Dear Members of End-Violence,

Last week we began discussing the important link between HIV/AIDS and
violence against women, and the array of factors that increase women's and
girls' vulnerability. This week we would like to continue that discussion,
but shift our attention somewhat to focus on girls and young women. A
sample of the statistics is chilling:

- girls are 5-6 times more likely to become infected with HIV than are boys
- in sub-Saharan Africa, girls account for 2/3 of the eight million young
people living with HIV/AIDS
- in Trinidad and Tobago, HIV rates are five times higher in girls than
boys aged 15-19
- in Cambodia, more than 40% of sex workers under the age of 19 are HIV
positive

These statistics reflect conditions in which men control girls and young
women, often through violence and coercion. Addressing the pandemic will
require initiatives that enable girls and young women to protect themselves
from becoming infected. Action is needed on many fronts:


* Cultural Values and Beliefs

Cultural mores make girls and young women particularly vulnerable to both
violence and AIDS. Men often seek to marry, or have sexual relations with,
young women and girls. Girls and young women lack the skills and
self-confidence to protect themselves within relationships. Other cultural
practices, such as female genital mutilation, also make girls and young
women more vulnerable to HIV infection. Changing these conditions demands
that all youth, female and male, recognise women's right to equal power in
relationships. Young women and girls must have the self-confidence to
assert their rights; boys must learn to respect these rights.


* Education

Most schools do not provide sex education, leaving girls -- and boys --
ignorant of the risks of HIV infection and means to protect themselves.
According to a UN study, 30% of young African women believe if a man looks
healthy, he cannot have AIDS. Making matters even worse, girls are often
pulled out of school because their families need their labor. As a result,
girls are more likely to be illiterate, making it more difficult to obtain
health information, jobs, and information on their rights. Change requires
that schools, and other organisations serving youth, educate girls (and
boys) about HIV infection and ways to protect themselves.


* Policy and Legislation

Few countries have legislation to protect girls and young women from sexual
encounters that are coercive -- even violent -- and make them vulnerable to
HIV/AIDS. Within marriage or other consensual relationships, young women do
not dare insist on safe sexual practices or refuse sex, for fear of
violence. Change requires actively enforced legislation that helps young
women and girls, who are especially vulnerable, to obtain legal protection.
Marriage laws need to protect young women from traditional practices, such
as early marriage and from genital mutilation, which increase their
vulnerability.


* Economics

Lack of economic opportunities often puts girls and young women at
particular risk. Dependent on men's financial support, they cannot leave
abusive relationships that expose them to HIV infection. Girls may be
forced into relationships with older "sugar daddies" who can provide for
them economically. Those trapped in poverty may become victims of
trafficking, sexual slavery and forced prostitution. Change requires steps
by public and private sectors to provide girls and young women with the
job-related skills, opportunities to support themselves, and protection
from violence in relationships with men who resent their ability to make
money.


* Healthcare

Many health services are uneasy about treating girls and young women who
have been victims of violence and are at risk of HIV infection. They are
unwilling to provide health information, condoms and medication to girls
and young women. Their hostility often discourages girls and young women
from seeking their help. Change requires training for healthcare providers
in the special needs of girls and young women, and in ways to detect
instances of violence and sexual coercion.


* War and emergency situations

Girls and young women are often particularly vulnerable to rape, domestic
violence, sexual exploitation and humiliation, trafficking, and other forms
of abuse that are prevalent during war and emergency situations. Change
requires international enforcement of women's human rights and special
efforts to protect girls and young women.


KEY QUESTIONS

1. Are there efforts in your country to change CULTURAL VALUES that make
girls and young women vulnerable to violence and HIV/AIDS infection? Are
there programmes aiming to change views of boys and men toward young
women and girls in order to reduce violence against women and girls and their
risk of HIV infection? Are they having success?

2. Are there programmes aiming to change girls' and young women's values
and beliefs, to help them protect themselves from violence and HIV
infection, and avoid risky situations? Are the programmes having success?

3. What EDUCATION programmes/activities are helping girls and young women
protect themselves from the risk of HIV/AIDS infection? Is there sex
education in the schools? Are there programmes run by students themselves?
What impact have they had?

4. What POLICIES AND LEGISLATION protect girls and young women from
violence that increases risk of HIV infection? For example, are there laws
regarding early marriage? Genital mutilation? Trafficking? Have they had an
impact?

5. What programmes/activities give girls and young women more ECONOMIC
OPPORTUNITIES so they can avoid risky situations -- such as relationships
with "sugar daddies," prostitution, and drug use -- and can leave abusive
relationships?

6. What HEALTHCARE programmes/activities are "youth-friendly" and serve
girls and young women who are victims of violence and are HIV positive? Do
shelters, hospitals, police stations and other services understand the
needs of girls and young women who face the double trauma of rape and
HIV/AIDS?

7. What programmes/activities are helping to protect girls and young women
in ARMED CONFICT AND EMERGENCY SITUATIONS from risk of violence
and HIV infection?

8. Efforts to protect girls and women must actively involve young people of
both sexes.  Do you know of initiatives to involve young people in efforts
to end violence against women and prevent HIV infection? How successful
have they been? What do they need to ensure success?

9. What should the UN and other donors do to support these programmes and
activities?




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