hiv / aids: what policy for life?: all articles

After the fifteenth Bangkok conference on global HIV/Aids in July 2004, Bill Bowtell and Jeremiah Norris debate whether United States policy on the epidemic is self-interested or guided by universal values. Donna M Hughes, expert in sex trafficking, takes a different, woman-centred position that sees changing men’s behaviour as the key to progress.
Monday 5th October

Balancing on Wheels of Hope

Alice Welbourn questions the role of the health authorities in caring for their own health staff with HIV
Saturday 3rd October

“Deal with your demons, and you will be free”

A disease of homosexuals, junkies, minorities; the myths surrounding HIV are parasitic, feeding off the vulnerability of those who have already been consigned to the margins of society. They are woven into a fictitious world where the sick and healthy are discrete and identifiable categories, and where membership in each is determined arbitrarily by race, sexual orientation, and gender.

They are the myths that the Sophia Forum is seeking to dismantle. Initiated in 2005, the Forum is a voluntary women's network based in UK exploring how HIV affects women at home and abroad. In its panel discussion on October 1st entitled "In Sickness and In Health: Women and HIV in 2009", the Sophia Forum drew attention to the acute need for gender specificity in understanding a condition that effects not merely homosexuals or the "socially marginal", but an estimated 30,000 women in the UK every year.

A disease of homosexuals, junkies, minorities; the myths surrounding HIV are parasitic, feeding off the vulnerability of those who have already been consigned to the margins of society. They are woven into a fictitious world where the sick and healthy are discrete and identifiable categories, and where membership in each is determined arbitrarily by race, sexual orientation, and gender.

They are the myths that the Sophia Forum is seeking to dismantle. Initiated in 2 5, the Forum is a voluntary women's network based in UK exploring how HIV affects women at home and abroad. In its panel discussion on October 1st entitled "In Sickness and In Health: Women and HIV in 2 9", the Sophia Forum drew attention to the acute need for gender specificity in understanding a condition that effects not merely homosexuals or the "socially marginal", but an estimated 3 , women in the UK every year.

Friday 13th March

Personal Reflections - Where's the Roar?

After a decade of participating in civil society organizing around the Commission on the Status of Women, I came to this year's meetings to observe.   It's an exciting moment for those of us who have worked for so many years to link the women's movement with the HIV and AIDS movement.  For the first time, a central aspect of HIV and AIDS affecting women - the burden of care - is an explicit focus of the Commission on the Status of Women.  Further, the new Executive Director of UNAIDS - Michel Sidibe - made an impassioned speech at the opening of the CSW entitled "AIDS and gender equality: time for new paradigms."

Mr. Sidibe spoke with force about the issues that women's rights advocates had been pressing for heightened attention to in the AIDS response for decades: gender-based discrimination; sexual violence; rape as a tool of war; the need for a social revolution; comprehensive sexual and reproductive health services; universal access to sexuality education; greater female-controlled prevention methods, including the female condom; and the "democratization of problem-solving."  I leapt out of my seat after reading the text of this barrier breaking speech - and said yes in response to his call, "let us further unite the tremendous power of the women's movement with the AIDS movement."

The sessions organized by colleagues at this year's CSW matched the tone and tenor of Mr. Sidibe's speech.  These sessions shone a light on the sexual and reproductive health and rights of women living with HIV; on the need for new frameworks in the women's rights movement - such as one of reproductive justice to expand the historic category of reproductive choice; of feminist men mapping out the role and the means for men and boys to engage gender equality; on the human rights implications of current approaches to the prevention of parent to child HIV transmission; and the avenues for expanding access to family planning and HIV prevention tools, such as the female and male condom.

So I arrived at this year's CSW expecting the hustle and bustle to which I have grown accustomed of familiar faces, passionate debates, and powerful women.  And while extraordinary women are here in abundance, I found myself surprised by the lack of electricity in the air.  Granted, I am reflecting on one morning's experience of the CSW (at the start of the second week when the momentum hits a low.)  However, I found it telling that the first three sessions I attempted to attend had dissolved or were cancelled because no speakers showed or the organizers had failed to arrive.  When I finally stumbled upon a remarkable discussion in the Church Center (the aging building with rattling elevators where non-governmental organizations are provided space to convene forums), I was one among a handful of attendants.  And at 36, I expect I was the youngest woman in the room as well.  In that very same room four years ago, during a parallel event on a related topic, there was not a seat to be had and no place even to stand. 

So the question I ask is what are we doing here?  Who is listening?  What is being heard?  Are we inspiring the next generation of young women to share in and lead the work toward gender equality?  Are we engaging men?  Has our work evolved?  Have our discussions changed?  How do we maintain the relevance of the Commission on the Status of Women in a world in warp speed?  How do we sustain movements in a moment where the economic crises overshadow all?  How do we bring new voices, energy, and vision to the task when the leaders who were at the vanguards of the movement decades ago resist?  How do we create room for broader, more diverse alliances and new directions?

