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RAISA YEBO November 2004 - Women, Girls, HIV & AIDS
Regional AIDS Initiative of Southern Africa/VSO
November 30, 2004

Editorial
In time for World AIDS Day, RAISA has re-launched its quarterly newsletter Yebo. RAISA phase 1 has come to an end in accordance with donor funding and we are anticipating starting phase 2 in January 2005. Yebo will stay an important contribution to the sharing of lessons and good practice within the region.

In line with the theme of World AIDS Day this year, this edition of Yebo is focusing on Women, Girls, HIV & AIDS. Today in sub-Saharan Africa, close to 60% of adults living with HIV are women, and 76% of young people aged 15-24 living with HIV are female. VSO-RAISA has already undertaken considerable work and research in this area culminating in the research paper 'gendering AIDS: women, men, empowerment, mobilisation' (see resources at end). We believe that the inequality between men and women lies at the heart of the pandemic and that HIV & AIDS has a particularly deep impact on women.

Key manifestations of gender inequality that emerged during the research are:

  1. Gender violence is linked to HIV transmission through rape, and reduces the ability of women and vulnerable men to discuss sex with their partners.
  2. Unequal rights to property mean that women may be forced out of their homes when widowed or diagnosed with HIV. This increases their vulnerability to illness and the need to undertake sex work.
  3. The burden of caring for the sick falls predominantly on women, compounding their domestic responsibilities and reinforcing stereotypes about gender roles.
  4. Unequal access to treatment means that fewer women then men are treated for HIV and AIDS-related illnesses, directly increasing the impact of the epidemic on women.
  5. Unequal access to appropriate prevention information for women, and for men who have sex with men, increases both groups' vulnerability to HIV. Groups targeted by specific prevention interventions risk becoming stigmatised in the larger population.

Based on this research we developed a three-pronged approach to addressing the problem outlined above:

  • Greater involvement of men and people living with HIV & AIDS;
  • Addressing the immediate needs of women affected by HIV & AIDS;
  • Empowering women to attain equality.

A large proportion of VSO-RAISA's tools, such as our Small Grants Fund, workshops and conferences, have been used to support women and men's groups tackling gender inequality. Below you can read about how these tools were used in the countries we operate in.

MOZAMBIQUE
In Mozambique women make up more than 52% of its 18 million inhabitants. However, this numerical majority is not reciprocated in other ways. Women have higher illiteracy rates then men (68.2% compared to 36.7% ); unequal access to opportunities such as education, jobs, health, land and housing; are not adequately represented in decision-making bodies; and are not valued for their work. Cultural and societal norms only exacerbate the sub-ordinate roles that women have.

In Mozambique more women than men are HIV positive in every age group. Consequently, 14% of the total funding provided through the Small Grant Fund (SGF) in RAISA I, focussed specifically on women and girls. Activities funded ranged from prevention initiatives focused at commercial sex workers in Maputo city to income generating initiatives by providing sewing classes for AIDS widows in Tete province.

One of our strongest partners is the Ministry of Women and Coordination of Social Action (MMCAS) at a National and Provincial level in Sofala and Maputo provinces. Through the efforts of VSO volunteers placed with this partner, women have been able to play more pro-active roles because they received much needed training, recognition, support and funding.

There is still much work to do. Part of the problem in supporting women has been the limited funding to work specifically on gender. And though the government amended the Family Law this year to give women more rights much advocacy is still needed to disseminate the law in local languages, particularly to women most of whom are still unaware of their rights, and also to implement this law.

For more information, please contact Etelvina Mahanjane, RAISA Country Coordinator for Mozambique, at etelvina.mahanjane@vsoint.org

"Men have greater power and control over sexual relations and dominate decision making about sex. It is crucial that men respond to the pandemic. However, it is still necessary to promote the empowerment of women and the development of women controlled prevention methods. The interplay between sexuality, gender, poverty and AIDS is key to our understanding and response to the pandemic"
- Peter Busse, Chair of the RAISA board, speaking at the 2003 RAISA regional conference on Men, HIV & AIDS.

NAMIBIA
The need for action is clear from a research by the Namibian Ministry of Health and Social Services, saying that a young girl will have a 25% likelihood of dying from AIDS - related illness before she turns 30, even if she is HIV negative on her 15th birthday. Within our programmes we are trying to address some of these issues by using RAISA's distinctive tools.

For example, one Volunteer works as a Business Development Officer working at UNAM (University of Namibia) Northern Campus. His work involves helping women and people infected and affected by HIV & AIDS in small business development and skills. Another volunteer is working as a Project Manager HIV & AIDS at !Nara Training Organisation. !Nara has just completed a study and report focusing on the impact of HIV & AIDS on women living in informal settlements.

