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Penn Nursing 090805_final_4c - University of Pennsylvania School ...

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28<br />

• Create a new paradigm for research<br />

in women’s health that can serve as a<br />

model for academic institutions<br />

working in women’s health issues<br />

worldwide; and<br />

• Promote critical assessment <strong>of</strong> care<br />

models used to promote health and<br />

prevent illness in women in the face<br />

<strong>of</strong> oppression, marginalization, and<br />

violence.<br />

To this end, Mary Robinson says<br />

that the role <strong>of</strong> women around the<br />

world was to be change agents improving<br />

the status <strong>of</strong> women, noting that in<br />

some corners <strong>of</strong> the world, the rate <strong>of</strong><br />

HIV/AIDS infection is 62 percent<br />

even among young girls.<br />

Change is occurring but not fast<br />

enough, reported Stephen Lewis, the<br />

United Nations expert on HIV and<br />

AIDS in Africa, noting “The lives <strong>of</strong><br />

women are as mercilessly desperate as<br />

they have always been.”<br />

With 500,000 to 600,000 deaths<br />

projected annually from AIDS in<br />

Africa, Lewis told the story <strong>of</strong> women<br />

tending a small garden <strong>of</strong> cabbages to<br />

take to market for a small pr<strong>of</strong>it.When<br />

asked what they did with the proceeds,<br />

they appeared incredulous.“We buy<br />

c<strong>of</strong>fins,” they replied.“We never have<br />

enough c<strong>of</strong>fins.”<br />

Lewis exhorted world leaders to<br />

adopt the model <strong>of</strong> Swaziland which<br />

awards a modest stipend to caregivers<br />

<strong>of</strong> orphans, particularly calling upon<br />

the United Nations Global Fund to<br />

support this effort for the many countries<br />

<strong>of</strong> Africa experiencing the AIDS<br />

pandemic. He also urged the creation<br />

<strong>of</strong> a vaginal microbicide, now being<br />

field-tested at <strong>Penn</strong> and elsewhere, to<br />

prevent HIV infection in women.<br />

Any initiative for change will,<br />

however, need to be culturally sensitive<br />

to be effective.“We must evaluate our<br />

differences within and between different<br />

countries.We cannot have messages<br />

without defining context, or we<br />

will send our own biases to the rest <strong>of</strong><br />

the world.”<br />

The Honorable Unity Dow, a<br />

judge and author from Botswana,<br />

noted during her luncheon address that<br />

Africa is not a country with provinces<br />

but a continent with countries, each<br />

with its own peculiar identity.The values<br />

and customs <strong>of</strong> one country do not<br />

necessarily coincide with those <strong>of</strong><br />

another, complicating the development<br />

<strong>of</strong> interventions that are both culturally<br />

specific and more successful in changing<br />

the behaviors that lead to the second<br />

class existence <strong>of</strong> many women.<br />

Summing up the conference and<br />

promoting an agenda for action,<br />

Dr. Judith Rodin, president <strong>of</strong> The<br />

Rockefeller Foundation, President<br />

Emerita <strong>of</strong> the <strong>University</strong> <strong>of</strong><br />

<strong>Penn</strong>sylvania and summit chair<br />

addressed what she concluded were the<br />

three essential ingredients for safe<br />

womanhood: research, advocacy, and<br />

intervention.

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