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What is HIV and AIDS?

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Section 4: <strong>HIV</strong> <strong>and</strong> STDs<br />

Sexual <strong>and</strong> reproductive health (SRH) <strong>is</strong> an important part of our overall health. It <strong>is</strong><br />

often neglected. With increasing levels of sexually transmitted d<strong>is</strong>eases (STDs), the<br />

need for sexual <strong>and</strong> reproductive health <strong>is</strong> paramount. In some countries, due to<br />

cultural gender roles, women are at a huge d<strong>is</strong>advantage. With the perception that<br />

women should be “innocent” <strong>and</strong> have little knowledge of sex, they are increasingly at<br />

more r<strong>is</strong>k of STDs <strong>and</strong> <strong>HIV</strong>. With little or no SRH education, people are vulnerable to<br />

numerous STDs <strong>and</strong> also to <strong>HIV</strong>. The table below shows a l<strong>is</strong>t of the most common<br />

STDs. In many countries, r<strong>is</strong>ing levels of STDs can be seen as an indicator for<br />

increasing <strong>HIV</strong> infections. See Appendix 8 for the most common STDs<br />

In most societies, sex <strong>and</strong> sexuality are rarely d<strong>is</strong>cussed openly. They are considered<br />

taboo areas <strong>and</strong> avoided at all costs. We keep th<strong>is</strong> area of our lives private. However,<br />

for lowering STD <strong>and</strong> <strong>HIV</strong> rates, we need to start d<strong>is</strong>cussing these matters openly. We<br />

need to create safe environments where people can access information about SRH<br />

freely <strong>and</strong> confidentially, where people can speak openly about sex <strong>and</strong> sexuality <strong>and</strong><br />

receive the support they need. SRH education needs to begin before people are<br />

sexually active, so that people are can make informed dec<strong>is</strong>ions about their sexual<br />

health.<br />

In many countries, including China, schools are the environments in which young<br />

people formally learn about sex <strong>and</strong> sexual health. In China, the curriculum includes<br />

health education <strong>is</strong> split between biology <strong>and</strong> politics lessons, covering topics such as<br />

puberty, sex, peer pressure, drugs, communication <strong>and</strong> how to develop good morals.<br />

However, there <strong>is</strong> much embarrassment on the part of teachers <strong>and</strong> students<br />

d<strong>is</strong>cussing sex. The internet, books <strong>and</strong> friends are a way that many youth learn about<br />

SRH, though it <strong>is</strong> not always accurate. <strong>HIV</strong> mainstreaming can support ex<strong>is</strong>ting health<br />

education initiatives. It should be put into the context of sexual reproductive health<br />

education. It should be part of a wider engagement with youth to d<strong>is</strong>cuss health<br />

matters. For other target groups, <strong>HIV</strong> mainstreaming can again be part of a wider<br />

health initiative offered by companies <strong>and</strong> organ<strong>is</strong>ations.<br />

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