Women and Children The challenges of HIV/AIDS By Mabel Bianco MD, MPH Epidemiologist International Womens Health Coalition FEIM / IAWC Mexico, July 2008.

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Presentation transcript:

Women and Children The challenges of HIV/AIDS By Mabel Bianco MD, MPH Epidemiologist International Womens Health Coalition FEIM / IAWC Mexico, July 2008

Women are half of the people living with HIV in 2007 Source: AIDS epidemic update 2007, UNAIDSM. Bianco, Mexico, July 2008 Total living with HIV: 33.2 millon Adults living with HIV: 30.8 millon Women living with HIV: 15.4 millon

Women affected by HIV/AIDS varied among regions and countries since the beginning of the epidemic M. Bianco, Mexico, July 2008

Source: AIDS epidemic update 2007, UNAIDSM. Bianco, Mexico, July 2008

Source: HIV/AIDS Policy Fact Sheet, Kaiser Family Foundation, November 2007 M. Bianco, Mexico, July 2008

Source: AIDS epidemic update 2007, UNAIDS

Why women are affected by HIV/AIDS?: M. Bianco, Mexico, July 2008 Poverty Gender inequality Social and cultural low status Sexual subordination Economical dependence Biological characteristics

Has the education any impact on women’s vulnerability? Whose women are more vulnerable? M. Bianco, Mexico, July 2008

In 2001 were, 11.8 million young people (15-24 years) living with HIV/AIDS Women 7.3 million Men 4.5 million M. Bianco, Mexico, July 2008 Source: UNFPA, 2002

M. Bianco, Mexico, July 2008 Source: La Infancia y el SIDA – UNICEF 2007

Source: Report of Secretary General, General Assembly UNGASS – A/62/780. 1st. April 2008 M. Bianco, Mexico, July 2008

Source: Report of Secretary General, General Assembly UNGASS – A/62/780. 1st. April 2008 M. Bianco, Mexico, July 2008

How women and girls can prevent infection with HIV? M. Bianco, Mexico, July 2008  Comprehensive sexuality education.  Access to prevention methods control by women: Female condoms Microbicides Diaphragm  Power to decide on sexual relations.  Access to sexual and reproductive health.

Mother to Child Transmision MTCT M. Bianco, Mexico, July 2008  Access to VCT  Access to ARV treatment  PMTCT or PMCT Plus?

PMTCT Plus M. Bianco, Mexico, July 2008 Care beyond the prevention of baby born without HIV. Includes:  Care and treatment of both parents  Care and treatment of the child and other children  Sexual and reproductive health services  Nutritional support  Counseling and supportive care  Treatment of malaria and tuberculosis

Source: Report of Secretary General, General Assembly UNGASS – A/62/780. 1st. April 2008 M. Bianco, Mexico, July 2008

Children affected by HIV/AIDS M. Bianco, Mexico, July 2008  Living with HIV  With parents living with HIV  Becoming orphans of one or both parents

M. Bianco, Mexico, July 2008Source: AIDS epidemic update 2007, UNAIDS

ORPHANS M. Bianco, Mexico, July 2008  Nº estimated of all orphans (2005) 132,7 million  Nº of orphans due to AIDS = 11% Source: Children and AIDS – Second Report – UNICEF, 2008

M. Bianco, Mexico, July 2008

ORPHANS PROBLEMS M. Bianco, Mexico, July 2008  Lack of education  Poverty start working as childs  More at risk of violence including sexual abuse  Increase vulnerability to HIV infection