Sexual Violence and HIV/AIDS in Sub-Saharan Africa: An Intimate Link

Sexual violence is an epidemic that often overlaps with the AIDS pandemic and is often a cause and consequence of the spread of HIV/AIDS amongst women and girls. Presently, half or more of the 40 million people infected with HIV in the world are women. Millions of those infected are aged 15-24 years and have suffered some form of intimate partner violence. This group accounts for half of all new infections. In sub-Saharan Africa, young women account for 75% of HIV infections and are approximately two-and-a-half times more likely to be infected than young men of the same age (UNAIDS, Report on the Global AIDS Epidemic: 4th Global Report, Geneva, 2004). What makes women, especially girls and younger women, so disproportionately vulnerable to HIV infection, and why have current AIDS control efforts in sub-Saharan Africa largely failed to stem the epidemic in this gender?