Addressing gender inequality and intimate partner violence as critical barriers to an effective HIV response in sub-Saharan Africa
Identifieur interne : 002014 ( Main/Exploration ); précédent : 002013; suivant : 002015Addressing gender inequality and intimate partner violence as critical barriers to an effective HIV response in sub-Saharan Africa
Auteurs : Charlotte Watts ; Janet SeeleySource :
- Journal of the International AIDS Society [ 1758-2652 ] ; 2014.
Descripteurs français
- KwdFr :
- Afrique subsaharienne (épidémiologie), Facteurs socioéconomiques, Femelle, Grossesse, Humains, Identité de genre, Infractions sexuelles, Mâle, Syndrome d'immunodéficience acquise (), Syndrome d'immunodéficience acquise (transmission), Syndrome d'immunodéficience acquise (épidémiologie), Violence conjugale.
- MESH :
English descriptors
- KwdEn :
- Acquired Immunodeficiency Syndrome (epidemiology), Acquired Immunodeficiency Syndrome (prevention & control), Acquired Immunodeficiency Syndrome (transmission), Africa South of the Sahara (epidemiology), Female, Gender Identity, Humans, Male, Pregnancy, Sex Offenses, Socioeconomic Factors, Spouse Abuse.
- MESH :
- geographic , epidemiology : Africa South of the Sahara.
- epidemiology : Acquired Immunodeficiency Syndrome.
- prevention & control : Acquired Immunodeficiency Syndrome.
- transmission : Acquired Immunodeficiency Syndrome.
- Female, Gender Identity, Humans, Male, Pregnancy, Sex Offenses, Socioeconomic Factors, Spouse Abuse.
Abstract
In Africa, women and girls represent 57% of people living with HIV, with gender inequality and violence being an important structural determinant of their vulnerability. This commentary draws out lessons for a more effective combination response to the HIV epidemic from three papers recently published in
Hatcher and colleagues present qualitative data from women attending ante-natal clinics in Johannesburg, describing how HIV diagnosis during pregnancy and subsequent partner disclosure are common triggers for violence within relationships. The authors describe the challenges women face in adhering to medication or using services. Kyegombe and colleagues present a secondary analysis of a randomized controlled trial in Uganda of SASA! – a community violence prevention programme. Along with promising community impacts on physical partner violence, significantly lower levels of sexual concurrency, condom use and HIV testing were reported by men in intervention communities. Remme and her colleagues present a systematic review of evidence on the costs and cost-effectiveness of gender-responsive HIV interventions. The review identified an ever-growing evidence base, but a paucity of accompanying economic analyses, making it difficult to assess the costs or value for money of gender-focused programmes.
There is a need to continue to accumulate evidence on the effectiveness and costs of different approaches to addressing gender inequality and violence as part of a combination HIV response. A clearer HIV-specific and broader synergistic vision of financing and programming needs to be developed, to ensure that the potential synergies between HIV-specific and broader gender-focused development investments can be used to best effect to address vulnerability of women and girls to both violence and HIV.
Url:
DOI: 10.7448/IAS.17.1.19849
PubMed: 25499456
PubMed Central: 4265114
Affiliations:
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Le document en format XML
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type="wicri:Area/Main/Exploration">002014</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Addressing gender inequality and intimate partner violence as critical barriers to an effective HIV response in sub-Saharan Africa</title><author><name sortKey="Watts, Charlotte" sort="Watts, Charlotte" uniqKey="Watts C" first="Charlotte" last="Watts">Charlotte Watts</name></author><author><name sortKey="Seeley, Janet" sort="Seeley, Janet" uniqKey="Seeley J" first="Janet" last="Seeley">Janet Seeley</name></author></analytic><series><title level="j">Journal of the International AIDS Society</title><idno type="eISSN">1758-2652</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acquired Immunodeficiency Syndrome (epidemiology)</term><term>Acquired Immunodeficiency Syndrome (prevention & control)</term><term>Acquired Immunodeficiency Syndrome (transmission)</term><term>Africa South of the Sahara (epidemiology)</term><term>Female</term><term>Gender Identity</term><term>Humans</term><term>Male</term><term>Pregnancy</term><term>Sex Offenses</term><term>Socioeconomic Factors</term><term>Spouse Abuse</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Afrique subsaharienne (épidémiologie)</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Grossesse</term><term>Humains</term><term>Identité de genre</term><term>Infractions sexuelles</term><term>Mâle</term><term>Syndrome d'immunodéficience acquise ()</term><term>Syndrome d'immunodéficience acquise (transmission)</term><term>Syndrome d'immunodéficience acquise (épidémiologie)</term><term>Violence conjugale</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Africa South of the Sahara</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Acquired Immunodeficiency Syndrome</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Acquired Immunodeficiency Syndrome</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Acquired Immunodeficiency Syndrome</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Afrique subsaharienne</term><term>Syndrome d'immunodéficience acquise</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Gender Identity</term><term>Humans</term><term>Male</term><term>Pregnancy</term><term>Sex Offenses</term><term>Socioeconomic Factors</term><term>Spouse Abuse</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Grossesse</term><term>Humains</term><term>Identité de genre</term><term>Infractions sexuelles</term><term>Mâle</term><term>Syndrome d'immunodéficience acquise</term><term>Violence conjugale</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Introduction</title><p>In Africa, women and girls represent 57% of people living with HIV, with gender inequality and violence being an important structural determinant of their vulnerability. This commentary draws out lessons for a more effective combination response to the HIV epidemic from three papers recently published in <italic>JIAS</italic>.