In his recent state of the Union address, the President of the United States, George W. Bush, announced a 15-billion dollar five-year commitment to address HIV/AIDS in Africa and the Caribbean. This large, but still insufficient amount of funds is aimed at preventing seven million new infections of HIV in both targeted regions. However, the question is who, and what, projects will benefit from the promised US funds? As Khopotso Bodibe reports, delegates at the African Women'€™s Sexual and Reproductive Health Rights (AMANITARE) Conference, held in Johannesburg recently, grappled with this question.

In an attempt to understand the nature and spread of HIV, experts have shifted attention from classical epidemiology to a socio-political analysis. In contrast with the developed world, the number of women with new infections in Africa are increasing, exceeding that of men by around two million. There is enough anecdotal evidence that factors linked to under-development such as gender inequity and that are characteristic of the developing world are intricately linked with increased vulnerability to HIV/AIDS. An analysis of the spread of HIV/AIDS in Africa shows that its heightened prevalence amongst women can be traced to patriarchal ideology so prevalent in parts of Africa. Khopotso Bodibe of Health-e News Service, explores this system and its grave consequences.