Sonke Gender Justice

Publication Type: External Reports

  • So We are ATM Fathers

    So We are ATM Fathers

    South Africa has an exceptionally high number of absent fathers with approximately half of the children in the country living without daily contact with their fathers. This situation presents social and developmental challenges. Although a father’s physical presence alone is not necessarily a positive outcome in itself, widespread father absence has detrimental consequences for families and for society as a whole. Responsible and engaged fathers, who do their share of parenting work, are beneficial to the development of children and to building families and societies that better reflect gender equity and protect child rights. While this problem is often raised as an issue of concern, little is known about the reasons why so many fathers disengage from their children’s lives. Moreover, research in this field has largely failed to present the voices of absent fathers themselves in order to capture their perspectives on fathering.

    For these reasons the current research pursued the following objectives: (1) to ascertain absent fathers’ understandings of the notion of fatherhood and the meanings associated with it; (2) to establish their perspectives on the phenomenon of absent fathers, particularly its causes, consequences and social dynamics; and (3) to obtain their views on what interventions would be most successful in order to address the phenomenon of absent fathers in urban contexts in present day South Africa. These aims were pursued using a qualitative approach with focus group discussions as the main method of data collection. Focus group discussions were held with absent fathers in four urban locations, namely, Alexandra, Tembisa, Doornkop and Devland.

  • United Nations Trust Fund to End Violence Against Women

    United Nations Trust Fund to End Violence Against Women

    The work of the UN Trust Fund to End Violence against Women is driven by a commitment to deliver on the promise to prevent and end human rights violations against women and girls. Every day, UN Trust Fund grantees make a direct impact on the lives of women and girls and promote equality from the ground up.

    UN Trust Fund grantees find small and powerful ways to bring about change. They work with the recognition that we are all responsible for changing harmful behaviours and practices, protecting women’s rights, and supporting survivors. This UN Trust Fund Annual Report reviews the accomplishments of 2012 and offers perspectives on the questions confronted by grantees in every country: (a) what steps can communities take to move from a culture of impunity to a culture of zero-tolerance for violence against women and girls?; (b) how can programmes realistically protect some of the most marginalized and high-risk groups from violence?; and (c) how can we effectively engage men and boys in these efforts?

  • Male Involvement in the Prevention of Mother-to-Child Transmition of HIV

    Male Involvement in the Prevention of Mother-to-Child Transmition of HIV

    In 2009, 370 000 children became infected with human immunodeficiency virus (HIV) globally. Nearly all of these children acquired HIV through mother-to-child transmission. Ninety per cent of them live in sub-Saharan Africa. The World Health Organization (WHO) and Joint United Nations Programme on HIV/AIDS (UNAIDS) guidance calls for a global response that is centred on, and responsive to, the realities of women’s lives. Because there is ample evidence documenting the impact of men on the various components of prevention of mother-to-child transmission (PMTCT) programmes, male involvement has been recognized as a priority area of intervention within this woman-centred approach. An extensive review of the public health literature was conducted to assess the current level and nature of male involvement and to identify opportunities for the advancement of constructive male engagement in PMTCT. The geographic focus of this paper is on sub-Saharan Africa.

    This paper highlights the documented benefits of men’s engagement in PMTCT of HIV, barriers to men’s engagement, and promising strategies to involve men, as well as conceptual and methodological issues that merit further consideration and research. The paper reveals that despite overwhelmingly positive attitudes towards PMTCT programming among men, their engagement remains very low. Barriers to men’s participation include fear of knowing one’s status, stigma and discrimination. Perhaps the most significant obstacles are the conceptual and policy barriers that inadvertently support men’s exclusion from PMTCT and other reproductive health services. The historic institutionalization of reproductive health as women’s health has contributed to men’s perception of clinic spaces as “women’s spaces”, and reproductive health as women’s work, and has generally produced health services that are not welcoming of men and couples. This paper argues that to maximize the health outcomes of PMTCT for children, women and men, we must move beyond seeing men as simply “facilitating factors”, to enable women to access health-care services but view them as constituent parts of reproductive health policy and practice. This paper demonstrates that men’s constructive engagement can and does yield positive results for the health of women, children and families.

