Abstract
Although the HIV epidemic affects, directly or indirectly, all segments of the population regardless of age, sex, religion, and socioeconomic status, women are the most affected group in Sub-Saharan Africa and most other parts of the developing world. While slightly more than 50% of all HIV cases worldwide in 2010 were women, up to three times as many women as men aged 15-24 years were infected in Sub-Saharan African countries (UNAIDS 2010). The difference is the result of inequitable gender norms that influence male interactions with females on many issues, including HIV prevention, sexual intercourse, and physical violence (WHO 2007), as described in Chapters 1 and 2. Interventions to promote women’s health and control HIV/AIDS and most laws and policies either neglect women’s rights or, if they do mention them, are not implemented. This complacency is illustrated by the Protocol to the African Charter on Human and People’s Rights on the Right of Women in Africa (the African Women’s Protocol), which was adopted by the African Union in 2003. However, only 29 out of 52 countries had signed and ratified the protocol by 2011, and while it provides a strong framework for women’s reproductive rights in the African context, it fails to include specific protections for girls and young women as it does for older and disabled women. Even for those countries that adopted the protocol, major hurdles remain in implementing its provisions (Gerntholz et al. 2011).
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References
Ahlberg, B.M. 1994. Is there a distinct African sexuality? A critical response to Caldwell. Africa 64(2):220–242.
Baden, S. and Wach, H. 1998. Gender, HIV/AIDS transmission and impacts: A review of issues and evidence. Briefing prepared for Swedish International Development Agency (SIDA). Brighton, UK: Institute of Development Studies, University of Sussex.
Bah, I. 2005. Gender inequality and HIV/AIDS in Zambia: A study of the links between gender inequality and women’s vulnerability to HIV/AIDS. MA thesis, Department of Political Science, University of Zambia, Lusaka.
Barker, G. and Rich. S. 1992. Influences on adolescent sexuality in Nigeria and Kenya: Findings from focus group discussions. Studies in Family Planning 23:199–210.
Deutsch, F.M. and Saxon, S.E. 1998. Traditional ideologies, non-traditional lives. Sex Roles 38:331–362.
ECA. 2004. Gender and HIV/AIDS. Commission on HIV/AIDS and Governance in Africa (CHG). Discussion on Outcomes. Addis Ababa: Economic Commission for Africa.
Foreman, M. 2000. Masculinity and HIV/AIDS pandemic including gender-based violence. In Africa Development Forum (ed.), Gender and HIV/AIDS, Report of the UNFPA-sponsored Panel Discussion on Gender and HIV/AIDS, pp. 3–8. Addis Ababa: African Development Forum.
Gerntholtz, L., Gibbs, A. and Willan, S. 2011. The African Women’s protocol: Bringing attention to reproductive rights and the MDGs. PLoS Medicine 8(4):e1000429, doi:10.1371/journal.pubmed.1000429.
Jafri, T. 1997. HIV, Sexuality and Violence against Women. A report to UNFPA CAST Directors, United Nations Development Fund for Women (UNIFEM). New York: UNIFEM.
Jato, M. 2002. Addressing the gender dimension in HIV/AIDS prevention in subSaharan Africa. Paper presented at the Center for Research Training and Information on Women in Development (CERTWID), Addis Ababa University, Addis Ababa.
Jewkes, R. and Morrell, R 2010. Gender and sexuality: Emerging perspectives from the heterosexual epidemic in South Africa and implications for HIV risk and prevention. Journal of the I nternational AID S Society 13:6, doi:10.1186/1756–2652-13–6
Kalinda, T. and Tembo, R. 2010. Sexual practices and levirate marriages in Mansa District of Zambia. Electronic Journal of Human Sexuality 13 March 23, www.ejhs.org.
Kidane, A., Banteyerga, H., Noble, N. and Harada, Y. 2004. Gender and HIV/AIDS in Ethiopia: Focusing on selected woredas in Oromia and SNNPR regions. Miz-Hasab Research Center (MHRC). Sponsored by UNDP. Addis Ababa. Unpublished.
Kilonso, N., Ndung’u, N., Nthamburi, N. et al. 2009. Sexual violence legislation in sub-Saharan Africa: The need for strengthened medico-legal linkages. Reproductive Health Matters 17:10–19.
Kloos, H. and Haile Mariam, D. 2007. Some neglected and emerging factors in HIV transmission in Ethiopia. Ethiopian Medical Journal 45:103–107.
Marston, C. and King, E. 2006. Factors that shape young people’s sexual behaviour: A systematic review. Lancet 368:1581–1586.
Mekonen, K. 2004. Women’s vulnerability to HIV/AIDS. The need for legislation. IBERCHI. Annual Journal of Ethiopian Women Lawyers Association (Addis Ababa) 5:30–45.
