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Resolution on ‘Women, the Girl Child and HIV and AIDS’ updated, strengthened and adopted by consensus at the 68^th session of the Commission on the Status of Women

GENEVA/NEW YORK, 25 March 2024—On 22 March, governments attending the 68^th session of the Commission on the Status of Women (CSW) adopted, by consensus, a resolution focused on advancing the rights and empowerment of women and girls as part of efforts to end AIDS.

The updated resolution 60/2, Women, the Girl Child and HIV and AIDS, underscores the urgent need to prioritize the health and rights of adolescent girls and young women in the context of the ongoing global AIDS pandemic. It recognizes that adolescent girls and young women are still disproportionately affected by HIV due to various socio-economic factors, including gender inequalities, poverty, and lack of access to education and healthcare.

The resolution underscores the imperative of advancing gender equality as central to ending AIDS, and reaffirms the commitments made in the 2021 United Nations General Assembly Political Declaration on HIV and AIDS. The resolution calls for all governments to enact and intensify the implementation of laws and policies to eliminate all forms of gender-based violence, as well as end HIV-related stigma and discrimination against women and girls. It also calls for promoting active and meaningful participation and leadership of women and girls living with HIV in the AIDS response.

Winnie Byanyima, Executive Director of UNAIDS, expressed optimism and her profound appreciation for the adoption of the resolution, stating, "By committing to prioritizing the health and rights of women and girls in all their diversity and addressing HIV comprehensively, leaders have helped safeguard the health of women and girls, which will result in a more equitable and resilient future.”

Nyaradzayi Gumbonzvanda, Deputy Executive Director of UN Women, a cosponsoring organization of UNAIDS which was instrumental in organizing and ensuring a successful outcome of CSW said, “Empowering women, securing rights and achieving equality is an imperative.”

UNAIDS applauds the leadership of Southern African Development Community (SADC) and Angola as its current chair for successfully championing the update of the resolution which was initially adopted in 2016. The updated resolution will continue to serve as a guiding framework for governments, communities and civil society groups, and all stakeholders as they collaborate to safeguard the rights of women and girls living with, at risk of and affected by HIV.

Crucially, UNAIDS emphasizes the importance of translating the commitments outlined in the resolution into concrete actions at the national, regional, and global levels. Efforts must focus on closing the gender gap in HIV prevention, treatment, care and support, while also addressing the underlying social, economic, and structural factors that perpetuate gender-based discrimination, violence, and inequalities and increase the vulnerability of women and girls to HIV.

UNAIDS remains steadfast in its commitment to working collaboratively with governments, civil society, and other partners to create a world where the rights and dignity of all women and girls are respected, protected, and fulfilled, including women and girls living with, at risk of and affected by HIV.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

Despite substantial declines in new HIV infections globally, the HIV/AIDS epidemic continues to disproportionately impact adolescent girls and young women in many countries, particularly in sub-Saharan Africa. In 2022, there were 3,100 new weekly infections among adolescent girls and young women aged 15-24 years.  In sub-Saharan Africa, adolescent girls and young women accounted for more than 77% of new infections among people aged 15-24 years in 2022.

That’s why Education Plus Initiative co-hosted with the Grand Duchy of Luxembourg a high-level side event on the margins of the 68^th Commission on the Status of Women (CSW68) to bring attention to the cost of inaction, calling for more consistent investment in education, health and economic rights of adolescent girls and young women in Africa. The CSW, which runs from 11- 22 March 2024, is the United Nations largest annual gathering on gender equality and women’s empowerment, with this year’s priority theme, Accelerating the achievement of gender equality and the empowerment of all women and girls by addressing poverty and strengthening institutions and financing with a gender perspective.

Speakers included four ministers from Luxembourg, Benin, Sierra Leone, and Uganda, senior government officials from Cameroon and South Africa, and heads of UN agencies who co-lead Education Plus, ATHENA network. Hannah Dolly Kargbo, a young activist from Freetown, Sierra Leone, and founder of the Girls Advocacy Development Network (GADNET), pre-recorded a video that showed her work with young people to advance rights.

