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Divinely PositiveDivinely Positive

The Role of People with HIV in

Prevention

Ms Simangele Ncube-

Foundation for Professional Development (FPD)

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I have the rightright…

• Pleasurable

• Enjoyable

• Sexual

• Intimacy

• Children

• Love

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What is positive prevention

� Approach to prevention

� Increase psychosocial well-being

� Encourage solidarity

� Not about blame

� Not about sole responsibility

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“The responsibility for reducing transmission of HIV is a

shared one and there should be no undue burden on

people who are aware of their status. Safer and

responsible sexual behaviour is the responsibility of

all partners – irrespective of status.”

(Alejandra Trossero, IPPF)

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Successful Positive Prevention

� Promotion of SRHR of People living with HIV

� Still many barriers;

� Lack of respect around non-discrimination

� Not recognising aspects of sex and sexuality

� Comprehensive SRHR services

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Discrimination forms

� Forced abortions & sterilisation

� Pressure from health care workers

� Lack of safe abortions services

� Misconceptions about sexual activity

� Laws and policies that violate human rights

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Desires and Lust

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Focus of Positive Prevention

� Focus on the person as a whole

� “HIV positive versus HIV negative”

� Promoted as an empowering concept

� Stigma and Discrimination to be addressed

� Implemented within an ethical framework

� Synergy between prevention, treatment care and

support

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Values to guide positive prevention

� A supportive legal and policy environment;

� Tailored to setting, key populations, and to the

individual;

� Defined by people with HIV

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Principles of positive prevention

� A human rights approach is the foundation of positive

prevention.

� People with HIV must be leaders in the design, programming,

implementation, research, monitoring and evaluation of all

programmes and policies affecting us.

� Preventing HIV transmission is a shared responsibility

� Sexual and reproductive health and rights must be recognised

and exercised

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For positive prevention to be effective, it is

important that positive prevention:

� • requires a supportive and protective legal and policy environment

� • should promote holistic health and wellness, including equitable access

� • must improve and maintain the health and wellbeing of PLHIV

� • should include addressing psycho-social, economic, educational and socio-

cultural vulnerabilities, gender and sexuality.

� • should be responsive to the needs of key populations be tailored to

specific contexts and the diversity among PLHIV.

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