In the coming days, thousands of political leaders, public health experts, activists, people living with HIV and other delegates from around the world will gather in Washington D.C. to debate, discuss, reflect upon, and celebrate the achievements that have been made in the fight against HIV/AIDS.
But in Lesotho, and other southern African countries, the epidemic remains a painful reality.
During my recent trip to the Mountain Kingdom, a tiny country surrounded on all sides by South Africa, conversations about the epidemic inevitably turned to the fact that women and girls are a much greater risk for HIV due to a combination of biological, structural, and cultural conditions. In many ways, Lesotho clearly illustrates the nature of the epidemic in sub-Saharan Africa, where 60% of those living with HIV are women. In the nine countries in southern Africa most affected by HIV, prevalence among young women aged 15-24 years is on average about three times higher than among men of the same age.
In Lesotho, where women and girls have much higher rates HIV than men, our U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) Country Team and implementing partners are acutely aware of the realities facing women and girls and are continuously seeking ways to ensure that programs and services use the most up-to-date evidence to meet their needs.
Fortunately, the evidence of what works for women and girls is just a click away.
What Works for Women and Girls: Evidence for HIV/AIDS Interventions
First launched at the International AIDS Conference in Vienna in 2010, this groundbreaking resource is a comprehensive website documenting the evidence for effective HIV interventions. Spanning more than 2,000 articles and reports with data from more than 90 countries, What Works for Women and Girls contains—in one centralized, searchable location—the evidence of successful gender-specific programming from global programs and studies, with a focus on the Global South.
Having the evidence of what works is crucial for organizations working on the front line of the HIV/AIDS response. In Kenya, for example, the evidence has been essential for crafting national policies on gender-based violence and HIV prevention for women.
From Evidence to Action
As we celebrate the rich evidence base in What Works for Women and Girls, we must now focus on what this means for the implementation and scaling up of the HIV/AIDS response. How can we ensure that the evidence is applied correctly and consistently to ensure quality programs at scale? Are our programs and services addressing the underlying gender inequities that not only put women and girls at risk for HIV, but men and boys too? How will we use the evidence to inform sound public health policies and priorities?
Most importantly, how can we ensure that the available evidence helps us to maximize the benefits so that we can, finally, turn the tide against HIV/AIDS?
For the women and girls of Lesotho, and across the southern Africa, there is not a moment to lose.