MASERU, Aug. 15 (Xinhua) -- Multiple and concurrent partnerships by men and
women with low consistent condom use and in the context of low levels of male
circumcision have been identified as the key drivers of the HIV/AIDS epidemic in
southern Africa, said a report here on Tuesday ahead of the Southern African
Development Community (SADC) summit.
According to the report, experts have identified male attitudes and
behaviors, intergenerational sex, sexual violence, stigma, the lack of openness
and the shortage of consistent condom usage in long-term multiple concurrent
partnerships as significant drivers of the epidemic.
Underlying these drivers are social and structural factors such as high
population mobility, wealth inequalities, cultural factors and gender inequality
that make young women especially vulnerable to HIV infection, said experts at a
think tank meeting on HIV Prevention in High-Prevalence Countries in Southern
Africa.
The meeting was attended by 38 representatives and experts from regional
research and prevention institutions and non-governmental organizations.
They analyzed the evidence of the drivers in the sub-region, focusing
especially on sexual transmission of HIV and made recommendations that will
accelerate prevention efforts in the coming one to two years.
The recommendations included the exploration of possibilities of mass
campaign or social movement to expose and discourage multiple partnerships as a
threat to individual and public health and continuing to advocate delayed sexual
debut as well as consistent and correct use of male and female condoms,
especially in the situations with higher risks
The experts and participants also called on the SADC secretariat to support
facilitating the harmonization of national HIV/AIDS strategic plans including on
HIV prevention, strengthen the capacity of prevention experts, accelerate the
establishment of a regional resource center, develop a database of resource
persons and institutions for HIV prevention in the region, and back the sharing
of emerging information on HIV prevention among the SADC members.
The SADC region is at the epicenter of global HIV epidemic. According to
the latest estimates by the Joint UN Programme on HIV/AIDS (UNAIDS), about 15
million people in the SADC region are living with the disease and the average
adult HIV prevalence rate is about 11 percent compared to one percent globally.
It is estimated that among the people with HIV in the world, approximately
40 percent are living in the SADC region and almost37 percent of new infection
cases occurred in this region last year.
The World Food Programme said that many people in southern Africa are
simply too ill or too young to work on the land or earn an income.
Being concerned about the continuing deterioration of the epidemic and in
support of the Year for Accelerating Access to HIV Prevention, the SADC
secretariat with the support of the HIV Prevention agencies such as the UNAIDS,
World Health Organization and the UN Children's Fund, convened the three-day
think tank meeting ahead of the SADC summit scheduled for Thursday and Friday in
Lesotho's capital Maseru. Enditem