HIV Discrimination, Stigma, and Gender-Based Violence

2017 ◽  
Author(s):  
Antoine Douaihy ◽  
Neeta Shenai ◽  
Kimberly Clinebell ◽  
Mary Ann Cohen
Keyword(s):  
Human Immunodeficiency Virus ◽  
Hiv Transmission ◽  
Negative Impact ◽  
Hiv Stigma ◽  
Gender Based Violence ◽  
Immunodeficiency Virus ◽  
Infectious Illness ◽  
Gender Based ◽  
And Gender ◽  
Hiv Discrimination

Stigma, discrimination, and gender-based violence complicate and perpetuate the human immunodeficiency virus (HIV) pandemic. Although remarkable strides have transformed AIDS from a rapidly fatal infectious illness to a chronic manageable illness, HIV-based stigma, discrimination, and gender-based violence, together known as AIDSism, still exist and have not been transformed in the same way as the illness itself. These barriers continue to have a negative impact on prevention and testing as well as in engagement, retention, and adherence to care. This chapter explores the role that clinicians can play in recognizing and ameliorating HIV stigma, discrimination, and gender-based violence in order to diminish both suffering and HIV transmission and lead to compassionate and competent approaches to care.

scholarly journals Criminalization and International Human Rights

2018 ◽  
Vol 112 ◽  
pp. 83-84
Author(s):  
Alice M. Miller
Keyword(s):  
Human Rights ◽  
Sexual And Reproductive Health ◽  
Hiv Transmission ◽  
Gender Based Violence ◽  
International Human Rights ◽  
Human Rights Abuses ◽  
Human Rights Advocacy ◽  
International Human ◽  
Gender Based ◽  
And Gender

Human rights advocacy today engages with criminal law at international and national levels with a new and rather conflicted posture. It is reorienting from an approach that primarily treated human rights as a shield from (unjust) prosecutorial and carceral power, and toward one calling for criminal penalties and vigorous prosecutions as a remedy for harms. The human rights abuses for which state prosecution is invoked today include not only past and present state violations, such as torture, but crimes by non-state actors, such as sexual and gender-based violence. At the same time, paradoxically, many rights groups are calling for the review and reduction of criminal regulation of a range of sexual and reproductive health practices, including abortion, consensual sexual conduct outside of marriage (same sex, heterosexual, and sex for money), and HIV transmission.

scholarly journals Law, criminalisation and HIV in the world: have countries that criminalise achieved more or less successful pandemic response?

2021 ◽  
Vol 6 (8) ◽  
pp. e006315
Author(s):  
Matthew M Kavanagh ◽  
Schadrac C Agbla ◽  
Marissa Joy ◽  
Kashish Aneja ◽  
Mara Pillinger ◽  
...  
Keyword(s):  
Viral Suppression ◽  
Hiv Transmission ◽  
People Living With Hiv ◽  
Hiv Status ◽  
Gender Based Violence ◽  
Hiv Virus ◽  
The World ◽  
Gender Based ◽  
And Gender ◽  
Living With Hiv

How do choices in criminal law and rights protections affect disease-fighting efforts? This long-standing question facing governments around the world is acute in the context of pandemics like HIV and COVID-19. The Global AIDS Strategy of the last 5 years sought to prevent mortality and HIV transmission in part through ensuring people living with HIV (PLHIV) knew their HIV status and could suppress the HIV virus through antiretroviral treatment. This article presents a cross-national ecological analysis of the relative success of national AIDS responses under this strategy, where laws were characterised by more or less criminalisation and with varying rights protections. In countries where same-sex sexual acts were criminalised, the portion of PLHIV who knew their HIV status was 11% lower and viral suppression levels 8% lower. Sex work criminalisation was associated with 10% lower knowledge of status and 6% lower viral suppression. Drug use criminalisation was associated with 14% lower levels of both. Criminalising all three of these areas was associated with approximately 18%–24% worse outcomes. Meanwhile, national laws on non-discrimination, independent human rights institutions and gender-based violence were associated with significantly higher knowledge of HIV status and higher viral suppression among PLHIV. Since most countries did not achieve 2020 HIV goals, this ecological evidence suggests that law reform may be an important tool in speeding momentum to halt the pandemic.