RAISA also placed a Financial Advisor with the Namibia Women's Network. This organisation has a strong advocacy programme particularly around 50/50 representation, domestic violence and equal rights for women. At government level one volunteer works as an HIV & AIDS Advisor at the Ministry of Basic Education. Through this placement the volunteer has been involved in the development and implementation of policies that support children affected by HIV & AIDS to remain in school.

Alongside placing volunteers, RAISA also uses other tools to try to diminish women's vulnerability to HIV & AIDS. We were involved in the development of the Domestic Violence Bill that was tabled and passed into law in the last parliamentary sitting. We were a part of the committee drafting the bill and because of this many of our partners were invited to give feedback on the bill prior to it being tabled. Also, we are supporting a number of Children affected by HIV & AIDS shelters through training, financial assistance and networking, and we use Small Grant funding to assist with the development of a community vegetable garden in Katutura run by a group of women infected and affected by HIV & AIDS.

For further information about any of these projects please contact Lisa Davidson, RAISA Country Coordinator for Namibia, at lisa.davidson@vsoint.org

SOUTH AFRICA
Violence Against Women, including rape, is maybe even more of a problem in South Africa then in surrounding countries. Since both HIV and Violence Against Women are so prevalent in South Africa, VSO South Africa is working on both issues in its two programme areas HIV&AIDS and Gender, recognising both are strongly interlinked.

The supported organisations undertake numerous activities addressing the issues of Women, Girls and HIV&AIDS. For example, the Positive's Women Network looks at empowering women with income generating programmes and through education by extensive support groups and People Against Human Abuse (PAHA) is empowering girls by having a girl's soccer team and educating them on several skills.

One of PAHA's other projects, supported by VSO-RAISA in 2003 though a Small Grant, might serve as a good example of how our partners also aim to involve men. Men Forums were established with the aim to mobilize men and to educate them on masculinity, cultural beliefs, violence and HIV&AIDS. Other objectives of the forums were addressing gender violence and its link to HIV&AIDS, and empowering both men and women on issues around their reproductive health and sexual rights. Four forums were held and an average of 30 men attended each time. The participants came from Mamelodi (a township outside Pretoria) and had various backgrounds, some of them being local policemen.

According to PAHA the forums have shown some positive behaviour change in the community. Some examples are:

  • A new vision on masculinity and men are taking more responsibility for their actions and behaviours.
  • Both men and women are getting empowered towards creating a heterogeneous society devoid of the rigidities of traditions and cultural barriers.
  • Women are more expressive and confident in challenging exploitative and uneven parameters within their relationships.
  • More couples are attending HIV/AIDS pre-test counselling, which helps to pre-empt any violence whatever the outcome of the results.
  • More men are getting involved in support and care giving especially to their fellow men.

VSO-RAISA has also recently sponsored a Men's Conference organised by one of its partner organisations ADAPT, Agisanang Domestic Abuse Prevention and Training- Men's Programme. The conference is celebrating 10 years of democracy and also marking the sixteen days of activism (advocating against Violence Against Women).

For more information, please contact Carine Munting, RAISA Country Coordinator for South Africa, at carine.munting@vsoint.org

"It is a fact that the majority of carers are women. It is thus the orphaned girl child who tends to give up school in order to care for her brothers and sisters. It is girl children who generally take on the burden of running the household after the death of parents. This demonstrates one very tragic consequence of the epidemic: AIDS is undermining the drive to bring women into the economic, political and social life of the region. There is a critical need to attend to the various factors that prevent girl children from attending school and accessing their other rights."
- Misrak Elias, Country Representative UNICEF South Africa, speaking at the 2004 RAISA regional conference '"Tomorrow's future, today's choices" on Children affected by HIV & AIDS.

ZAMBIA
VSO RAISA Zambia has continued to strengthen and build capacity of partner organizations by using different RAISA tools. For example workshops were organised to support HIV & AIDS integration in grassroots organizations working on women's issues. Acknowledging the situation of both girls and boys infected and affected by HIV & AIDS, VSO Zambia spent much time in the last months on follow-up activities around the VSO-RAISA Regional Conference on Children affected by HIV & AIDS, which was held in Pretoria in May this year. This conference, called "Tomorrow's future, today's choices" has continued to provide inspiration for the five youth participants from Zambia that took part in the skills building workshops during the conference. During these workshops the youths gained skills that they have continued to nurture on exploring, particularly hero books and play therapy.

