E/2001/27
E/CN.6/2001/14
conflict, political and social instability that could result
from HIV/AIDS might have repercussions in other
countries too, especially as HIV could easily spread
across borders owing to the movement of migrants in
search of employment, long-distance drivers, military and
militia groups, tourists and traders and traffickers in
women, young girls, boys and drugs.
6.
Participants stressed that poverty was another
factor responsible for the spread of HIV/AIDS,
particularly among women, who constituted the
majority of the world’s poor. Because of poverty, girls
were often forced into prostitution and sexual slavery,
including in foreign countries, where, being illegal
migrants, they were not protected by the law and
lacked access to social services. Some participants
emphasized that poverty had created an environment of
risk to HIV, in particular for women, who tended to
take different risks from men, depending, inter alia, on
their economic security. Therefore, integrated
programmes aimed at eradicating poverty, in particular
among women and girls, should be developed.
7.
Participants pinpointed the need for working with
men in the fight against HIV/AIDS. Until recently, men
tended to be considered responsible for the rapid
transmission of the virus. Such a stereotypical label did
not facilitate male involvement. Many participants
brought up successful examples of programmes and
projects undertaken in the past few years involving
men in the fight against HIV/AIDS, such as working
with religious and traditional leaders through the
development of programmes based on religious core
values, working with men’s organizations, such as the
Society for Men and AIDS in Africa, or involving men
in Latin America in the fight against violence,
especially sexual violence. Men should be involved in
all national and international activities relating to the
prevention, impact alleviation and care of people living
with HIV/AIDS. Examples of successful programmes
to involve men were also cited by the Joint United
Nations Programme on HIV/AIDS (UNAIDS), which
had launched the “Men make a difference” campaign,
the results of which had been posted on its web site.
8.
Participants emphasized that HIV infection
among women led to an increase in the violation of
women’s human rights, such as the right to bodily
integrity and access to health services, including for
reproductive health. Frequently, even in countries
where abortion was not legal, HIV-positive women
were forced to have an abortion if pregnant.
62
Compulsory sterilization was another frequent practice
imposed on women living with HIV/AIDS.
9.
It was pointed out that the stigmatization suffered
by HIV-infected women often prevented them from
seeking medical assistance. Therefore, the need to
combat stigmatization was emphasized. Some
participants stressed that language was also responsible
for stigmatizing women, and suggested the use of
“parent-to-child” transmission rather than “mother-tochild” transmission as a preferred terminology in order
not to associate women with the blame related to
transmitting HIV to children. That would also help in
decreasing women’s self-blame for transmitting the
diseases to their children. Some stressed the need to
include a psychological support component to
HIV/AIDS services, programmes and policies.
10. Some participants emp hasized that mandatory
testing violated human rights. It was also mentioned
that in order to be effective testing should be voluntary
and accompanied by adequate counselling. Counselling
was considered as being a very good opportunity for
educating people about HIV/AIDS, particularly for
reaching out to men. The need for education on
HIV/AIDS was emphasized, including through the use
of the new information and communication
technologies, which could play an important role in
reaching out to young people. However, it was also
stressed that education was not sufficient to empower
people if access to care was not available to all. For
example, if care was connected to mother-to-child
transmission and natal care, men, even if aware of the
disease, might not be reached by care programmes.
11. Many participants in the panel discussion
emphasized the need for access to affordable treatment,
including
antiretrovirals
and
prophylaxis
of
opportunistic infections, particularly for developing
countries. Emphasis was placed on the need for
concerted action at the international level to lobby for a
reduction in the price of drugs. Some participants
stressed the need for a more morally acceptable
approach than the one based on loans for drugs. Some
stressed that accepting loans for drugs would lead to an
increase in the already heavy debt burden carried by
poor countries. Cooperation with pharmaceutical
companies should be envisaged in order to find a
balance between an increase in the accessibility to
affordable drugs by the poor and the need to allow
companies to invest in research for a cure.
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