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Gender Mainstreaming in HIV/AIDS - Commonwealth Secretariat

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GENDER MAINST R E A M I NG IN <strong>HIV</strong>/<strong>AIDS</strong>: TA K I NG A MULT I S E C TORAL APPROACH<br />

A tra<strong>in</strong><strong>in</strong>g session for peer<br />

educators at the NGO<br />

K<strong>in</strong>dlimuka, an association<br />

of people liv<strong>in</strong>g with<br />

<strong>HIV</strong>/<strong>AIDS</strong> <strong>in</strong> Mozambique.<br />

UNICEF/HQ01-0168/Giacomo<br />

Pirozzi<br />

ma<strong>in</strong>stream<strong>in</strong>g programmes, <strong>in</strong>clud<strong>in</strong>g gender equality and<br />

health <strong>in</strong>dicators, need to be tailored to specific cultural contexts<br />

s<strong>in</strong>ce these affect sexual roles, behaviour, attitudes and<br />

power relationships.<br />

In promot<strong>in</strong>g ‘safer sex’ as a public health message, policymakers<br />

must also take <strong>in</strong>to consideration the different impact<br />

of this message on men and women. Many of the strategies to<br />

prevent the spread of <strong>HIV</strong>/<strong>AIDS</strong> have focused on promot<strong>in</strong>g<br />

condom use, reduc<strong>in</strong>g the number of sexual partners and treat<strong>in</strong>g<br />

STIs. However, these fail to address the social, economic<br />

and power relations between men and women (see Chapter 2).<br />

A policy and programme that attempts to reach vulnerable<br />

populations <strong>in</strong> this limited way may miss the opportunity for<br />

key and strategic <strong>in</strong>vestments. Targeted <strong>HIV</strong>/<strong>AIDS</strong> prevention<br />

strategies are more likely to both reach and <strong>in</strong>fluence high-risk<br />

populations.<br />

<strong>Gender</strong> not only impacts on preventive strategies to reduce<br />

the sexual transmission of <strong>HIV</strong>/<strong>AIDS</strong> but also affects compliance<br />

with treatment protocols. Both short- and long-term<br />

gender-sensitive strategies need to be developed from the<br />

community to the national level. Short-term strategies might<br />

focus on people’s immediate needs, such as <strong>in</strong>formation (for<br />

both literate and illiterate populations), support for homebased<br />

care and access to treatment for STIs. More long-term<br />

strategies need to address the underly<strong>in</strong>g social and cultural<br />

structures that susta<strong>in</strong> gender <strong>in</strong>equality (UNFPA, 2000a).<br />

Box 16: Examples of Multisectoral Responses at<br />

Different Levels<br />

International<br />

Regional<br />

National<br />

cont<strong>in</strong>ued on page 62<br />

A MULT I S E C TORAL RESPONSE TO <strong>HIV</strong>/<strong>AIDS</strong><br />

60 61

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