The meeting, supported by UNAIDS and
UNFPA, brought First Ladies and women
leaders from around the region together to
discuss ways of moving the AIDS response
forward.

The Coalition of First Ladies and Women Leaders of Latin America on Women and AIDS held its IV meeting in the Dominican Republic on 27 and 28 March 2008. The meeting, supported by UNAIDS and UNFPA, brought First Ladies and women leaders from around the region together to discuss ways of moving the AIDS response forward. The newly created Caribbean Coalition on Women, Girls and AIDS also participated in the event bringing vital impetus in addressing the challenges faced by women and girls in the Caribbean.

UNAIDS Deputy Executive
Director Deborah Landey
stressed the importance of
speaking on women and
AIDS.

UNAIDS Deputy Executive Director Deborah Landey stressed the importance of speaking on women and AIDS. She said, “You are here because you are ready to speak out and act on issues facing women. This takes courage. It is not always easy to talk about AIDS because it involves talking about issues many people prefer not to mention. So I congratulate you for being prepared to stand up and speak out.”

The Coalition was set up in 2006 under the leadership of the First Lady of Honduras, Mrs. Xiomara Castro de Zelaya, to promote political commitment and mobilization of regional and national resources to strengthen and enhance HIV prevention, treatment and care services and reduce the impact of the epidemic on women and girls.

The meeting in the Dominican Republic was hosted by the country’s First Lady Dr Margarita Cedeño de Fernández. The President of the Coalition and First Lady of Honduras Mrs Xiomara Castro de Zelaya also attended the meeting along with the First Ladies of Guatemala, Sandra Torres de Colom; Surinam, Liesbeth Anita María Venetiaan-Vanenburg and Panamá, Vivian Fernández de Torrijos; as well as representatives of MÉxico, Ecuador, Haití, El Salvador, Costa Rica and Chile.

The meeting in the Dominican Republic
was hosted by the country’s First Lady Dr
Margarita Cedeño de Fernández.

The meeting took place under the theme "Stopping the feminization of the epidemic: Prevention and Care within Family and Community Context ". Sessions included; Women and HIV in the Dominican Republic; Living with HIV within the family and community context; and Cooperation for Development: Generating alliance for stopping the feminization of the epidemic and to obtaining universal access to HIV prevention, treatment, care and support.

A session was also dedicated to discussing the next steps for implementing the Action Platform in the run up to the International AIDS Conference, being held in Mexico in August 2008. The Action Platform is a strategy which was approved at the second meeting of the Coalition held in Buenos Aires in April 2007 which was designed to mitigate the impact of AIDS in the region, particularly focusing on actions to achieve universal access to HIV prevention, treatment, care and support. The platform also aims to promote women rights in a supportive environment, free of stigma and discrimination. The session included an analysis of the Action Platform to assess progress and to identify weaknesses and opportunities for further action.

The Coalition was set up in
2006 under the leadership of
the First Lady of Honduras,
Mrs. Xiomara Castro de Zelaya

A project to implement a system of micro-credits for women living with HIV in the region was presented during the meeting which was an initiative, supported by the Nobel peace prize and UNAIDS Special Representative Mr. Mohamed Yunus. The project focuses on ways of empowering women to stand up to violence, protect themselves against HIV and achieve greater respect among their families and communities.

A study on gender violence and HIV in several countries in the region produced by UNFPA was also presented at the meeting.

Photo credit: UNAIDS

International Women’s Day on 8 March is a global day of celebration to inspire women and celebrate their achievements. The theme of 2008 is “Investing in Women and Girls”. UNAIDS Special Representative Mary Fisher and the women artisans of the Lusaka Zambia jewellery project believe income generation projects are critical in empowering women living with HIV, enabling them to shape their future.

Employment to empower HIV positive women

UNAIDS Special Representative Mary Fisher with the artisans of the Lusaka Jewellery project.
Credit: Mary Fisher

As an advocate for those who share her HIV positive status, UNAIDS Special Representative Mary Fisher has had the opportunity to travel and meet women around the world. Listening to them she saw how employment could contribute to empowering women living with HIV, especially those living in poverty.

“Everywhere I’ve travelled,” she said, “I’ve seen women struggling to sustain themselves and their families against the burden HIV places on them”.

