God, AIDS, Africa & HOPE

Reflections / Gedanken

Worth reading..

Another look into the world or print today with worthwhile news and interesting articles:

The scares of Manhood tells the story of “proving manhood, alcohol and peer pressure of a South African youngster. Click here

Statistics about condom distribution, vaccinations and TB in South Africa are found here

Read about the reduction of bacterial vaginosis and other vaginal threats here

LGBT to be killed like mosquitoes – so the Gambian President Yahya Jammeh in an televised address. More here

Outrage about the imminent enactment of the Anti-Homosexuality Bill in Uganda which will also undermine HIV prevention. Read more here

Motsoaledi announces free new contraception in South Africa – more info here

The Roman Catholic Church is starting to reflect on families – read here what blunt assessment the Japanese bishops have on this topic

Enjoy the read.

Filed under: Catholic Church, General, HIV and AIDS, HIV Prevention, HIV Treatment, Medical and Research, Networking, Politics and Society, Reflection, Religion and Ethics, Society and living environment, Uncategorized, , , , , , , , , , , , , , , , , , , , , , , ,

State of the Nation Address

Yesterday was the big day – the state of the nation address was delivered by President Jacob Zuma – a colorful event and full benches – everybody seems to have the urge to show off their importance and what’s best in the wardrobe at home. Tastes and styles are indeed different, but important was what the President had to say about the state of the nation.
Experiencing service delivery protests all over the country, being plagued by mining strikes, a free-falling rand at times, scandals like Gupta, Nakandla and so much more, one would have expected a speech facing the realities and encouraging the people and politicians to tackle these obstacles and showing light at the end of the tunnel. Maybe too much expectations.
What I heard was a summary of 20 years one party rule  – only striving on some of the issues without addressing them proper or offering any solution. The repeated promised for millions of jobs sounded empty – to bring the service delivery protests in connection with success of the ruling party, so that only those not attended to are protesting was somehow genius and unbelievable at the same time.
HIV was mentioned – the words “resistance” and “cracking health system” I didn’t hear nor did I hear about the plight of TB especially in the Western part of the country.
I asked myself how a president perceived to be corrupt can talk about rooting out corruption. I hoped to hear that word “Wingfield” and housing to acknowledge that since years the government stalls efforts to give national land away for housing projects of the province.
I must say, I was disappointed about the performance, contents and tone was at no time encouraging – it sounded like the German slogan “weiter so” – just continuation of the situation as is as there is anyhow nobody else who could take over.
The state of the nation address is about a government set into a democratic onset – I would have expected some words about the working of parliament, how democracy can be developed further and that stones in the hand of protesters are no valid arguments to avoid other parties toi-toi.
So according to the President the last 20 years period of time was a success story – which is in part true as the country has not encountered civil war or similar. But maybe it was not because of the government but despite the government. I acknowledge that governing in our world coming from a liberation and struggle background may be tough and mistakes are made. But why did I not hear any meaningful reflection on what might be wrong, why not admitting that there are challenges ahead we only can solve if all spheres of government and all political players, be it the ruling party or the opposition plays its role.
As a president it is his task to encourage people of the country to go for more democracy and to explain that violence is not a political argument.
Let’s face it: the country is in turmoil in the moment – also attributed to election time – and it feels there are more challenges than achievements. Even if this is just a feeling, it would have been nice to be addressed. I had the feeling that we saw a President who will have to struggle to survive the next 5 years in office. The coming time will be full of surprises, but there is no doubt that on the 7th of May the ANC will win again the majority.

Working in the fields of HIV and AIDS, which has had its success stories in the last years without doubt, we need an environment where those stories can succeed and new ones added. For that we need a stable country, less corruption also in the health sector and an end to service deliver protests which stops people from attending clinics and taking their life saving medications. We need proper housing outside wetlands to prevent TB and proper sanitation to avoid Cholera, Typhus and other diseases. So politics plays a vital role for the health of its citizen and for an NGO, the rule of law and a proper partnership with the state authorities based on mutual understanding and not just “like and dislike depending on party affiliation” is needed.