  • Community Innovation

    Community Innovation

    The case studies in this report, from across sub-Saharan Africa, South Asia, Europe and Central Asia, Latin America and North America, highlight the rich diversity of community initiatives that bridge sexual and reproductive health and rights and HIV. The report has a strategic emphasis on the innovation that is being led by women living with HIV and features pioneering endeavours that reflect community and key stakeholder interpretation and understanding of how this intersection is defined. It profiles initiatives that have emerged from within the HIV sector as it broadens out to encompass a sexual and reproductive health and rights approach, as well as initiatives that have emerged from within the women’s health and rights sector as the latter has taken on HIV-related services and programmes; showing that both sectors are taking steps to integrate services and build synergies.

    The main lesson to draw from this report is the importance of community engagement and the key leadership role that women living with HIV have to play in tailoring the HIV response to their needs. When HIV and sexual and reproductive health and rights providers come together to empower affected communities to take the lead, enabling environments are created that help to open discussion, improve knowledge of the issues affecting women living with HIV, and ultimately improve access to comprehensive and holistic services that advance women’s and girls’ health and rights. Effective initiatives include training members of the community as advocates, providing safe arenas for open discussion and engaging men as co-drivers of social change.

  • The HIV Epidemic in South Africa

    The HIV Epidemic in South Africa

    This review of the HIV epidemic in South Africa is one of four component reports of an assessment of the HIV epidemic and prevention response in South Africa. The assessment was commissioned by the Government of South Africa and realized jointly by several partners and contractors, under the coordination of the UNAIDS secretariat in South Africa, with technical support from the World Bank and others. The primary objective of this component, the review of the HIV epidemic, is to contribute to ongoing efforts to better understand the HIV epidemic and help develop the best-possible approach to HIV prevention.

  • Stopping Violence Against Women and Girls for Effective HIV Responses

    Stopping Violence Against Women and Girls for Effective HIV Responses

    This issue brief is part of a series published by the Global Coalition on Women and AIDS (GCWA), designed to provide information on women’s rights and gender equality issues in the context of HIV. This brief describes the links between violence against women and HIV, with a focus on what is needed to better address these linkages, meet women’s prevention, treatment and care needs, and uphold the rights of women and girls.

    The inter-connections between violence against women and HIV, as both a root cause and consequence of HIV, are now widely acknowledged. Violence against women may increase the risk of transmission of HIV both directly and indirectly. Forced sex may directly lead to HIV transmission, and women and girls may be unable to negotiate safer sex out of the fear of violence. Women living with HIV may also face increased levels of violence, due to stigma and discrimination. The UNAIDS Agenda for Women and Girls and the UNAIDS Strategy 2011-2015 recognize the importance of addressing gender equality and violence against women and girls as an integral part of the HIV response. Moreover, addressing violence against women is not only key to the achievement of Millennium Development Goal (MDG) 3 on women’s empowerment and gender equality and MDG 6 on halting and reversing the HIV epidemic, but also to MDG 4 (child health) and MDG 5 (maternal health). However, most countries fail to invest in the prevention of violence and provide the much needed services to survivors of physical and sexual violence, including in conflict situations. This brief will therefore provide an overview of the latest research and recommended approaches to better manage violence against women and girls.

  • Deportation and Public Health

    Deportation and Public Health

    This issue brief highlights the public health concerns around the ending of the Zimbabwean Documentation Process (ZDP) and provides a quick reference guide and background on deportations and public health in South Africa. Migrant groups and medical support organisations have reported continual problems with the deportation process in South Africa including: lack of access to medical care in the process of arrest, detention and deportation; an inability of individuals to access possessions and chronic treatment when arrested; deportation to areas where accessing health services and treatment for chronic conditions is difficult; and the threat of deportation frightening migrants away from using state health services. The likelihood of renewed and intensified deportations of undocumented Zimbabweans with the completion of the ZDP heightens these concerns.