The event, Education Plus investment cases for transformative results: leveraging girls completion of secondary education for gender equality and HIV prevention mobilized government, partners and key stakeholders towards accelerated actions and translate commitments to action for gender equality and HIV prevention in Africa.

The costs of inaction on the rates of HIV in adolescent girls and young women remain significant, not only counted in terms of the harmful impacts on girls’ lives but in how they undermine prospects for poverty eradication and the well-being and resilience of families, communities, societies and national economies.  For instance, the lack of educational and economic opportunities that result in women’s diminished labour force participation is estimated to cost the African region US$60 billion in economic losses every year. And yet Africa could gain US$500 billion per year through multi-sectoral investments in adolescents and youth, especially girls, by capitalizing on demographic windows of opportunity.

Education Plus calls for investment in the education and empowerment of adolescent girls and young women, and 15 champion countries are already committed to using education as a means to reduce high HIV rates.  Investments that guarantee education for all young people, violence-free school environments, provision of stigma-free health services, comprehensive sexuality education, access to sexual reproductive health and rights services and economic autonomy and empowerment are key to ending AIDS as a public health threat by 2030. When adolescent girls and young women complete secondary school, their risk of getting HIV is reduced significantly.

GENEVA/NEW YORK, 11 March 2024 - UNAIDS is gearing up for the 68th session of the Commission on the Status of Women (#CSW68) which begins today and will run until 22 March 2024. #CSW68, the United Nations largest annual gathering on gender equality and women’s empowerment, is being held this year under the priority theme, Accelerating the achievement of gender equality and the empowerment of all women and girls by addressing poverty and strengthening institutions and financing with a gender perspective.

Despite progress, no country has achieved gender equality to date, and violations of women’s human rights and gender-based violence are continuing to fuel the AIDS pandemic. The world is off track to meet the gender targets set out in the Sustainable Development Goals (SDGs) and in many of the world’s poorest countries, the debt crisis is squeezing out investment in education, health, and social protection, particularly hurting women and girls.

Around the world today, 129 million girls are out of school, denying them lifesaving information on how to protect themselves from HIV. Every three minutes, an adolescent girl or young woman (15-24 years) acquired HIV in 2022 in sub-Saharan Africa, and across Africa, AIDS remains the leading cause of death among women of reproductive age.

"There can be no more excuses. Ending AIDS among women and girls is not only a moral imperative but also a strategic priority for achieving the Sustainable Development Goals,” said Winnie Byanyima, Executive Director of UNAIDS. “Only by protecting and investing in the rights of women and girls can we protect their health, and only by protecting women’s health can we end the AIDS pandemic. We must seize this opportunity to accelerate progress towards a world where every woman and girl can, not just survive, but thrive."

During #CSW68 UNAIDS will be co-hosting several key events including a high level meeting co-convened by the Grand Duchy of Luxembourg and Education Plus (a joint initiative of UNAIDS, UNESCO, UNFPA, UNICEF and UN Women) which will mobilize government, partners and stakeholders to accelerate scaled up actions on women’s rights and leverage girls’ education for gender equality and HIV prevention across Africa.

UNAIDS is urging renewed action and anticipates strong outcomes from #CSW68. UNAIDS looks forward to the partnerships that will be forged to accelerate progress towards gender equality and ending AIDS as a global public health threat.

UNAIDS remains steadfast in its commitment to working collaboratively with governments, civil society, and other partners to create a world where the rights and dignity of all women and girls are respected and protected, including women and girls living with, at risk of and affected by HIV.

#CSW68, hosted by the United Nations, will convene leaders, advocates, governments, civil society organizations, activists and experts to discuss, agree on actions and investments that can end women’s poverty and advance gender equality.

Follow the Education Plus event live on Tuesday 12 March at 08:00 – 09:30 EST - Making Education Investment Cases Work for Gender Equality and HIV Prevention  

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

GENEVA, 6 March 2024— Ahead of International Women’s Day, celebrated on 8 March, UNAIDS is calling for the protection of women’s rights to protect their health.

The world is way off track to meet the gender, equality and HIV targets that are part of the Sustainable Development Goals. At the current rate of progress, it will take an estimated 300 years to end child marriage, 140 years for women to be represented equally in positions of power and leadership in the workplace, and 47 years to achieve equal representation in national parliaments.