Filed under: General, Politics and Society, Reflection, Society and living environment, Uncategorized, , , , , , , , , , , , , , , , , , , , , , , , , , ,

Gloves are off?

The clock is ticking and the preparations for the synod of the bishops to discuss family and marriage matters are in full swing. Some churches publish their findings on the questionnaire, others treat it as a sort of highly secretly exercise. Some parts of the hierarchy asked frankly those called the laity, others compiled answers without elaborating on the ways how they did it. In Germany it seems that the topic is highly contested. Cardinal Marx from Munich made it very clear that in the question of divorced and remarried couples, the church must be able to consider all their options. This was in answer to soon-top-be Cardinal Mueller in Rome, who insisted already upfront that nothing can be changed at all. Only to be reprimanded by an South American Cleric in the same rank that there is more to it than just dogmatic insistence. The Diocese of Freiburg published a guideline for the possibility in some instances for a blessing of a second marriage and communion for those who are divorced and remarried. Which obviously drew flag from Mueller in Rome again, who insisted that people living in a second marriage are living in sin and therefore are excluded from Holy Communion.
Such debates are not new – I remember that  then Bishop of Rottenburg – Stuttgart and now Cardinal Kasper, then Bishop and now Cardinal Karl Lehmann from Mainz as well as Archbishop Oscar Saier from Freiburg published a letter to the faithful on the 10th of July 1993 declaring that in case of a remarried divorce, the priest must find out in a talk “whether that, what is right in general, also applies for the situation of the couple concerned”. It’s the simple question of oikonomia, one of the acknowledged traditions of the Orthodox church through all ages till today which is in principle also recognized in the Roman-Catholic Church, but not for marriage cases. Oikonomia means that there is a law (like the marriage is for ever) but it acknowledges that humans can fail and for the greater good of the people involved and because of the unconditional love of God to be experienced through the church, there is a solution to start anew without denying the general rule.  The Orthodox church requires a time of penance and acknowledgement of failure before allowing the new marriage. And I think it’s right so: Couples tend to think that love never ends when they get married and it is for most horrible to experience failure and the ceasing of love. There is need for a time of reflection, soul-searching before restarting life again. So saying that there is only the Roman Catholic alternative of being faithful to the letter of the law is cheating the people of alternatives which have proven their value through 2000 years without compromising faith. In 1993 the reaction of then head of the department for doctrine, Cardinal Ratzinger was sharp and direct: He found the Bishops being unfaithful and in opposition to the teaching of the church and that was end of the story. Thanks God times have changed and at least it is allowed in church now to think again – at least in most parts of it.

Bishop Ackermann from Trier, one of the younger bishops in Germany made his standpoint quite clear in a series of interviews. After the German Bishops Conference published parts of the finding of the laity for the synod, the Bishop was asked about sex before marriage, contraception, same-sex marriage and the question of divorce and remarriage. He stated that not every sexual act before marriage can be considered a great sin, the question of distinguishing between “artificial contraception” and ‘natural contraception” is in his opinion artificial itself. Even on the question of same-sex partnerships he clearly stated that there is no way of conducting a marriage as understood by the church, but he admitted that he would not refuse to  bless a same-sex couple, if they would come up for a blessing in one of the services dedicated to couples and their love ending with a personalized blessing for each couple. I guess it is a sensitive answer, it shows that there is acknowledgement of love between to people independent from their sexual orientation, but it makes at the same time clear, that there is a difference how church and theology defines marriage and the state defines it. Same sex partnerships are not a marriage in a sacramental way as understood by the church – I often think if the church would put all the energy it takes to fight the state on same-sex partnerships instead would put into supporting marriage and family life in parishes it would surely look better on this side.  Church and state are different entities with different definitions of certain aspects of life which indeed can be lived next to each other without fighting. I read once a quote from Cardinal Napier which stated that civil partnerships have nothing to do with the church. Right so, if that is the case don’t fight them. But I also have to admit that I still don’t like the word “same-sex marriage” – same rights yes, but create another word, less burdened with a long tradition leading, yes asking for debates dividing people unnecessarily.

