Mobility, Violence and the Gendering of HIV in Papua New Guinea

Lepani, Katherine

doi:10.1111/j.1835-9310.2008.tb00119.x

Cited by 55 publications

(50 citation statements)

References 22 publications

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“…Many researchers as well as those involved in policy and program have agreed that social and structural approaches to preventing HIV become a core element. The key drivers of HIV vulnerability that affect the ability of individuals to protect themselves and others must be addressed in order for communities to respond effectively to the epidemic [34]. Papua New Guinea has key social forces that drive the epidemic.…”

Section: Discussionmentioning

confidence: 99%

HIV Prevention in Papua New Guinea: Is It Working or Not?

Worth¹

2012

WJA

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Introduction: There is a global call for structural approaches to HIV that go beyond awareness and HIV testing to approach prevention work via the social and economic drivers of the epidemic. Papua New Guinea is the epicentre of the HIV epidemic in the Pacific, with an adult prevalence rate of 0.9%. Since 2004, there has been a concerted response to HIV, with vastly increased rates of HIV testing and roll-out of antiretroviral therapy, and considerable funding for HIV prevention. Objectives: While incidence is slowing there are still a considerable number of new infections each year and many commentators are worried that HIV prevention is not working in that country. This article aims to critically examine HIV prevention programs in Papua New Guinea to show whether HIV prevention is effectiveness in reaching those most vulnerable to infection. Methods: Using data from HIV prevention programs and behavioural surveys this article will assess how HIV prevention has been carried out and the effectiveness of those programs. Results: There is little evidence to indicate that HIV prevention in Papua New Guinea, particularly among those most at risk of HIV has been successful. Conclusion: there is a dearth of HIV prevention interventions in Papua New Guinea that go beyond awareness-raising to deal with the structural drivers of the epidemic

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Section: Discussionmentioning

confidence: 99%

HIV Prevention in Papua New Guinea: Is It Working or Not?

Worth¹

2012

WJA

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“…1 Within this context, the emergence of the relatively new category, 'Mobile Men with Money' -referred to variously as MMM, the 3Ms or triple Ms -is of some concern. Over the last few years, the term mobile men with money has been used in various geographical contexts including countries in Asia (Birley, 2005; National Committee for the Control of AIDS, Lao PDR, 2010;Uretsky, 2007Uretsky, , 2008, the Pacific (Connell & Negin, 2010;Lepani, 2008;Maclellan & Mares, 2006) and Africa (Merson, O'Malley, Serwadda, & Apisuk, 2008;PEPFAR, 2012). While seemingly providing a focus for the mobilisation of HIV-related interventions and resources, it suffers many of the problems of other categories discussed, as will be explained.…”

Section: Introductionmentioning

confidence: 99%

‘Mobile men with money’: HIV prevention and the erasure of difference

Aggleton

Bell

Kelly‐Hanku

2014

Global Public Health

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Mobile Men with Money is one of the latest risk categories to enter into HIV prevention discourse. Used in countries in Asia, the Pacific and Africa, it refers to diverse groups of men (e.g. businessmen, miners and itinerant wage labourers) who, in contexts of high population movement and economic disparity, find themselves at heightened risk of HIV as members of a 'most-at-risk population', or render others vulnerable to infection. How adequate is such a description? Does it make sense to develop HIV prevention programmes from such understandings? The history of the epidemic points to major weaknesses in the use of terminologies such as 'sex worker' and 'men who have sex with men' when characterising often diverse populations. Each of these terms carries negative connotations, portraying the individuals concerned as being apart from the 'general population', and posing a threat to it. This paper examines the diversity of men classified as mobile men with money, pointing to significant variations in mobility, wealth and sexual networking conducive to HIV transmission. It highlights the patriarchal, heteronormative and gendered assumptions frequently underpinning use of the category and suggests more useful ways of understanding men, masculinity, population movement, relative wealth in relation to HIV vulnerability and risk.

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“…Equally troubling, this same logic was used to abdicate perpetrator responsibility for sexual assault, including gang rape, or lainups (Banks 2000;Hukula 2012;Lepani 2008). Such acts, acknowledged to be driven by mangal or selfish desire on the part of the man, were still said to be have been brought about by women being 'money-minded'.…”

Section: Violent Merimentioning

confidence: 99%

Securitisation, development and the invisibility of gender

Lusby¹

2017

Transformations of Gender in Melanesia

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Mobility, Violence and the Gendering of HIV in Papua New Guinea

Cited by 55 publications

References 22 publications

HIV Prevention in Papua New Guinea: Is It Working or Not?

HIV Prevention in Papua New Guinea: Is It Working or Not?

‘Mobile men with money’: HIV prevention and the erasure of difference

Securitisation, development and the invisibility of gender

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