Best wishes and thanks for joining this Gender, Education, and HIV/AIDS network. It is World AIDS Day (WAD) tomorrow (as I write). In the special DB Click: HIV/AIDS (copied below) focused on the WAD theme of Universal Access/Human Rights, with significant Gender and Education perspectives, we open with a quote from Michel Sidibe's UNAIDS message on this theme including:

"This is...the first time we can show that reductions in the number of new HIV infections are clearly linked to an increase in knowledge about HIV, changes in social norms and the adopting of safer behaviors. It has given us evidence that HIV prevention programmes are producing significant results." (reference is below)

This is obviously really good news. In support of continuing this momentum through everyone's extremely hard work to bring about these results could you please share through this network (your user name is above and you can request a new password if forgotten!) the following:

1. The data and/or experiences you quote to policy makers and funders demonstrating the positive impact of knowledge, social norm and behaviour focused initiatives on HIV/AIDS progress in particular related to Gender, Education and Rights.

2. Your critical analysis of the progress described in the above quote related to knowledge, social norm, behaviour and HIV/AIDS - what are we doing well and what do we need to do much better, including related to Universal Access and Human Rights of course.

Very much look forward to your sharing your experience and analysis in support of everyone's work - many thanks.
(And apologies if you have also joined the overall HIV/AIDS Strategy Group and this is a double posting).

Warren Feek
Executive Director
The Communication Initiative


November 2010


December 1 2010
Focus on Universal Access/Human Rights

"This is...the first time we can show that reductions in the number of new HIV infections are clearly linked to an increase in knowledge about HIV, changes in social norms and the adopting of safer behaviors. It has given us evidence that HIV prevention programmes are producing significant results."

"We still face significant challenges ahead. Yes, the total number of new HIV infections is decreasing, but there were 2.6 million people newly infected with HIV in 2009 and there are two new HIV infections for every one person starting HIV treatment."

"...[N]othing less than a prevention revolution is needed."

- excerpts from Michel Sidibé, UNAIDS Executive Director, November 29

The knowledge that follows was submitted by The CI network and both reflects and helps to advance the key themes of World AIDS Day 2010 - Universal Access and Human Rights.


1. Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector
Progress report September 2009

"This report reviews the progress made in 2009 in scaling up access to selected health sector interventions for HIV prevention, treatment and care in low- and middle-income countries....

This report shows that, among 144 low- and middle-income countries reporting programme data this year, eight had already achieved universal access to antiretroviral therapy at the end of 2009, providing treatment to at least 80% of patients in need. Furthermore, 15 countries had achieved the 80% target for coverage with antiretroviral prophylaxis to prevent mother to child transmission of HIV.

Although more countries may reach universal access goals by the end of 2010 as a result of ongoing efforts, global targets for HIV prevention, treatment, care and support are unlikely to be achieved. Importantly, this has implications not only for the HIV response, but also for all other MDGs [Millennium Development Goals], particularly MDGs 4 and 5, on child and maternal health. Indeed, as documented by recent research, a lower burden of HIV/AIDS has been associated with considerably greater progress towards the achievement of child mortality and tuberculosis (TB) goals than economic growth itself. In the absence of HIV, maternal mortality worldwide would have been lower by about 6% in 2008 and a recent academic study has estimated that up to 18% of pregnancy-related deaths may be due to HIV.

In spite of all the challenges and constraints, this report demonstrates that, with intensified and accelerated efforts, countries can achieve universal access..."


2. Addressing Violence against Women and HIV/AIDS: What Works?
From the World Health Organization (WHO) and Joint United Nations Programme on HIV/AIDS (UNAIDS), this publication describes an October 2009 meeting of a working group of expert researchers, policymakers, and practitioners who gathered in Geneva, Switzerland, to review the current state of evidence and practice in developing and implementing interventions and strategies to address the intersections of violence against women (VAW) and HIV. This report summarises the presentations, discussions, and recommendations from the consultation...

3. Tikuferanji - Malawi
Tikuferanji, which means "why are we dying?" in Chichewa, was first launched as a serial radio drama in 1996 and, in 2001, expanded production to include television broadcasts. Produced by the Adventist Development and Relief Agency (ADRA), the television and radio programmes address HIV/AIDS and human-rights-related issues...