Mekonnen, Y., Gugsa Y., Messele, T. et al. 2008. Gender relations and vulnerability regarding HIV/AIDS in Ethiopia: The role of power in relationships on HIV risk awareness and the ability to communicate and negotiate safer sex. In OSSREA (ed.), The HIV/AIDS Challenge in Africa: An Impact and Response Assessment: The Case of Ethiopia, pp. 311–353. Addis Ababa: OSSREA.
Mesfin, R. 2007. The HIV/AIDS Challenge in Africa: An Impact and Response Assessment. Executive Summaries of Findings of Research Projects Carried out in Botswana, Tanzania, Uganda and Zambia. Addis Ababa: OSSREA.
MLHA. 2001. Report of the First National Conference on Gender and HIV/AIDS. Gaborone, Botswana: Ministry of Labor and Home Affairs.
Mookodi, G.B., Maundeni, T., Kapunda, S.M. et al. 2007. Gender and HIV/AIDS: Male risk and male sector interventions in Botswana. In OSSREA (ed.), The HIV/AIDS Challenge in Africa, an Impact and Response Assessment: The Case of Botswana, pp. 1–92, Addis Ababa: OSSREA.
Njue, C. and Kiragu, S. 2006. Gender differences in communication regarding sexual matters: Burdened girls and neglected boys. In Pertet, A. (ed.), Re-thinking Research and Intervention Approaches that Aim at Preventing HIV Infection among the Youth, pp. 33–42. Nairobi: Regal Press.
Seely, J., Garilleir, R. and Barnett, T. 2004. Gender and HIV/AIDS impact mitigation in sub-Saharan Africa: Negotiating the constraints. Journal of Social Aspects of HIV/AIDS 1:87–98.
Susser, I. 2009. AIDS, Sex and Culture. Chichester: Blackwell.
Tallis, V. 2002. Gender and HIV/AIDS: Overview Report. Sussex: University of Sussex, Institute of Development Studies.
Thole, K. and Caleb, F. 2011. HIV prevalence in women and girls indulging in anal sex in Malawi. Abstracts of the International Conference on AIDS and STIs in Africa, Addis Ababa. Abstract MOAC0104.
UNAIDS. 1999. Gender and HIV/AIDS: Taking Stock of Research and Programs. Geneva: Joint United Nations Program on HIV/AIDS.
UNAIDS. 2010. UNAIDS Report on the Global AIDS Epidemic. Geneva: UNAIDS.
UNAIDS. 2011. A Summary Report of New Evidence that Gender Perspectives Improve Reproductive Health Outcomes. Geneva: UNAIDS.
UNDPI and UNAIDS. 2001. Fact Sheets: Global Crises, Global Action. New York: UNDPI and UNAIDS.
Watkins, S.C. 2010. Back to basics: Gender, social norms, and the AIDS epidemic in sub-Saharan Africa. In Sahn, D.E. (ed.), The Socioeconomic Dimensions of HIV/AIDS in Africa, pp.134–162. Ithaca, NY: Cornell University Press.
WHO. 2007. Engaging Men and Boys in Changing Gender-based Inequity in Health: Evidence from Programme Interventions. Geneva: WHO.
WHO/UNAIDS/UNICEF. 2008. Fact Sheet on HIV and AIDS: Ethiopia 2008 Update. Geneva: World Health Organization.
Books, papers, and other resources for further reading
Boesten, J. and Poku, N. 2009. Gender and HIV/AIDS: Critical Perspectives from the Developing World. London: Ashgate.
Chant, S. (ed.). 2010. The International Handbook of Gender and Poverty: Concepts, Research, Policy. Cheltenham, UK: Edward Elgar Publishing.
Gibbs, A. 2010. Understanding of gender and HIV in the South African media. AIDS Care 22(S2):1620–1628.
Hunter, M. 2010. Love in the Time of AIDS: Inequality, Gender and Rights in South Africa. Bloomington, IN: Indiana University Press.
Population Council. 2008. Sexual and Gender Based Violence in Africa: Literature Review. http://www.popcouncil.org/pdfs/AfricaSGBV-LitReview.pdf
Tallis, V. 2012. Feminism, HIV and AIDS: Subverting Power, Reducing Vulnerability. Basingstoke, UK: Palgrave Macmillan.
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© 2013 Ayalew Gebre, Tekalign Ayalew, and Helmut Kloos
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Gebre, A., Ayalew, T., Kloos, H. (2013). Gender Inequalities, Power Relations, and HIV/AIDS: Exploring the Interface. In: Vulnerabilities, Impacts, and Responses to HIV/AIDS in Sub-Saharan Africa. Palgrave Macmillan, London. https://doi.org/10.1057/9781137009951_3
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DOI: https://doi.org/10.1057/9781137009951_3
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