HIV/AIDS:
Double
Discrimination for Women in Dominican Republic
Dalia Acosta
HAVANA, (IPS) - Rosa Polanco was in the hospital in the Dominican
Republic, being treated for a liver disease, when she was illegally
tested without her consent for HIV, the AIDS virus.
But perhaps the worst thing about it was not finding out that she was
living with HIV, but how she was informed, and the consequences of the
disclosure of her status to her family.
''There was one doctor, very rude. He said `What you have is AIDS,
because you weren't careful', in front of my'' two young daughters.
Polanco, 34, lost her job and was thrown out of her home by her mother,
who would not let her touch her own daughters.
She now lives
alone in a wooden shack without sanitation, water or electricity in
a slum neighbourhood on the outskirts of the city of Santiago in the
northern part of this Caribbean nation, which shares the island of
Hispaniola with Haiti.
''Many people live in this kind of housing in the Dominican
Republic, but Rosa lives there only because she is a woman testing
positive for HIV,'' said Marianne Mollmann, the Americas Researcher
in the Women's Rights Division of Human Rights Watch (HRW).
According to a new HRW report, ''In the export-processing zone and
tourism industry, which are the two main employers of women,
employees and job seekers are routinely subjected to mandatory HIV
tests.
''Those who test positive are generally fired or denied employment.
This has a particularly negative impact on women, who are more
likely than men to know they are HIV-positive, and who already are
severely underrepresented in the formal workforce.''
Mollmann is the author of the 50-page report 'A Test of Inequality:
Discrimination Against Women Living With HIV in the Dominican
Republic,', which was presented Tuesday by the New York-based human
rights group.
Women as well as men living with HIV suffer stigmatisation and
discrimination in Dominican society due to ignorance regarding the
transmission of the AIDS virus and the myths surrounding the
disease, said Mollmann.
''But women suffer doubly, because they are often blamed for
infecting their partners, who abandon them. They are also frequently
the victims of (domestic) violence,'' as well as mistreatment in the
health system and the workplace, Mollmann told IPS in an e-mail
interview.
Polanco is just one of the more than 60 women who described similar
experiences to HRW researchers when the study was carried out early
this year in several Dominican cities.
An estimated 61,000 women in the Dominican Republic, a country of
8.5 million, are living with HIV or suffering full-blown AIDS,
according to the joint United Nations HIV/AIDS programme (UNAIDS).
The study, conducted by Mollmann and Janet Walsh, deputy director of
the Women's Rights Division, documents a large number of human
rights violations against women living with HIV/AIDS -- within the
family, the public health system, and the workplace.
''These abuses are the government's responsibility,'' Mollmann said
at the presentation of the report.
She stated that although the Dominican government has implemented
important HIV/AIDS programmes, it has failed to take seriously the
link between the vulnerability of women and the spread of the
epidemic.
It has also failed to enforce existing mechanisms aimed at combating
violations of the human rights of women living with HIV/AIDS,
including a ban on carrying out involuntary AIDS tests among workers
and on divulging the results, Mollmann added.
HRW recommends that president-elect Leonel Fernández Reyna, who will
take office Aug. 16, make the protection of the rights of women a
central feature of the new government's national plans for the
prevention and treatment of HIV/AIDS.
With political will, things could begin to change, if the new
government finds the way to make good use of the 40 million dollars
assigned to the Dominican Republic this year by the Global Fund to
Fight AIDS, Tuberculosis and Malaria, says the report.
Haiti and the Dominican Republic have the highest rate of HIV/AIDS
in the Caribbean: two percent of the population. As of late 2001,
women accounted for 51 percent of all cases.
AIDS is the main cause of death among Dominican women between the
ages of 15 and 49. UNAIDS estimates that more than 70 percent of new
HIV infections are the result of sexual relations in heterosexual
couples.
''The social bias'' that requires that women be ''faithful and
(which holds them) ultimately responsible for their husband or
long-term partner's infidelity compounds the fear felt by many women
of being known to be HIV-positive,'' says the HRW report.
''This fear is further propelled by the prevalence of domestic
violence,'' the fourth cause of death among women in the Dominican
Republic in 2000, according to government sources.
A 2002 survey by Measure DHS+, which assists developing countries in
the collection and use of data to monitor and evaluate population,
health, and nutrition programmes, found that 27 percent of adult
women in the Dominican Republic had suffered physical, sexual or
emotional abuse at the hands of their husbands or stable partners.
DHS+ also found that a 19-year-old woman in the Dominican Republic
was three times more likely to say she had been subjected to an AIDS
test than a man of the same age.
Among adults under 40, two-thirds of Dominican women said they had
been subjected to an AIDS test, compared to less than 40 percent of
men.
Companies in export-processing zones, the tourism industry and the
service sector in the Dominican Republic, which hire large numbers
of women, often require that employees and job applicants undergo
AIDS testing.
Many women stop seeking work out of fear of ostracism or of being
abandoned by their husbands if the test results were to come back
positive and were disclosed to their families without their
permission.
Women in the Dominican Republic are also frequently subjected to
AIDS tests without their consent when seeking prenatal care in the
public heath system.
The report states that the HRW researchers ''also spoke to a number
of HIV-positive women who said they had been sterilised because of
their HIV status without receiving full information about their
rights and choices, and thus without their informed consent.''
In addition, women testing positive for HIV are often denied
adequate health care.
Isabel Guzmán, a 21-year-old mother of two, told the HRW researchers
that after giving birth, ''I had to clean myself alone. They did not
clean the baby. My mother cleaned him...One nurse did not want to
inject me. She told my mother she did not want to'' because I was
HIV-positive.
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