introduction: men, boys and the epidemic tim shand
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Introduction: Men, boys and the epidemic Tim Shand MenEngage Africa Network & Sonke Gender Justice International AIDS Conference, 22 July 2012. Strengthening work with men and boys for gender equality, human rights & HIV/GBV pr evention across Africa. Part of global MenEngage Network. - PowerPoint PPT PresentationTRANSCRIPT
Introduction: Men, boys and the
epidemic
Tim ShandMenEngage Africa Network &
Sonke Gender Justice
International AIDS Conference, 22 July 2012
• Strengthening work with men and boys for gender equality, human rights & HIV/GBV prevention across Africa. Part of global MenEngage Network.
• Key areas: capacity building; partnerships; policy and advocacy; research; leadership development
• 15 country networks within the region• Africa chair: Sonke• Core principle: allies with women’s rights
movements• www.menengage.org / www.engagingmen.net
What we know on men
Men 51% of adults LHIV: often forgotten group Low levels of HIV testing and late ART uptake Burden of HIV care on women Lack of knowledge & structures to support PMTCT Multiple concurrent partnerships MSM key vulnerable group Strong link between SGBV & HIV Men often represented negatively – need ‘fixing’ Policy context doesn’t speak to these challenges Potential/opportunities: MMC roll out
HIV
HIV HIV and Gender
Attempts to challenge or
transform gender norms
Engaging men for prevention
of GBVMen’s support
of PMTCTMale
circumcision Condoms Men’s use of VCT
Marginalized men & boys Treatment Home Based
Care
Burundi Cote D’Ivoire 2006-2010
Ethiopia 2009 – 2010/11,
Kenya 2009/10 – 2012/13
Mozambique Namibia2011 – 2016
Rwanda 2009 - 2012
Sierra Leone South Africa 2007 – 2011
Tanzania2008 – 2012
Uganda 2007/8 – 20011/12
Zambia 2011 – 2015
Zimbabwe2011 - 2014
Key Adequate Room for improvement Inadequate
Masculinities & HIV Vulnerabilities
Influence of societal norms and roles 1 in every 4 men engages in HIV risky behaviours: unsafe
sex, substance abuse, alcohol Men less likely to access health services in many countries Exposure to cycle of violence & interpersonal violence
A few times a month Almost every week Almost every day0
5
10
15
20
25
30
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Females Males
South Africa: Frequency of taking four/five drinks on one occasion, by sex
What we don’t know enough on
Men’s behaviours & vulnerabilities to HIV Men’s specific HIV needs - VCT & ART Making health system more ‘male friendly’ Shifting the global gender & HIV discourse – little
focus in new UNAIDS report on engaging men Scaling-up evidenced-based programming and
policies on engaging men in HIVIt’s not men vs women. Must talk about gender related vulnerabilities for both. And benefits to both men, women, families and communities
Thank youwww.menengage.org
• Regional support: Swedish Sida, UNFPA, Oak Foundation• MenEngage Africa partners• Sonke colleagues