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Biggest risk for HIV

By Aachi Mithin - 12:52 AM Sunday 08 January 2006

Unprotected sex with multiple partners, Mother- Baby transmission during pregnancy, Infected needles....thats all? Apparently not. According to recent studies there is another big risk for HIV, especially in suburban and rural India....

The risk is Marriage.

A wife waits for her husband to return from work. He comes a little late. He cites a busy office schedule. He goes to the bathroom, wipes the lipstick from his collar, comes and eats his dinner, has unprotected sex with his wife and then snores to sleep. The wife next day goes ahead with her daily chores, watches serials, sleeps in the afternoon and again waits for her husband in the evening.

Six months later, a routine blood investigation reveals that she is HIV positive.

A young girl in her early twenties comes to the antenatal clinic. She is four months pregnant. She lives in a village quite far away from the town. Her husband is a farmer there. A routine investigation reveals that she is HIV positive. She doesn’t understand what that is. You ask her if she has slept with anyone else apart from her husband. She gives you a shocked look and shakes her head. You nod understandingly and break her the more horrific news. Her baby too can become HIV positive...

In both the above scenarios...where did the wife go wrong? Why should she be the one who bears the brunt of her husband’s misdeeds?

Recent studies have shockingly shown that HIV is on the rise amongst the passive population of Indian women who are married. The statistics are more for the rural than the urban woman.

How does one tackle the situation?

How can an Indian wife suspect her husband? How can she demand that he have sex with her only if he wears a condom? How can she demand that both of them get regularly tested for HIV? How can any woman be sure enough regarding this problem?

I would say that before marriage HIV testing be made mandatory, because a fruitless marriage will wipe out an entire family. But what is to be done for people already in a marriage?

What legislation will prevent that an average Indian wife is well protected from her husband's misdeeds?

None.

The questions are many. The answer is only one.

Make the probable victim more aware regarding the danger. If information regarding this scenario is widely circulated, we might still save an innocent life.

Secondly, teach the average Indian woman regarding her rights of equality in a marriage... she has the right to say no.

and it will be not too late...

(I am not saying promiscuity exists only in men, sometimes the wives are the culprits...but in a majority of the cases the husband is the person who gives the infection.)


Posted By Aachi Mithin - 12:52 AM Sunday 08 January 2006

Comments

Good Morning Aachi

What pertinent points you raise. While the law is dancing down some absurd street of its own(still undecided on what constitutes individual rights to privacy and how much an HIV positive man /woman have to reveal to the partners they are with or marry)the problem proliferates in huge numbers.

This is such an exhausting subject because the chicken egg scenario just does not seem to go away. How does one transfer rights of sexual safety to women in India when for all these years (at least 45 years) of active campaigning by govt and NGOs on transfering power to women in reproductive rights have failed. Women are unable to control contracpetion, right to terminate repetitive pregnancies or have safe methods to control fertility. Largely the question is the right to negotiate sexuality within a marriage. Part of the reason many years ago we abandoned our work on reproductive rights and moved to sexuality (including working with men) because it all boils down to negotiating power and perceiving their sexual space/health/safety as autonomous rights.
God Aachi it is such a long and complex road and one which is now postively scary with
the HIV epidemic looming over all else.

Posted by

Jasjit
  on January 8, 2006 08:14 AM

very nice post , aachi..paradoxical it may seem, so much of technology and media of awareness awareness available and yet.....a couple of women have recently taken their husbands to court on this issue...on the other hand, while there is a general feeling that education makes a difference, I would beg to differ on teh extent of it's impacts....deep seated conditionings are more overpowering than conditionings of education, as i have often observed...regular pub and discotheque and dance bar hopppers that I have known who cpome from affluent and educated cross -sections often find it a display of the masculinity to get into unprotected sex...infact, if i am not mistaken , it actually works at a premium cost in many commercial facilities...

Posted by

  on January 8, 2006 09:05 AM

Aachi great post. Ditto Jasjit it always boils down to female sexuality. Sundar its true, more than education its about empowerment and about how you perceive yourself and hence your sexuality.

This post Aachi reminded me about this extremely frightening trend amongst homosexuals called Giving the Gift. There are apparently gift takers and gift givers and the gift is HIV. There are men who want to get infected and there are men who want to get you infected. I'm going to do a piece on this soon. The deeper you go into sexuality the more you see what a can of worms it truly is.

Posted by

Anusheh
  on January 8, 2006 09:52 AM

Jasjit,

you are right. The situation is very complex and the solution to it probably more.

Bringing in legislation to punish the guilty who have sex despite being aware of their positive status might just be a drop in the ocean. Increasing awareness another drop.

As sundar and anusheh have said probably deep seated conditioning plays a very important role...but how do you root it out...how much time do we have taken the size of the epidemic?

I personally feel it is very tough battle which will be won eventually for the very reason that humanity has faced such epidemics through the ages. What HIV is today, Tuberculosis was a century ago...probably much worse...but we were able to tackle it...

I hope we are able to tackle this too...

Posted by

Aachi
  on January 8, 2006 12:08 PM

Hello all,

Well, may be things are changing, slowly but surely. I read in the paper some time back that women are now taking charge of their husband's sexual lives. They are beginning to take their (sexually) incapable husbands to doctors, describing the problem to them (while the husband quietly listens)and even ready to file for divorce if the problem cant be solved!

Talk about womens' empowerment!

Posted by

Shubhosree
  on January 8, 2006 12:34 PM

But shubhosree,

Why all the burden on the woman? First they have to deal with their own sexuality and now even with their husband's?

I think the epidemic has come this far because of the silence that has been (and still to certain extent is being) maintained when it comes to men's sexuality. THat silence needs to be broken like the silence in women's sexuality has been.

Posted by

Annie
  on January 8, 2006 10:17 PM

Dear Annie,

I am sorry if I wasnt clear enough. I certainly would not endorse the idea of women taking on double the pressure. The point I was trying to make by sharing this piece of info was simply that the women are finally coming out of their inhibitions and are finding the strength to decide and choose for themselves a life that works for THEM. To be able to know what they want out of a relationship, to say NO to what doesnt work for them, in my view, is quite a brave step forward, considering the silence (as you rightly point out) that has been extant for so long now.

But of course there is a long long way to go still ....

Posted by

Shubhosree
  on January 9, 2006 10:12 AM

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