So in 2006 Ms Fisher began to explore sustainable income-generation ideas through which HIV positive women in Zambia and Rwanda could earn a living, care for their families and sustain their health. She met and talked with women to find a product they could make with the traditional skills they already had or could learn which could be sold at a profit.

In Lusaka Zambia the traditional craft of bead-making is getting a modern twist.
Credit: Mary Fisher

The idea of modern fashion jewellery created with the traditional craft of beading which could be promoted and sold by the internet including on Mary Fisher’s website was born.

Making an impact

Today, the jewellery project is thriving. Around 150 HIV positive women who participate in support groups at the Centre for Infectious Disease Research in Zambia (CIDRZ), a Lusaka-based HIV/AIDS research, treatment and care facility; or who live in the local Chikumbuso community, have been trained and employed as jewellery makers.

Modern jewellery designs by artist Mary Fisher are crafted by bead-crocheting.
Credit: Mary Fisher

Mary Fisher is an international artist and the combination of her modern jewellery designs with the women’s traditional craft of bead making is proving a success. The artisans practice the intricate art of bead-crocheting with materials and gemstones and sales are going well. Nearly three dozen varieties of bracelets, designed by artist Mary Fisher, are now in production, with more items on the drawing board. The women are paid for each piece they create and additional profits are invested to buy more materials and employ more women.

Fisher has named some of the jewellery pieces the Abataka Collection as Abataka means “family, community, belonging”.

“I can give my children an education”

On any given day, several dozen women artisans may gather to work on the jewellery and share life stories.

Esther’s story is typical: She contracted HIV from her husband, passed it unknowingly to four of their five children and, since her husband’s death in 2005, raises her family alone.

Before, Esther and her children often skipped doses of HIV medication because they had no food to take them with. Now, they have money for housing, for food – even for books and fees, to keep the children in school. “I am very grateful to God for the beading project so I can give my children education,” she said.

When Esther and her co-workers finish each bracelet, they mark it with a tag to which they sign their names. The signed handiworks make the bracelet makers and bracelet buyers feel like allies across the globe responding to AIDS. One group of buyers in Arizona sent photographs of themselves wearing their bracelets to the Zambian artisans with personal letters of thanks and encouragement.

Looking to the future

With their new earnings and skills from the jewellery project, HIV-positive women artisans aren’t just living day to day, but looking to the future. Many have been able to open savings accounts, start their own small businesses, and obtain better housing for their families.

Ms Fisher calls it the very definition of “the spirit of Abataka: people from around the world befriending African women on their journey. With the world’s help, these women are looking towards a brighter future".

International Women’s Day is celebrated internationally each year on 8 March. While this date has been celebrated since the early 1900s, the United Nations has observed March 8th as International Women’s Day since 1977 to highlight that active participation, equality and development of women is necessary for securing peace, social progress and human rights; and to acknowledge the contribution of women to the strengthening of international peace and security.

This year’s theme is “Investing in Women and Girls” with a strong focus on country level financing for gender equality. Highlighting this issue, the priority theme of the 52nd session of the Commission on the Status of Women (CSW), which concluded 7 March 2008, was “Financing for gender equality and the empowerment of women”.

Commission on the Status of Women

The report of the Secretary-General on financing for gender equality and the empowerment of women (E/CN.6/2008/2) guided the work of the Commission. It identifies and discusses key issues in financing for gender equality and the empowerment of women and suggests policy recommendations.

UNAIDS delivered a statement to the CSW to draw attention to the links between gender inequality and increased vulnerability to HIV infection among women and adolescent girls and to call for ensuring greater and more sustainable financing for gender equality.
Read full UNAIDS statement

Unite to end violence against women

UN Secretary-General Ban Ki-moon opened the 52nd session of the CSW on 25 February 2008 by launching a multi-year campaign to end violence against women that will continue until 2015, to coincide with the target date for the Millennium Development Goals.

The campaign, which will run until 2015, aims to mobilize public opinion to ensure that policy makers at the highest level work to prevent and eradicate violence against women and to secure political will and increased resources to combat the problem.

