Course 4
Political
Getting the Facts
Empowering Women
Delivering Health Services
Empowering Women
 性傳播疾病的預防:行為的改變
 
STD Prevention: Behavior Change
 安全性行為-推行安全性行為所面臨的問題

  第四屆世界婦女大會  北京:1995年9月4-15日
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4th World Conference
on Women,
Beijing, China;
September 4 - 15, 1995
(Click on picture)

   聯合國《北京宣言》和《行動綱領》
(點擊圖片)
The United Nations Beijing Declaration and Platform for Action
(Click on picture)

政治上的問題-授予婦女權力問題
全世界,幾乎有一半的HIV感染者是婦女(48%,在非洲的一些地區高許多)。婦女隨著年齡的增加,感染的數量低許多,可是現在感染的數量有越來越加快增加的趨勢。確確實實,越來越多的婦女正在她們越來越小的年齡就受到了感染。
這種不斷增強的“AIDS女性化”的其中一個原因是在許多發展中國家婦女相對地缺乏權力。宣傳“AIDS的ABC預防策略”(Abstinence, Being faithful, Condoms)倒也很好,但是它對於婦女來說缺乏有效性,因為在性關係中,婦女沒有發言權。在婦女不可能拒絕男性的性要求的地方,節欲卻不是她們能夠選擇的。如果男人不踐約忠誠,婦女的忠誠也就保護不了她們自己。只要女性不能約束住男人使用安全套,安全套就成了無用的擺設。

在這些情形之下,唯一有成效的預防AIDS的措施是提高婦女的地位,給她們更多的教育和獲得更多的權力,以至於她們能夠達到足夠的性自主能力。 可是,這意味著要在一些至今仍然受到在宗教、習俗和法律方面的古老家長傳統制束縛的國家尋求變革。另一方面,顯然,這些國家如果未能實行這種必須的變革和不馬上實行這種變革,都將惹下禍端。那時,將會有成千上萬沒有女性照護的遺孤出現,而且在農作仍然主要依靠婦女的地方,不再有人下田種地了,僥倖活著的人們在食物匱乏之下苟延殘喘。

 

Safer Sex - Problems of Safer Sex Promotion

Political Problems - Empowering women
World-wide, nearly half of all HIV infections are found in women (48%, much higher in some parts of Africa). In years past, these numbers were much lower, but there are now increasing quickly. Indeed, more and more women are becoming infected at an earlier and earlier age. One of the reasons for this growing “feminization of AIDS” is the relative powerlessness of women in much of the developing world. It is all very well to preach the “prevention ABC” (Abstinence, Being faithful, Condoms), but it means nothing to women who have no say in their sexual relations. Abstinence is not an option where women cannot refuse the sexual demands of men. Being faithful does not protect women if men do not practice it, too. Condoms are no help as long as women cannot insist that men use them.

The only effective AIDS prevention in these circumstances is to raise the status of women, educating and empowering them so that they can reach an adequate level of sexual self-determination. However, this means asking for revolutionary changes in some countries that are still bound by ancient patriarchal traditions in religion, custom, and law. On the other hand, it is clear that these countries will court disaster if they fail to carry out the necessary changes and do it soon. There will be millions of AIDS orphans with no women to care for them, and where farming is still mostly women’s work, it will simply no longer be done, leaving the survivors without sufficient food.

 

[Course 4] [Description] [How to use it] [Introduction] [Curable STDs] [Incurable STDs] [STD Prevention] [Abstinence] [Safer Sex] [Additional Reading] [Examination]