HIV & AIDS INFORMATION DEFINITIONS HIV stands for: Human Immunodeficiency Virus HIV is a virus that destroys the body’s ability to fight infections or illnesses. HIV can lead to AIDS. • People can be HIV-positive (have HIV infection), but they are not sick. • HIV can stay in the body for many years before people get sick with AIDS. • People who are HIV-positive can look and feel perfectly healthy for many years. You cannot tell if someone has HIV by looking at them. It is still possible for them to pass on the virus to other people. AIDS stands for: Acquired Immune Deficiency Syndrome AIDS is the different signs, symptoms, infections and illnesses that someone might get because their body is weak from HIV. These illnesses include TB, diarrhoea and other common infections. Because HIV destroys our body’s ability to protect itself, it cannot fight the illnesses and they can eventually kill you. SAFE SEX is: any sexual activity where semen, vaginal fluid or blood do NOT enter each other’s bodies, through the vagina, anus or penis, e.g. masturbation or penetrative sex using a condom. UNSAFE SEX or UNPROTECTED SEX means penetrative sex (penis in vagina or penis in anus) where the semen, vaginal fluid or blood enters the body through the vagina, anus or penis, e.g. penetrative sex without using a condom. page 68 HOW HIV SPREADS UNSAFE PENETRATIVE VAGINAL OR ANAL SEX is the MOST COMMON WAY HIV SPREADS If you have unsafe sex with an infected person, HIV can enter your bloodstream through the vagina, penis or anus. You can also get HIV when HIV-positive blood enters the bloodstream of another person through: • SHARING NEEDLES Sharing needles is a very risky activity and has caused many cases of HIV infection, mainly through injecting drugs such as heroine. • TATTOOING OR SKIN PIERCING HIV can be passed on from one person to another through using the same needles or knives for tattooing, circumcision and body piercing. • MEDICAL AND DENTAL EQUIPMENT Any used needle that has not been properly sterilised or boiled can carry the virus from an infected person to the next user of the needle. • MEDICAL TREATMENT In places where blood is not tested, it is possible to get HIV from HIV-infected blood or blood products used for blood transfusions or in other medical treatment. • PASSING FROM PARENT TO CHILD An HIV-positive mother can pass the virus to her child during pregnancy, during labour, or after delivery through breast milk. The risk is increased if the mother has recently been infected or is already sick with AIDS, because the amount of virus in the blood is high. Passing HIV on to the baby can be prevented though, with medical help. HIV counselling and testing and support from health professionals can prevent HIV passing from parent to child. page 69 HOW HIV DOES NOT SPREAD HIV CANNOT BE PASSED FROM PERSON TO PERSON BY: • Wearing someone else’s clothes or using things belonging to them that they have touched (e.g. towels, bedding, soap, hairbrush) • Living with or sleeping in the same room as a person who is HIVpositive • Hugging or playing with a baby or child who is HIV-positive • Sharing food, cups and plates with a person who is HIV-positive • Looking after the children of adults who are HIV-positive • Blood transfusion, if blood is tested • Kissing an HIV-positive person • Swimming in a swimming pool, river or water hole with an HIVpositive person or people • A person who is HIV-positive coughing or sneezing on you • Through mosquitoes or other biting insects • Caring for someone who has HIV or developed AIDS illnesses, when following basic good hygiene. HOW TO USE A MALE CONDOM Either partner can put the condom on the man. Remember to check the date on the packet. If the date has passed you should not use it, as it may break. page 70 1. Open the packet and take out the condom. 4. Roll the condom all the way down so it covers the whole penis. 2. Hold the tip of the condom between your fingers to push out any air. 5. After ejaculation, remove the condom before the penis becomes soft. Make sure the semen stays inside the condom. 3. Unroll the condom from the tip downwards over the hard penis. 6. Tie a knot to seal the condom and throw it away in a dustbin or bush toilet. Do not put it down flush a toilet. HOW TO USE A FEMALE CONDOM Check the expiry date on the packet (under the flap at the back). Open the packet carefully. Push the condom into the vagina as far as it will go. The inner ring will go inside your body, the outer ring stays outside. Put the female condom into the vagina with your fingers. Use a finger to push up the inner ring until you feel the cervix. Push it up - don’t twist it. To do this: Hold the condom at the closed end and squeeze the ring inside the condom so it becomes long and narrow. With the other hand, separate the outer lips of the vagina. Make sure that the open end of the condom always stays outside the vaginal opening. Guide the penis inside the condom. To take the condom out, squeeze and twist the outer ring, then pull out the condom. Put it in the rubbish bin — do not use it again. Female condoms are gradually becoming more available in the region and give another option for people (especially women) to protect themselves. NEVER RE-USE CONDOMS! Store condoms in a cool dry place out of direct sunlight. LUBRICANTS (TO MAKE WET) You CAN use water based lubricants, which reduce the chances of a condom tearing: ✓ saliva ✓ egg white ✓ water lubricants ✓ bought such as KY Jelly that comes with the ✓ lubricant condom packet Do NOT use oil-based lubricants as they can cause condoms to break down. DO NOT USE the following: ✘ Butter or margarine ✘ Fish oil ✘ Alcohol Coconut oil, baby oil or ✘ massage oil ✘ Petroleum jelly (Vaseline) page 71 HIV TESTING HOW DO YOU FIND OUT IF YOU HAVE OR DON’T HAVE HIV? The only way to find out if you do or do not have HIV is to have a blood test from a doctor or nurse at a clinic or hospital. The test is called an ‘HIV antibody test ’. HOW DOES THE TEST WORK? When germs like a virus enter our body, our immune system reacts by making ‘soldiers’ (antibodies) that help fight germs. When HIV enters the human body special antibodies are made, but over time these are killed by HIV. The HIV test looks for these antibodies. It takes most people about three months to develop enough antibodies that can be seen in an ‘HIV antibody test’. The three-month period is called the ‘window period’. If the test is positive, another test will be done to confirm the result. The information you provide and the test result are private and confidential - only you and the health workers involved need to know the result. Counselling, or a discussion about the test and what it means for you, should also be part of the test. WHERE CAN I GO FOR TESTING? You can get information on HIV testing from some local health clinics, hospitals or private doctors. A health worker, like a doctor, nurse or midwife, may recommend HIV testing to you, but the final decision to test for HIV should always be voluntary (it’s your decision). WHY BE TESTED? To encourage you to stay negative, by taking responsibility and having safe sex in future. If you are positive, with a health worker you can keep a close eye on your health and get treatment when you need it.
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