"Violence against women is an issue that cannot wait. A brief look at the statistics makes it clear. At least one out of every three women is likely to be beaten, coerced into sex or otherwise abused in her lifetime. No country, no culture, no woman young or old is immune to this scourge

It is a campaign for the women and girls who have the right to live free of violence, today and in the future. It is a campaign to stop the untold cost that violence against women inflicts on all humankind." 

- Remarks by Secretary General Ban Ki-moon to the Commission on the Status of Women, New York, 25 February 2008.

The campaign aims to mobilize public opinion to ensure that policy makers at the highest level work to prevent and eradicate violence against women and to secure political will and increased resources to combat the problem.

The initiative will harness the existing momentum in the General Assembly and the Security Council to take action against all forms of violence against women, including rape in conflict and post-conflict situations and builds upon decades of work by women activists, women’s groups and other civil society organizations who continue to lead the struggle to expose and counter violence. 

Global Coalition on Women and AIDS (GCWA)

The Global Coalition on Women and AIDS.

To mark International Women's Day, the Global Coalition on Women and AIDS wil feature interviews with selected women who have demonstrated extraordinary success in overcoming challenges in their work on HIV. The theme of the interview series is "Victories of Women in HIV and AIDS" and will highlight how women have transformed the art of possibility into a living example of leadership.
Visit the web site of the GCWA to find out more

Young people in Zambia.
Photo credits: UNAIDS/M.Aon

Slowing the high rate of new infections in young girls in Zambia is being addressed with urgency by leadership on several levels across the country.

The high rate of infections in young girls is a key element of the epidemic in Zambia. Girls are at risk for several reasons including the fact that hey are often economically dependent on  men, or fear violence from them, so however well educated they are about the risks, they cannot say no to sex. In Zambia there is also pressure on women to demonstrate their fertility, so they do not use condoms and a cultural trend for inter-generational relationships also puts girls at risk: statistics show that HIV prevalence peaks in men between the ages of 29 and 34; in women it is 15 – 24.

Addressing this issue, a partnership called “Women for Change” works with traditional leaders in Zambia who are all men, conducting education around relationships in addition to mediation skills in community disputes, for example, over issues about land.

Rainbow Coalition of NGOs targeting HIV and women’s rights

Zambia has also seen the recent founding of the Rainbow Coalition. Its patron, Mrs Elizabeth Mataka is also Executive Director of ZNAN and the United Nations Secretary General’s Special Envoy on AIDS in Africa.

The Rainbow Coalition was founded with the support of the Open Society Initiative for Southern Africa. It has brought together for the first time, diverse NGOs concerned with HIV and women’s rights issues, to bid for Global Fund grants.
Their work has helped to persuade the Global Fund to issue stringent guidelines to recipients of its grants to ensure that they take into account the needs of women and girls equally with men.

Sisonke Msimang, AIDS programme manager at the Open Society Initiative for Southern Africa, says: “It’s absolutely great that through this exercise the Global Fund has reviewed the conditions for awarding grant money in future.
“With modifications in the rules, it should be easier for the Rainbow Coalition to target the grants available from the Global Fund. That’s what we are pushing for now.”

Coordinated partnership key

Recently arrived in Zambia, UNAIDS’ Partnerships Adviser, Maha Aon, says one of her greatest challenges is to learn more about how to make prevention work for girls in a context like Zambia, and to ensure partners are working together for the best results.

About 300 representatives of community-
based organisations, mostly from
district-level, were invited to a national AIDS
conference organized by the Zambia National
AIDS Network (ZNAN).
Photo credits: ZNAN

The issue of women and girls was a central consideration at a national AIDS conference on the role of civil society in the quest for universal access held in Zambia earlier this year.
About 300 representatives of community-based organizations, mostly from district-level, were invited to the conference organized by the Zambia National AIDS Network (ZNAN).

“At the three-day ZNAN conference, there were many discussions on how to ensure different civil society constituencies working in the field organized and nominated representatives to participate at a national level and feed back to their constituencies,” she said.

Through workshops and seminars, they examined the work at grassroots level in prevention, treatment, care and support. They shared their successes and challenges, and debated civil society’s advocacy agenda around human rights issues ranging from gender to working with most-at-risk populations.

“There are many partners working on HIV in Zambia, but the main challenge is to get the programmes and money down to the districts and in a country as vast as Zambia with the poor quality of roads, this is not an easy feat.”

