Access to information and education
26. The African Commission wishes to emphasise the importance of information and education on
HIV prevention for women, in particular adolescents and youths. States Parties must guarantee
information and education on sex, sexuality, HIV, sexual and reproductive rights. The content must
be evidence-based, facts-based, rights-based, non-judgemental and understandable in content
and language. This information and education should address all taboos and misconceptions
relating to sexual and reproductive health issues, deconstruct men and women’s roles in society,
and challenge conventional notions of masculinity and femininity which perpetuate stereotypes
harmful to women’s health and well-being. This should be pursued in line with the Maputo Plan of
Action as well as articles 2 and 5 of the Protocol.
27. States Parties should provide educational programmes and access to information concerning
HIV, including through sex education and public awareness campaigns, on available health
services responsive to all women’s realities in all contexts including those mentioned under
paragraph 14 above. In addition, States Parties should ensure that educational institutions (primary
and secondary schools), include HIV and human rights issues in their curricula. These should
include HIV risk and transmission, prevention, testing, treatment, care and support and sexual and
reproductive health and rights of women. States Parties must also ensure this education reaches
women and girls in informal school systems including faith-based schools, as well as those out of
school.
28. States Parties are obliged to provide appropriate pre-service and on-going in-service training
for health providers and educators, including community based health care providers, on health
and human rights.
Access to sexual and reproductive health services
29. Ensuring availability, accessibility, acceptability and quality sexual and reproductive health care
services for women is crucial. Therefore, States Parties have the obligation to ensure
comprehensive, integrated, rights-based, women-centred and youth friendly services that are free
of coercion, discrimination and violence.
30. The African Commission is concerned about the limitations on and insufficient access to
women’s sexual and reproductive health services including access to prevention choices and
methods, STI and HIV prevention skills, and access to treatment. States Parties must guarantee
available, accessible, affordable, comprehensive and quality women-centred HIV prevention
methods, which include female condoms, microbicides, prevention of mother-to-child transmission,
and post-exposure prophylaxis to all women not based on a discriminatory assessment of risk.
31. States Parties should also ensure that health workers are not allowed, on the basis of religion
or conscience, to deny access to sexual and reproductive health services to women as highlighted
in this document.
32. States Parties should integrate women-centred prevention methods with other services,
including family planning, reproductive health, primary health care services, HIV and STI testing,
antiretroviral treatment programmes and antenatal care. More equitable availability and access to
prevention methods such as female condoms should be promoted and ensured by having
adequate and sustainable planning, funding and distribution, together with the provision of new
prevention technologies or methods. To this end, States Parties should ensure on-going funding for
research.
Enabling legal and policy framework
33. The African Commission recognises that an enabling legal and policy framework is intrinsically