In addition, around the world at least five women or girls are killed every hour by someone in their own family. One in three women worldwide experience sexual or gender-based violence.

Women who experience violence are more at risk of acquiring HIV. This risk is heightened for the 600 million women and girls who live in the world’s conflict-affected countries, facing an increased danger of sexual violence. And in the majority of the world’s poorest countries, the debt crisis is squeezing out investment in education, health, and social protection, particularly hurting women and girls.

Women are further threatened by the organized pushback against women’s rights. “Today, women’s hard-won rights are under a globally coordinated, ruthless attack. Those facing the most vicious attack are already the most marginalized women,” said Winnie Byanyima, Executive Director of UNAIDS. “The injustices faced by women are not natural disasters to prepare for, like hurricanes or storms. They are man-made, and, as such, we can unmake them.”

The good news is that across the world, women and girls are leading struggles for equality and rights. Women are standing up against oppression in their homes, workplaces, and communities. Women’s movements are providing direct support to women and girls who face violence, and marching and striking for equality. To protect women’s rights, it is vital to support and resource these community organizations, civil society groups and women’s organizations—the frontline defenders of those rights.

Like justice, health is never given, it is won.

UNAIDS’ call this International Women’s Day, is to protect women and girls’ health, protect women and girls’ rights. In doing so, the world will end AIDS, and will overcome the inequalities driving it.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

UNAIDS Statement on the International Day to End Violence Against Women and the Launch of 16 Days of Activism to End Gender-Based Violence: Unite! Invest to Prevent Violence Against Women and Girls

What will it take for the world to end gender-based violence?

The answer is crystal clear: governments must empower and fund women-led organizations worldwide. We must let communities lead.

One in three women worldwide has experienced violence, often from someone she knows. Women who experience violence are also more at risk for HIV. As Ayu Oktariani of the Indonesian Positive Women Network says, “The perception that women living with HIV are ‘bad women’ makes people normalize violence against them.”

Gender-based violence has indeed become normalized across the globe. Yet it is a gross violation of human rights on an epic scale. As such, it requires an epic response.

But today, a staggering one in five countries worldwide has no laws providing enforceable penalties against gender-based violence.  And only 1 percent of gender-focused government aid is directed to women-led organizations.   

It is time for governments to recognize violence against women for the crime it is and increase funding for those who know best how to tackle it at its roots – women-led organizations.  

Across the globe, women-led organizations are on the ground, providing support to women at risk, advocating for policy change, and shifting societal attitudes toward marginalized groups of women such as sex workers, trans women, lesbians, and women with HIV. Research shows that the single most critical factor driving both global and domestic policy change in ending violence against women and girls is the presence of a strong and autonomous feminist movement.  

Millions of women worldwide are actively engaged in ending gender-based violence. For example, in Haiti, Refuge des Femmes d'Haiti supports women and girls affected by gang violence in Port-au-Prince. In Peru, Miluska Vida y Dignidad and Trans Organizacion Feminista help cis and transgender sex workers by training police and providing legal aid and other services. In Zimbabwe, SASA! mobilizes communities to respond to HIV-related violence towards women.    

Many of these women work as volunteers or for low pay in organizations that are often under-funded and with insecure financial futures. It is time to stop our reliance on the good will of women to make change happen in the face of violence against them. 

UNAIDS calls upon governments and international agencies to support and invest in women’s rights and service organizations – the unsung heroes of the movement to end gender-based violence – at levels that reflect the enormity of this pandemic of violence.

This is key to ending violence against women and girls in all their diversity. It is also key to ending AIDS.

GENEVA, 25 November 2022—On the International Day for the Elimination of Violence Against Women, UNAIDS is calling on the world to unite to end gender-based violence in all its forms and to challenge the gender inequities driving the HIV pandemic.

“Violence against women and girls is our individual and collective shame—a gross violation of human rights happening on an epic scale,” said UNAIDS Executive Director, Winnie Byanyima. “This pandemic of violence continues to drive thousands of new HIV infections every week and is making the end of AIDS much harder to achieve. It is a systemic issue that must be addressed at every level of society.”