“At UNAIDS we find ourselves advocating for improved road systems, for income generation activities, for a strengthened civil society movement…issues that are key to development in general and not just to the micro-level issue of virus transmission.

“The Zambian government and people’s openness, frankness and sincerity in dealing with development in general, and HIV in particular is absolutely humbling, and the mere presence of this myriad of international partners and development aid make it obligatory for us to work on delivering.”

First Ladies and women leaders from Latin America
and UNAIDS Deputy Executive Director Deborah
Landey joined forces in the response to AIDS in the
region. Photo credit: UNAIDS

The Coalition of First Ladies and Women Leaders of Latin America on HIV held its third meeting in San Pedro Sula, Honduras on Friday 26 October to discuss the growing rates of HIV infection among women in Latin America and the impact of AIDS on women in the region.

Participants included the First Ladies of Honduras, Mexico, Dominican Republic and El Salvador, the First Ladies’ representative of Suriname, representatives from Ministries of Health, parliamentarians, representatives from the International Coalition of Women and civil society organizations including women living with HIV.

They expressed their firm commitment to take action in response to the AIDS epidemic. This commitment was reaffirmed by Deborah Landey, Deputy Executive Director UNAIDS, who gave a keynote speech at the meeting. “We must demonstrate and promote strong and sustained leadership, throughout the region, to place women at the centre of the agenda. Not mainstreamed. Not sidelined. At the centre,” she said.

Participants discussed ways of implementing the “action platform” which was approved at the last meeting of the Coalition held in Buenos Aires in April 2007. The “action platform” is a strategy designed to mitigate the impact of AIDS in the region, particularly in the context of universal access to HIV prevention, treatment, care and support, and which promotes women rights in a supportive environment, free of stigma and discrimination. 

Also present at the meeting was the President of the Republic of Honduras, His Excellency Manuel Zelaya Rosales, who delivered a strong message to the participants emphasising the urgent need to address gender inequalities for an effective response to AIDS.

The Coalition of First Ladies and Women Leaders of Latin America, chaired by the First Lady of Honduras Her Excellency Xiomara Castro de Zelaya and supported by UNAIDS and UNFPA, was established in New York on June 2nd 2006, in the context of a parallel meeting of the 26th Special Session of the United Nations General Assembly.

The Coalition is the first initiative of its kind in the region. It involves First Ladies and women leaders in an alliance committed to advocating for stronger political leadership and resource mobilization to make universal access a reality, and reduce the vulnerability of women to AIDS in Latin American countries.

At the Women Deliver conference in London (18 – 20 Oct 2007), UNAIDS Executive Director called for renewed political support and increased funding to make sure that women’s health become a national priority across the world. He stressed that healthy mothers and children are key to slowing down the AIDS epidemic.

Every minute of every day, a woman dies needlessly during pregnancy or childbirth, most in the developing world. Ten million women are lost in every generation. Huge disparities exist between rich and poor countries, and between the rich and poor in all countries. At the same time, four million newborn babies die every year, also from causes that are mainly preventable. Evidence and experience shows that with increased political will and adequate financial investment, most women and newborns can survive so that families, communities and nations can thrive.

Bringing to light the critical connection between women’s health, rights, education and poverty reduction, the global conference on maternal health ‘Women Deliver’ is taking place in London from 18 to 20 October 2007.

Co-Chaired by Mary Robinson, president of Realizing Rights, former president of Ireland, and former United Nations High Commissioner for Human Rights and by Asha Rose Migiro, Deputy Secretary-General of the United Nations, the conference encourages governments to integrate women’s health and rights into national plans and strategies.

At the Conference opening, UNAIDS Executive Director Peter Piot, underlined a number of similarities between the response to women’s health and the AIDS response. He cited the prevention of mother to child transmission of HIV as an intervention with proven results that is a potential catalyst to strengthen health systems.

Dr Piot noted that women are paying a heavy price today as a result of years of under-investment – including within the AIDS response. Despite accelerating progress in AIDS over the past few years, women and girls are still being left behind. About 18 million women are living with HIV today – many of them poor, most of them stigmatized, some at risk of violence, and too few are able to access HIV treatment. Only one in ten women in developing countries has access to drugs to prevent transmission of HIV to their children.

