Healthy, Responsible and Pleasurable Sexuality: Lesson from PLWHA

By Richmond Tiemoko

Through this edition of the magazine we join the African community in marking World AIDS Day and the fight against violence; especially sexual and gender based violence.

Sexual violence, gender based violence and HIV and AIDS are issues affecting an increasing number of Africans. Thus, many can hardly enjoy their sexual and reproductive health and rights. This situation is not only presenting sexuality as a killer but it is also increasing the burden of sexuality related ill-health. As recently as 2001, the total estimated sexual and reproductive health burden represented nearly a third (31.1 %) of the disease burden in Africa[1]. It is therefore time to join the effort to restore positive sexuality, protect sexual and reproductive health and rights and prevent HIV.

It is widely accepted that the emergence of HIV has provided more opportunities for open discussions of sexuality issues . On the other hand, HIV has somewhat reinforced the over-moralization of sexuality and stigmatization of the sexual being. What has been neglected in this process is the contributions of People Living with HIV and AIDS (PLWHA) to the promotion of responsible sexuality by all members of the society, regardless of their HIV Status.

We at ARSRC believe that PLWHA provide a clue to the promotion of responsible and healthy sexuality. We argue that learning from the sexual lives of positive people will not only contribute to HIV prevention, but also to the practice of responsible, respectful and pleasurable sexuality. This will lead to improved sexual health and well-being. In line with this position ARSRC has embarked on a project to learn and disseminate crucial lessons for healthy and responsible sexuality from the viewpoint of PLWHA. This edition presents the initial findings of the project.

Through this issue, ARSRC intends to join the international community in commemorating the World AIDS day. We at ARSRC think that there are many role models among People Living Positively (PLP) whose lives are worth emulating with regard to issues of health, as well as responsible and pleasurable sexuality.

Lesson 1: Communication between partners.
The interviews provided in this magazine clearly point to the need for open communication between partners. Communication on the sexuality needs of each partner is crucial for providing and getting pleasure and satisfaction. It would definitely reduce sexual violence between intimate partners. As Wangura said ‘I derive sexual satisfaction because it’s a subject I discuss openly with my partner without pretence or hypocrisy’

Lesson 2: Sex (sexual intercourse) should be the icing on the cake because there are other sources of sexual pleasure and satisfaction.
Refusing to have sex with a husband is largely accepted in many countries as a valid reason for wife beating, according to data from the Demographic and Health Surveys. Similarly, sexual violence remains quite common in Africa. The findings of this project suggest that individuals and sexual partners could also explore other sources of pleasure and satisfaction beyond sexual intercourse. Sweet talk, touching, auto-eroticism, companionship and care are all important ways of getting and providing pleasure and satisfaction. These are lessons that we can learn from the experiences of PLWHA.

In sum, responsible and pleasurable sexuality would not only contribute to HIV prevention and the care of PLWHA, but it will also promote sexual health and well-being of the population. As we commence the festive season, let us remember and live the advice given by the Executive Director of Kenya Network of Women with AIDS-(KENWA) - ‘Responsible sexuality involves not exposing yourself or your partner to infection’. And more importantly ‘always, a consensus must be reached between the two parties and sex should be a component of a broader partnership or relationship - the icing on the cake’

Wishing you a healthy and pleasurable festive season!


Reference
[1] Vlassoff M., S. Singh, J. Darroh, E. Carbone and S. Bernstein. 2004 Assessing Cost and Benefits of Sexual and Reproductive Health Intervention. Occasional Report No11. December. Washington, Dc and New York: The Alan Guttmacher Institute.

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