scholarly journals The Lives of Girls and Young Women in the Time of COVID-19

2020 ◽  
Vol 13 (3) ◽  
pp. v-xi
Author(s):  
Claudia Mitchell ◽  
Ann Smith
Keyword(s):  
Young Women ◽  
Negative Impact ◽  
Hiv And Aids ◽  
Direct Result ◽  
Gender Inequalities ◽  
Sex And Gender ◽  
Gender Based Violence ◽  
Current Crisis ◽  
Gender Based ◽  
And Gender

As with Zika, Ebola, HIV and AIDS, and other pandemics in recent history, girls and young women are particularly vulnerable to COVID-19 socially and emotionally if not medically. Some observers have referred to the current crisis as a tale of two pandemics in reference to both the obvious health issues and the pervasive gender inequalities that have become exacerbated, and others have referred to it as “the shadow pandemic” (UN Women 2020: n.p.) in highlighting the negative impact that physical distancing and social isolation are having on already vulnerable girls and young women experiencing sex- and gender-based violence. All over the world girls and young women are facing increasing levels of precariousness as a direct result of the health measures being taken to curb the global transmission of COVID-19. The increasing lack of privacy in the home furthers the practice of cultural forms of patriarchy that lead to violence.

Photos from the Quarter

2020 ◽  
Vol 49 (2) ◽  
pp. 105-112
Keyword(s):  
Gender Based Violence ◽  
Gender Based ◽  
And Gender ◽  
Israeli Occupation

This sample of photos from 16 August–15 November 2019 aims to convey a sense of Palestinian life during this quarter. The images capture Palestinians across the diaspora as they fight to exercise their rights: to run for office, to vote, and to protest both Israeli occupation and gender-based violence.

THE SINS OF THE FATHER: GENDER- BASED VIOLENCE IN POST-APARTHEID SOUTH AFRICA

2017 ◽  
Vol 14 (2) ◽  
pp. 57-70 ◽  
Author(s):  
Lyn Snodgrass
Keyword(s):  
South Africa ◽  
Black Women ◽  
South African ◽  
African Women ◽  
Gender Based Violence ◽  
Political Issues ◽  
Race And Gender ◽  
Gender Based ◽  
And Gender ◽  
South African Women

This article explores the complexities of gender-based violence in post-apartheid South Africa and interrogates the socio-political issues at the intersection of class, ‘race’ and gender, which impact South African women. Gender equality is up against a powerful enemy in societies with strong patriarchal traditions such as South Africa, where women of all ‘races’ and cultures have been oppressed, exploited and kept in positions of subservience for generations. In South Africa, where sexism and racism intersect, black women as a group have suffered the major brunt of this discrimination and are at the receiving end of extreme violence. South Africa’s gender-based violence is fuelled historically by the ideologies of apartheid (racism) and patriarchy (sexism), which are symbiotically premised on systemic humiliation that devalues and debases whole groups of people and renders them inferior. It is further argued that the current neo-patriarchal backlash in South Africa foments and sustains the subjugation of women and casts them as both victims and perpetuators of pervasive patriarchal values.

scholarly journals Sexual health (excluding reproductive health, intimate partner violence and gender-based violence) and COVID-19: a scoping review

2021 ◽  
pp. sextrans-2020-054896
Author(s):  
Navin Kumar ◽  
Kamila Janmohamed ◽  
Kate Nyhan ◽  
Laura Forastiere ◽  
Wei-Hong Zhang ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Health Disparities ◽  
Reproductive Health ◽  
Sexual Health ◽  
Scoping Review ◽  
Partner Violence ◽  
Intimate Partner ◽  
Gender Based Violence ◽  
Gender Based ◽  
And Gender

ObjectivesThe COVID-19 pandemic has exposed and exacerbated existing socioeconomic and health disparities, including disparities in sexual health and well-being. While there have been several reviews published on COVID-19 and population health disparities generally—including some with attention to HIV—none has focused on sexual health (ie, STI care, female sexual health, sexual behaviour). We have conducted a scoping review focused on sexual health (excluding reproductive health (RH), intimate partner violence (IPV) and gender-based violence (GBV)) in the COVID-19 era, examining sexual behaviours and sexual health outcomes.MethodsA scoping review, compiling both peer-reviewed and grey literature, focused on sexual health (excluding RH, IPV and GBV) and COVID-19 was conducted on 15 September 2020. Multiple bibliographical databases were searched. Study selection conformed to Joanna Briggs Institute (JBI) Reviewers’ Manual 2015 Methodology for JBI Scoping Reviews. We only included English-language original studies.ResultsWe found that men who have sex with men may be moving back toward pre-pandemic levels of sexual activity, and that STI and HIV testing rates seem to have decreased. There was minimal focus on outcomes such as the economic impact on sexual health (excluding RH, IPV and GBV) and STI care, especially STI care of marginalised populations. In terms of population groups, there was limited focus on sex workers or on women, especially women’s sexual behaviour and mental health. We noticed limited use of qualitative techniques. Very few studies were in low/middle-income countries (LMICs).ConclusionsSexual health research is critical during a global infectious disease pandemic and our review of studies suggested notable research gaps. Researchers can focus efforts on LMICs and under-researched topics within sexual health and explore the use of qualitative techniques and interventions where appropriate.

