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Stop AIDS, Keep the Promise, is it possible in Bangladesh?

-Md. Ismail Hossain-
-Assistant Director-
-Bangladesh Bank-
-banglaplus@yahoo.com-

Fortunately fact that overall HIV prevalence rate in Bangladesh is low, but we don’t declare, full of coolness that we are free from this epidemic. Because the risky behavior of infection of the disease is such high, the HIV/AIDS may spread at an alarming rate in the country at any time. On the other hand, since the first case was detected in 1989, till December 2005, only 7,500 cases were officially reported. Of these, 465 have developed AIDS, and 64 have died (National AIDS/STD Program –NASP).

The health care system is low in Bangladesh. Thousands of people die in every year by several common diseases. Although some health or prevention knowledge would lessen this fatal mortality. Capital city’s health care system in upgraded in some extent but district level health care system is nominal. Several NGO’s are working on HIV/AIDS prevention sector. But we found that there is a massive need of facilities and manpower to deliver comprehensive HIV care and laboratory facilities to support and monitor the therapy. There is a similar lack of medical personnel with enough knowledge of antiretroviral therapy. Possibilities for drug distribution to remote corners are limited and storage facilities are often insufficient.

AIDS surveillance specialist Mr. Parvez Sazzad Mallick said, “There are so many cultural values and socio economical systems are responsible for this increasing like this dieses, poverty and illiteracy is also responsible for this increasing. This indicator is not fully responsible but it helps to change behavior on so that. So if we want to prevent of this at first we have to emphasize to try to change sexual behavior. We did success to find out our vulnerable target groups and why they become vulnerable�. (Senior Technical Officer- Family Health International -FHI)

The HIV/AIDS programme specialist Mr. Mohammad Khairul Alam said, “several social norms and immature behavior fueled of this disease to scatter rapidly. There are several social components link to develop this harmful situation. Poverty-behind to force it, Gender discrimination plays a vital role; Frustration & risk behavior help to sink humanity resulting infection. The link between poverty & gender discrimination are help to decline socio economic prosperity. This link creates several anti social poisonous issues also. Such as trafficking to prostitute, sell sex for earn or living, break down family norm to create frustration and driven drug point. We notice easily that Illiteracy is the main watchword of all circumstance. So it is not easy to remove it from the society, several programs & strategies are needed to gain sustainable position�.

HIV/AIDS researcher Dr. Salim Ahmed said ‘91 per cent of the adolescents of the country have no knowledge of sexually transmitted infections (STIs). According to the NASP report, 50 per cent of the adolescents of the country are living under the ominous shadow of HIV infection’. (Program Manager, National AIDS/STD Program- NASP)

The ‘Rainbow Nari O Shishu Kallyan Foundation’ identified four major approaches in a groundbreaking study on spread out HIV in Bangladesh. This study undertook by comparing of social-economic norm, family pattern, economic dependency, cause of mounting sex industries, gender discrimination status & global analysis fact. There are four factors that appear to play a crucial role in HIV transmission in Bangladesh: Injection/ intravenous drug use (By sharing needle), female sex work (Due to lack of safe sex knowledge), gender discrimination (which indirectly force females commercial or non-commercial sex), Same sex/ homosexually/ Hizra (Due to lack of HIV/AIDS information, because they act invisible in this society). Poverty & illiteracy fueled it proportionally.

Mr. Md. Alauddin, (Ex- Procurement Consultant, IDA/DFID funded HIV/AIDS Prevention Project) said, “HIV/AIDS is not just a health issue in our society. It is also a social, economical, developmental, ethical and psychological issue. Some of our policy makers including civil servants, few members of civil societies are confident regarding spread of HIV virus as because they think our nation is a Muslim moderate nation and its society is Muslim majority religious society where moral character is better than that of other non-Muslim nation. This type way of thinking also allows our societies to avoid responsibility of dealing against the widespread of HIV virus. This attitude can be dangerous for the future of Bangladesh. HIV virus knows no social, religion, racial, boarder or cultural barriers. But if we follow some preventive measures or change some sexual behavioral pattern in our life, if we avoid sharing needles, if we can ensure safe blood, this virus is still not harmful.�

Women will carry on HIV/AIDS epidemic. Women in Bangladesh, largely getting sexual experience within marriage and for the most part, premarital sexual contact is mostly confined to their future husband or Lovers. Nowadays-sexual behavior among Bangladeshi women is changing. Adolescent girls may not stay in the traditional sex of previous generation and casual sexual behaviors are mounting. This may take Bangladesh in an alarming position.

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