Thiéllal Réwbé - Increasing the sexual and reproductive health of women in Senegal

Casamance, Rural Community of Médina Cherif
Project Duration: 
01/06/2014 to 30/11/2014
City of Vienna, AIDS LIFE, HOPE'87
Project Description: 

According to the “Demographic and Health Survey IV of 2005” in the Casamance, South Senegal, the HIV-rate of 2% is above national average. Especially the rural community of Médina Chérif is confronted with a continuous deterioration of the sexual and reproductive health of the local population and a constant increase of HIV-infections. This is due to a lack of knowledge and awareness of the disease, its ways of transmission and prevention.

The infection rate is disproportionally higher for adolescents and especially girls. One reason for that is the increased social and biological vulnerability of women and girls that, in developing countries, is increased by their economical dependency on men, their lack of access to education, poverty, sexual exploitation, violence and rape. Furthermore, HIV-positive women are stigmatized as “circulator” of the disease and are often mistreated or expelled from the community.

The overall aim of this project is to increase the sexual and reproductive health of women in Senegal and contributing to the achievement of the MDG 6 (“Combat HIV/AIDS, malaria and other diseases”). By providing knowledge and sensitization regarding HIV/Aids, its ways of transmission and prevention, the projects wants to contribute to the fight against the disease and wants to reduce the social exclusion of HIV-positive people in the rural community of Médina Cherif, region Kolda in South Senegal.

In the frame of the project 7.743 people (4.022 of them women) will be tested for HIV and thus informed about their possible infection status. Special attention is given to cooperation with women and girls in order to strengthen their position in society. Female staff within the project team will give improved access to the female population and the project will build on trust between the staff and the target population.

Expected results of the projects are that 60% of the local population are aware of the methods to prevent infection with HIV/Aids. The risk of infection is reduced by extensive awareness raising and knowledge sharing regarding the disease, its ways of transmissions, its link to promiscuity and possible ways of prevention. Furthermore, the competences of the local health staff are strengthened and they know how to deal with internal and external stigmata.

Cross cutting issues: 

HIV/AIDS, Capacity Building

Project Background: 

According to the national department for statistics and demographics (Agence Nationale de la Statistique et de la Démographie, ANSD, 2008) 12 million people live in Senegal today, 54% of them younger than 25 years. In 2011, Senegal was ranking 155th out of 187 countries on the “Human Development Index” of the United Nations. Some indicators are especially bad for Senegal – life expectancy for example is 59,3 years on average in the country. One of the major causes for this is the lack of basic health and prevention strategies.

The country is also facing problems regarding the spread of HIV/Aids. According to the 2008 WHO report “Epidemiological Fact Sheet on HIV and AIDS‘‘, the infection rate is rising continuously. In the year 2000, there were already about 20.000 Senegalese men and women infected with the HI-Virus. This number has risen up to 65.000 infected people in 2007. Another study of the National Committee in the fight against AIDS (Conseil National de Lutte contre le SIDA, CNLS) from 2011 identifies 84.000 HIV-infected people in Senegal – representing 0,7% of the 15-49 year old population. The infection rate is almost double for women than for men.