Report is based on the findings from case studies conducted by AIDSTAR-One in three countries where gender-based violence (GBV) services were available: Swaziland, Vietnam, and Ecuador. These case studies were developed to help program managers design, plan, and implement strategies to integrate GBV within existing HIV, family planning, and reproductive health services and programs. The Report shares promising programmatic approaches and…
This Overview Report analyses why and how HIV/AIDS is now disproportionately affecting women. It explores new gender-sensitive approaches to fighting HIV/AIDS and suggests that in order to be effective, it is necessary to deal with the inequalities that both drive and are entrenched by the epidemic. It specifically addresses stigma and the need to transform gender relations.
This paper argues that sexual, and male violent, practices are rooted in and flow from cultural ideals of gender identities. The latter enables us to understand why men and women behave as they do, and the emotional and material context within which sexual behaviours are enacted. In South Africa, while gender identities show diversity, the dominant ideal of black African manhood emphasizes toughness, strength and expression of prodigious…
This paper provides an overview of research conducted in 2007-08 into the interactions between gender relations, HIV and AIDS and food security in war-affected communities in Northern Uganda. It first reviews the policy and legal context associated with these issues; and then outlines key findings and lists policy recommendations.
The International Men and Gender Equality Survey (IMAGES), created and coordinated by Promundo and the International Center for Research on Women (ICRW), is one of the most comprehensive studies ever on men's practices and attitudes as they relate to gender norms, attitudes toward gender equality policies, household dynamics including caregiving and men's involvement as fathers, intimate partner violence, health and economic stress. The data…
This paper examines how the GBV initiative is being introduced in Tanzania, one of the GBV focus countries, based on interviews in Tanzania in April 2012 with U.S. government officials, nongovernmental organizations, and implementing partners, as well as interviews in Washington, D.C. It describes the importance of this initiative for the work of PEPFAR and the Global Health Initiative (GHI), impediments to progress, why this program has the…
The rapid assessment elicited basic gender and cultural perceptions and beliefs related to HIV, to people living with HIV in general and to women, in particular that posed barriers to the uptake of and adherence to HIV services. The findings revealed, across all sites, substantive gaps in comprehensive HIV knowledge, with cultural perceptions and beliefs about HIV and gender roles often acting as effective deterrents to service access. Women…
This article is based on a systematic review of gender-transformative HIV and violence prevention programs with heterosexually-active men in order to assess the efficacy of this programming. The authors find that gender-transformative interventions can increase protective sexual behaviors, prevent partner violence, modify inequitable attitudes, and reduce STI/HIV, though further trials are warranted, particularly in establishing STI/HIV…
Female sex workers (FSWs) bear a disproportionately large burden of HIV infection worldwide. This article reviews available published data for HIV prevalence and incidence, condom use, and structural determinants among this group. To explore the potential effect of structural determinants on the course of epidemics, the authors use a deterministic transmission model to simulate potential HIV infections averted through structural changes in…
This booklet presents new thinking and emerging research alongside a series of case studies and examples of new and time-tested programmes on the issues of gender equality, HIV and education and the interrelation between them. It includes discussion papers, which explore issues and emerging evidence in greater depth, as well as case study examples of programmes and interventions from a range of countries. The aim of the booklet is to highlight…
This thematic paper criticizes the continuing tendency of development partners and governments to address the MDGs – particularly MDGs 3, 5 and 6 – as separate entities requiring distinct interventions. The paper cites evidence showing that integrating sexual and reproductive health with human rights is the most effective way to address and fulfill the needs and rights of all populations. They conclude that efforts to address MDGs 3, 5 and 6…
The ICPD High-Level Task Force makes the case that the empowerment of women and girls and gender equality, the human rights and empowerment of adolescents and youth, as well as sexual and reproductive health and rights, should be reflected in the post-2015 agenda as core elements of development objectives. The ICPD argues that enabling the realization of sexual and reproductive health and rights is not only an ethical and human rights imperative…
The final report of the Global Commission on HIV and the Law presents a coherent and compelling evidence base on human rights and legal issues relating to HIV. The report is based on the testimony of more than 700 people most affected by HIV-related legal environments from 140 countries, in addition to expert submissions and a large body of scholarship on HIV, health and the law. To end the epidemic of bad laws and to promote good laws that…
This Report provides new evidence and offers recommendations for actions on the links between security, conflict, peacebuilding and HIV. Particular attention is paid to, inter alia, the link between violence against women, forced sex and the increased risk of HIV and the role that laws and law enforcement practices play in criminalizing the acts and activities of those groups who are habitually more vulnerable to the exposure of HIV.…
This paper outlines the impacts of the global economic crisis on women, girls and gender equality in order to advocate for sustained investment in this area. To capture the full impact of the crisis on women and girls, the paper provides a summary of evidence from high-, middle- and low-income countries across the globe, with a focus on countries with a high burden of HIV.