The impact of gender in fuelling HIV/AIDS has become a fundamental aspect of addressing the pandemic. It is clear that gender plays a pivotal role in how women and men respond to counselling, testing, treatment, care and prevention programmes. This report contains the presentations delivered at the gender and HIV/AIDS-themed sessions held during the 3rd African Conference of the Social Aspects of HIV/AIDS Research Alliance (SAHARA), held in Dakar, in October 2005.

Women, especially young women, have increasing infection rates from HIV/AIDS and the death rate among women is now almost as high as men.

Current trends of HIV transmission and prevalence clearly show that the epidemic is fuelled by gender-based vulnerabilities. Close to 60 per cent of adults living with HIV in sub-Saharan Africa are women, and almost 75 per cent of young people living with HIV in southern Africa are female.

The book shows that while gender inequalities in society are driving aspects of the HIV epidemic, democratic learning environments informed by evidence-based policy, implemented with leadership for transforming deeply held values and beliefs regarding sexual behaviour and sexuality can be empowering.

he starting point for this guideline is the point at which a woman has learnt that she is living with HIV and it therefore covers key issues for providing comprehensive sexual and reproductive health and rights-related services and support for women living with HIV. As women living with HIV face unique challenges and human rights violations related to their sexuality and reproduction within their families and communities as well as from the health-care institutions where they seek care particular emphasis is placed on the creation of an enabling environment to support more effective health interventions and better health outcomes. This guideline is meant to help countries to more effectively and efficiently plan develop and monitor programmes and services that promote gender equality and human rights and hence are more acceptable and appropriate for women living with HIV taking into account the national and local epidemiological context. It discusses implementation issues that health interventions and service delivery must address to achieve gender equality and support human rights.