scholarly journals Awareness and Attitudes Toward HIV Self-Testing in Northern Thailand

2021 ◽  
Vol 18 (3) ◽  
pp. 852
Author(s):  
Nardeen Shafik ◽  
Savana Deeb ◽  
Kriengkrai Srithanaviboonchai ◽  
Pisittawoot Ayood ◽  
Rungnapa Malasao ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Negative Attitude ◽  
Hiv Stigma ◽  
Attitude Score ◽  
Local Health ◽  
Negative Attitudes ◽  
Convenience Sample ◽  
Northern Thailand ◽  
Self Testing ◽  
Immunodeficiency Virus

Human Immunodeficiency Virus self-testing (HIVST) was recently introduced in Thailand, but little is known about receptivity among its residents. Because Human Immunodeficiency Virus (HIV) testing is a critical component of HIV prevention, it is important to understand how HIVST is perceived among potential users. The purpose of this study was to examine awareness and attitudes toward HIVST among adults in Northern Thailand. A convenience sample of 403 adult residents of the Sanpatong district, Chiang Mai Province, was interviewed using a structured questionnaire in 2019. Awareness of HIVST was low (14%), as was the overall HIVST negative attitude score (6.44; possible range of 0–14). The odds of being aware of HIVST were more than twice as high for those with more education compared to those with less (AOR = 2.29, 95% CI: 1.22–4.30), and roughly half as high for those who expressed HIV stigma compared to those who did not (AOR = 0.49, 95% CI: 0.26–0.91). Holding negative attitudes towards HIVST also was associated with lower education and expressing HIV stigma, but these relationships disappeared in multivariate analysis. Findings may be used by local health organizations to tailor HIVST education efforts.

scholarly journals Custody and Care of Children in Spain: Can the Two Rights be Reconciled?

2021 ◽  
Author(s):  
Marcela Jabbaz Churba
Keyword(s):  
Gender Gap ◽  
Gender Stereotypes ◽  
Parental Authority ◽  
Decision Making Process ◽  
Gender Based Violence ◽  
Judicial Process ◽  
Gender Based ◽  
And Gender ◽  
Children’S Voices ◽  
The Impact

AbstractThis study aims to analyse the legal decision-making process in the Community of Valencia (Spain) regarding contentious divorces particularly with respect to parental authority (patria potestas), custody and visiting arrangements for children, and the opinions of mothers and fathers on the impact these judicial measures have had on their lives. It also considers the biases in these decisions produced by privileging the rights of the adults over those of the children. Three particular moments are studied: (1) the situation before the break-up, focusing on the invisible gender gap in care; (2) the judicial process, where we observe the impact of hidden gender-based violence and gender stereotypes; and (3) the situation post-decision, showing how any existing violence continues after divorce, by means of parental authority. The concept of ‘motherhood under threat’ is placed at the centre of these issues, where children’s voices are given the least attention.

Gendered dimensions of health in refugee situations: An examination of sexual and gender-based violence faced by refugee women in Nakivale refugee settlement, Uganda

2021 ◽  
pp. 002087282110039
Author(s):  
Hadijah Mwenyango
Keyword(s):  
Social Identity ◽  
Qualitative Methods ◽  
Gender Based Violence ◽  
Frontline Workers ◽  
Refugee Women ◽  
Gender Based ◽  
And Gender ◽  
Quantitative And Qualitative Methods

This article analyses the interplay between women’s social identity, migration and manifestation of sexual and gender-based violence. The research used mixed quantitative and qualitative methods. The findings show experiences of domestic, sexual, community and survival violence. Their predicaments are exacerbated by socio-cultural and structural influences, and despite commitments for protecting refugees, more has to be done to meet the needs of victims. The article reveals the urgency for the adoption of gender-responsive and rights-based approaches in refugee interventions. The capacity of frontline workers must be enhanced to detect violence, appreciate the needs and rights of victims and provide appropriate support.

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