4. Study of Family Planning and HIV Integrated Services in Five Countries
From Family Health International (FHI) with funding from the United States Agency for International Development (USAID), this study provides a "snapshot" of early family planning (FP)/HIV services integration efforts to inform future integration planning. It uses data from Rwanda, Uganda, Kenya, Ethiopia, and South Africa. The research examined the following: the percentage of women in need of FP services or HIV services; the preparedness of clinics and service providers to provide services to meet need; the level of integrated service provision offered by providers to clients; and the availability of service data used to monitor integration...

5. Breaking Barriers: Improved Access to ART Centres Is Key to the Fight against HIV/AIDS: Towards a 'Second Wave' of Improved Paediatric ART Response in India
From India HIV/AIDS Alliance, this policy brief discusses the barriers to access to HIV testing centres. After gathering anecdotal evidence in 2007, the organisation conducted an operations research study consisting of two selected urban and rural sites in two Indian states. This brief reviews barriers found in the research and possible policy initiatives...

6. Making the Case for Integration: Tides Foundation's Africa Family Planning and HIV Integration Fund
This report from the Tides Foundation contains a summary of research, documentation on FP/HIV integration approaches, an evaluation of challenges and solutions, profiles of organisations working on integration, and insights from experts representing government and philanthropy. The document cites emerging models...

7. Measuring Up: HIV-Related Advocacy Evaluation Training Pack
This evaluation training pack is published by the Alliance and the International Council of AIDS Service Organizations (ICASO) and consists of two guides: a guide for facilitators and a guide for learners. They are designed for advocacy and monitoring and evaluation staff of civil society organisations (CSOs), including networks, that are involved in designing, implementing, and assessing advocacy projects at different levels. The purpose of these guides is to increase users' capacity to evaluate the progress and results of their advocacy work...

8. Improving Communication About Uncertainty of Clinical Trial Outcomes - South Africa
This project focuses on a collaborative participatory process using a local South African musical art form called kwaito to promote a local language about clinical trials, highlighting the uncertainties of trial results. The project activities involved a community collaboration to write the lyrics for a kwaito song, which young musicians then performed and recorded. The song was broadcast on community radio, inviting feedback and discussion from community members and stimulating dialogue about the risks and benefits of clinical trial research in the context of developing new technologies to protect men and women from HIV infection...

9. Wave Power: Radio and the MDGs
Samajhdari (Mutual Understanding) is a community radio initiative addressing links between violence against women and HIV/AIDS in Nepal - addressing MDG #3 (promote gender equality and empower women) and #6 (combat HIV/AIDS, malaria, and other diseases): "Twelve female community reporters, all survivors of violence or living with HIV, go into rural and poor areas with high HIV and domestic abuse rates to interview women about their experiences for the programme. With the microphones in the hands of survivors, these previously stigmatised women have gained self-confidence and are accepted as equal members of society through their status..."

10. Life-Saving Learning around the Drinking Pot
This article reports on a grassroots initiative - a gathering of educated scientists in Uganda that has "turned into a social event that is changing the health behaviour of people in poor, rural communities." In Uganda, the science cafes are held in local languages at the local malwa (millet beer) joint. The first talk was on the topic: "How can I live longer with HIV?" According to the article, this event was the catalyst for many participants to declare their HIV status and talk more openly on the subject. "It was amazing...Seventy people were tested and those who tested positive were referred for treatment..."


POLL: HIV Media Exposure Risks

What reception or risks do HIV-positive people in your community face when their status is exposed in the media? (You may choose more than one; please add clarifying comments online)

* repercussions of physical danger.
* banishment.
* loss of family support.
* increased personal access to treatment.
* increased community and peer support.
* none of the above.


A few recent comments received:

"on one hand there will be banishmnet,socialstigma, lesser interaction. on the other side stigma that the disease bring with you makes you seek help from peer suopport community. Improves your mental strengh, encourages you to take appropriate treatment, helps u to understand the disease beter to educate others."

"Many families still feel embarrassed to be associated with a family member who is HIV positive. They carry this as their own family secret and often will speak in whispers when talking about this issue. This often leads to a feeling of rejection by the affected family member. Regarding the increased personal access to treatment, even though ART is free, the affected, however has to meet high transport costs to and from ART treatment centers as there are only selected centers in some towns and treatment is not administered after a single visit,some patients visit the center more than three times before they have access to ART is some towns. In addition tests for TB, HB, etc are paid for before one starts ART. It is only when one is on ART and there is need to these tests that they are not paid for."


Got something to say about HIV/AIDS issues? Join one of the GROUPS on The CI's Development Networks...or...start your own group!