Last year, 4900 young women or adolescent girls aged 15—24 became infected with HIV every week. One in three women and adolescent girls around the world have suffered physical and/or sexual violence from their husbands, male partners or strangers. This violence often takes place in their homes and neighbourhoods, where they should be safest. And this staggering statistic doesn’t include the millions more women and girls facing other forms of gender-based violence and harmful practices such as child and forced marriage, female genital mutilation and sexual violence.

In countries with high HIV prevalence, intimate partner violence can increase the chances of women acquiring HIV by up to 50%. Violence or the fear of it blocks women’s access to services and their ability to negotiate condom use with perpetrators, disclose their HIV status or stay on HIV treatment. Keeping girls in school is one way to decrease their exposure to violence and reduces their risk of HIV infection by 50%.

The World Health Organization has named violence against women a global health problem of epidemic proportions. Yet, decades after the Universal Declaration of Human Rights adopted on 10th December 1948 and The Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) instituted in 1979—the world is still talking about eliminating violence against women.

Today marks the beginning of 16 Days of Activism Against Gender Based Violence whose theme this year is UNITE! Activism to end violence against women and girls.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

A new report by UN Women and CARE International highlights the urgent need to provide health-care services to women in Ukraine and sets out why the international community needs to support a gendered response to Ukraine’s humanitarian crisis.

The report also emphasizes the need for an intersectional approach to the crisis that addresses the exacerbated risks for marginalized communities—lesbian, gay, bisexual, transgender and intersex (LGBTI) people, Roma people, people living with disabilities and people living with chronic diseases—who face immense hardship and have particular needs with regard to their health and safety.

“This powerful report illustrates why and how humanitarian responses need always to be gendered and need also to address the particular needs of marginalized communities,” said Winnie Byanyima, the Executive Director of UNAIDS. “The courage and commitment of women leaders who continue to serve their communities, even in the face of war, in Ukraine and across the world is an inspiration.”

The report’s analysis, which was based on surveys and interviews with people in Ukraine, was conducted in April and details some of the gender dynamics of the crisis and sets out practical and actionable recommendations for the international humanitarian response.

Women and girls interviewed for the report highlighted challenges in access to health-care services, especially for survivors of gender-based violence and pregnant women and new mothers, as well as rising fears of gender-based violence and lack of food, especially for those in conflict areas.

Many respondents referred to the health risks, including the spread of COVID-19, linked to unsanitary shelters.

The war has also impacted access to sexual and reproductive health, including family planning and maternal, newborn and child health. Many media reports have noted that conditions as a result of the war have increased the risk of premature birth.

Transgender people also require regular access to medicines, but many have had to stop hormone therapy due to supply shortages. Several LGBTI organizations are providing access to medicines to members of the transgender community, but their help does not cover all the needs.

“The Rapid Gender Analysis allows us to consult directly with affected populations in order to accurately identify what specific needs different groups of people have, and how to best meet them,” said Sofia Sprechmann Sineiro, the Secretary General of CARE International. “What we are hearing from the people of Ukraine is that certain groups—such as those with disabilities, Roma and other ethnic minorities, single mothers and unaccompanied children—are each in need of different forms of protection and assistance. To keep our response effective and relevant, such groups must be consulted and prioritized across the aid ecosystem as this truly devastating situation continues to evolve.”

The report calls for support for women-led and women’s rights organizations that provide financial resources and for their voices to be amplified at national and international platforms.

Gaps in services to respond to gender-based violence need to be filled, according to the report, while sexual and reproductive health, including the clinical care of survivors of sexual assault, and maternal, newborn and child health care, including access to contraception, should be made a priority.

“It’s critical that the humanitarian response in Ukraine takes into account and addresses the different needs of women and girls, men and boys, including those that are furthest left behind,” said Sima Bahous, the Executive Director of UN Women. “This timely analysis provides the evidence of those needs, and their urgency. Women have been playing vital roles in their communities’ humanitarian response. They must also be meaningfully involved in the planning and decision-making processes to make sure that their specific needs are met, especially those related to health, safety and access to livelihoods.”

