Contributors, Poverty & AIDS
Women are trapped in a cycle
The feminization of AIDS and poverty are linked in a cycle that practically ensures the spread of the disease, even if a vaccine were developed.
For the 51 million of girls around the world who were married off as children, marriage is risky sexual behavior. A girl who is married off at 12 or 13-years-old is regarded as a commodity by her family – property to be traded to feed the other children or to repay debts. Or she is property taken in exchange for a dowry.
She has no ability to negotiate condom use with her husband. And as he is likely to be 10 or more years older than his child bride, the chances that he is already infected can be huge.
It is in these societies where the stigma of AIDS tends to remain so great that women breastfeed their children even if they know they are HIV positive rather than risk being ostracized and abandoned.
When this woman who lost her childhood to marriage eventually dies of complications of AIDS, she is likely to leave daughters. In desperation some of them turn to sex work to survive.
We will never get a handle on the spread of HIV unless we put an end to early marriage and keep girls in school. Educated girls marry later and tend to have more economic stability. These are big challenges and they will take time but the alternative is to wait for a vaccine and that will only combat AIDS. The underlying problems will remain.
The opinions expressed in this text are those of the author.
2 Comments
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Risto Harma
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Risto Harma
A correction to the end of my post above: the words in parentheses should read ….(notice that they are not worried about whether the “cleanser is HIV positive for the widow)….
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It is extremely important that you have mentioned the particular aspects of the HIV/AIDS problem that you have, i.e. early marriage, and the stigma that prevents prevention of the disease, such as with mother to child infection. The attitudes that perpetuate this system amount to socially sanctioned slaughter, or, death-by-belief. Take the following piece of evidence from an Indian study on girls education among low income rural groups: “The practice of early marriage has its origins in several deep-rooted cultural beliefs, social situations, and economic conpulsions. For instance, a very strong belief that girls should not be sent to school or kept unmarried after puberty [was found in several areas of the study, one being Chamrajnagar district, Karnataka state, India]….It is ironic that despite the high participation of women in work…..the cultural environment is so conservative that school attendance by adolescent girls is associated with immorality.” – India country-wide study by Jyotsna Jha and Dhir Jhingran (2005) Elementary Education for the Poorest and Other Deproved Groups. New Delhi: Manohar. For a global overview of early marriage, see UNICEF (2006), Early Marriage: a Harmful Traditional Practice: a Statistical Exploration, which is available on line as a PDF. Also, in addition to HIV/AIDS, death in child birth – maternal mortality – is very much higher for young girls who have been forced to have children. We need to be explicit about what amounts to the killing of these girls, that it is gross negligence by those with a duty of care, and not high morality that is being practiced. Irene Khan of Amnesty International recently stated at the UK launch at the School of Oriental and African Studies (London) of her book The Unheard Truth: Poverty and Human Rights, that culture and religion are not acceptable reasons for denial of human rights. Anyone who doubts this should consult the account of the life of Phoolan Devi (a woman from a disadvantaged group in India) also known as the “bandit queen”, who was married at arond the age of 12-13 years. She is reported to have made a strong example, later, of her husband who raped her as a child-wife, with respect to the practice of child marriage. My own research on widows in Sub-Saharan Africa highlights the widespread practice of widow “cleansing” – where the widow is required to have sexual intercourse with her dead husband’s brother or a designated “cleanser” who is often paid for this “service” to avoid husbands’ brothers from becoming infected with HIV/AIDS (notice that they are not worried about whether the “cleanser” is HIV positive). Widow “cleansing” has been heavily linked to the spread of HIV/AIDS, yet the practice still persists. In once case, an HIV/AIDS awareness activist went through with “cleansing” and later died of HIV/AIDS.