ICW GLOBAL - MEMBERSHIP

To improve the situation of women living with HIV and AIDS throughout the world, we need:

1. Encouragement and support for the development of self-help groups and networks.

2. The media to realistically portray us, not to stigmatise us.

3. Accessible and affordable health care (conventional and complementary) and research into how the virus affects women.

4. Funding for services to lessen our isolation and meet our basic needs. All funds directed to us need to be supervised to make sure we receive them.

5. The right to be respected and supported in our choices about reproduction, including the right to have, or not to have, children.

6. Recognition of the right of our children and orphans to be cared for and of the importance of our role as parents.

7. Education and training of health care providers and the community about women's risk and our needs. Up-to-date and accurate information about all the issues for women living with HIV/AIDS should be easily and freely available.

8. Recognition of the fundamental human rights of all women living with HIV/AIDS, particularly women in prison, drug users and sex workers. These fundamental rights should include employment, travel without restriction and housing.

9. Research into female infectivity, including woman-to-woman transmission,and recognition of and support for lesbians living with HIV/AIDS.

10. Decision making power and consultation at all levels of policy and programmes affecting us.

11. Economic support for women living with HIV/AIDS in developing countries to help them to be self-sufficient and independent.

12. Any definition of AIDS to include symptoms and clinical manifestations specific to women.

MEMBERSHIP FORM
ICW Global is the only international network aimed at and made up by HIV+ women. We created the network in 1992 when we still had more questions than answers, when we felt lonely and quite sad. Together everything was different. And every girl, adolescent, young woman and woman living with HIV that joins makes us stronger.

What at the beginning was a project full of hope, slowly started to grow. We built a space when facing the lack of support and information available. We trained. We learnt to organize ourselves. We managed to have our voices heard. We got to the spaces where decisions that affect our lives are taken.

Providing an answer to HIV is a constant task part of our daily life. We invite you to get to know the 12 Statements which are the foundations of ICW Global, and if you share them you can join us. You will be welcome. We will find affection, happiness and the necessary strength to move forward without ever losing the smile.

According to our principles, ICW Global membership is individual, free and open to all the women living with HIV. Your details will be kept confidential.

For other women, men and groups, there is the FRIEND category.

We are expecting you!
PLEASE READ CAREFULLY BEFORE COMPLETING AND FILLING THE FORM
I would like to join ICW Global as a Member (only woman living with HIV).*

YES NO
IF Not (please indicate which category of membership you are requesting):

Friend of ICW Global supporters of our work and those with friends and/or family members with HIV) Positive women's organization Network of PLWHIV Organisation
First Name*
Family Name
Birthday
Month Day Year
Address where you can receive our correspondence
Post code/ZIP code
Town
Country*
Telephone
- Area Code Phone Number
FAX
- Código de área Número de teléfono
E-mail*
Additional contact information:
Members and Friends:
Are you open about your status?

YES NO
Are you also living with a co-infection (i.e., TB, Hep C…) and if so which?
Are you involved with a + women's network and/or HIV related organization

YES NO
If Yes, which?
What is your gender?

Female Male Other
In which language would you like to receive information from ICW?

English French Spanish Others
Do you want to share your name and address to relevant organizations that works in the field of AIDS?

YES NO
We will send the information via e-mails – unless otherwise indicated by ticking box
We would really like to know more about your experiences of living with HIV. Please use this space to tell us about your daily life, work, opinions, particular concerns, family or other areas of life that you would like to share with us.

If you would like to tell us more, please attach another sheet of paper!

We would really like to know more about you. We would so much want to involve members in advocacy activities, programs and many times we receive requests from our partners for persons with specific skills and expertise to support their work. In this case, information about a recommended member has to be shared beyond the person managing this information at the secretariat. This shall however happen with members consent.
Please, indicate whether you are happy for the information you write here to be:
Included in ICW Global publications

YES NO
Put on the ICW Global website (accessible to anyone with internet access)

YES NO
Shared with staff only

YES NO
Partners

YES NO
Members in the region and Internationally

YES NO
Publically

YES NO
We would also like to know what areas of HIV and related issues are of particular interest to you and why.

Violence against women (VAW) Access to Care, Treatment, Access to Medication Sexual and Reproductive Health / Rights Commercial Sex Work Migration/Mobile populations GIPA Women in Prisons and Other institutions Income Generation Children and HIV Adolescents and HIV Issues of Sexual Identity Drug and Alcohol Use New Prevention Technologies Co-infection/s Income Generation Conflict and Flight from Home Religious Issues Disability and HIV Peace
Can you tell us something about your interest/experience in these areas? If you would like to tell us more, please attach another sheet of paper!
For involvement, engagement purposes, what areas would you like to be engaged in (if you could highlight areas where you have expertise, are skilled and experienced.
What is your native language? Please specify
What other languages do you speak? Please specify
Please be assured that this information is treated as private and confidential
Should be Empty:

2011 ICW GLOBAL - Bartolomé Mitre 811 Piso 2 (C1036AAO), Buenos Aires, Argentina - Tel-Fax: +54 (11) 4328-2879 / +54 (11) 4328-2293
Email: info@icwglobal.org - Communications Department: press@icwglobal.org

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