Following the internet debates on all those topics it seems that the gloves are off and all parties concerned are anxious to get their message through. It shows how divided the church is on that topic and that in the last 30 years the rift was covered up through tough measures against anybody even asking the right questions. Academic theologians were to scared to research freely as they had to fear not to get into teaching with the blessing of the official church. Doctrine was everything – but times have changed and as a bishop in South Africa put it: “We are allowed to think again and to debate questions without fear”. This is indeed a step in the right direction and I only hope that all this debate ends up not with winners and losers but with the unconditional love of God being personalized in those leading the church so that everybody can see and experience that faith is an assistance to life and not a constant headache.

Filed under: Catholic Church, General, Politics and Society, Reflection, Religion and Ethics, Society and living environment, Uncategorized, , , , , , , , , , , , , , , , , , , , , , ,

PreP – one does not hear a lot about it…

“We don’t know the side effects of this drug. It’s too expensive. Insurance won’t cover it. It hasn’t been studied enough. It will encourage slutty behavior. And why the hell don’t people just use condoms?”
Sounds familiar? That has been the objections raised to the oral contraceptive progesterone (“The Pill”), approved by the FDA 54 years ago. And it seems that with Truvada as an alternative method to prevent a HIV infection it started similar. Pre-exposure prophylaxis would add to more sexual contacts, critics claimed and they painted the picture of orgies and inhibited sex lives. In an article at TheBody.com Mark S King tries to tackle all those concerns and to come up with a new assessment about the drug and its benefits and disadvantages as a prophylaxis.
To read more go to TheBody.com.

Damon L Jacobs from New York tackles this topic from a more practical side. He decided to take Truvada as PrEP since 2011 and reports on his findings in an article on this blog. As he is also a psychotherapist and safe sex educator in NY and SF it is indeed an interesting read. For more go to the blog.

The question is obviously whether PrEp would also function in South Africa and what the financial implications would be, if insurance companies and even government would consider this to be offered on a wider scale. This is certainly up to a debate which we have to start sooner than later.

Filed under: General, HIV and AIDS, HIV Prevention, HIV Treatment, Medical and Research, Reflection, , , , , , , , , , , , , ,

Philip Seymour Hoffman death is speaking volumes

Another actor dead as a result of drug use; it seems that celebrities and public persons have more possibilities to entertain drug use, even confessing to it, getting clean only to start all over again. Fame seems not to translate into a happy life but into depression and yearning for more and the ultimate kick. All those stories tell us about a tragedy of being put on a pedestal and the assumption, that money and VIP treatment creates happiness in life. From Withney Houston, Amy Winehouse to Heath Ledger and Chris Kelly – they all tell the story of stars  at the end not able to connect to real life; and personalities, whose need for excitement, paired with unlimited finances and so-called VIP friends brought on a lifestyle that often breeds addiction.
It leaves the question what really carries us through life? Is it money, fame or at the end such simple things like love, good friends, a lover holding on to the person even in bad times?
For me such tragedies show how life can be wasted by slipping into an artificial life style often fostered by the need to have again and again a new story for all these celebrity magazines which live and strive of the curiosity of its readers.  So at the end it is the mixture of extreme personalities and perceived society demands which creates the need for drugs and prescribed medication leading to early death.
How far away is from this the daily struggle of those we cater for at HOPE Cape Town. It seems so far away, but at the end, it boils down to the same human experience: anxiety, yearning for love and acknowledgement, the feeling of loneliness and the cry for help in one or the other way. Celebrity person in Hollywood and a person in the townships of Cape Town:  when it comes to emotions, there is a certain similarity for sure.

Filed under: General, Reflection, Society and living environment, Uncategorized, , , , , , , , , , , , , , , , ,

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