Southern Africa ports as spaces of HIV vulnerability: case studies from South Africa and Namibia

Abstract

There is increasing recognition that in order to respond to the HIV epidemic migrants and mobile populations must be included in national and regional responses. While migration in and of itself does not necessarily contribute to increased risk of HIV infection, some migrants and mobile populations do face increased HIV risk. With its immense coastline and extensive transport industry, Southern Africa provides an excellent case study to examine the HIV risks and vulnerabilities of mobile workers and local communities through port settings. IOM’s research in Southern African ports illustrates why HIV/AIDS policies and programmes must focus on spaces where migrants and mobile populations interact with sedentary populations (including sex workers and other sexual partners) in environments conducive to multiple concurrent partnerships, in order to reduce HIV risk and increase access to treatment, care, and support for all. (Int Marit Health 2010; 61; 4: 233-240)