  • Uniting for Peaceful Resistance Against Poor Economic and Democratic Governance

    Uniting for Peaceful Resistance Against Poor Economic and Democratic Governance

    In legitimate exercise of the rights and freedoms enshrined in the Constitution of the Republic of Malawi, Members of Civil Society have joined hands with Workers, Faith Communities and Concerned Citizens from all walks of life, to hold peaceful country-wide mass demonstrations today, the 20th July 2011 upholding the theme: “Uniting for Peaceful Resistance Against Poor Economic and Democratic Governance – “A Better Malawi Is Possible”. These demonstrations are part of a series of nation-wide mass actions that will continue to respond to such crises until feasible solutions have been found and implemented.

    Malawi is currently facing a series of catastrophes on multiple fronts due to economic mismanagement and democratic derogation by the incumbent leadership and administration. The current leadership and administration continue to disregard caution and advice regarding the crises, choosing to engage in empty political rhetoric without providing any actionable solutions or alternatives. Any dissenting or alternative views result in adversarial clamp downs, a practice that is unacceptable within the current democratic dispensation that we all fought hard for and are prepared to defend at all costs.

  • Innovative Women- and Girls-Centered Approaches

    Innovative Women- and Girls-Centered Approaches

    A review of HIV interventions for women and girls has identified groundbreaking interventions that were able to trigger change in the HIV response and served as game changers. This paper highlights a sample of these interventions, drawn from a review of the literature and consultation with more than fifty civil society organizations. It identifies some of the key ingredients in successfully challenging the social and structural determinants that make women vulnerable to HIV. The described interventions are in the area of social change, integrated health and support services, and engagement of other sectors, including sports, finance and information technology. Recognizing that there are many other innovative community programmes that could be profiled, the paper underlines the need for identifying and leveraging game changing interventions, without trying to be exhaustive.

  • Roundtable discussion on the Prevention and Eradication of Sexual Violence in Correctional Centres

    Roundtable discussion on the Prevention and Eradication of Sexual Violence in Correctional Centres

    The roundtable discussion was hosted by the Civil Society Prison Reform Initiative (CSPRI), the Centre for the Study of Violence and Reconciliation (CSVR) and Sonke Gender Justice (Sonke). The discussion was attended by representatives from civil society organisations, national human rights institutions and government officials.

    The following paper provides on overview of the discussion and presentations of each representative from CSPRI, CSVR, Sonke and JDI, and the work that they are involved in regarding to the topic of prevention and eradication of sexual violence in correctional centres.

  • Men, Masculinities and HIV/AIDS

    Men, Masculinities and HIV/AIDS

    The purpose of this paper is to provide practical guidance to policymakers and program managers on how to engage men and address harmful male norms in seven key areas of intervention in relation to HIV/AIDS: (1) Social and Behaviour Change in Men; (2) Violence against women; (3) Men, Sex Work and Transactional Sex;(4) Men, Substance abuse and HIV/AIDS; (5) Male Circumcision; (6) Men, VCT and Treatment; and (7) Male Norms and the Caregiving for People Living with and Affected by HIV/AIDS.

    The paper provides a brief overview of the issues related to masculinities in each of the above areas and then provides recommended “strategies for action” based on promising practices of engaging men and boys for gender equality and for men’s own gender-related vulnerabilities related to HIV in HIV prevention, care, treatment and support. Most of this paper focuses on policies and programs addressing masculinities in the context of heterosexual relations, but it also discusses important findings and recommendations in relation to MSM and transgender individuals where relevant and available. The paper closes with final cross-cutting strategies for action as well as recommendations for policy and programs on engaging men and boys in addressing the gender dimensions of HIV.

  • Addressing violence against women and HIV/AIDS

    Addressing violence against women and HIV/AIDS

    Research from countries in different regions of the world documents an undeniable link between VAW and HIV infection. The relationship between VAW and HIV risk is complex, and involves multiple pathways, in which violence serves both as a driver of the epidemic, and at times a consequence of being HIV positive. Rape is one potential cause of direct infection with HIV through violence for some women. However, the primary burden of HIV risk from VAW and gender inequality arises through longer-acting indirect risk pathways. These involve both chronically abusive relationships where women are repeatedly exposed to the same perpetrator, as well as the long-term consequences of violence for women who have experienced prior, but not necessarily ongoing, exposure to violence (in childhood or as adults).

