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sexual health and human rights in the african region - The ICHRP

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of marital status constituted unfair discrim<strong>in</strong>ation because <strong>the</strong> Act treated a<br />

relationship that fulfilled <strong>the</strong> same function as marriage differently <strong>and</strong> less<br />

favourably. <strong>The</strong> Act failed to take <strong>in</strong>to account that <strong>the</strong>re is gendered division of<br />

labour even between cohabitants <strong>and</strong> that women are vulnerable after <strong>the</strong> death<br />

of <strong>the</strong>ir partners whe<strong>the</strong>r <strong>the</strong>y are married or cohabit<strong>in</strong>g. Justice Sachs <strong>in</strong> his<br />

dissent<strong>in</strong>g judgment said that marriage was not a mere matter of choice as<br />

suggested by <strong>the</strong> majority, <strong>and</strong> that <strong>the</strong> reality <strong>in</strong> many women’s lives is that <strong>the</strong>y<br />

cannot freely choose whe<strong>the</strong>r to marry or become a cohabitant. Accord<strong>in</strong>g to<br />

Justice Sachs, it was for <strong>the</strong> Constitution to v<strong>in</strong>dicate equality <strong>and</strong> nondiscrim<strong>in</strong>ation<br />

by transform<strong>in</strong>g <strong>the</strong> systemic pattern of privileg<strong>in</strong>g marriage over<br />

o<strong>the</strong>r <strong>in</strong>stitutions that serve <strong>the</strong> same social functions.<br />

2.10 HIV Status as a Protected Ground<br />

[62] Discrim<strong>in</strong>ation on <strong>the</strong> ground of HIV status is stigmatiz<strong>in</strong>g. It is a deterrent to<br />

voluntary test<strong>in</strong>g <strong>and</strong> counsel<strong>in</strong>g as well as access to treatment. HIV is a<br />

p<strong>and</strong>emic <strong>in</strong> <strong>the</strong> African <strong>region</strong> such that discrim<strong>in</strong>ation on <strong>the</strong> ground of HIV<br />

status is apt to underm<strong>in</strong>e public <strong>health</strong> strategies to combat <strong>the</strong> spread of <strong>the</strong><br />

<strong>in</strong>fection. Though not explicitly protected aga<strong>in</strong>st discrim<strong>in</strong>ation by current<br />

<strong>in</strong>ternational <strong>human</strong> <strong>rights</strong> treaties, it is generally accepted that such<br />

discrim<strong>in</strong>ation is implicitly prohibited under <strong>in</strong>ternational <strong>human</strong> <strong>rights</strong><br />

<strong>in</strong>struments through ‘read<strong>in</strong>g’ <strong>in</strong>to <strong>the</strong> equality <strong>and</strong> non-discrim<strong>in</strong>ation clauses,<br />

HIV status. Treaty bodies of United Nations <strong>human</strong> <strong>rights</strong> <strong>in</strong>struments have<br />

from time to time issued General Comments that affirm <strong>the</strong> right to nondiscrim<strong>in</strong>ation<br />

on <strong>the</strong> basis of HIV status. 265 Likewise, though African Charterbased<br />

<strong>in</strong>struments do not list HIV <strong>in</strong> <strong>the</strong>ir equality <strong>and</strong> non-discrim<strong>in</strong>ation<br />

clauses, HIV can be surmised as implicitly <strong>in</strong>cluded <strong>in</strong> ’o<strong>the</strong>r status’ or its<br />

equivalents.<br />

[63] Constitutions of African jurisdictions do not list HIV as a protected ground <strong>in</strong><br />

<strong>the</strong>ir equality <strong>and</strong> non-discrim<strong>in</strong>ation clauses save <strong>in</strong> one <strong>in</strong>stance – <strong>the</strong><br />

Constitution of Burundi which lists ‘suffer<strong>in</strong>g from HIV/AIDS’ among <strong>the</strong><br />

grounds protected aga<strong>in</strong>st unfair discrim<strong>in</strong>ation. 266 As submitted earlier,<br />

constitutional provisions ought to generally allow <strong>the</strong> read<strong>in</strong>g <strong>in</strong> of protected<br />

grounds where <strong>the</strong> ground is analogous, unless such read<strong>in</strong>g <strong>in</strong> cannot be<br />

susta<strong>in</strong>ed by a plausible <strong>in</strong>terpretation of <strong>the</strong> Constitution. Provisions of Bills of<br />

265 Committee on Economic, Social <strong>and</strong> Cultural Rights, General Comment 14 (<strong>The</strong> Right to <strong>the</strong> highest<br />

Atta<strong>in</strong>able St<strong>and</strong>ard of Health) paras 28-29 (2000); Committee on <strong>the</strong> Convention on <strong>the</strong> Rights of <strong>the</strong><br />

Child, General Comment 3 (HIV/AIDS <strong>and</strong> <strong>the</strong> Rights of <strong>the</strong> Child) (2003) paras 7-9; <strong>The</strong> Committee <strong>in</strong><br />

its General Comment 20 on Non-Discrim<strong>in</strong>ation <strong>in</strong> Economic, Social <strong>and</strong> Cultural Rights E/C.12/GC/20<br />

25 May 2009, especially paras 15, 27 <strong>and</strong> 33.<br />

266 Article 22 of <strong>the</strong> Constitution of Burundi of 2004.<br />

92

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