Showing posts with label AIDS Day. Show all posts
Showing posts with label AIDS Day. Show all posts

Tuesday, November 30, 2010

From white cloth to precious gems: Cambodian women challenge gender stereotypes and defend against HIV

December 1 is World AIDS Day. Image courtesy of NAT.
November 30, 2010
By Meghan Lewis
-Cambodia-
The WIP

An ancient Khmer proverb says, “A man is gold; a woman is a white piece of cloth.” Gold can get dirty or be dropped in the mud, but it can be polished and become as shiny as new; if white cloth is dropped in the mud, it will be forever stained, soiled, and ruined. This is a sad reflection of how Cambodian society traditionally views female sexuality. The silencing and shaming of female sexuality means that women often lack their sexual rights and autonomy.

As the world marks World AIDS Day on December 1, Cambodia is often hailed a success as one of the only countries in the world to halt and reverse the spread of HIV from a peak of 2.8 percent in 1998 to an estimated 0.7 percent in 2010. However, harmful gender stereotypes like the one above threaten to undermine efforts and contribute to a second wave of the epidemic.

One woman familiar with today’s realities in Cambodia is Duong Sopheaktra, whose inviting smile and infectious giggle hide a world of pain and disillusionment. Pheaktra grew up in war-torn Cambodia. Her father was away from home fighting, and she was raised by an abusive stepmother who beat her and did not give her enough to eat. The family lived far away from the nearest school, and subsequently Sopheaktra stopped going to school and worked on the family farm.


Sopheaktra tells the heartbreaking story of how her stepsister sold her virginity when she was 17 years old. “There was an old man waiting for me, and my stepsister told me to greet him saying that he was her uncle. I had a meal with them and after that I suddenly became sleepy and asked my stepsister to go back home. So she told the man to take us home by car.

“When I woke up my body was naked, and there was a man holding me. I realized that my future was finished at that time. I was very upset, unable to say anything; I just let my tears come out with the pain in my mind.”

Feeling worthless and ashamed that she had lost her virginity, Sopheaktra left home and did not tell her father what had happened. Like many women in the same position, Sopheaktra did not have many options.

“I found work as a beer seller. The wage was very low, though, and I could not afford to pay bills and send money home to my father, who was very ill. I decided to do the second job – whenever there was a customer who wanted to sleep with me, I would agree if the price was acceptable because I really needed the money to support my living costs.”

Sopheaktra's stepsister sold her virginity when she was 17 years old. Photo courtesy of the author.
Extreme poverty and low education levels are the main forces driving women into commercial and transactional sex work in Cambodia. This takes place in a variety of settings from brothels and streets to karaoke bars and beer gardens. There is an HIV prevalence of 14.7 percent among direct sex workers, and they often report pressure from clients to have sex without condoms. In some cases clients will offer to pay more for unprotected sex. To women living in poverty this can be hard to refuse. According to a 2007 report for Pharmaciens Sans Frontiers, 20 percent of entertainment workers were infected with sexually transmitted infections every month - indicating low condom use.

In a culture that promotes men’s rights to sexual pleasure and silences female sexuality, sexual violence is endemic. Sex workers are commonly referred to as srey koach (broken women), and are viewed as “spoiled.” As a consequence of this dehumanisation they frequently endure harassment, rape, and violence from a variety of perpetrators. Rape at the hands of clients is a common experience for most women working in the entertainment industry. Sopheaktra was not spared this ordeal.

“Sometimes customers took me to have sex without paying me and even threatened to kill me. When working in a restaurant, some customers cursed and mocked me and even hit my head with glass. Every time I recalled the pain I suffered, I asked why my life was full of sorrow and I just wanted to take poison to end this life because I could not understand.”

According to Amnesty International, rape in Cambodia goes largely unreported due to a number of reasons. Even though sex work in Cambodia is not illegal, the Cambodian Law on Suppression of Human Trafficking and Exploitation is often used by police to harass and blackmail sex workers. Consequently, sex workers who are raped do not trust the police. Furthermore, there is a general lack of confidence that the perpetrator will be convicted, and the shame that rape survivors feel often prevents them from reporting the crime.