8 March 2021

Winnie Byanyima

Executive Director of UNAIDS
Under-Secretary-General of the United Nations

Women leaders have provided a guiding light for the world in responding to the COVID-19 crisis, from heads of government to coordinators of grass-roots social movements. They have reminded the world how crucial it is to have critical numbers of women, in all their diversity, in positions of leadership.

But the COVID-19 crisis has seen progress towards equality pushed back. It has widened the gap between women and men in wealth, in income, in access to services, in the burden of unpaid care, in status and in power.

Up to 20 million more secondary school-aged girls could end up out of school following the crisis. Many may never go back to school or have access to skills and economic opportunities, and will be at greater risk of violence, poor health, poverty and more.

Two and a half million more girls are now at risk of child marriage in the next five years. There has been a dramatic increase in violence against women.

Pandemics such as COVID-19 and HIV magnify the fissures in society and exacerbate vulnerabilities. Gender-based and intersecting inequalities and violence hold back the lives of women and girls all over the world.

The pandemic has brought into sharp and painful focus that even before COVID-19 an estimated 34 million girls between the ages of 12 and 14 years were out of school, one in three women globally reported having experienced physical or sexual violence and women the world over worked longer hours for less or no pay.

Women who were already stigmatized are among those who are being hardest hit by the impacts of the pandemic. The sudden loss of the livelihoods of sex workers and their lack of access to health care and social protection have intensified their vulnerabilities, especially for those living with HIV. Many female migrants and precarious workers adversely affected by the pandemic are excluded from government relief and protection programmes, as well as health services. Stigma, discrimination and criminalization put transgender women, and women who use drugs, at heightened risk of HIV and other sexually transmitted infections, and hold them back from accessing HIV prevention, treatment and care services.

Recovery strategies cannot be gender-blind or gender-neutral: they must overturn the inequalities that hold women back.

Together, UNAIDS, UN Women, the United Nations Children’s Fund, the United Nations Educational, Scientific and Cultural Organization and the United Nations Population Fund have convened a broad movement, Education Plus, to work with governments to secure the transformative changes that will enable all of Africa’s adolescent girls to be in school, safe and strong. That includes all the girls who have been pushed out of school during the COVID-19 crisis and those who were excluded from school even before the crisis hit.

Overcoming the COVID-19 crisis, and ending new HIV infections and AIDS-related deaths, both require that we close in on the inequalities that drive vulnerabilities. The new global AIDS strategy 2021–2026 puts the rights and multiple and diverse needs of women and girls across their life cycle at the centre of the response: from preventing vertical transmission to providing access to quality education in safe and supportive environments to ensuring comprehensive sexuality education and holistic sexual and reproductive health services.

Gender inequality is not only wrong. It is dangerous. It weakens us all. A more equal world will be better able to respond to pandemics and other shocks; it will leave us healthier and safer and more prosperous.

Progress on gender equality has never been automatic. It has never been given, it has always been won.

We are inspired by the women’s movements leading the struggle for equality. The United Nations stands alongside you to advance a world where women and girls in all their diversity will thrive and take their rightful places as equals.

This International Women’s Day let’s support and celebrate women taking the lead.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

When Lineo Tsikoane gave birth to her daughter, she was inspired to intensify her advocacy for gender equality to give Nairasha a better life as a girl growing up in Lesotho.

“I think a big light went off in my head to say, “What if the world that I’m going to leave will not be as pure as I imagine?” I ask myself, “What kind of world do I want to leave my daughter in?”” she says.

As a result, Ms Tsikoane champions for women’s social, economic and legal empowerment at her firm, Nairasha Legal Support. It offers legal support for women in small and medium enterprises and women who are survivors of sexual and gender-based violence.

“Our main focus is gender-based violence, because this happens to be a country that has one of the highest incidences of rape and intimate partner crime in the world,” she says.

Even before the COVID-19 outbreak, violence against women and girls had reached epidemic proportions globally.

According to UN Women, 243 million women and girls worldwide were abused by an intimate partner in the past year. In Lesotho, it is one in three women and girls.

Less than 40% of women who experience violence report it or seek help.

As countries implemented lockdown measures to stop the spread of the coronavirus, violence against women, especially domestic violence, intensified—in some countries, calls to helplines increased fivefold.