In his conclusion, Dr Piot suggested that the world should start talking about women’s health, morbidity and mortality and not just maternal mortality. He underlined that taking the issue beyond the health sector and focussing on socio-economic implications would attract governments’ attention in ways that women’s health has not.

The Women Deliver Conference runs until 20 October 2007

Links:

View the video by the Global Coalition on Women and AIDS that is being shown at the conference

Fouzia Abdallah, National AIDS Programme
Manager Yemen and Somaya Al-Jowder, National
AIDS Programme Manager Bahrain during the
meeting.

Empowerment of women and promotion of gender equality were underlined as critical to reducing vulnerability to HIV in the Middle East and North Africa [MENA] at a recent gathering of experts from the region.

Specialists working in the areas of HIV and gender joined at a think tank meeting on “Gender and HIV in the Middle East and North Africa”, organized by the UNAIDS Regional Support Team MENA in Cairo, Egypt.

As the HIV epidemic in the MENA region continues to spread, the number of women living with HIV is increasing and the gap in prevalence rates among men and women is narrowing. Participants at the meeting agreed that gender inequalities across the region help fuel vulnerability and increase exposure to HIV infection. “Gender inequalities is and must be at the core of our national AIDS responses ,” said Fouzia Abdallah, the National AIDS Programme manager of Yemen.

Traditions and the role of religion were widely discussed by participants. The Minister of Family

The Minister of Family Affairs and
Social Development in
Somaliland, Fadume Haji Adam

Affairs and Social Development in North West Somalia, Fadume Haji Adam, gave an opening address looking at specific cultural and religious traditions in the region that have an impact on women and girls in the context of HIV.

“In our traditions lie our challenges, and it is also there we will find the solutions,” she said.

Adapting strategies on gender and AIDS to fit the regional context was highlighted as fundamental to a successful response. Giving examples of how AIDS responses have failed to adequately address the situation of Muslim women, Dr Nafisa Mohamed Abdelkarim from Afhad University for Women in Sudan, called for a deeper understanding of the contexts in which many women and girls in the region find themselves“:

“ We cannot adopt an international agenda on gender and AIDS, we must develop our own agenda. We have to find our own solutions and strategies,” she said.

Often, our women do not make individual choices. They make their decisions within their social contexts. Our responses to AIDS have to address these contexts, and not only the individuals. We have to make AIDS our agenda, with a language and with interventions that speak to us and our situations ,” she added.

Adapting strategies on gender and AIDS to fit the
regional context was highlighted as fundamental to
a successful response to the AIDS epidemic.

The meeting brought together people from some of the most conflict-affected areas in the world. A key concern of participants was how to keep gender and AIDS high on an already full political and media agenda. “ The agenda is already full of immediate and emergency-related issues. At the same time, we can see how conflict situations increase vulnerability to HIV,” said Laila Baker, Assistant Representative for UNFPA, Occupied Palestinian Territory.

Rather than putting all our efforts in an emergency mode, we have to keep an eye on gender and AIDS in conflict situations. We can not afford ignoring such a crucial development issue ,” she added.

Building on this Think Tank meeting, the group identified key activities for moving forward, including reviewing national responses to AIDS in the context of gender, building capacity among national partners to further strengthen a gender-sensitive response, and mobilizing key ministries and partners to address gender and AIDS in the region.

During a nine day tour of five countries of the Commonwealth of Independent States, a group of HIV advocates met with policy makers and civil society organizations to raise awareness on women and AIDS in this part of the world.

Women against AIDS tour was conceived in the
midst of a growing concern that women are
increasingly at risk of HIV infection in many parts of
Eastern Europe and Central Asia.

Women against AIDS tour was conceived in the midst of a growing concern that women are increasingly at risk of HIV infection in many parts of Eastern Europe and Central Asia. The percentage of adults living with HIV who are women has risen from 11% in 1990 to 28% in 2006.

The tour was sponsored by the AIDS Infoshare organization, UNAIDS, the Global Coalition of Women on AIDS and the United Nations Development Program. Ten AIDS advocates from the region with special guests joining at various points travelled together to learn about the realities of women and AIDS in different parts of the region and also to mobilize local policy makers to act on these issues.

