HOME • ABOUT US • PUBLICATIONS • NEWS • EVENTS • JOBS & OPPORTUNITIES • CONTACT THE ISS • SUBSCRIBE TO E-ALERT • LINKS • DONATE • 
  HEALTH AND SECURITY
Printer Friendly Version
Print this page

Mounting evidence suggests that the uniformed services are in many ways at the coalface of the HIV/AIDS epidemic, in the sense that they are vulnerable to both contracting HIV/AIDS and serving as agents for its transmission. A number of characteristics have been identified as making military personnel particularly susceptible to infection. Key amongst these are:

  • Demographics: Most military personnel are relatively youthful, with many militaries comprised predominantly of young, single men. Free from family and marital ties, younger personnel may have more partners than their older, married counterparts.
  • Deployment patterns: Military personnel may be posted away from home, where loneliness, boredom and, sometimes, peer pressure may encourage casual or commercial sex. They are also often deployed in socially disrupted settings, where opportunities for casual and commercial sex abound.
  • Work environment: Military personnel also often operate in a high-tension environment, where the need to unwind may not only encourage risky sexual behaviour, but also the use of alcohol and drugs. A culture of machismo, aggression and risk taking in many militaries may also encourage such behaviour.
  • Status and power: With a steady income, personnel are often better off than other people in the communities in which they live and work. In some settings they may also wield considerable power over others. Status and money mean that military personnel attract opportunities for sex, as they are seen as ‘a good catch’ or are able to pay for sex.
  • Occupational exposure: Personnel may also be exposed to infected bodily fluids during the course of their duties.

Reliable estimates of HIV/AIDS prevalence within African militaries are hard to come by. Probable extreme estimates, published by UNAIDS, suggest that prevalence amongst military personnel may be between two and five times that of the general population. The South African military have, on the other hand, indicated that prevalence rates in the South African National Defence Force (SANDF) is only slightly higher than those found within the general South African populace. Even if prevalence is only on a par with that of the general population, country estimates put average adult prevalence at approximately 20% in the SADC region, compared to average prevalence rates of less than 10% elsewhere.

 

Much has been written on the relationship and impact of HIV/AIDS on African armed forces. In early 2001 the UN Secretary General wrote that: “There is now broad acknowledgement that AIDS has become a global development crisis, potentially affecting national security in some countries. Armed conflict and associated population movements provide fertile ground for the spread of AIDS, while the epidemic itself can be seen as a risk factor in the breakdown of social cohesion and in social and political instability, in addition to a threat to security forces.” (1). While the debate has been marked by interesting and useful hypotheses and conjectures, there is little empirical data. The field of HIV/AIDS epidemiology in developing countries, limited by poor data sets at the best of times, is further hindered by the difficulties of obtaining reliable data in situations of conflict and concerns regarding national security.

 

Reliable estimates of HIV/AIDS prevalence within Southern African militaries are hard to come by and the implications for the military is at present almost entirely speculative. It is thus extremely important that effective, comprehensive, forward thinking responses be put in place to mitigate the possible effects of the epidemic on the military.

 

To this end, the Institute for Security Studies (ISS) has embarked on research into the impact of HIV/AIDS on the armed forces of African, as well as developing measures to strengthen the military’s response to the epidemic in South Africa and the region. The MILAIDS project has investigated the impact of HIV/AIDS on selected military forces in Southern Africa with the aim of developing policy options for the mitigation of this impact on the armed forces of the region. The project has also recently completed a scenario-based workshop on confronting the implications of HIV/AIDS in peacekeeping missions in Africa by 2015.

 


 

(1) Report of the Secretary-General, Review of the problem of human immunodeficiency virus/acquired immunodeficiency syndrome in all its aspects, 55th session of the UN General Assembly, p 8, New York, NY.

 

 