In others, formal reports of domestic violence have decreased as survivors find it harder to seek help and access support through the regular channels. School closures and economic strains left women and girls poorer, out of school and out of jobs, and more vulnerable to exploitation, abuse, forced marriage and harassment.

The United Nations Population Fund (UNFPA) works together with UNAIDS, the United Nations Children’s Fund and the World Health Organization on 2gether4SRHR, a joint programme funded by the Swedish International Development Cooperation Agency, to address HIV and sexual and reproductive health in Lesotho.

During Lesotho’s lockdowns, UNFPA worked with Gender Links, the Lesotho Mobile Police Service and others to support efforts to prevent and respond to incidences of gender-based violence.

“We are ensuring that a helpline, where people experiencing gender-based violence can call, is in place and is working and we are also providing relevant information through various platforms for people to access all the information they need on gender-based violence,” says Manthabeleng Mabetha, the UNFPA Country Director for Lesotho.

Mantau Kolisang, a local policeman from Quthing, Lesotho’s southernmost district, characterized by rolling hills and vast landscapes, says one reason why gender-based violence is prevalent in Lesotho is because the law is not heeded in the rural areas.

“It’s difficult to implement the law since these are remote areas,” he says, adding that while he has made arrests, he has no transport to access far-flung areas in the small mountainous region. 

Lesotho’s law states that a girl can marry at the age of 16 years. However, Mr Kolisang says cultural practices, coupled with contraventions of the law, has made some men believe a 13-year-old girl “can be a wife”, exposing Basotho girls to violence.

“Men don’t regard it as a crime,” he says, adding that girls have been abducted from the mountains for forced marriages.

Between 2013 and 2019, 35% of adolescent girls and young women in sub-Saharan Africa were married before the age of 18 years. Girls married before 18 years of age are more likely to experience intimate partner violence than those married after the age of 18.

Because of poverty, gender inequality, harmful practices (such as child, early or forced marriage), poor infrastructure and gender-based violence, girls are denied access to education, one of the strongest predictors of good health and well-being in women and their children.

In Lesotho’s legal system, women are regarded as perpetual minors. This categorization infantilizes women, Ms Tsikoane says. A man who abuses a woman can often walk away unscathed from the justice system if he says the woman in question is his “wife”, she adds.

“This makes women vulnerable to commodification because a child can be passed around,” she says.

Ms Tsikoane says there is a direct link between the minority status of women and HIV infection in Lesotho. In 2019, there were 190 000 women 15 years and older living with HIV in Lesotho, compared to 130 000 men. 

Adolescent girls and young women between the ages of 15 and 24 years are particularly vulnerable. They accounted for a quarter of the 11 000 new HIV infections in Lesotho in 2019.

“My hypothesis is women cannot negotiate safe sex,” says Ms Tsikoane.

The dangerous reality that Basotho women live in worries Mr Kolisang. But due to a lack of institutional support and resources, he feels his actions have limited effect.

“I feel for these children. I feel for these women. I do feel for them. I can help, but the problem is how?” he laments.

Ms Tsikoane says she finds “trinkets of opportunities” for her and her colleagues to help their clients and navigate a legal system that is not favourable towards women.

“So, if you are not being well assisted at a police station, if you feel like someone is dragging your case and you are struggling to get an audience, we are there. We will support you and we will fight with you,” she says. 

This story was first published by UN Women

On World AIDS Day, UN Women spoke to survivors and community changemakers in South Africa who as part of UN Women’s HeForShe community-based initiative and a joint UNAIDS programme are engaging men and women to reject violence against women and seek HIV testing and treatment. 

Until two years ago, Karabo Chabalala (28) and Sarah Baloyi (26), young women from Mamelodi — a township northeast of Pretoria in Gauteng, South Africa — were living very different lives.

“I was in a very dark place. I had multiple sexual partners and was part of a lifestyle that was not good or healthy for me,” says Baloyi. Her friend, Chabalala says, “I had many personal problems. I engaged in a transactional relationship with an abusive older man to fund my education and provide for my family.”

Their lives turned around following their involvement in UN Women’s HeforShe community-based initiative that aimed at improving attitudes and behaviours around gender-based violence (GBV) and HIV.