Current HIV/AIDS-focused groups:

Gender, Education, and HIV/AIDS

HIV/AIDS Strategy: Future Directions


11. Social Discrimination against Men Who Have Sex with Men (MSM): Implications for HIV Policy and Programs
This policy brief provides an overview of social discrimination against gay men and other MSM as it relates to HIV. It also includes recommendations for concerted action and policy development. A review of literature that demonstrates the linkages between homophobia and vulnerability to HIV disease is presented, with related examples...

12. Priority HIV and Sexual Health Interventions in the Health Sector for Men Who Have Sex with Men and Transgender People in the Asia-Pacific Region
This document describes the priority health sector interventions, focused in the Asia Pacific region, needed to achieve universal access to prevention, treatment, care, and support for HIV and sexually transmitted infections (STIs) by MSM. It summarises key policy and technical recommendations developed by the World Health Organization (WHO) for each of the priority health sector interventions...

13. Project Masiluleke - South Africa
Initiated in 2009, this collaborative project is designed to harness the mobile phone as a high-impact, low-cost tool in the fight against HIV/AIDS and tuberculosis (TB) in South Africa. Masiluleke, which means "give wise counsel" and "lend a helping hand" in Zulu, works to address the challenges that result in avoidance of HIV testing, delayed initiation of treatment, and high rates of treatment default...

14. Facilitator's Guide for Training on HIV and AIDS Stigma and Discrimination Reduction
Published by the Christian Council of Ghana (CCG) and World Association for Christian Communication (WACC), this guide is designed to build the capacity of community members to lead a campaign on stigma reduction in their communities. It revolves around a participatory process which encourages learning through: sharing feelings, concerns, and experiences; discussing and analysing issues; solving problems; and planning and taking actions...

15. The Shifting Global Health Landscape: Implications for HIV/AIDS and Vulnerable Populations
This issue brief focuses on the challenge of delivering effective, high-quality, non-discriminatory HIV and AIDS services to vulnerable populations, with specific attention to the needs of MSM, injecting drug users (IDUs), and sex workers. It is offered in the context of "enormous barriers to effective service provision for vulnerable populations through mainstream service systems" that are described in the document - for instance, "stigmatizing attitudes among health workers [that] deter many individuals from seeking the health services they need" and "diminish the quality of services for those who access them" - the brief suggests several successful strategies...

16. Human Rights and HIV Advocacy Tools
Created to respond to an identified need for advocacy and information material on human-rights-based responses to HIV, this series of documents is based on the premise that ensuring the implementation and respect of human rights norms and standards will contribute to reducing vulnerability to HIV transmission, challenging stigma and discrimination, and ensuring access to HIV-related treatment, care, and support services...

17. Jonathan Mann Award for Global Health & Human Rights
This has been established to honour Jonathan Mann and help to call continued attention to the vital links between health and human rights. The Award is presented annually to a leading practitioner in health and human rights. Deadline: January 14...

18. Self-Assessment Tool for Hospitals and Other Medical Institutions Caring for People Living with HIV/AIDS - India
Population Council/Horizons and Society for Service to Urban Poverty (SHARAN) have developed a checklist to address AIDS-related stigmatisation and discrimination within health care institutions in an effort to improve services for people in India who are living with HIV/AIDS (PLHA). Baseline findings from ongoing research informed the development of this self-assessment tool, which is designed to help managers and health care workers identify and address institutional strengths and weaknesses related to care for PLHA...

19. It's All One Curriculum: Guidelines and Activities for a Unified Approach to Sexuality, Gender, HIV, and Human Rights Education
This resource is meant to help readers develop curricula focused on sexuality and HIV that emphasises gender and rights. It is intended to enable educators to teach young people about topics such as: gender norms; communication and decision making; sexual consent and coercion; fairness and human rights (including sexual rights); power and relationships; preventing HIV, sexually transmitted infections (STIs), and unintended pregnancy; puberty; and social change...



Rising Voices, an outreach initiative of Global Voices, will be hosting a live chat on Tuesday, December 2nd about the use of citizen media and blogging by individuals and organisations working with the issue of HIV/AIDS.

The context of the chat is as follows: Two years ago, a World AIDS Day chat sponsored by Rising Voices revealed a strong interest in a guide on blogging about HIV/AIDS-related topics. What resulted was an e-guide, published last year. Rising Voices is seeking feedback about ways to make "Blogging Positively" as useful as possible.

For details about how to participate, please go to:


Please visit the HIV Theme Site - all CI information related to HIV/AIDS and development in one place -


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