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THE ROLE OF GENDER IN THE SPREAD OF HIV- AIDS IN PAKISTAN. Dr. Saman Yazdani Khan. PAKISTANI WOMEN. PAKISTAN HDI Ranking 138. Life expectancy at birth (years), 2000 - 60.0 Adult literacy rate (% age 15 and above), 2000 - 43.2
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THE ROLE OF GENDER IN THE SPREAD OF HIV- AIDS IN PAKISTAN Dr. Saman Yazdani Khan
PAKISTANI WOMEN
PAKISTAN HDI Ranking 138 Life expectancy at birth (years), 2000 - 60.0 Adult literacy rate (% age 15 and above), 2000 - 43.2 Total population (millions), 2000 - 141.3 GDP per capita (PPP$), 2000 - 1,928 Life expectancy index, 2000 - 0.58 Education index, 2000 - 0.42 Contraceptive prevalence (%), 1995-2000 - 24 Births attended by skilled health staff (%), 1995-2000 - 20 Human development index (HDI) value, 2000 - 0.499
PAKISTANHAS GENDER AS ONE OF THE ORGANIZING PRINCIPLES OF SOCIETY MAJORITY OF THE WOMEN REMAIN AT A DISADVANTAGE IN EVERY SPHERE OF LIFE
THE LOWER STATUS OF THE AVERAGE PAKSITANI WOMAN RENDERS HER MORE VULNERABLE THAN MEN IN CONTRACTING HIV AIDS
DATA COLLECTION Lahore and Peshawar
METHODOLOGY STAKEHOLDERS 7
TARGET GROUPS Street youth Commercial sex workers Rural and urban women Refugees (male/female)Prisoners (male/female) Migrants (male/female) People living with HIV/AIDS (male/female), and drug addicts
COMMERCIAL SEX WORKERS They had very little negotiating power with their clients with respect to the use of any protective measures against HIV/AIDS
URBAN WOMEN • Included Low income, sanitary workers and minstrels (mirasis) • Too many children • Information sharing – limited • Correct and timely health education • Darul aman women – Men’s attitude
RURAL WOMEN REFUGEE WOMEN WOMEN PRISONERS MIGRANTS PEOPLE LIVING WITH HIV/AIDS - (PLWHA)
CSWs Madam Pimp Patron of the work place The Police Her dependents THESE ACTORS AFFECT CSWs LIFE CONDOM USE
URBAN AND RURAL WOMEN IF A MAN GOES AFTER A BEAUTIFUL WOMAN, SO WHAT THIS IS HIS RIGHT
WHERE DO OUR MEN GO, WE DO NOT KNOW
WE CANNOT KEEP AN EYE ON OUE MEN MEN ARE LIKE THE SNAKE IN THE GRASS
Powerlessness Inhibitions to talk freely about sex with their husbands They knew about the sexual activities of their husbands outside home ??? Rural women Low self-esteem
Few of the women had heard about AIDS and that mostly from electronic media Lacked decision-making power If they had ever used a condom, it was only for family planning purpose
REFUGEES Non-permissive sexual relations death Men did indulge in such activities but women were helpless to restrain them made their wives vulnerable to STIs/HIV
Men have physical relationships with other What can we do