    Addressing both VAW and gender inequality jointly in programmes will contribute to effective HIV prevention. Such synergistic linking forms an important element of effective combination prevention for HIV. Effective HIV-prevention programmes must address key elements of the context that gives rise to HIV risk, in order to have lasting impact. Any long-term solution to VAW and/or HIV prevention therefore requires addressing the social context and the gender inequalities that form a core element of this context. Gender inequality can be addressed at different levels and through different approaches – the strongest synergy is often achieved by intervening on multiple levels simultaneously, using coordinated strategies that are mutually reinforcing.

  • Let’s End It Now!

    Let’s End It Now!

    Sexual abuses are a severe and widespread problem in our correctional centres. The abuses range from forms of sexual harassment (like unwelcome sexual comments or gestures) to rape and gang rape. Much of it is perpetrated by inmates on other inmates, but it can also be perpetrated by staff against inmates and inmates against staff.

    Although it is well known that these sorts of abuses are happening, it is often seen as part of normal prison life. Many of us also don’t realise that this violence happening in correctional centres is closely connected to the high levels of sexual violence in our broader society. In fact, focussing on sexual violence in correctional centres is necessary if we are to address violence in our communities outside prison.

    In the past, we have tended to keep quiet about sexual abuse in correctional centres, or we have felt powerless to do anything about it. Sexual violence is an uncomfortable topic which we find hard to talk about. In addition, there has not been enough focus on training staff members to deal with the issue.

    This booklet aims to help change all this so that we give sexual violence in our correctional centres the attention it deserves. It focuses on how to support victims of rape, and on how to prevent inmates from becoming victims in the first place.

  • National HIV Counselling and Testing (HCT) Policy Guidelines

    National HIV Counselling and Testing (HCT) Policy Guidelines

    HIV Counselling and Testing (HCT) has become increasingly available in South Africa in recent years. More than 4500 public health facilities are offering provider-initiated testing and counselling (PICT) also known as routine HIV testing (RT) and client-initiated counselling and testing (CICT) also known as VCT. HCT is also offered through mobile services, as well as non-medical sites. The National Department of Health’s (NDoH) HCT programme supports approximately 8000 lay counsellors with stipends; they provide HIV counselling at medical and non-medical sites.

    The implementation of the National HCT Programme has been guided mainly by programme-oriented recommendations. Rapid HIV testing as a screening and diagnostic test is regarded as one of the key interventions in the national response to HIV and AIDS. Point-of-care HIV tests through VCT are now widely available in the public and non-governmental sectors, and this has led to the adoption of numerous different approaches. Consequently, the NDoH is charged with the responsibility and challenge of ensuring that the necessary policy documents are in place and that point-of-care HIV testing is carried out in the most sensitive and caring way with specific attention to issues of human rights, quality and access.

    This policy guideline seeks to address this gap. It flows from and builds on The South African National Voluntary Counselling and Testing (VCT) HIV Prevention and Care Strategy 2003, and draws from international practices on HIV counselling and testing. In addition, the policy guideline seeks to provide a framework for all the HCT models that have been implemented in the country.

  • UNFPA Africa Regional Framework on Partnering with Faith-Based Organizations for the Promotion of Gender Equality and Maternal Health 2010-2013

    UNFPA Africa Regional Framework on Partnering with Faith-Based Organizations for the Promotion of Gender Equality and Maternal Health 2010-2013

    The purpose for developing this framework, is to make available a tool that will guide UNFPA’s technical and program support to countries and partners on partnering with faith based organizations (FBOs) for the promotion of gender equality and maternal health in Africa. The framework addresses the African contextual gender disparity and maternal health related issues; builds on experiences, best practices and lessons learned from past programs that focused on partnering with FBOs to address these issues; is anchored on UNFPA corporate frameworks and is focused on harmonizing approaches used by UNFPA and partners in these programming areas.

    Furthermore, it identifies priority areas in which UNFPA Africa region should strategically direct its support to FBOs’ programming efforts towards addressing the identified priority issues that are anchored on UNFPA’s comparative advantages and experiences. The strategy could be also used as a tool to mobilize resources, advocate for increased allocation of funds to faith-based programs, and also as basis for scaling up successful faith-based interventions that UNFPA has supported in the region.