In each of the capital cities of Armenia, Moldova, Kazakhstan, Russia, and Ukraine—the tour group joined with civil society organizations and groups of People Living with HIV (PLHIV) to talk about some of the most difficult issues such as stigma and discrimination and their consequences including losing children’s custody, being thrown out of the home and losing jobs.

“These are real issues,” said Deborah Landey, Deputy Executive Director of UNAIDS who joined the last part of the tour. “We have a collective responsibility to make a difference for women ,” she added.

The predominant mode of HIV transmission in the region remains through the use of non-sterile injecting drug equipment. However an increasing proportion of HIV infections — 37% of reported cases in 2005 — are estimated to occur during unprotected sexual intercourse. In Ukraine, the proportion of people infected with HIV through heterosexual transmission increased from 14% of new cases between 1999 and 2003 to over 35% of new cases in the first six months of 2006.

“We must look at every AIDS plan and strategy and ask whether it works for women,” emphasized Ms Landey. “This is our chance to curb the epidemic in this region,” she added.

The Women Against AIDS also produced a set of
issues to be considered and recommendations when
developing national AIDS strategies in the region.

The tour ended where it started, with women. Sergei Golovach a renowned photographer and a guest on the tour took photos of his fellow advocates for an exhibit to be held called Love, Live and Dream. Through portraits h e wanted to emphasize that it does not matter who is HIV-positive.

“Just look at this photo,” said Ms Landey, remarking on one of the portraits of a mother and her daughter that has been turned into an advocacy poster. “It is all about a mother’s love—which has nothing to do with one’s HIV status.”

Moved by these portraits and what she learned from the tour participants, Elena Vasilieva, Editor in Chief of the Russian Cosmopolitan magazine promised to publish an article about the Women Against AIDS tour in the November edition. To help break down stereotypes she said “a glossy magazine is the right place to raise socially important topics.”

The Women Against AIDS also produced a set of issues to be considered and recommendations when developing national AIDS strategies in the region. Highlighting the critical importance of translating these recommendations into actions, Anna Dubrovskaya, from 'Golos anti-SPID' in Russia said “our wonderful recommendations will not work if there is nobody to demand from policy makers that they keep their promises. The most important thing is to not let this initiative die.”

All photo credit: UNAIDS/Serge Golovach

Links:

View photo gallery
Listen to interview with UNAIDS Deputy Executive Director Deborah Landey
Visit the Global coalition on women and AIDS' web site
Visit UNDP's web site
Visit AIDS Info Share's web site

In the run-up to the International Women's Summit on Women's Leadership on AIDS, the Global Coalition of Women and AIDS's (GCWA) leadership council convenes its third meeting in Nairobi on 3rd July 2007 to examine evidence of what is happening at country level for women and AIDS.

The GCWA leadership council is made up of AIDS activists with a wide range of personal experience and professional expertise from 25 countries around the world. Advocates for the need to develop and implement AIDS programmes specially tailored to respond to the needs and challenges faced by women all over the world, the leadership council memebers will exchange information and experience on strategies that are working for women and areas where increased action is needed. The meeting will also lay out a vision for the GCWA as it moves forward.

The UNAIDS-led Global Coalition on Women and AIDS was established in 2004 to respond to the increasing feminization of the AIDS epidemic and a growing concern that existing AIDS strategies did not adequately address women’s needs.

Hosted by the World YWCA, the International Women’s Summit on Women’s Leadership on HIV, brings together over 1500 people, including global leaders, high level policy makers, celebrities, community health workers and AIDS activists from 4 to 7 July to develop strategies, skills and partnerships in response to the impact of AIDS on women and girls.

This first ever International Summit of its kind addresses the impact of AIDS on women and girls, explores issues such as poverty, violence against women, children’s rights and access to decision-making and resources.

The event is organized by the World YWCA and co-convened with the International Community of Women Living with HIV, and has the support of the UNAIDS Global Coalition on Women and AIDS and the United Nations Population Fund (UNFPA).

The summit aims at:

• highlighting the difference women’s leadership is making on AIDS issues
• building the capacity of individuals and organizations to develop sustainable programmes and evidence based solutions
• mobilizing women around the world to respond to AIDS and related issues
• developing strategic partnerships to broaden the impact of AIDS responses