I heard yesterday about a district in Nagaland where 19 out of 19 women tested for Sexually Transmitted Infections tested positive. This is seriously disturbing in itself but introduce HIV into this environment and you end up with serious problems. Having an STI actually increases your risk of contracting HIV as it lowers your natural defences.
From this and other reports I have heard and read, Nagaland on the verge of a HIV epidemic to rival Africa.
This is an emergency. Every day we fail to act more people will get infected. There is no cure for HIV, only treatment, prevention is what we really need.
Prevention of STI’s and STD’s requires people to move out of their comfort zones. To accept that people have both pre and extra-marital sex and not judge them for it. To accept that people do drugs, and not judge them for it. To help people understand their risks. To provide the means to enable people to minimise their risks, be it condoms or needle exchange, or protection from forced sex. To work to empower women to be able to make their own choices regarding their reproductive and sexual health. To challenge issues of gender inequality and sex. To encourage people to get tested for STI’s.
None of this is easy, it is all highly cultural specific. There are no shortcuts. It is vital work and hard work. Most of the work is in the field and in country.
What can I/we do?
I do not really know at the moment.
Challenge assumptions.
Support the MDG’s
Support efforts to bring gender equality.
Keep the safe sex and safe needle message alive. I am scared about the new trends in Australia towards unsafe sex.
Be aware.