Achieving sexual and reproductive health and rights for women and girls through the HIV response pot

community

innovation

Femmes

ayan

t

n

o

m

b

reu

x

p

r

o

b

lemes

santé dont cancer • Femme travaillant au sein des communautés pour la prévention du VIH • Militante

p

o

u

r les

d

r

oits

d

es

femmes • Femme trava li l na t ad

s n

el

mod ni a

ms nart • HI V ud e

ssi bi el s • eJ une f li

le normal •

• Young Woman• Older woman • Woman

living

wit

h

HIV • Les

b

ai n/b

si exual

w/

oman who has se wx

ti

wh

mo ne narT •

rednegs

mo w

na

H• te

re osexual woman • Woman

wh

o

si /h

as bee

n in

sex

work • Woman who uses/has used injecting drugs

• Woman whose partner is living

with

HIV • W

o

m

a

n

ca

r

ni g

for

ch

li dren w ti

h H VI • W mo

na

h w h o

maf dednetxe sa

yli

e m

b m ers or close fr

ei nds

l

vi ni g

wit

h

HIV • Wo

man

who is or has been in prison • Woman caregiver

Mujer que trabaja a favor de las y los usuarios

d

e

d

r

o

g

a

s • M

ujer

profes oi nal • Es ut d ai

t n e M• da M• er

euq reju vi v c e no

nu a cl ohol ci • Mujer

que

trabaja po

r

la

prevención en la educación sexual •

• Woman in a discordant relationship • Wo

r

kin

g

w

o

m

an • Woman work ni

g for a m gr ani

nluv dna dezi l

re ba

el woman • Researcher

o

n

HIV • wo

man

graduate • Working mother

• Woman who works with

g

lo

b

al h

ealth

si sues • S ni

gle w mo

na vi l

oC• enola gni

mm

nu

ti y organ zi er • Hu

ma

n

r

gi h

ts

activist • Healthcare provider • married

• Member of WHO/UNAIDS

c

o

m

mittees

deal ni

g w ti h I H V W•

ni vi l na mo

i g n a r me

ote area • Pr

o

fessio

nal

woman • Working class woman

• Caring community member • HIV

S

e

rv

ci es

Prov di

er • oB

arur ni nr

l ra ea and

l vi ni g

ni city/working

nationally

• Widowed partner livin

g

with

H

VI • Woman w oh wsi ni kro

o g n global wom

a

n

s’ issues • Daughter

• Woman working in

HIV

aw

a

r

eness • W mo na

otcod r • woman

wit

h

disability

• Activist • Widow • wo

r

k

ni g wom na

di w• wo

and

s

ni g

le

Achieving sexual and reproductive

health and rights for women and girls

through the HIV response

Acknowledgments

Luisa Orza, Tyler Crone and Lauren Suchman, ATHENA; Jantine Jacobi and Kreeneshni Govender, UNAIDS.

Many thanks to all who generously gave their time and knowledge to contribute to the development of this

publication, and without whose inputs it would have been an impossible task. Moreover, thank you to the

pioneering women and men, girls and boys, who are leading innovation in communities around the world

toward the achievement of sexual and reproductive health and rights for us all. In particular, thank you to:

Nada Ali, Alisa Arzhevskaya, Marie Khudzani Banda, Amandine Bollinger, Alma Castro, Ishita Chaudhry,

Maria de Bruyn, Pawan Dhall, Dazon Dixon Diallo, Zithulele Dlakavu, Kelli Dorsey, Susana Fried, Jennifer

Gatsi Mallett, Del’Rosa Winston-Harris, Shannon Hayes, Steven Iphani, Melanie Judge, Sarika Kar, Tamil

Kendall, Naina Khanna, Kaleria Lavrova, Steve Letsike, Carmen Logie, Eugenia Lopez, Olga Lotosh,

Jennifer Marshall, Lydia Mungherera, Angelina Namiba, Susan Paxton, Dean Peacock, Edwina Pereira,

Rathi Ramanathan, Kiren Randhawa and Alice Welbourn.

For a list of participating entities and contact details, please see the Appendix at the back of this report.

Copyright © 2011

Joint United Nations Programme on HIV/AIDS (UNAIDS) and The ATHENA Network

All rights reserved

The designations employed and the presentation of the material in this publication do not imply the

expression of any opinion whatsoever on the part of UNAIDS concerning the legal status of any country,

territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries.

UNAIDS does not warrant that the information published in this publication is complete and correct and

shall not be liable for any damages incurred as a result of its use.

Author: Luisa Orza

Editor: Kadhim Shubber

Design: janeshepherd.com

1

Community innovation: sexual and reproductive health and rights through the HIV response

Introduction 3

Executive summary 4

1. Breaking the silence on taboo issues 5

Women living with HIV in Malawi and Namibia: key advocates for sexual and 5

reproductive health and rights

Ipas, ICW Malawi, Namibia Women’s Health Network

Engagement of men and boys in South Africa: advancing social change around 8

reproductive choices

Sonke Gender Justice Network

2. Coalition building across intersecting movements 10

Coalition building between networks of women living with HIV and the women’s 10

rights movement in Latin America: advancing a unified sexual and reproductive

health and rights agenda

Balance: Promoción para el desarrollo y juventud

Coalition building between people living with HIV and sexual minorities in India: 12

towards human rights and gender equality

Solidarity and Action Against the HIV Infection in India

HIV Home-based care: engaging grassroots women to achieve sexual and 14

reproductive health and rights

Members of the Huairou Commission

3. Prioritizing women on the margins: bringing the margins to the centre 16

Women and girls of colour involved in sex work in Washington, DC: building a 16

rights-based advocacy agenda

Different Avenues

Women who have sex with women, in all their diversity: putting their needs and 18

rights on the HIV agenda

Open Society Initiative of Southern Africa, UNDP, Human Sciences Research Council

Women and injecting drugs use: linking harm reduction and sexual and 20

reproductive health

Eurasian Harm Reduction Network, Harm Reduction Knowledge Hub for Europe and

Central Asia

Contents

2 4. Addressing gender-based violence as a cause and consequence of HIV 22

Addressing intimate partner violence against women living with HIV in 22

St. Petersburg: creating safe spaces for women with children

Doctors to Children’s MAMA+ Project

Women living with HIV building community engagement in Malawi: challenging 24

gender norms to address violence against women

Coalition of Women Living with HIV/AIDS in Malawi, UA Now!

5. Championing positive motherhood: peer to peer mentorship by 26

women living with HIV

HIV-positive mothers in the United Kingdom: providing peer support and 26

leadership around positive pregnancy

Positively UK

Community-based HIV-positive mothers in Uganda: redefining the prevention 28

of vertical transmission

Mama’s Club

6. Advancing reproductive justice for women of colour 30

Women of colour living with HIV in the United States: advancing reproductive 30

justice

Sister Love

Service providers in the United States: leading the integration of HIV into sexual 32

and reproductive health and rights services

Memphis Center for Reproductive Health

7. Engaging young people through comprehensive sexuality education 34

Empowering young people in India: a “healthy adolescence” approach to 34

overcoming stigma and achieving comprehensive sexuality education

INSA-India

Young people’s leadership in India: know your body, know your rights 36

The YP Foundation

References 38

Appendix: participating entities, contacts and related links 40