United States Leadership Against Hiv/Aids, Tuberculosis, And Malaria Act Of 2003
Mr. Speaker, I want to take this time to thank Chairman Hyde and ranking member Lantos for being the driving force behind such an important bill, H.R. 1298, United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003.…
Mr. Speaker, I want to take this time to thank Chairman Hyde and ranking member Lantos for being the driving force behind such an important bill, H.R. 1298, United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003. I would also like to commend the President for his leadership on this issue. I hope that other countries and their leaders follow his leadership on HIV/AIDS. This bill embodies true leadership on the part of the United States, dramatically increasing the U.S. participation in addressing the pandemic that is ravaging whole regions and millions of people. This unprecedented bill acknowledges
our moral responsibility to address the pandemic that has already resulted in the deaths of millions. I am so proud to be a part of this legislation, this distinguished body and this country.
H.R. 1298 contains a provision of mine included in the committee markup which my good friend, the gentlewoman from California (Mrs. Napolitano), offered for me as a member of that committee. While much attention is being paid to preventing mother-to-child transmission, we must turn to addressing the needs and rights of the child to grow up with parents so that millions more are not orphaned before he or she can even walk.
My language gives priority preference for Federal funds to groups that are currently administering a privately funded program to prevent mother-to-child transmission and provide lifelong care and treatment in family-centered programs so that children do not grow up as orphans. This would benefit programs by letting them hit the ground running, to treat immediately as many people as possible. My language benefits programs such as the MTCT-Plus Initiative, which is administered by Columbia University's Mailman School of Public Health. The MTCT-Plus Initiative is supported by United Nations Secretary-General Kofi Annan and the First Ladies of Africa and has $50 million in funding from several private philanthropic foundations, including the Bill and Melinda Gates, the William and Flora Hewlett, the Robert Wood Johnson and other foundations.
Family survival programs like the MTCT-Plus Initiative are critical to address the issues of millions of children orphaned by HIV/AIDS on a scale unrivaled in history. In sub-Saharan Africa, family and societal structures are breaking down because of the deaths of a generation of parents. The number of children in the developing world who have been orphaned by the AIDS pandemic will nearly double from 13.4 million to 25.4 million by the end of this decade. Today, 5.5 million children in Africa have lost both parents, and in most cases at least one of them, to AIDS; and that number will rise to 7.9 million by 2010.
Again let me thank the chairman and the ranking member for their leadership.
Older women are also profoundly affected since the responsibility for caring for the supporting grandchildren orphaned by AIDS infected parents often falls on the shoulders of the elderly.
Thank you again, Chairman Hyde and Ranking Member Lantos, for agreeing to include my amendment, and thank you too, to Congresswoman Napolitano for offering my amendment during the Committee markup.
Mr. Speaker, I also offered an amendment on the floor which was accepted that concerns Section 314 which calls for a pilot program of assistance for children and families affected by HIV/AIDS. My amendment requires that pilot program to ensure the importance of inheritance rights of women, particularly women in African countries, are included in this program. The relationship of the denial of inheritance rights for women, increased HIV/AIDS infection in women and the resulting exponential growth in the numbers of young widows, orphaned girls, and grandmothers becoming heads of households needs to be further studied and documented. My language does just that.
This is necessary because a majority of those infected by HIV/AIDs in African are women of all classes, ethnic groups, and levels of education. Women with AIDS are condemned to an early death when their homes, lands, and other property are taken. They not only lose assets they could use for medical care, but also the shelter they need to endure this disease.
The failure to ensure equal property and inheritance rights upon separation or divorce discourages women from leaving violent marriages. HIV risk is especially high for women in situations of domestic violence, which often involves coercive sex, diminished ability to negotiate with partners for safer sex, and impeded women from seeking health information and treatment.
In some places, widows are forced to undergo sexual practices such as ``wife inheritance'' or ritual ``cleansing'' in order to keep their property. ``Wife inheritance'' occurs when a male relative of the dead husband takes over the widow as a wife, often in a polygamous environment. ``Cleansing'' usually involves sex with a social outcast who is paid by the dead husband's family, supposedly to cleanse the woman of her dead husband's evil spirits. In both of these rituals, safe sex is seldom practiced and sex is often forced. Such women are at increased risk of contracting and spreading HIV.
For example, there are areas of Kenya where the wife inheritance and cleansing practices have created an alarmingly high rate of HIV/AIDS infection. Fully 22 percent of the population between ages 15 and 49 in the Nyanza province are infected, and 35 percent of ante-natal women in one district within that province are infected. Girls and young women in the Nyanza province are infected at six times the rate of their male counterparts.
Finally, in the last Congress Representative Eva Clayton and I introduced H. Con. Res. 421, recognizing the importance of inheritance rights of women in Africa, and its relationship to the HIV/AIDS pandemic. I have also chaired two briefings on this issue. Our resolution was very strongly supported by this body. It had 90 original cosponsors with bipartisan support. My amendment today to the underlying bill includes the crux of H. Con. Res. 421, which I have reintroduced as H. Con. Res. 158.
Thank you so much for putting H.R. 1298 on a fast track to present to the President for his signature. I look forward to the next step of actually ensuring that H.R. 1298 receives funds in the appropriations process giving this authorizing bill the teeth it needs to prevent infection and provide real relief to those suffering under the HIV/AIDS pandemic abroad.