While I am heartened to see the passion and conviction which Mr. Sidibe brought to his speech and of the Obama Administration to women's human rights, I worry that the frameworks of Beijing and Cairo now feel like ancient history in a fast-moving world.  I worry that at this year's Commission on the Status of Women I did not see extraordinary HIV positive women leaders speaking with their own voice.  I worry that we, as women's rights advocates wherever our focus might be - reproductive rights, land rights, sexual rights, education rights, livelihood rights - have not opened the doors of the CSW to a broader cross-section of stakeholders and that we have failed to engage young people so that the heart and soul of the movement rests in those of us who have been around this block before.  So the challenge I take from the 53rd Session of the Commission on the Status of Women is that we need to get back into the streets, reach out our hands, and reclaim our roar before we fade into irrelevance having the same conversation in the same dingy room with the same folks with whom we have grown comfortable speaking.

Friday 30th November

HIV/Aids: stigma’s curse and cure

The fight against prejudice is at the heart of progress

plus: the twin pandemics of HIV and violence against women

Monday 9th April

Africa and HIV/Aids: men at work

A self-education in positive masculinity is at the core of efforts to contain the spread of HIV/Aids, writes Patricia Daniel.
Friday 1st December

Uganda: HIV/Aids and the age factor

Uganda's experience suggests that education to raise the age of first sexual experience is key to combating HIV/Aids, says Cathy Watson of the Straight Talk Foundation.

HIV/Aids: the next twenty-five years

The world's experience of living with HIV/Aids in the past generation suggests that tough and far-sighted policies are needed if progress is to be made over the next, says Alex de Waal.
Monday 21st August

The global Aids campaign: a generation's struggle

The lesson of the international Aids conference in Toronto is that the global Aids industry needs to think strategically to meet the challenges of the next twenty-five years, says Alex de Waal.
Sunday 20th August

Gendering the fight against Aids

To tackle Aids, empowering women will not work without "disempowering" men, says Roger Tatoud, as the sixteenth international Aids conference stresses women's role in combating the disease.
Sunday 16th July

Wealth versus health - the Thai frontier

Affordable drugs are crucial for fighting AIDS in developing countries, but the United States puts their availability at risk through its harsh trade agreements. Will Thailand stop the US in its tracks, and help protect access to life-saving treatments for citizens worldwide?
Monday 29th May

The United Nations and Aids: learning from failure

The five-year review of HIV/Aids programmes at the United Nations general assembly from 31 May-2 June is likely to embrace the goal of "universal access". This will represent a refusal to learn from experience, says Tim France.
Thursday 6th April

The price of the ticket

The rich north's hunger for the poor south's health workers is creating damaging inequalities in global care, says a World Health Organisation report. Ian Hodgson considers the options.
Wednesday 11th January

Dazed and confused: the reality of Aids treatment in South Africa

South Africa’s health and public policy towards people infected by HIV is surrounded by a political firestorm – with the German-born nutritionist Matthias Rath at its heart. Ian Hodgson explains.
Thursday 1st December

Picturing hope: lives of the global HIV+

On World Aids Day 2005, openDemocracy showcases the work of photography NGO Picturing Hope, and learns the benefits of teaching children affected by HIV how to document their lives in pictures
Wednesday 30th November

Loaded but lonely: the moralisation of US aid policy

The United States’s global HIV/Aids-related funding is increasingly motivated by religious dogma rather than poeople’s needs, says Ian Hodgson.
Tuesday 16th August

The return of the Aids plague

A global regime where private corporations can enforce intellectual property rights to the detriment of public health is bad news for the millions most vulnerable to HIV/Aids, reports Tom Burgis.
Wednesday 11th August

The 'ABC approach' to global HIV/Aids: good for women and girls

Since the late 1980s, I have focused on stopping the sexual trafficking of women and girls, and their exploitation and abuse in prostitution. This kind of work against the sexual victimisation of women and girls predated much of the growth of the Aids epidemic and of extensive medical knowledge about its causes. My understanding of the sex trade and its victims has been from the outset rooted in awareness of the harmful nature of sexual abuse and its injury to victims’ dignity, bodily integrity, and identity.

After the Bangkok conference, openDemocracy writers debate whether United States policy on global HIV/Aids is self-interested or guided by universal values:
  • Bill Bowtell, “HIV/Aids: global policy after Bangkok” (July 2004)
  • Jeremiah Norris, “Misleading the poor isn’t a policy: a response to Bill Bowtell” (August 2004)
  • Wednesday 4th August

    Misleading the poor isn't a policy: a response to Bill Bowtell

    The United States’s policy on global HIV/Aids is far more principled and beneficial than its critics suggest, says Jeremiah Norris of the Hudson Institute.
    Wednesday 28th July

    HIV/Aids: global policy after Bangkok

    America’s funding policy towards the global HIV/Aids epidemic is motivated by political and corporate self-interest, says Bill Bowtell.
    Wednesday 6th August

    Botswana, the Bushmen/San, and HIV/Aids

    The catastrophic HIV/Aids pandemic in southern Africa threatens even its most vigorous economy, Botswana. But it is displacement and dispossession that create the greatest vulnerability to HIV. And it may be that rights to land and a people's level of confidence in their own identity are a central means of protection against ravaging illness. Is this what we can learn from the Botswana margins?
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