HIV/AIDS and Poverty in South Africa
  • Category: Health
  • Topic: Illness

HIV, which is an acronym for Human Immunological Disease, attacks CD4 cells, the immune system's key regulator and effector. This virus makes the affected individual vulnerable to other diseases. Extensive HIV/AIDS research conducted on Sub-Saharan Africa has shown that risky sexual behavior, sexually transmitted illnesses, and lack of male circumcision are the most significant risk factors for rapid transmission. In South Africa, women, particularly younger ones, and children are disproportionately affected by HIV compared to men. This can be due to gender inequality and cultural norms, dropouts from high school and lack of education, and transactional sex with inconsistent condom use.

Question 2:

It is well known that poverty hinders healthcare and well-being. HIV is linked to poverty due to lack of infrastructure, overpopulation, social isolation, substance abuse, or simply the need to survive. The communities that have the highest poverty levels have the highest risk of HIV. Informal settlements tend to have more residents with HIV who have not been tested. Individuals who experience poverty-related stressors such as stereotyping, wage stagnation, poor educational background, crime, and violence were more susceptible to HIV risk factors. Rape has been increasing dramatically in South Africa and could be one of the leading HIV risk factors. Female rape survivors are at higher risk of long-term HIV contraction than non-sexually assaulted women.

Question 3:

Many women only become aware that they have HIV when they become pregnant. To prevent it from being transmitted to their unborn child and to receive proper care, they should attend PMTCT. Women who are not pregnant should be urged to get tested regularly. Health workers should provide free testing in informal settlements and inform them about the risks of HIV. They should also educate them about PREP, PEP, and their mechanism of action. Girls should be encouraged to stay in school to reduce the risk of HIV. Women that have higher education tend to marry when stable or later, reproduce later, and have more oversight over their fertility, which significantly reduces their risk of contracting HIV. Poverty reduction programs have been demonstrated to reduce high-risk sexual behavior and therefore lower the likelihood of HIV transmission. Strong laws for women, economic opportunities, training, and education should all be implemented to help women gain access to available resources.

References:

[1] Behets FM, Liomba G, Lule G. et al. Sexually transmitted diseases and human immunodeficiency virus control in Malawi: a field study of genital ulcer disease. Journal of Infectious Diseases. 1995;171: 451–455.

[2] Be In The Know. (n.d.). HIV and women. [online] Available at: https://www.beintheknow.org/understanding-hiv-epidemic/community/hiv-and-women

[3] ADLER, N.E., and OSTROVE, J.M. (1999). Socioeconomic Status and Health: What We Know and What We Don’t. Annals of the New York Academy of Sciences, 896(1), pp.3–15. doi:https://doi.org/10.1111/j.1749-6632.1999.tb08101.x.

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