DOCUMENTS



  • 17 Feb 2009: ISS Today: South Africa – What Future Without the Scorpions?
  • 03 Sep 2008: ISS Monograph Launch, Pretoria: AIDS and AIDS Treatment in a Rural South African Setting
  • 01 Aug 2008: Monograph No 149: Aids and Aids Treatment in a Rural South African Setting, Jonny Steinberg
  • 07 Jul 2008: ISS Today: Deadly Delay – HIV/AIDS And The Police In Southern Africa
  • 12 Dec 2007: ISS Seminar and Report Launch, Cape Town: A Lethal Cocktail - Exploring the Impact of Corruption on HIV/AIDS Prevention and Treatment Efforts in South Africa
  • 5 December 2007: Trends, Impact and Policy Development on HIV/AIDS and African Armed Forces Conference Proceedings, Edited by Lauren Hutton  (PDF 2.5MB)
  • 03 Dec 2007: ISS Today: Opening the Debate on HIV/AIDS and the Armed Forces in South Africa
  • 02 Dec 2007: ISS Conference, Johannesburg: HIV/AIDS - Trends, Impact and Policy Development Within Armed Forces in Africa, 2-4 December 2007
  • 01 Dec 2007: A Lethal Cocktail, Exploring the Impact of Corruption on HIV/Aids Prevention and Treatment Efforts in South Africa, Transparency International (Zimbabwe), Institute for Security Studies  (PDF 692kb)
  • By Invitation Only:  17 Oct 2007: ISS Conference, Maseru: Policy Challenges for the Management of HIV/AIDS in the Armed Forces in Southern Africa, 17-19 October 2007, Lesotho
  • 29 Aug 2007: ISS Today: US Food Aid ‘May Hurt Recipients’
  • 12 Jun 2007: ISS Today: A Further Perspective On Exclusion Of Potential Recruits Who Are HIV-Positive From Enlisting With The Security Sector In Africa
  • 10 May 2007: ISS Seminar, Pretoria: Male Circumcision and HIV, 10-11 May 2007
  • 29 Apr 2007: Fourth African Conference on Social Aspects of HIV/AIDS Research, Kisumu, Kenya, 29 April - 4 May 2007
  • 25 Apr 2007: ISS Today: "Wisely and Slow; They Stumble That Run Fast" – Male Circumcision as a Preventative Strategy for HIV Transmission
  • 09 Apr 2007: Third Ordinary Session of African Union Conference of Ministers of Health, Johannesburg, 9-13 April 2007
  • 27 Mar 2007: ISS/RBF Conference: HIV/AIDS and Society: Building a Community of Practice, Pretoria, 27-29 March 2007  (PDF 39kb)
  • 14 Mar 2007: ISS Today: 'The Battle of the Foreskin,' Male Circumcision as an HIV Transmission Preventative Strategy and its Implications for the Armed Forces?
  • 15 Dec 2006: ISS Today: Study Says Circumcision Can Halve HIV Risk
  • Commentary:  01 Dec 2006: What We Know About HIV and AIDS in the Armed Forces in Southern Africa, Martin Rupiya  (ASR vol 15 no 4) (PDF 212kb)
  • Commentary:  01 Dec 2006: What We Know About HIV and AIDS in the Armed Forces in Southern Africa, Martin Rupiya  (ASR vol 15 no 4)
  • 01 Oct 2006: The Enemy Within, Southern African Militaries' Quarter-Century Battle with HIV and AIDS, Edited by Martin Rupiya
  • 19 Sep 2006: ISS Today: Zimbabwe Says HIV Rate Declines To 18.1%
  • 31 Aug 2006: ISS Today: ANC: Aids Struggle not Helped by Climate of Discord
  • 08 Aug 2006: ISS Today: 'Promoting Voluntary Circumcision under Safe, Hygienic and Human Rights Sensitive Conditions'. Highlights towards the run up to the XVI International AIDS Conference, 13-18 August, Toronto, Canada
  • 07 Jun 2006: ISS Today: UN Calls for Action to Halt AIDS
  • 06 Jun 2006: ISS Today: UN Strengthens Call for a Global Battle Against AIDS
  • Feature:  01 Jun 2006: Using Public Health Information to Inform, Build Support and Implement Policies for Gun Violence Prevention: A Case Study From the Gun Ban Referendum, Jessica Galeria and Luciano Phebo  (ASR 15 no 2)
  • 20 Feb 2006: ISS Today: Nigeria: Confirms Bird Flu Spread
  • Essay:  01 Sep 2005: War and HIV Prevalence. Evidence from Tigray, Ethiopia, Taddesse Behre, Hagos Gemechu and Alex de Waal  (ASR vol 14 no 3 2005)
  • 01 Jul 2005: ISS Paper 110: AIDS and Elections in Southern Africa: Is the Epidemic Undermining its Democratic Remedy? Per Strand
  • 14 Jun 2005: ISS Seminar, Pretoria: AIDS, Orphans, Crime and Instability: Exploring the Linkages
  • 9 Jun 2005: ISS Seminar, Pretoria: Not Business as Usual: Public Sector Responses to HIV/AIDS in Southern Africa
  • 01 Jun 2005: Not Business as Usual. Public Sector Responses to HIV/AIDS in Southern Africa, Robyn Pharoah
  • 01 Jun 2005: ISS Paper 107: AIDS, Orphans, Crime, and Instability, Exploring the Linkages, Robyn Pharoah and Taya Weiss
  • 26 May 2005: Statement: Launch of the ISS Project on HIV/Aids in the Armed Forces of Southern Africa
  • Africa Watch:  01 Mar 2005: Southern Africa Assessment. Food Security and HIV/AIDS, Mariam Bibi Jooma  (ASR vol 14 no 1 2005)
  • Situation Report:  28 Feb 2005: Southern Africa Assessment: Food Security and HIV/AIDS, Mariam Jooma  (PDF 78kb)
  • 01 Dec 2004: Monograph No 109: A Generation at Risk? HIV/Aids, Vulnerable Children and Security in Southern Africa, Edited by Robyn Pharoah
  • 01 Nov 2004: ISS Paper 96: HIV/AIDS: Policies and Programmes for Blue Helmets, Roxanne Bazergan
  • 01 Oct 2004: SARPCCO Trainer's Guide: HIV/AIDS
  • 01 Oct 2004: SARPCCO Reader: HIV/AIDS
  • 04 Apr 2003: ISS Seminar, Pretoria: HIV/AIDS, Vulnerability and Children: What does it mean for Southern Africa's security?
  • 01 Apr 2003: ISS Paper 71: Healthy Democracies? The Potential Impact of AIDS on Democracy in Southern Africa, Robert Mattes
  • 18 Feb 2003: HIV/Aids in South Africa's Prisons: Reviewing our Policy Option
  • 6 Feb 2003: ISS Seminar, Pretoria: AIDS, Security and Governance in Southern Africa: Exploring the Impact
  • 01 Feb 2003: Monograph No 79: HIV/Aids in Prison, Problems, Policies and Potential, KC Goyer
  • 01 Jan 2003: ISS Paper 65: AIDS, Security and Governance in Southern Africa Exploring the Impact, Robyn Pharaoh and Martin Schönteich
  • Research and Documentation
  • Call for Papers:  ISS Conference on HIV/AIDS: Trends, Impact Studies and Policy Development Within Armed Forces in Africa  (PDF 133kb) (Closing Date: 21 September 2007)


  • Top