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Gender-based violence and HIV infection: Overlapping epidemics in Brazil

Kristin Kay Gundersen's picture
Also available in: العربية | Español | Français

One woman is victimized by violence every 15 seconds in Brazil, with a total of 23% of all Brazilian women experiencing violence in their lifetime. There are many notable consequences affecting victims of gender-based violence, yet many health consequences of violence have not been widely addressed in Brazil. This leads to the question: Are victims of gender-based violence at a higher risk for HIV infection in Brazil?
 
Brazil has 730,000 people living with HIV, the largest number in Latin America and the Caribbean. Brazil is also one of 15 countries that account for 75% of the number of people living with HIV worldwide. Although the HIV epidemic in Brazil is classified as stable at the national level, incidence is increasing in various geographic regions and among sub-groups of women.
 
Rates of violence against women (VAW) are particularly high in the Southeastern and Southern regions of Brazil. These regions also have the highest HIV prevalence, accounting for 56% and 20% of all the people living with HIV in Brazil, respectively. Violence and HIV in Brazil are clearly linked, with 98% of women living with HIV in Brazil reporting a lifetime history of violence and 79% reporting violence prior to an HIV diagnosis.
 
Despite these statistics, there is limited research in Brazil examining VAW in relation to HIV. Accordingly, a bi-national collaboration of researchers from the University of California, San Diego, University of Campinas, São Paulo and the University of Rio Grande do Sul, Porto Alegre developed an innovative study to investigate these intersecting epidemics.
 
The focus of the study is in the regions of Brazil with the highest rates of VAW and highest prevalence of HIV: São Paulo in the Southeastern region and Porto Alegre in the Southern region.
 
The aims of the research were to describe the contextual factors of violence victimization among women in Brazil and to examine the association with HIV infection.
 
The study merged two population-based studies with identical sampling methodologies conducted in the São Paulo and Porto Alegre, Brazil. Women ages 18-49 years were sampled from public health centers, including 2,000 women from São Paulo and 1,326 from Porto Alegre. These women were administered surveys that gathered extensive data on violence victimization and social-ecological factors on access to preventative health services.

The data revolution continues with the latest World Bank Innovation challenge

Marianne Fay's picture
Also available in: 中文

On September 22, 2016, we launched the World Bank Big Data Innovation Challenge – a global call for big data solutions for climate resilience and sustainable development.

As the world grows more connected--through mobile phones, social media, internet, satellites, ground sensors and machines—governments and economies need better ways to harness these data flows for insights toward targeted policies and actions that boost climate resilience, especially amongst the most vulnerable. To make this data more useful for development, we need more data innovations and innovative public-private arrangements for data collaboration.

The World Bank Big Data Innovation Challenge invites innovators across the world to reimagine climate resilience through big data solutions that address the nexus areas of food security and nutrition, and forests and watersheds – high priority areas of the World Bank’s Climate and Forest Action Plans and the UN Sustainable Development Goals.

Invisible wounds: Mental health among displaced people and refugees

Patricio V. Marquez's picture

Mural of Emiliano Zapata and Displaced Mexican Campesinos by Diego Rivera, Palacio de Cortés, Cuernavaca, Mexico

The plight of forcibly displaced people, who are fleeing conflict and violence, is best summed up by the lyrics of the plaintive 1970 classic by Argentine troubadour Facundo Cabral:  "No soy de aquí ni soy de allá"("I'm not from here nor there").

Those lyrics convey both the sense of uprootedness felt by those displaced from their native lands and habitual routines, and the feeling of “otherness,” emotional detachment, and powerlessness when relocated to foreign surroundings and societies, which in some cases, are unwelcoming to outsiders.

Combating poverty and building resilience through social protection

Michal Rutkowski's picture
Also available in: Français | العربية | Español | 中文
Beneficiaries from a safety net program in Madagascar, most of them women, receive regular cash grants and training on nutrition, early childhood development and leadership skills. Photo by: Mohamad Al-Arief / World Bank

In the last few decades, we have seen an increase in the number of countries investing in social protection programs. These programs help individuals and families especially the poor and vulnerable cope with crises and shocks, invest in the health and education of their children, supporting young people by developing their skills and finding jobs, and protecting the aging population.

#ItsPossible to End Poverty

Christine Montgomery's picture

Ending poverty is within our reach. The percentage of people living in extreme poverty has more than halved since 1990, thanks to the sustained efforts of countless individuals, organizations and nations. 

Show us how #ItsPossible.

