Now a day, AIDS is increasing all over the world in a huge position. No country could successfully deal with it. It becomes a very unique position in some African countries like Uganda, Gayer, Cambodia and Sub Sahara region etc. Some East Asian countries are also affected by this. In South Asia, a country like India is the second largest country in the world for HIV/AIDS. There are 5.1 million people who are carriers or suffer from it. It will be the main reason for our country’s vulnerability to HIV/AIDS. Because we have to depend on that country for various reasons.

Mainly our internal business totally depends on it. There are many ways in which we head to India. Burma is another neighboring country that already has a large number of people affected here. AIDS surveillance specialist Mr. Parvage Shajjad Mollik said: “There are so many cultural values ​​and socio-economic systems that are responsible for this increase like this, poverty and illiteracy are also responsible for this increase. This indicator is not completely responsible but it helps to change behaviour. So if we want to prevent this at the beginning, we need to focus on trying to change sexual behaviour. We were successful in finding out our vulnerable target groups and why they become vulnerable.”

HIV/AIDS is a sexual disease, but it differs from other sexually transmitted diseases (STDs, STIs). Other STDs have the right medicine and these diseases do not create a cause of death, but AIDS is very dangerous, there is no alternative way to survive after infection, it can end life. We found that the first vulnerable group in Bangladesh is the injection drug user (IDU) and the second is the professional sex worker. There are many reasons why UDIs are increasing every year across Bangladesh.

It is easy to reach every place in Bangladesh and more joyful than others is the main reason for this; other reasons are political and socioeconomic frustrations. Fourth surveillance report last year was about 4% IDU infected with HIV/AIDS in whole Bangladesh but after one year we see Dhaka city area increase to 8.9%, this report we get from fifth surveillance survey. This ratio will cloud our social norm and can help hinder our economic condition. Our country is very poor so we are not able to deal with a large number of patients like this disease.

So we have to take the necessary measures to prevent it from increasing. We need various levels of advocacy campaigns to raise awareness about HIV/AIDS. We need to promote gender/reproductive health education, which not only prevents HIV/AIDS but also helps prevent other STDs/STIs (sexually transmitted diseases). We can influence our government educational authority to include details about HIV/AIDS in the curriculum at our primary and secondary level.

Gender education is essential for adolescent boys and girls in our country. This education can play a vital role in empowering our illiterate society. It can help develop our teenager in proper knowledge. Religious superstition and fundamentalism prevent getting this kind of education from childhood. But this knowledge is very important for mental and physical development, it can help their social interaction, social behavior, reproductive health and sanitation, sexual behavior, to be able to adopt all kinds of social change, to be aware of their rights, etc. Individually, a lack of knowledge of these can create other problems.

We also increase the level of peer education for professional sex workers, peer educator means a group of people or individuals who are taken from the target group or brothel to give them proper training. After training they are able to educate others.

We need to adopt TGP (Target Group Promoter) strategy for residence or other sex worker. It is highly affected by residential sex workers or hidden sex workers. TGP is a newly invented idea (tested by Rainbow Nari O Shishu Kalyan Foundation) that helps prevent HIV/AIDS. TGP is a type of source/middleman/sealer (called in Bengali is Dalal), who gathers clients/clients for residential sex workers; they encourage people to buy sex. Without TGP (her designated source), the resident sex worker does not allow any new clients. TGP will play a vital role in our action. Residential Sex Workers (RSWs) live together from three to ten in a house. They carry on their business under a Guidance or Governance or a Team Leader (called Sharderni in Bengali).

These team leaders communicate with some local people, who help them by delivering customer or customer, these people are called source (in Bengali it is called Dalal). They depend on each other. Sometimes these sources protect them from local unforeseen events or from police harassment. If we could continue this action, then TGP will play a very important role. Because domiciliary sex workers do not stay long in a house, they change houses after three to six months, but they always keep in touch with their source (TGP) to continue their business. For this reason, TGP is a very important program.

In some areas, a group of drug users use a syringe when they take drugs. It is very dangerous to increase HIV/AIDS. Therefore, we must try to alert them and advise them that two or more drug users do not use drugs with a syringe.