Intersections of Gender and HIV-AIDS

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INTERSECTIONS OF GENDER & HIV/AIDS

Good evening. My name is Gracia, which means grace in Spanish. I am from Bolivia; I am
a social anthropologist by training. I joined the World Council of Churches to lead the
Ecumenical HIV/AIDS Initiatives and Advocacy (EHAIA) in February 2022.

GENDER AND HIV


The HIV epidemic has its basis in poverty, lack of education, inequitable access to health
and unfair gender systems. As you know, in most of our societies gender norms limit the
ability of women to take decisions on our sexual health.

The Joint United Nations Program for HIV (UNAIDS), stated that in many contexts,
married women are at more risk of acquiring HIV, because the local culture assigns total
control and decision to men. Gender experts called this phenomenon “the paradox of low
risk and high vulnerability”, this means that women, despite not having the riskiest factors,
are still highly vulnerable to acquire HIV and that is because of the behavior of others, in
the majority of occasions, men.

SEXUAL, GENDER BASED VIOLENCE AND HIV


One of the saddest examples of the intersections of gender and HIV is sexual gender based
violence. That is a vicious cycle. Violence causes HIV and HIV generates even more
violence. I am witness and a survivor of that. When I was 20 years old, I survived rape in
the hands of two men and two years after I discovered my HIV positive test, I am now
living with HIV for 22 years. During all those years, I have seen how women are exposed to
HIV because we lack knowledge, power and agency to decide. In addition, the context that
surrounds us is extremely violent.

SOME DATA OF THE GLOBAL AIDS STRATEGY


Is HIV a current problem? Although the deaths caused by AIDS have reduced thanks to the
effectiveness of treatment, the new cases of HIV have connections with gender inequalities,
especially for young women.

In 2021, the United Nations developed the Global AIDS Strategy for 2021-2026; one of the
main recommendations is to focus on the inequalities that fuel the HIV epidemic. In order
to understand how gender inequality intersects with HIV, I will give the example of two
regions.

In 2019, West and Central Africa accounted for more than one third of new HIV infections
among children globally. In that same year, women and girls represented 58% of new
infections with a majority of adolescents and girls. In the region, violence against women
and girls is pervasive.

The second example is the Caribbean, in 2019, one quarter of new infections were among
young people. Key populations and their sexual partners or clients accounted for 60% of
new infections. In HIV when we talk about “key populations” we refer to transgender
women, gay men, sex workers and people who use drugs. Yes, all these groups have
intersections of gender inequality that makes them more vulnerable to gender based
violence and to HIV.

THE ROLE OF THE CHURCH


Does this relate to the Christian community in any way? In many countries, the church can
be the source of empowerment, accompaniment and support for people living with HIV.
However, in other countries and contexts, the church has been accused of creating more
vulnerability for women and vulnerable communities, because we avoid providing
education and information that could save our lives, and in some cases, we promoted the
total control of men over women.

WHAT IS THE WORLD COUNCIL OF CHURCHES (WCC) DOING ABOUT IT?


In the WCC, with the initiative Ecumenical HIV/AIDS Initiatives and Advocacy, through
five regional offices in Africa (Kenya, Angola, Democratic Republic of Congo, Zimbabwe
and Togo), we are providing lifesaving information, life giving theologies for adolescents
and young people, people living with HIV, pastors and faith leaders.

In particular, we should be proud of three interventions:

• Contextual Bible Studies in which faith leaders review the sacred texts and analyse what is
the message of compassionate care, no discrimination, no stigma and gender justice.
• Intergenerational Dialogues in which adolescents and young people talk with pastors
about issues that matter for their lives: love, relationships between men and women,
sexuality, sex and HIV.
• Safe Space Conversations in which vulnerable communities such as migrants, internally
displaced people, youth and even sex workers talk with faith leaders about HIV prevention
and care.

Gracia Violeta Ross


[email protected]
+591 70678041
Geneva-Switzerland, June 16, 2022
Meeting of Women, Central Committee - World Council of Churches

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