“… if you are `a home-based care worker, what are you going do with it’ if you ask for a glove, they (nurses) are going to ask you? In the event that you inform them regarding the intimate orientation, specially in hospitals, it generates it a little more difficult. ” Alletta, 35yrs old, Durban
The 2 individuals above relate to the ways responses from some wellness providers make individuals feel exposed and on occasion even `deviant’. Such behaviours or attitudes can drive lesbians away and hinder access to solutions, hence placing females at further danger.
In general many medical care professionals had been regarded as really supportive pertaining to look after people coping with HIV. This excluded dealing with an individual’s intimate orientation and history that is sexual. Conversations about individual intimate history were limited by gay and lesbian organisations where many individuals gotten information, care and help. Within these areas, participants may also easily speak about their intimate behavior and intimate identity. Outside such organisations, individuals had been uncomfortable to reveal their intimate orientation as a result of concern with prejudice and stigma:
“I haven’t mentioned that (i am a lesbian) due to the stigma connected with disclosing your sex. A few of the HIV that is( organisations i will be involved in as an example — is just a Christian organisation. Speaing frankly about my sex for them could be so difficult. ” Tambu, 40 yrs old, Zimbabwe
Individuals’ incapacity to communicate about their sex (as a result of concern with stigma and prejudice) also hindered their usage of safer intercourse information and protective means. In most cases, preventative measures had been unavailable, as well as in places where they existed, they’re not easily available.
“When it comes down to intercourse, well that you can’t engage in sex if you do not have money (to buy protection) for us(lesbians) – we don’t have protection available for free, which means. ” Zanele, 31 yrs old, Durban
“Even whenever we (lesbians) desire to use security we do not gain access to it. There are lots of condoms, that are free. I have to see for myself – pop out money from my own pocket and go to a pharmacy to look for something that smells nice – like gloves – not that we can afford things like that when it comes to my life, my side of protection. It creates our everyday lives more susceptible. ” Lesego, 29 yrs old, Pretoria
Individuals reported that despite the fact that they might like to protect their lovers from being HIV infected, this is hard as safer intercourse means are not easy to get at. For folks who have usage of LGBT organisations, dental dams, little finger condoms as well as other types of security had been easily available. Nevertheless, lots of HIV good lesbians lived far from areas where such organisations existed. Their primary wellness facilities were general public clinics and hospitals, which offered male and condoms that are sometimes female. Participants argued that although male condoms may occur, these usually do not look after all lesbian practices that are sexual.
On the basis of the provided qualitative data, our research shows that lesbians aren’t a `no danger’ team. Different facets, some much like other danger facets all women face, can place lesbians prone to HIV disease. Some ladies in this research reported relationships that are sexual males. Numerous reported finding away about their HIV status that is positive these relationships. Rape as well as other kinds of intimate physical violence had been additionally reported as placing lesbians prone to HIV disease. This will be an issue that is major impacts numerous lesbians’ life in Southern Africa and cannot be over looked in terms of HIV danger (Polders and Wells 2004; Reddy, Sandfort and Rispel 2009).
The ladies’s Institute (2009) has noted that the usa Centers for infection Control and Prevention in 2006 identified that “the HIV virus may be sent through bloodstream and menstrual bloodstream, breast milk and genital secretions”. According to these understood techniques of transmission, it may not any longer be assumed that lesbians and women that have intercourse with ladies and whoever intimate play involves these procedures of transmission are in little if any danger. Also, intimate orientation really should not be the foundation upon which danger for STDs is assumed (Workowski and Berman 2010).