Progress creates opportunities to address exclusion: Observations from the 4th LGBTI Human Rights Conference

Nicholas Menzies's picture
Also available in: Español
Foto: Andrés Scagliola, Intendencia de Montevideo
Photo: Andrés Scagliola, City of Montevideo

While many of the struggles that LGBTI people face are all too familiar – violence, stigma, discrimination – we’ve just returned from the fourth Global LGBTI Human Rights Conference in Uruguay full of stories of positive change.  We’re invigorated about the increasing potential for the Bank to be a valuable partner to our clients and LGBTI citizens around the world.

Arab reality show tests humanity and empathy

Bassam Sebti's picture


It’s Ramadan and the Arabic TV channels are festooned with shows that vary from recurring popular soap operas, cooking and competition shows — but one has become the talk of the town.

Al Sadma, or The Shock, the Arabic version of the popular American show What Would You Do, is a reality TV prank show. But it’s not like many other tasteless reality shows that invoke fright and even terror, it is a show that invokes morality and examines humanity.

Jobs: The fastest road out of poverty

Sri Mulyani Indrawati's picture
Also available in: Español | العربية | Français | 中文

A worker at the E-Power plant in Port-au-Prince, Haiti. © Dominic Chavez/World Bank

For the first time in history, the proportion of people living in extreme poverty has fallen below 10%. The world has never been as ambitious about development as it is today. After adopting the Sustainable Development Goals and signing the Paris climate deal at the end of 2015, the global community is now looking into the best and most effective ways of reaching these milestones. In this five-part series, I will discuss what the World Bank Group is doing and what we are planning to do in key areas that are critical for ending poverty by 2030:
 good governance, gender equality, conflict and fragility, preventing and adapting to climate change, and, finally, creating jobs.

Good jobs are the surest pathway out of poverty. Research shows that rising wages account for 30 to 50% of the drop in poverty over the last decade. But today, more than 200 million people worldwide are unemployed and looking for work — and many of them are young and/or female. A staggering 2 billion adults, mostly women, remain outside the workforce altogether. In addition, too many people are working in low-paying, low-skilled jobs that contribute little to economic growth. Therefore, to end poverty and promote shared prosperity, we will need not just more jobs, but better jobs that employ workers from all walks of society.

In the poorest countries, an acute climate risk

Sri Mulyani Indrawati's picture
Also available in: Español | Français | العربية | 日本語

A man walks through a flooded rice field. © Nonie Reyes/World Bank

For the first time in history, the number of people living in extreme poverty has fallen below 10%. The world has never been as ambitious about development as it is today. After adopting the Sustainable Development Goals and signing the Paris climate deal at the end of 2015, the global community is now looking into the best and most effective ways of reaching these milestones. In this five-part series I will discuss what the World Bank Group is doing and what we are planning to do in key areas that are critical for ending poverty by 2030: good governancegender equality, conflict and fragility, preventing and adapting to climate change, and, finally, creating jobs.

Seawater is rising in coastal Bangladesh. The soil contains more and more salt as the sea encroaches on the land. As a result, farmers see their crops declining. Communities are hollowing out, as working-age adults move to cities. Freshwater fish are disappearing, reducing the amount of protein in local diets. And in the dry season, mothers have to ration drinking water for their children – in some areas, to as little as two glasses a day.
 
Climate change is finally being taken seriously in the developed world, but it is generally seen as a future threat, to be managed over the coming years.  For poor people in poor countries, particularly those living along coastlines, in river deltas, or on islands, it is a clear and present danger – and increasingly, a dominant fact of life.

Healthy living for healthy societies and stronger economies

Bassam Sebti's picture
Also available in: العربية | Español | Français

The cigarette puffs surrounded the 18-month-old boy as he stood next to his chain-smoking grandparents in the living room, while a 3-year-old girl fetched a can of Pepsi-Cola from the fridge in the kitchen. Just across in the dining area, a 7-month-old boy was being fed a creamy, sugary, chocolate cake, while a bunch of other kids were playing “house” in the front yard by actually eating unlimited number of chocolate bars, cake, and chips while drinking soda.

I could not believe my eyes. Observing these behaviors as a parent myself, it seemed like I was watching the slow death and diseases haunting these children for the rest of their lives.

It has always been like this, but I had never noticed it until I moved out of Iraq and became a parent. I grew up in a place where the unhealthy lifestyle was not a major concern. There are many other, more pressing concerns people there tend to worry about — and rightfully so — than what they eat and drink.

However, what people in my war-torn home country may not realize is that it’s not only car bombs that can kill them. Cigarettes, junk food, and soda can too.

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