Abstract
The HIV and AIDS epidemic is often described as a feminised epidemic. The term refers to some features of the epidemiology in that in many countries which are experiencing generalised epidemics1 the numbers of women infected are significantly higher than the numbers of men. During the early years of an HIV epidemic the virus is contained within certain key populations such as men who have sex with men sex workers and injecting drug users. This type of epidemic is known as a concentrated epidemic and is typical of the epidemics found in most parts of EuropeNorth America South America and Asia. In these regions the greatest burden of infection is among men.However in sub-Saharan African countries experiencing generalised HIV epidemicswomen now make up 57 per cent of infections with some 17 million women living with HIV at the end of 2003 (UNAIDS 2007).The situation is particularly acute among young people in Southern Africa with studies suggesting that young women are two to seven times more likely to be infected with HIV than young men are. The term feminised epidemic is also sometimes used as shorthand to signal that unequal gender relations are associated with HIV infections as either cause or consequence.The reports of UNESCO the UNAIDS Inter-Agency Task Team on Education and the Global Campaign for Education urge us with generalisations to recognise that gender issues are key to the problem of HIV and AIDS. What these reports point to is that many women cannot act to protect themselves by requesting men to use condoms or requiring men to reduce their numbers of sexual partners. Such forms of female vulnerability are seen as a manifestation of the gender issues at the heart of the epidemic. In addition the term gender issues often signals that many women who are infected or affected take on extra burdens of care within households without shifts in gender relations within the family community or society (Voluntary Service Overseas 2006). However the term feminised epidemic despite its usefulness in directing attention to some aspects of womens needs is also immensely problematic in that it associates the actions of women not menwith the epidemic and suggests that all women are similarly vulnerable illor burdened with responsibility.While in many countries these terms apply to a large number of women it is important to scrutinise these over-generalised and one-dimensional characterisations. In this chapter we place the feminised epidemic within the context of a broader examination of concepts of women and gender associated with research and policy on education HIV and AIDS.But before turning to an exploration of these important distinctions some background on the education-sector response to the epidemic is necessary. (excerpt)
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