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Procedures relating to a women’s sexual and reproductive health (SRH), performed without consent, including forced sterilisation, forced virginity examinations and forced abortion, also deter women from accessing services.15 In some cases, healthcare providers do not fully understand laws around childbirth and HIV.This can lead to women choosing to have an abortion because they are misinformed about their options and how to protect their health as well as their child's.16 Additionally, in 29 countries women require the consent of a spouse or partner to access SRH services.17 A lack of access to comprehensive HIV and SRH services means that women are less able to look after their sexual and reproductive health and rights (SRHR) and reduce their risk of HIV infection.When we hear about examples in the news, we think, maybe the child misinterpreted it? We think ‘it can’t be that harmful for the child’, but research shows it is for people when they realise what happened. “People tend to go, ‘it can’t be that bad’, and ‘cor...lucky him’, especially if it’s an attractive teacher,” says Dr Hetherton.It would seem to be a pretty confusing time to be a college student, at least as far as sex is concerned.The sexual revolution has been won, and many campuses resemble great drunken bacchanals in which men and women can choose to participate in no-strings-attached, or at least few-strings-attached, experimentations in lust — sex without stigma or shame.HIV is not only driven by gender inequality, but it also entrenches gender inequality, leaving women more vulnerable to its impact.13 In some countries, women face significant barriers to accessing healthcare services.

Dr Hetherton explains: “These women feel they’re inducting the person into a loving relationship.What sexual behavior is considered promiscuous varies between cultures, as does the prevalence of promiscuity.Different standards are often applied to different genders and civil statuses.In Russia, for example, the number of young women living with HIV aged 15-24 is double that among men of the same age.10 This epidemic unfortunately remains an epidemic of women.11 HIV disproportionately affects women and adolescent girls because of their unequal cultural, social and economic status in society.12 Intimate partner violence, inequitable laws and harmful traditional practices reinforce unequal power dynamics between men and women, with young women particularly disadvantaged.

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