  • The Second National HIV Communication Survey 2009

    The Second National HIV Communication Survey 2009

    The Second National HIV Communication Survey (NCS) examined the impact of HIV communication programmes in South Africa on improving knowledge and reinforcing positive beliefs, norms and attitudes, which in turn sustain or bring about behavioural change in relation to HIV prevention, care, support and treatment. The intention of this report is to assist policymakers and planners in the design of future HIV communication strategies and programmes.

  • The South African Antiretroviral Treatment Guidelines 2010

    The South African Antiretroviral Treatment Guidelines 2010

    The goals of the programme are to achieve best health outcomes in the most cost-efficient manner; implement nurse-initiated treatment; decentralise service delivery to PHC facilities; integrate services for HIV, TB, MCH, SRH and wellness; diagnose HIV earlier; prevent HIV disease progression; avert AIDS-related deaths; retain patients on lifelong therapy; prevent new infections among children, adolescents, and adults; and to mitigate the impact of HIV & AIDS. These guidelines provide an a detailed overview of the standards and procedures to be followed in antiretroviral (ARV) treatment.

  • Woman Know Your Rights

    Woman Know Your Rights

    Women have a range of rights in relation to sexual violence, including the right not to have acts of sexual violence committed against them. The state and individuals have duties or obligations that they owe to women, including the duty to follow certain legal procedures when an act of sexual violence is committed against them. The state has a legal duty to protect women from violence and to take the necessary steps to punish the offender who committed an act of sexual violence against them.

    Many women have approached the Women’s Legal Centre for assistance and they have learnt that women are often not aware of their rights or do not know what to do when their rights are contravened. This lack of awareness has led to women choosing not to report violence and ultimately offenders are not arrested, convicted and punished.

    The purpose of this booklet is to inform women of their rights in order to empower them to exercise their rights and to prevent further acts of violence from being committed against them and other women. If more women stand up for their rights this may reduce the many occurrences of violence against women in South Africa. It is aimed at specifically informing adult women of their rights and not children (a child is any person under the age of 18 years). It is accordingly not drafted for children to understand and does not cover many of the rights that are relevant to children.

  • Sexual Rights for All

    Sexual Rights for All

    Sweden is strongly committed to and perceived as a champion of sexual and reproductive health and rights (SRHR). Although recognition of the connection between SRHR and poverty reduction has grown in development circles, there is a tendency to favor reproductive rights over sexual rights, despite the progressive plans of action in Cairo in 1994 and Beijing in 1995. The Swedish International Development Cooperation Agency (Sida) wants to again put the spotlight on the importance of sexual rights. Sweden’s point of departure is that development is ultimately driven by people’s own willingness and ability to improve their circumstances. The individual is the central subject of development and it is important to create a favorable environment in which every individual enjoys all sexual rights and can take an active part in the development. When sexual rights are respected individuals are empowered to make choices that can affect and improve their lives.

    The aim of this brochure Sexual Rights for All is to encourage a frank discussion about sexual rights as human rights and their role in development. This brochure gives a few examples of Sida-supported programs that strengthen sexual rights and create circumstances that enable people to change and improve their lives.

  • Johns Hopkins Health & Education in South Africa

    Johns Hopkins Health & Education in South Africa

    Johns Hopkins Health and Education in South Africa (JHHESA), an affiliate to the Johns Hopkins University Bloomberg School of Public Health’s Centre for Communication Programs based in Washington, is a USAID/PEPFAR funded programme that uses a strategic communication approach to improve the health and well being of all South Africans.

    JHHESA, together with its South African partners, uses a strategic communication approach to contribute towards achieving the targets of South Africa’s National Strategic Plan 2007 – 2011. In particular, reducing the number of new infections by 50% and ensuring that 80% of South Africans in need have access to an appropriate package of care, support and treatment through using the power of strategic communication.

