The stigma faced by people with HIV in Swaziland
(eSwatini) continues to be widespread with a particularly damning effect upon
women and girls, according to a submission to a United Nations group’s
investigation into human rights in the kingdom.
‘It can affect the number of women and girls seeking
treatment,’ the Birmingham City University, School of Law (UK), said in
a written submission to the UN Universal Periodic Review of Swaziland.
It added, Swaziland had ‘particularly deep-rooted
gender roles and cultural norms, which often lead to negative consequences for
women and girls, including in the context of HIV’.
It reported Swaziland had the highest rate of HIV
across the world. It was estimated that around 200,000 adults and children were
living with HIV – about 17.4 percent of the kingdom’s total population.
While the number of people currently living with HIV was
still steadily increasing, the number of new infections was decreasing. There were several reasons for this,
including a rise in the general population, and an expansion of access to
antiretrovirals (HIV medication) in Swaziland, meaning that more people
infected with HIV were living longer lives.
Around 95 percent of those infected with HIV could
access antiretrovirals. ‘However, there is still much work to be done in
eSwatini, particularly in terms of women and girls, as over 60 percent of those
aged over 15 and living with HIV are women. This is a particularly sensitive
issue, as women in Eswatini are often considered to be “subordinate to men,”
with gender inequality being pervasive across the country.’
It reported, ‘ A study carried out in 2016-17 in the
region of Shiselweni found that, in some cases, “asymptomatic people living
with HIV were motivated to start ART (antiretrovirals) in
order to prevent them from developing symptoms that would visibly show them to
be HIV-positive.”’
It added, ‘The study also found that in other cases,
“engaging with treatment and care services was also seen as having the
potential to expose someone as HIV-positive and thereby open to
stigmatisation.” In these cases, “[w]hen the risk of exposure through clinic
attendance was deemed too great, people were found to disengage from care and
take treatment intermittently.”’
The Birmingham University report stated statistics
also showed that this stigmatisation particularly affected women and girls aged
15 to 24.
It added a practical way of tackling this
stigmatisation was through education. ‘It is widely agreed that the education
provision in eSwatini regarding HIV and AIDS is poor,’ it added.
Statistics from 2014 showed that only 49 percent of
young women (ages 15-24) and 51 percent of young men demonstrated adequate
knowledge on this subject.
The Birmingham University report said public
programming explicitly designed to reduce the existing stigma had helped create
a supportive environment which was more tolerant and understanding. To some
extent, the Swazi Ministry of Health was already seeking to implement this,
through radio and television shows about HIV.
The university recommended Swaziland should extend its
current Health Promotion Programme using different types of accessible media,
including creative and dramatic presentations, and information campaigns for
tolerance and inclusion and interactive educational workshops.
It commended civil society and non-governmental organisations
in Swaziland for efforts made towards engaging projects and strategies to
tackle stigma and foster inclusivity.
See also
‘Drastic deterioration’ in
Swaziland human rights, United Nations’ investigation told
https://swazimedia.blogspot.com/2021/03/drastic-deterioration-in-swaziland.html