Of ‘prostitutes’ and ‘AIDS people’: Feminization of HIV and AIDS in South-eastern Ghana

In sub-Saharan Africa, more women than men live with HIV and women bear the largest proportion of the burden of care that is due to the epidemic. Only a few studies have documented the precise details of how women in countries with low HIV prevalence became the worst affected by the epidemic. In Ghana, the historical factors that account for high HIV infections among women and the emergence of women-led community-based HIV interventions have been less researched. This paper examines the historical (political-economic), cultural and personal factors that account for the high HIV prevalence in Manya Klo, the area worst impacted by HIV in Ghana. The paper presents the social history of the pandemic in Manya Klo and explains why Klo women are considered to be the sources of HIV in Ghana. It suggests that concentrating interventions on women helps to reduce the impact of HIV and inform national interventions. Women-focused interventions may, however, alienate other groups that can contribute to improving the lives of families affected by HIV. Therefore, women-focused interventions must be planned in a manner that engages multiple stakeholders.Keywords: Manya Krobo, queen mothers, female migration, female sex work, orphans and vulnerable children, community-based HIV initiative