    This manual begins with an overview of the models applied by JHHESA in its operations, the process of Monitoring and Evaluations, an exploration of the JHHESA reporting framework and the Data Management Systems. The document then go on to discuss and outline the basic monitoring and evaluation concepts; followed by an extensive discussion of the types of indicators and reporting requirements; the monthly reporting templates; the collation tool and an overview of the Routine Data Quality Assessments. This serves as a reference point from which to assess a program’s monitoring procedures.

  • Making Gender Truly Relational

    Making Gender Truly Relational

    In Africa, as throughout the world, we know that gender inequality continues to undermine democracy, impede development and compromise people’s lives. Across the region, rigid gender norms, and harmful perceptions of what it means to be a man or a woman, encourage men to engage in high risk behaviours, condone violence against women, grant men the power to initiate and dictate the terms of sex, and make it difficult for women to protect themselves from either HIV or violence. Indeed, a growing body of research shows that these gender roles contribute to gender-based violence, alcohol, and drug abuse, and exacerbate the spread and impact of HIV and AIDS.

    If our goal is to achieve gender equality and to build just and democratic societies that reflect and reinforce healthy and respectful relationships, then, we argue, we will accomplish this faster and more effectively, if we recognise that both women and men have an investment in transforming gender relations. It is in our interests to move beyond gender binaries and to act on the evidence that shows that men and boys can be mobilised to support gender transformation – in solidarity with women, but also based on their own desire for healthier and happier lives.

    Working with men and boys to achieve gender equality remains a relatively new approach. As more programmes engaging men and boys are implemented, a body of effective evidence-based programming has emerged, and has confirmed that men and boys are willing to change their attitudes and practices, and to take a stand towards achieving greater gender equality.

  • Venerated or reviled – who’s knowledge counts?

    Venerated or reviled – who’s knowledge counts?

    This newsletter explores some of the realities impacting on the extent to which women’s rights are accessible and realisable, as well as on the adequacy of responses to women’s risks and vulnerabilities to both HIV infection and human rights abuses. The ‘question of evidence’ as a global challenge in the response to women and HIV; engaging men and the role of men’s organisations in the process of gender transformation; the need to engender the response to HIV in India; and the extent to which sexual and reproductive rights are realisable for women in polygamous relations are some of the issues discussed in this edition. This issue also discusses the notion of ‘choice’ for pregnant women in a rural context; shares ‘musings’ on HIV testing and pregnancy; and introduces ‘conversations’, a new feature, bringing forward the voices of women who have become an integral part of the response to women and women’s rights in the context of HIV and AIDS.

  • The AIDS Accountability Scorecard on Women 2009

    The AIDS Accountability Scorecard on Women 2009

    AIDS Accountability International (AAI) is an independent non-profit organisation established to increase accountability and inspire bolder leadership in the response to the AIDS epidemic. AAI does this by rating and comparing the degree to which public and private actors are fulfilling the commitments they have made to respond to the epidemic. Its assessments are presented in the form of Scorecards that identify gaps between stated commitments by governments and key actors, and their actual performance.

  • Engaging Men for Gender Equality and Improved Reproductive Health

    Engaging Men for Gender Equality and Improved Reproductive Health

    The importance of constructive men’s engagement (CME) in reproductive health (RH) has taken hold around the world over the past decade. Skeptics are being won over by the preponderance of evidence: unless men are actively engaged in supporting better health and well-being for families and the empowerment of women, progress will remain slow; women will remain vulnerable to reproductive health threats, including gender-based violence; and men themselves will remain trapped in the confining space of traditional masculine norms. These norms, including risk-taking, lack of healthseeking behavior, and emotional distance from women and children, harm men as well as women and children.

    These harmful masculine norms can be challenged and changed. Numerous program examples from around the world show that men can be successfully engaged in gender-equitable decision-making – sharing responsibility for contraception, supporting safe childbirth, preventing violence, and protecting themselves and their loved ones from HIV and other sexually transmitted infections (STIs). These programs can have enormous payoffs for women, men, and families, but they must reach a much larger audience if they are to have an impact on gender norms, which are societies’ expectations of how men and women should behave. For this to occur, work to promote constructive men’s engagement must move to the policy level, where broader reforms can be defined, implemented, and mandated.