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Sunday, October 20, 2013

Avoiding Risks Of HIV/AIDS And Other STD's In Early Marriages

A common belief is that child marriage protects girls from promiscuity and therefore, disease; but some have the belief that the reality is quite different, saying that married girls are more likely than unmarried girls to become infected with STDs, in particular Human Immunodeficiency Virus (HIV) and Human Papilloma Virus (HPV).



 In sub-Saharan Africa, girls ages 15–19 years are 2–8 times more likely than boys of the same age to become infected with HIV.

 The risk of acquiring HIV from a single act of unprotected ----l intercourse is 2–3 times greater for women than men. Globally, the prevalence of HIV infections among women is highest from ages 15 to 24; the risk for men peaks 5–10 years later.

 Marriage by age 20, has become a risk factor for HIV infection for young and adolescent girls, as has been shown by several studies of African populations.

 A study in Kenya demonstrated that married girls had a 50% higher likelihood than unmarried girls of becoming infected with HIV, which the risk was even higher (59%) in Zambia.

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 In Uganda, the HIV prevalence rate for girls 15-19 years of age was higher for married, (89%) than single girls (66%); for those 15-29 years of age, HIV prevalence was 28% for married and 15% for single girls.

 This study noted that the difference between the men and their wives was a significant HIV risk factor for the wives. All of these studies showed that girls were being infected by their partners.

 A hypothesis relevant to this finding is that a young girl may be physiologically more prone to HIV infection because her ----l wall is not yet well lined with protective cells and her cervix may be more easily eroded.

 Risk for HIV transmission also heightened because hymenal, ----l, lacerations increase the transmission rate, and many of these young girls lose their virginity to HIV-infected partner; also, STDs such as herpers simplex virus type 2 infection , gonorrhea, or chlamidia enhance girls’ vulnerability to HIV.

 In Nigeria, the present generation of young people is the largest in the country’s history, which co-incidentally, the highest rate of HIV infection is constantly recorded among this group of young people, who are one of the most vulnerable groups to the disease.

 As Nigerian adolescents begin to engage in sexual relations at a much earlier age than in the past, cases of HIV/AIDS infection are being reported among pre-teenage youths in schools.

 The occurrence of new infections is highest among young people aged 15-24 years, accounting for 40 per cent of new infections in 2006. Having multiple sex partners continues to be recognised as a persistent problem driving the epidemic in the country, especially among adolescent and young people.

 UNICEF revealed that a recent HIV/AIDS school-based survey shows a low risk perception among- school pupils towards contracting the HIV virus, a high tendency to discriminate and stigmatise HIV positive persons and some level of misconception about the mode of transmission of the HIV virus. For instance 26% of respondents thought that mosquitoes could transmit the virus.

 In response to this situation, the Government has developed the Education Sector Strategic Plan on HIV/AIDS and has included HIV-AIDS in the public school’s health curriculum.

 In many parts of the country, some have the belief that traditional values promoting female submissiveness make adolescent girls more vulnerable, because it is difficult for them to refuse sexual relationships.

 In addition, some believe that early marriage for girls remains a common practice in some communities in some parts of the country, as in 2005, the median age at marriage for women in Nigeria was 17, with some regional or religion variations which believe that given out marriage of girls as young as 12 or 10 years protect them from sex- hawking which they believe can easily expose them to the HIV/AIDS diseases.

 This has been described in some parts of the country as worrisome, given the implications on the child bride. Consequences of child marriage include obstetric fistula, infections, HIV, infertility, limited social support and high infant and maternal morbidity and mortality.

 Of recent, an issue of child marriage has almost divided the Senate, as the issue was presented to the floor by Senator Ahmed Sani, which generated a lot of discussions among people in the country and placed the issue along regional and religious lines.

 Sen. Ahmed Sani Yerima while speaking on the controversial issue, said the 1999 Constitution does not provide for any specific age when a girl can be married, but only stipulates that any girl aspiring to be married must attain a full age, saying the constitutional provision is in concord with the Islamic law which states that for a girl to be married she must have attained the stage of maturity and puberty.

 In some parts of the country, some believe that poverty plays a vital role in perpetuating child marriage, as they believe parents want to ensure their daughters’ financial security, or are considered an economic burden, while in other parts of the country, parents worry about ensuring their daughters’ virginity and chastity and also as a protective mechanism against pre-marital sexual activity, unintended pregnancies.

 In 2010, Nigeria, through the National Agency for the Control of Aids (NACA), launched its comprehencive National Strategic Framework, to cover 2010 to 2015, which required an estimated N756 billion to implement, with the aim of reaching 80% of sexually active adults and 80% of most -at risk populations with HIV counseling and testing by 2015, and to ensure 80% of eligible children are receiving ART by 2015, and to improve access to quality care and services to at least 50% of people living with HIV by 2015.

 Despite being the largest oil producer in Africa and the 12th largest in the world, Nigeria is ranked 156 out of 187 on the United Nation’s Development Programme (UNDP), Human Poverty Index, which has meant that Nigeria is faced with huge challenges in fighting HIV and AIDS epidemic.

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