AIDS and Poverty in Bangladesh
AIDS and Poverty in Bangladesh Mohammad Khairul Alam Executive Director Rainbow Nari O Shishu Kallyan Foundation 24/3 M. C. Roy Lane Dhaka-1211, Bangladesh rainbowngo@email.com Tel: 880-2-8628908 Mobile: 01711344997... [more]
AIDS and Poverty in Bangladesh
Mohammad Khairul Alam
Executive Director
Rainbow Nari O Shishu Kallyan Foundation
24/3 M. C. Roy Lane
Dhaka-1211, Bangladesh
rainbowngo@email.com
Tel: 880-2-8628908
Mobile: 01711344997
AIDS pandemic is already having destroyed social and economical system in some regions of South African countries. It makes threat to move backward the progress that economies have made in many poor countries. HIV/AIDS affects everyone in both developed and poor countries. It is not a disease of poverty. It is not individual problem. However the pandemic does push people deeper into poverty, making it more difficult for them to sustain or recover their earlier livelihoods. That, in turn, can make people and their families more vulnerable to HIV/AIDS infection. Globally, every day 14,000 people getting infected HIV and among them 90% of less developed countries.
Poverty does not cause HIV/AIDS infection; it can facilitate transmission, Poverty makes people more vulnerable to HIV infection, due to lack of health care knowledge, lack of proper digest, and lack of sufficient nutrition, which can result in a weaker immune system. They also have less access to healthcare facilities and education on health issues such as HIV prevention. So it is fact, poverty & gender discrimination would be the main cause of the spread of AIDS in Bangladesh, The rate of vulnerability to HIV/AIDS is our country is higher then the many parts of the world. Unfortunately we are bound to say, HIV is only transmitted through man. We don’t get infect it by other living or death species. The overwhelming majority of people infected with HIV do not know they carry the virus. Many millions more know nothing or too little about HIV/AIDS to protect themselves against it. So it is true that men destroy themselves and others.
The most common reason of HIV/AIDS is considered to be the unsafe or unprotected sex. Sex without taking proper precaution like condom is very much responsible for HIV/AIDS. AIDS is usually transmitted from man to man through the semen or blood. Since 1981, more than 60 million people have been infected by HIV of which over 22 million people already died. Now, over 50 million people are living with HIV.
The health care system is low in Bangladesh. Thousands of people die in every year by several seasonal diseases. Particular health care or prevention knowledge would prevent this fatal mortality. Capital city’s health care system is upgraded in some extent but rural level health care system is nominal. Several NGO’s are working on HIV/AIDS prevention sector. But we found that there is a massive need of facilities and manpower to deliver comprehensive HIV care and laboratory facilities to support and monitor the therapy. There is a similar lack of medical personnel with enough knowledge of antiretroviral therapy. Possibilities for drug distribution to remote corners are limited and storage facilities are often insufficient.
Rainbow Nari O Shishu Kallyan Foundation found extremely high levels of infections among adolescent girls, which are higher than those for boys. This is mainly because of the fact that at young age, boys have sex with girls of similar age, while girls have relations with older men, who are more likely to be infected. Sexual harassment of schoolgirls by older men sometime may be the cause of HIV infection. Poverty also drives many adolescent girls to accept relationships with 'sugar daddies' (older men who are prepared to give money, goods or favors in return for sex).
As mention AIDS Researcher Mr. Roger Tatoud, “To "think" about women and their role in society is already to empower them. It is the first step that leads to power-sharing between men and women, and as such should be at the heart of the responsible and hopefully successful strategies much needed in the fight against HIV and Aids. Undoubtedly gender mainstreaming requires political will and commitment, often in the hands of men.”
Since the join and traditional familitical system playing a vital role to prevent HIV/AIDS without our concern in Bangladesh, this disease is not turning into an epidemic in a poor and illiterate country like us. Our religious belief, respect to other people’s thought, politeness as a nation and restricted social system etc. and the education which we get from our families, are protecting us from many unsocial activities and bad jobs. But in these days, our social values and the social structure are facing a great threat following the western cultures. Familitical ties are breaking; pre-marital relation and unsocial activities are increasing day by day. That is why to protect the traditional social system and to make aware the people – we have to be alert.