</p></sec><sec id="st2"><title>Discussion</title><p>Hatcher and colleagues present qualitative data from women attending ante-natal clinics in Johannesburg, describing how HIV diagnosis during pregnancy and subsequent partner disclosure are common triggers for violence within relationships. The authors describe the challenges women face in adhering to medication or using services. Kyegombe and colleagues present a secondary analysis of a randomized controlled trial in Uganda of SASA! – a community violence prevention programme. Along with promising community impacts on physical partner violence, significantly lower levels of sexual concurrency, condom use and HIV testing were reported by men in intervention communities. Remme and her colleagues present a systematic review of evidence on the costs and cost-effectiveness of gender-responsive HIV interventions. The review identified an ever-growing evidence base, but a paucity of accompanying economic analyses, making it difficult to assess the costs or value for money of gender-focused programmes.</p></sec><sec id="st3"><title>Conclusions</title><p>There is a need to continue to accumulate evidence on the effectiveness and costs of different approaches to addressing gender inequality and violence as part of a combination HIV response. A clearer HIV-specific and broader synergistic vision of financing and programming needs to be developed, to ensure that the potential synergies between HIV-specific and broader gender-focused development investments can be used to best effect to address vulnerability of women and girls to both violence and HIV.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Devries, Km" uniqKey="Devries K">KM Devries</name></author><author><name sortKey="Mak, Jy" uniqKey="Mak J">JY Mak</name></author><author><name sortKey="Garcia Moreno, C" uniqKey="Garcia Moreno C">C García-Moreno</name></author><author><name sortKey="Petzold, M" uniqKey="Petzold M">M Petzold</name></author><author><name sortKey="Child, Jc" uniqKey="Child J">JC Child</name></author><author><name sortKey="Falder, G" uniqKey="Falder G">G Falder</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Li, Y" uniqKey="Li Y">Y Li</name></author><author><name sortKey="Marshall, Cm" uniqKey="Marshall C">CM Marshall</name></author><author><name sortKey="Rees, Hc" uniqKey="Rees H">HC Rees</name></author><author><name sortKey="Nunez, A" uniqKey="Nunez A">A Nunez</name></author><author><name sortKey="Ezeanolue, Ee" uniqKey="Ezeanolue E">EE Ezeanolue</name></author><author><name sortKey="Ehiri, Je" uniqKey="Ehiri J">JE Ehiri</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hatcher, Am" uniqKey="Hatcher A">AM Hatcher</name></author><author><name sortKey="Woollett, N" uniqKey="Woollett N">N Woollett</name></author><author><name sortKey="Pallitto, Cc" uniqKey="Pallitto C">CC Pallitto</name></author><author><name sortKey="Mokoatle, K" uniqKey="Mokoatle K">K Mokoatle</name></author><author><name sortKey="Stockl, H" uniqKey="Stockl H">H Stöckl</name></author><author><name sortKey="Macphail, C" uniqKey="Macphail C">C MacPhail</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kyegombe, N" uniqKey="Kyegombe N">N Kyegombe</name></author><author><name sortKey="Abramsky, T" uniqKey="Abramsky T">T Abramsky</name></author><author><name sortKey="Starmann, E" uniqKey="Starmann E">E Starmann</name></author><author><name sortKey="Devries, Km" uniqKey="Devries K">KM Devries</name></author><author><name sortKey="Michau, L" uniqKey="Michau L">L Michau</name></author><author><name sortKey="Nakuti, J" uniqKey="Nakuti J">J Nakuti</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Abramsky, T" uniqKey="Abramsky T">T Abramsky</name></author><author><name sortKey="Devries, K" uniqKey="Devries K">K Devries</name></author><author><name sortKey="Kiss, L" uniqKey="Kiss L">L Kiss</name></author><author><name sortKey="Nakuti, J" uniqKey="Nakuti J">J Nakuti</name></author><author><name sortKey="Kyegombe, N" uniqKey="Kyegombe N">N Kyegombe</name></author><author><name sortKey="Starmann, E" uniqKey="Starmann E">E Starmann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Remme, M" uniqKey="Remme M">M Remme</name></author><author><name sortKey="Siapka, M" uniqKey="Siapka M">M Siapka</name></author><author><name sortKey="Vassall, A" uniqKey="Vassall A">A Vassall</name></author><author><name sortKey="Heise, L" uniqKey="Heise L">L Heise</name></author><author><name sortKey="Jacobi, J" uniqKey="Jacobi J">J Jacobi</name></author><author><name sortKey="Ahumada, C" uniqKey="Ahumada C">C Ahumada</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schwartlander, B" uniqKey="Schwartlander B">B Schwartlander</name></author><author><name sortKey="Stover, J" uniqKey="Stover J">J Stover</name></author><author><name sortKey="Hallett, T" uniqKey="Hallett T">T Hallett</name></author><author><name sortKey="Atun, R" uniqKey="Atun R">R Atun</name></author><author><name sortKey="Avila, C" uniqKey="Avila C">C Avila</name></author><author><name sortKey="Gouws, E" uniqKey="Gouws E">E Gouws</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Seeley, Janet" sort="Seeley, Janet" uniqKey="Seeley J" first="Janet" last="Seeley">Janet Seeley</name><name sortKey="Watts, Charlotte" sort="Watts, Charlotte" uniqKey="Watts C" first="Charlotte" last="Watts">Charlotte Watts</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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