It is not only sex workers who suffer such experiences of gender inequality. The majority of married women in Cambodia face the reality that their husbands will have extramarital sexual relationships with paid and unpaid partners. Men are more likely to use condoms with paid partners, but many do not use condoms consistently with unpaid partners. The result is that married women account for 43 percent of new HIV infections, according to a 2008 survey by Cambodia’s National Centre for HIV/AIDS, Dermatology, and STD. Domestic rape is against the law in Cambodia, but it is common and is rarely reported to authorities due partially to a widespread lack of understanding from both wives and husbands about sexual rights within marriage.

Sopheaktra has become a peer educator and facilitates discussions, support, and workshops for fellow entertainment workers. Photo courtesy of the author.
Out of her great sorrow, Sopheaktra has found incredible inner strength and the motivation to help others in her situation. She has risen from depression and has become a role model for other entertainment workers. Through hard work and determination, Sopheaktra has become a peer educator and facilitates discussions, support, and workshops for fellow entertainment workers. She challenges harmful gender stereotypes and breaks taboos by talking candidly about sex, sexually transmitted diseases, and HIV. By talking about these subjects, she tells me, Sopheaktra hopes that other sex workers will be better equipped to negotiate safe sex with clients, and will not feel ashamed to seek sexual health treatment or report abuse.

The work that Sopheaktra does is invaluable to her peers and is much needed in communities where commercial sex is so readily available. But in order to meaningfully tackle the issues, it is not going to be enough to empower women and enlist them in the response. It is imperative that men share this responsibility and challenge prevalent male attitudes, not only to prevent a second wave of the epidemic, but to work toward a more gender equitable society.

Prominent female politician Mu Sochua is working hard to promote equality in Cambodia. She has led the influx of thousands of women into government positions, though change remains slow in the male-dominated society. One of Mu Sochua’s early ministerial acts was to launch a gender equality campaign to rewrite the Khmer proverb as “A man is gold; a woman is a precious gem.” This new version of the proverb represents women and men as equally valuable and challenges the belief that a woman’s actions will stain her forever.

About the Author:
Meghan Lewis is the Policy, Advocacy and Communications Officer for the Khmer HIV/ AIDS NGO Alliance and works to reduce discrimination against marginalised groups in the response to HIV and AIDS. She has been a key actor in the formation of Cambodia’s first LGBT group, Rainbow Community Kampuchea (RoCK), a group of local and international LGBT volunteers working together towards a future free from discrimination based on sexual orientation and gender identity. She has published articles based on public health and human rights in Cambodian newspapers as well as international newsletters and websites including Purple Sky Network and Key Correspondents.

Meghan was born in South Africa and grew up in Kwa-Zulu Natal before moving to the UK in 1997. She studied Education at the University of Brighton and has been living in rural and urban Cambodia since 2008. Throughout her personal, academic and professional life, her primary passion has been to try to reduce the inequalities that exist in so many areas of society and work towards a future where opportunities are accessible to all people regardless of ethnicity, economics, gender or sexuality.

Wednesday, December 02, 2009

Lifting of HIV Travel Ban in US Welcomed

By Sok Khemara, VOA Khmer
Washington
01 December 2009


The decision of US President Barrack Obama earlier this year to end a travel ban on HIV and AIDS victims is the beginning of a new era for them, a Cambodian health official said Monday.

The lifting of the 22-year-old ban removes barriers and reduces discrimination for victims, How Bun Leng, deputy director general of the National AIDS Authority, told “Hello VOA.”

“We appreciate it and also welcome it,” he said. “This is a removal of a barrier that gives rights that are not just rights for HIV and AIDS victims as travelers, but also the right to access meetings, exchange experiences and so on.”

HIV and AIDS were conditions added to a US travel ban in 1987, and though efforts had been made to remove victims of the disease from the ban, Congress made it a part of immigration law. Those who suffered the disease could apply to seek exception, but it meant extra work.

Work began in 2009 under Congress and the administration of George W. Bush to end the ban. It was lifted in November under Obama.

“We talk about reducing the stigma of this disease, yet we have treated a visitor living with it as a threat,” Obama said. “We lead the world when it comes to helping stem the AIDS pandemic, yet we are one of only a dozen countries that still bar people with HIV from entering our own country.”

In Cambodia one out of every 100 persons aged 15 to 49 is afflicted with HIV or AIDS, How Bun Leng said Monday. Cambodia has fought to reduce the number by joining with other health organizations.