Upon their return from Pretoria the five young participants have continued meeting monthly to share the experiences with mostly the community schools that they attend. In their respective schools, they have continued to share skills and as part of the district satellite activities leading to World AIDS Day, the group has organized a 2 days workshop for more than 20 young people coming from VSO partner organizations providing non-formal education to children in difficult circumstances. This workshop will provide an opportunity for the youth to utilize their gained competence in the skills building exercises around play therapy and memory work, which help children express emotions that they may not feel safe sharing with adults. And at a time when we reflect during the commemoration of World AIDS Day, these youngsters will have the opportunity to share their stories with others and teach them skills they acquired. Members of the team will at times use very personal stories to raise people's awareness about issues that affect our society and challenge their peers to explore further and communicate more often.

The leading facilitator of the workshop is Memory Phiri, a young and inspiring young girl with a story to tell about her life. Memory has just returned from Zimbabwe where she went to add to her skills at a cross border workshop coordinated by Jonathan Morgan from the University of Cape Town and part of the ten million-memory project (10MMP). The theme for the workshop was 'Carrying forward knowledge and lessons'. Memory said prior to the workshop that 'I look forward to this workshop as it will give us an opportunity not just to share our stories but to break new ground and make new friends who will carry this work forward and help change people's attitudes towards children especially those orphaned like us'. After this workshop the group plans to hold a cross border initiative with the five youth participants from Malawi which also attended the RAISA regional conference. The 10 youngsters will then share their experiences from the field and explore innovative ways to reach out to more young people and carry this work forward in the two countries.

For more information, please contact Augustine Chella, RAISA Country Coordinator for Zambia, at augustine.chella@vsoint.org

ZIMBABWE
For several reasons women and girls today are the hardest hit by the HIV & AIDS pandemic. Nearly 65% of all HIV positive people in Zimbabwe between 15 and 49 years old are women. VSO-RAISA Zimbabwe works with a number of partners focusing on women and girls, and one of its partners is introduced here.

The local NGO Concern Zimbabwe is based in Masvingo Province. Concern, with RAISA support through a Small Grant, has been working to make communities more sensitive to the needs of girl children, and to empower these girls by challenging cultural practices that disadvantage them.

The Girl Child HIV & AIDS Education and Support Initiative by Concern responds to challenges girls face as a result of HIV & AIDS. Orphans, particularly girls, are threatened with school dropouts to look after siblings or sick parents. To address this problem Concern introduced community education workshops, where community leaders, school authorities and family heads were sensitized to the plight of girl children which are taken for granted due to customs, traditions and religious beliefs. These workshops assisted girl orphans to have a direct interface with their traditional leaders. The workshops identified cultural practices and policies within Masvingo communities which are insensitive to the plight of the girl child. Girl orphans were as a result of these workshops able to challenge ownership patterns of livestock and inheritance. The traditional leaders also pledged to identify cases of girl orphans either abused or not going to school and make appropriate referrals for action.

Also with VSO-RAISA's support, access to education by 800 girl orphans has been restored as Concern is paying their school fees. Twenty girl child headed households were provided with forty female goats to motivate their caregivers by supplementing school fees payments.

For more information, please contact Obrian Nyamucherera, RAISA Country Coordinator for Zimbabwe, at vsozim@zol.co.zw

Resources on Women, Girls, HIV & AIDS

  • 'Gendering AIDS: women, men, empowerment and mobilisation' VSO 2003. This report can be downloaded from www.vso.org.uk
  • www.genderandaids.org UNIFEM web portal, Gender HIV & AIDS
  • www.womenandaids.unaids.org UNAIDS Global Coalition on Women and AIDS
  • www.bridge.ids.ac.uk linked to the Institute of Development Studies in the UK, excellent site for gender resources
  • www.eldis.org/gender/dossiers Also linked to Institute of Development Studies, Eldis has set up an online and dynamic guide to provide narrative and up to date resources on key issues and debates on a specific development theme.

Yebo is VSO-RAISA's quarterly newsletter, informing partners and other stakeholders about our activities and impact on regional, national and local levels. Each issue is focussing on one HIV & AIDS related theme RAISA is working on. For comments or questions about Yebo, please contact the RAISA regional office
by email (vso-raisa@idasa.org.za) or
by phone (+27 12 3203885).
For more information about RAISA, please visit our website: www.vso.org.uk/raisa

Visit the VSO Zimbabwe fact sheet

Please credit www.kubatana.net if you make use of material from this website. This work is licensed under a Creative Commons License unless stated otherwise.

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