The birth of reproductive health: a difficult delivery.

In 1994, the landmark "Cairo Conference" on population and development promised reproductive health for all. Ten years later, what has been achieved

Sex & hijab: gairah dan intimitas di dunia arab yang berubah

Buku ini melukiskan dengan sangat detail kehidupan seksual masyarakat Arab yang terjalin erat dalam agama dan tradisi, politik dan ekonomi, serta gender dan generasi. Inilah catatan yang sangat personal dan jenaka dari seorang perempuan untuk memahami lebih dalam intimitas masyarakat Arab, yang tak lain asal-usulnya sendiri. Seks & Hijab menampilkan informasi terbaru dan segar tentang sejarah seksual di dunia Arab: dari tabu seks pranikah sampai urusan suami-istri di tempat tidur: dari perdebatan ihwal pendidikan seks dan aborsi hingga perbincangan perihal single parent tanpa nikah; dari booming seks komersial sampai perjuangan kaum heteroseksual. Buku ini sama sekali tidak menceritakan apa yang salah di dunia Arab. Ia hanya mengisahkan apa yang benar-benar terjadi: bagaimana masyarakat Arab mencari solusi atas problem mereka, dan pada saat yang bersamaan berusaha mempertahankan kebenaran agama dan budaya mereka. Berdasarkan riset yang sangat panjang, investigasi penulisnya memberikan hasil yang informatif, mendalam, dan menarik tentang isu yang sangat sensitif dan sebagian besar masih tabu untuk diperbincangkan oleh masyarakat Arab

HIV incidence and impact of interventions among female sex workers and their clients in the Middle East and north Africa: a modelling study.

BACKGROUND: The incidence of HIV infection among female sex workers and their clients in the Middle East and north Africa is not well known. We aimed to assess HIV incidence, the contribution of heterosexual sex work networks to these numbers, and the effect of interventions by use of mathematical modelling. METHODS: In this modelling study, we developed a novel, individual-based model to simulate HIV epidemic dynamics in heterosexual sex work networks. We applied this model to 12 countries in the Middle East and north Africa that had sufficient data to estimate incidence in 2020 and the impact of interventions by 2030 (Algeria, Bahrain, Djibouti, Iran, Libya, Morocco, Pakistan, Somalia, South Sudan, Sudan, Tunisia, and Yemen). Model-input parameters were provided through a systematic review of HIV prevalence, sexual and injecting behaviours, and risk group size estimates of female sex workers and clients. Model output was number of incident HIV infections under different modelling scenarios for each country. Summary statistics were generated on these model output scenarios. FINDINGS: Based on the output of our model, we estimated a total of 14 604 (95% uncertainty interval [UI] CI 7929-31 819) new HIV infections in the 12 countries in 2020 among female sex workers, clients, and spouses, which constituted 28·1% of 51 995 total new cases in all adults in these 12 countries combined. Model-estimated number of new infections in 2020 in the 12 countries combined was 3471 (95% UI 1295-10 308) in female sex workers, 6416 (3144-14 223) in clients, and 4717 (3490-7288) in client spouses. Contribution of incidence in heterosexual sex work networks to total incidence varied widely, ranging from 3·3% in Pakistan to 71·8% in South Sudan and 72·7% in Djibouti. Incidence in heterosexual sex work networks was distributed roughly equally among female sex workers, clients, and client spouses. Estimated incidence rates among female sex workers per 1000 person-years ranged from 0·4 (95% UI 0·0-7·1) in Yemen to 34·3 (17·2-59·6) in South Sudan. In countries where HIV acquisition through injecting drug use creates substantial exposure for female sex workers who inject drugs, estimated incidence rates per 1000 person-years ranged from 5·1 (95% UI 0·0-35·1) in Iran to 45·8 (0·0-428·6) in Pakistan. The model output predicted that any of the programmed interventions would substantially reduce incidence. Even when a subpopulation did not benefit directly from an intervention, it benefited indirectly through reduction in onward transmission, and indirect impact was often half as large as the direct impact. INTERPRETATION: Substantial HIV incidence occurs in heterosexual sex work networks across the Middle East and north Africa with client spouses being heavily affected, in addition to female sex workers and clients. Rapid scaling-up of comprehensive treatment and prevention services for female sex workers is urgently needed. FUNDING: Qatar National Research Fund (a member of Qatar Foundation), the Biostatistics, Epidemiology, and Biomathematics Research Core at the Weill Cornell Medicine-Qatar, Qatar University-Marubeni, the UK Medical Research Council, and the UK Department for International Development

Status of the HIV epidemic in key populations in the Middle East and north Africa: knowns and unknowns.

The Middle East and north Africa is one of only two world regions where HIV incidence is on the rise, with most infections occurring among key populations: people who inject drugs, men who have sex with men, and female sex workers. In this Review, we show a trend of increasing HIV prevalence among the three key populations in the Middle East and north Africa. Although the epidemic continues at a low level in some countries or localities within a country, there is evidence for concentrated epidemics, with sustained transmission at considerable HIV prevalence among people who inject drugs and men who have sex with men in over half of countries in the region with data, and among female sex workers in several countries. Most epidemics emerged around 2003 or thereafter. The status of the epidemic among key populations remains unknown in several countries due to persistent data gaps. The HIV response in Middle East and north Africa remains far below global targets for prevention, testing, and treatment. It is hindered by underfunding, poor surveillance, and stigma, all of which are compounded by widespread conflict and humanitarian crises, and most recently, the advent of COVID-19. Investment is needed to put the region on track towards the target of eliminating HIV/AIDS as a global health threat by 2030. Reaching this target will not be possible without tailoring the response to the needs of key populations, while addressing, to the extent possible, the complex structural and operational barriers to success

Political Islam and Non-Muslim Religions - A Lesson from Lessing for the Arab Transition

Hardly any region has recently captured the global geopolitical imagination as much as the Arab world after the so-called Arab Spring and very likely no state more so than Egypt. Finally it seemed that democracy was coming to the region, that this would spell the end of radical Islam, and of any local aspirations of creating Islamic states, and mark the beginning of a rapprochement between East and West. This article analyses and links those dynamics, with particular reference to the transition process in the wake of the so-called Arab Revolution, and gauges what may be at stake for members of non-Muslim faiths. It particularly traces the rift between theoretical Muslim discourse about Islamic tolerance towards other faiths and its implementation or the absence thereof in practice. It concludes that so far no real progress has been made and that, for the relationship to evolve, Islam needs to proceed to a state in which it sees itself as no more than an equal to other religions. The recognition of its tradition-based nature and of the consequences that flow from such a realization for the treatment of its fundamental sources, the Qur'an and the Sunna, will be addressed. To evaluate the current situation and the outlook, we shall use the example of the famous eighteenth-century German play by Gotthold Ephraim Lessing, Nathan the Wise, about the occupation of Jerusalem by Saladin