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Because I am a Girl - Plan USA

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Young people aged 15-24 living with HIV by sex (2009) 95<br />

Eastern and<br />

Southern Africa<br />

West and Central Africa<br />

0<br />

0.5m 1m 1.5m 2m 2.5m 3m 3.5m<br />

4m 4.5m<br />

5m<br />

were: 1) staying faithful to one partner,<br />

2) abstaining from sex, 3) advising<br />

someone against transactional sex and 4)<br />

disapproving of violence against women.<br />

Those men who knew about or had been<br />

involved with the c<strong>am</strong>paign improved<br />

their knowledge about HIV and increased<br />

condom use from 25 per cent to 45 per<br />

cent.<br />

South Asia<br />

East Asia and the Pacific<br />

Latin America and<br />

the Caribbean<br />

CEE/CIS<br />

Middle East and<br />

North Africa<br />

World<br />

0 0.5m 1m 1.5m 2m 2.5m 3m 3.5m 4m 4.5m 5m<br />

Female Male Total<br />

and their susceptibility to HIV infection.” 96<br />

The epidemic may also be perpetuated by<br />

the fact that young men may be reluctant<br />

to seek help. “Going to the clinic is regarded<br />

as a sign of weakness, of being ‘not man<br />

enough’,” says Patrick Godana, of South<br />

African NGO Sonke Gender Justice. 97 This<br />

means that young men may access treatment<br />

A youth centre providing<br />

sex education in Togo.<br />

A l f B e r g<br />

later than women, by which time it may<br />

be too late for them, and they may have<br />

infected a number of women. In South<br />

Africa, twice as many women as men are on<br />

antiretroviral drugs (ARVs), and two-thirds<br />

more get tested. 98 In Botswana, 52 per cent<br />

of women have tested for HIV compared<br />

to 44 per cent of men; in Swaziland, 25 per<br />

cent of women had tested compared to 18<br />

per cent of men. 99<br />

In his book ‘Sizwe’s Test: A Young Man’s<br />

Journey through Africa’s AIDS Epidemic’,<br />

South African journalist Jonny Steinberg<br />

maps in detail the reasons why Sizwe is<br />

reluctant to be tested: sh<strong>am</strong>e, fear, culture<br />

– and male identity. He recounts his first<br />

meeting with Sizwe: “‘I have not tested,’ he<br />

said. ‘My girlfriend is pregnant and she went<br />

to the clinic to test. She’s negative. Do you<br />

think that means I <strong>am</strong> definitely negative?’<br />

‘If you want to know, you must test,’ I said. ‘I<br />

know,’ he replied. ‘But I’m scared.’” 100<br />

The ‘Be a Man’ c<strong>am</strong>paign – Uganda<br />

The ‘Be a Man’ c<strong>am</strong>paign was started<br />

during the soccer World Cup in 2006. It<br />

is part of the YEAH (Young, Empowered<br />

and Healthy) initiative formed in<br />

2004 in response to the Uganda Aids<br />

Commission’s call for a decrease in HIV/<br />

AIDS and adolescent pregnancies. The<br />

c<strong>am</strong>paign challenges male gender norms<br />

that put men and women at risk of HIV,<br />

by delivering messages on the following<br />

issues: faithfulness and partner reduction;<br />

non-violent resolution of conflicts within<br />

couples; active involvement in parenting;<br />

and couple HIV counselling and testing.<br />

The c<strong>am</strong>paign uses posters, the media<br />

and community outreach and training.<br />

There were ‘Be a Man’ C<strong>am</strong>paign<br />

advertisements on television during<br />

the World Cup, which were followed<br />

by training for youth and workplace<br />

peer educators on men and HIV/AIDS,<br />

interactive community dr<strong>am</strong>a, and group<br />

discussions sparked by silent ‘trigger’<br />

videos. In addition, the ‘Rock Point 256’<br />

radio dr<strong>am</strong>a series (part of the YEAH<br />

initiative) helped to reinforce the ‘Be a<br />

Man’ messages.<br />

As a result of the ‘Be a Man’ c<strong>am</strong>paign,<br />

the top four actions taken by men<br />

Y . E . A . H .<br />

While stigma is still a huge issue for both<br />

men and women who have AIDS in many<br />

countries, men who have sex with men in<br />

particular face stigma that may prevent them<br />

seeking treatment. And yet they are at high<br />

risk of HIV. Between five and 10 per cent<br />

of new HIV infections worldwide each year<br />

are men in this category. Many men who<br />

have sex with men may at the s<strong>am</strong>e time be<br />

having sex with women, thus spreading the<br />

risk of infection. For ex<strong>am</strong>ple, in Venezuela,<br />

65 per cent of people living with HIV in 2006<br />

were men who have sex with men. And<br />

yet 41 countries have policies that prevent<br />

effective HIV services for men who have sex<br />

with men, and as we have seen, many others<br />

have prejudices against gay, bisexual and<br />

transgender men that make it very difficult for<br />

them to seek healthcare when they need it.<br />

Sexual and reproductive policies that<br />

support young men to be healthy, to<br />

use contraceptives and to inform them<br />

about f<strong>am</strong>ily planning and HIV prevention<br />

are urgently needed. The World Health<br />

Organisation found that only about 31<br />

per cent of young men and 19 per cent of<br />

young women (aged 15 to 24) in developing<br />

countries have a thorough and accurate<br />

understanding of HIV. 101<br />

Use a<br />

condom.<br />

A d a m H i n t o n<br />

96 the s tate of the world’s girls 97

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