Reference: World Bank, UNAIDS
The issue of AIDS: Sex Workers and Truck Drivers are playing vital roles
The issue of AIDS: Sex Workers and Truck Drivers are playing vital roles.
Mohammad Khairul Alam
Executive Director
Rainbow Nari O Shishu Kallyan Foundation
Rainbowngo@gmail.com
Phone: 880-2-8628908
Mobile: 01711344997
AIDS has become a global crisis. As of the end of 2005, an estimated 42 million people worldwide - 38 million adults and about 3 million children younger than 15 years - were living with HIV/AIDS. Approximately two-thirds of these people live in Sub-Saharan Africa; another 18 percent live in Asia and the Pacific. The pandemic kills millions, destroys families and communities and renders millions of children parentless. It threatens the social and economic fabric of many nations.
It is generally accepted that truck drivers have been and continue to be a main force in the spread of HIV to epidemic proportions. Truck driver’s work long hours on the road and often spend several days in one place clearing customs or resolving mechanical problems. Seeking entertainment, they turn to sex with women or girls in the prostitution or floating sex workers who are at high risk of being HIV/AID positive and transmitting HIV to the drivers. As a result, the drivers have high rates of HIV. Their highly mobile lifestyle requires a lot of travel. In other stopover town locations they visit other commercial male/female sex workers thereby potentially transmitting the virus. In addition, many of the truck drivers are married and also have girlfriends (commercial sex partner) who are likely to become infected with HIV and become a pool in their local communities.
Truck drivers and commercial sex workers constitute core transmitter populations of HIV/AIDS throughout India. The sexual interactions between these particular groups are conducive to rapid population-wide HIV/AIDS transmission. Other evidence supports the view HIV was introduced to Indian populations with pre-existing patterns of sexual behavior that have long been susceptible to high STI/STDs rates.
Sexual encounters between truck drivers and commercial sex workers are the basis of transmission of HIV in India. While, almost all truck drivers (98%) have heard of HIV/AIDS. The extent of knowledge about specific aspects of HIV/AIDS was less consistent. Correct knowledge of transmission by sexual contact was found in two-third (Bombay). Several studies have attempted to elucidate the percentage of truck drivers who actually do have sex with Commercial sex workers (CSWs) and if so, how often they do. 80% of the truck drivers are frequenting CSW.
Commercial sex workers (CSWs) have sex with different populations of men depending on their class. Some of the CSWs contacts were with regular partners. CSWs tend to be a highly mobile population and one of the main factors placing CSWs in high-risk categories is that they have multiple partners. Usage of condoms is still low among the truck driver population; however, it seems to be increasing. Ever usage of condoms seems to range between 25 and 60 percent. Knowledge surrounding condom use seems to be uneven. 90% of the truck drivers know condoms prevent transmission of HIV, many drivers were not aware of the proper storage techniques nor proper usage.
The classification of the partners of truck drivers is complex and not standardized across studies nor, at times, within studies. Distinguishing between a casual and regular partner is often ambiguous. Many truck drivers report that they have had large numbers of sexual partners. About one-third of the drivers reported more than 50 lifetime partners. The number of partners in the recent past indicates a driver’s current sexual behavior trend.
A recent survey in Bangladeshi track drivers conduct by Rainbow Nari O Shishu Kallyan Foundation, found that 80% track driver in Bangladesh have no clear concept of HIV or AIDS. But 90% respond it is a deadly disease. India is the second largest HIV/AIDS infected country in the world, more then 5.2 million people are living with AIDS or HIV. India is a neighboring country of Bangladesh, every day many people cross border movement take place both officially and also illegally. Due to reason of that great chance to spread out HIV/AIDS in Bangladesh.
Reference: UNAIDS, UNICEF, World Bank
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