“Karabo introduced me to HeForShe, a community that cares for one another,” says Baloyi. “The dialogues showed me that I am not alone in my mistakes and could change my life. I have been inspired to promote safe and healthy living for young girls and to provide them with the same loving acceptance that was extended to me.”

Chabalala adds, “Many young women don’t open up at home about problems they are facing. These dialogues give us a space to express our thoughts and feelings and to ask any questions that we have about life.”

Led by UN Women’s partner, Southern Africa Catholic Bishops Conference (SACBC), and funded through the Joint United Nations Programme on HIV/AIDS (UNAIDS), the HeforShe dialogues have since 2018 engaged 115,000 men and women across seven districts (Mamelodi, Klerksdorp, Bojanela, Sedibeng, city of Johannesburg, Ehlanzeni and CapeTown) in South Africa’s five provinces.

“The dialogues are coordinated by 151 trained women and men ‘changemakers’, including young women like Baloyi and Chabalala, equipped with knowledge on HIV and violence prevention, unequal gender norms, the importance of HIV testing and adhering to treatment, responsible sexual behavior, and how socio-economic factors can drive HIV infections among men and women,” explains UN Women's South Africa Multi-Country Office Representative, Anne Githuku-Shongwe.

“Many women in Mamelodi have been victims of abuse or witnessed femicide in their homes, often at the hands of men who [are alcoholic].” says Baloyi.

“All I feel is anger,” says Chabalala. “These men don’t respect us. Women in our community are being raped and killed. Some men who perpetrate these crimes are out on bail the following day.”

“There has been a rise in GBV since the COVID-19 lockdown,” says Baloyi. “Abusive partners have been stuck at home and they are frustrated. They are no longer able to spend their time working or drinking with friends, and take it out on their partners and children. This is especially the case in informal settlements, where families live in one- or two-room shacks.”

South Africa is home to almost one-fifth of people living with HIV worldwide and has an HIV prevalence rate of 20.4 per cent among adults (15-19 years). In line with trends across Sub-Saharan Africa, in 2019, women accounted for the majority of new infections in the country. Structural gender inequalities, discrimination, violence against women and girls, and unequal gender norms continue to undermine efforts by women and girls to prevent HIV and use HIV/AIDS services.

“The stigma around HIV prevents people from seeking treatment. I have met some older patients who still fear going to the clinics because they feel judged or embarrassed,” says Chabalala.

To increase the uptake of HIV testing, the changemakers partnered with 20 local HIV counselling and testing clinics across participating districts. They also facilitated outreach for HIV testing at community and church events and developed a referral system. In two years, the HeforShe initiatives have resulted in 62 per cent of those engaged testing for HIV, and 36 per cent returning and adhering to their antiretroviral treatment. However, because of the COVID-19 pandemic, people living with HIV and people at higher risk of HIV infection are facing life-threatening disruptions to health services.

Inspired by the positive impact of UN Women initiatives in communities and empowered by the change makers, Mamelodi community members founded the national ‘Young Women for Life Movement (YWfLM)’, which has grown to 2,035 members. With support from the SACBC, the group is currently monitoring the proceeding of 30 cases of sexual and gender-based violence and 17 cases of femicide in the justice system, as well as supporting the families of survivors. They also played a crucial role in organizing food supply drives to the most vulnerable households in their communities during the COVID-19 lockdown.

“I started the Mamelodi chapter of the Young Women for Life Movement,” says Chabalala. “Being part of this community of 200 powerful young women has taught me so many things and helped me grow. It has changed my life”.

“As a YWfLM member, I work with our local clinic and visit people living with HIV in our community to confirm that they are taking their medication and to ask if they need any assistance or additional supplements,” says Baloyi. “We also have an HIV-positive support group that now mainly connects online due to the pandemic.”

Both Baloyi and Chabalala believe that men need to be more involved in initiatives to improve attitudes and behaviours to prevent GBV and HIV. “Young men need to not only be part of this conversation, they must have their own dialogues where they focus on how to change their mindset,” says Chabalala.

Baloyi adds, “Many more men need to join women in our fight. Men must join us in court and in the streets. They must fight with us.”