Meanwhile, a campaign is underway to achieve 100 percent condom use by sex workers, said Heng Kheng, a representative of Population Services International, who also appeared on “Hello VOA.”

“We have our advocacy groups in target areas like restaurants and clubs to talk to people about the use of condoms for their safety,” he said. “We use games to attract them to answer and evaluate how they can face transmission if they have sex and how to use condoms.”

World AIDS Day was celebrated globally on Tuesday.

Tuesday, December 01, 2009

Aids killed their parents but these sisters in Cambodia fight on

Keeping it together: (l-r) Chan Sok-Chea, Chan Sreyleak, Chan Sopheap and Chan LeaKana
Poverty: Doeumchan village, where the sisters live

On World Aids Day, Chief Reporter Aidan Radnedge speaks to four young sisters in Cambodia about their brave struggle to recover from double tragedy.

1st December, 2009
Metro.co.uk


Sisters are doing it for themselves – in defiance of double tragedy, neighbours’ sneers and the burden of having to grow up far too quickly.

These four girls – the youngest 14, the eldest 20, although still child-like – have endured almost a decade without their parents.

Both mother and father died after being infected with HIV, leaving behind yet another family in Cambodia orphaned by Aids.

Some 15 million people across the world have lost at least one parent to the disease and UNAIDS, the joint UN programme on HIV/Aids, has warned that number could rise to 25 million in the next few years.

But you may not imagine the struggles and anxieties of the Chan sisters just from watching as they giggle or conspiratorially whisper together.

Their sparse, concrete single room in the Phnom Penh village of Doeumchan is kept as house-proud as the few possessions allow – a rusting kettle, a hardboard bed, a few tea towels and carrier bags.

They have had to fend for themselves since 2001, when father Mai Saisayana died – two years after his wife, Rea Sothy. But they all have ambitions beyond just getting by.

Eldest girl Leakana is studying accountancy while working for a charity, where she has been joined by 17-year-old Sopheap. Sokchea, 18, is about to sit her final school exams. Sreyleak, 14, is being funded through school by an aid agency called Halo, which is backed by Tearfund.

But their parents’ deaths overshadowed their childhoods and forced them to become self-sufficient wage-earners earlier than imagined.

‘We’ve been very lonely, as well as it being difficult for us to make a living and finance our studies,’ Leakana admitted.

Adding insult to injury, neighbours are unsympathetic and abusive. Prejudice seems to thrive against families afflicted and affected by Aids.

‘When friends do come over, and there are guys in the group, our neighbours misjudge what’s going on and throw more accusations against us,’ Leakana said.

Sokchea said: ‘There are others who just deliberately ignore us but give us horrible and suspicious looks.’ Cambodia has up to 84,000 people thought to be living with HIV and an infection rate of 0.9 per cent – down from 130,000 and 1.2 per cent respectively six years ago.

Yet the number of HIV sufferers under 15 is rising, going from 4,600 to 5,000 over the same period.

Leakana imagines completing her accountancy exams and getting a good job to support a marriage and children of her own.

But she noted: ‘Of course I feel very alone at the moment – especially when I look at other families where healthy parents are taking care of their kids.

‘We’ve all just grown, hoping to strengthen each and everyone of us who survive.’

* For more information about Tearfund’s work in Cambodia, or to donate, call 0845 355 8355 or go to www.tearfund.org/metro

Monday, December 01, 2008

About 2% of Cambodians are tested positive to AIDS

Excerpt from "AIDS Day: Successful Global HIV Testing Campaign to Test 1M People Marches On Enthusiastic Response Greets Worldwide HIV Testing Campaign Led By AHF; 1,000 Organizations in 72 Countries Team Together to Test One Million People Worldwide November 26th - December 1st for Week of World AIDS Day"

Nov. 30, 2008
SOURCE: AIDS Healthcare Foundation

CAMBODIA--(Phnom Penh) As of Friday, November 28th, 3,518 people had tested and 69 positive individuals were identified which resulted in a prevalence rate of 1.9 %. The testing campaign, which is taking place in eight provinces throughout Cambodia, expanded over the weekend and the country expects to conduct more than 30,000 HIV tests during the campaign.