God, AIDS, Africa & HOPE

Reflections / Gedanken

Strategic goal of UNAIDS by 2015: 2.Vertical transmission and maternal mortality

UNAIDS strategy goal by 2015:

  • Vertical transmission of HIV eliminated and AIDS-related maternal mortality reduced by half.

The virtual elimination of mother-to-child transmission is possible by 2015. Significant progress has been made in the past decade. Infection rates among children born to mothers living with HIV have declined by 26% from 2001 to 2009.  However, much more needs to be done to prevent mothers from dying and babies from becoming infected with HIV. HIV is the leading cause of mortality in women of reproductive age. Without intervention about one in three children born to HIV-infected mothers will be infected.  UNAIDS calls for scaling up access to and the use of quality regimens and services for the prevention of mother-to-child HIV transmission, ensuring mothers have continued access to HIV treatment, and scaling up access to sexual and reproductive health services and reproductive rights for women and their partners.

More info: www.unaids.org

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

Strategic goal of UNAIDS by 2015: 1.Sexual transmission of HIV

UNAIDS strategy goal by 2015:

  • Sexual transmission of HIV reduced by half, including among young people, men who have sex with men and transmission in the context of sex work.

Sexual transmission accounts for more than 80% of new HIV infections worldwide. It continues to be one of the most difficult modes of HIV transmission to address. The latest data shows that combination HIV prevention is working. Where key behavioural indicators have positive trends related to the risk of HIV infection—condom use, sex before age 15 years—the incidence of HIV infection is markedly reduced. Currently, access to HIV prevention services is limited compared with the share of the burden faced by men who have sex with men, sex workers and transgender people in many parts of the world. There is a lack of sufficient strategic information in these populations. In many cases, policy and legal barriers stand in the way of sufficient programmes to respond effectively to HIV risks. UNAIDS calls for promoting social norms and individual behaviours that result in sexual health, supporting the leadership of people living with HIV for ‘positive health, dignity and prevention’, and scaling up access to prevention commodities and services—especially for people at higher risk. It is to ensure that men who have sex with men, sex workers and transgender people are empowered to both access and deliver comprehensive and appropriate packages of HIV prevention, treatment, care and support services and by ensuring that law enforcement agencies and the judicial system protect their rights.  Also needed is scaled up access to rights-based sexual and reproductive health education and services for young people. And empowering young people to prevent sexual and other transmission of HIV infection among their peers, ensuring access to HIV testing and prevention efforts with and for young people in the context of sexuality education; ensuring enabling legal environments, education and employment opportunities to reduce vulnerability to HIV.

more info: www.unaids.org

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

UNAIDS Press Release regarding the Milleniumgoals

In lead-up to June High Level Meeting, progress report presents overview of efforts needed to help countries achieve universal access to HIV services and zero new HIV infections, discrimination and AIDS-related deaths.

NAIROBI, 31 March 2011—Thirty years into the AIDS epidemic, investments in the AIDS response are yielding results, according to a new report released today by United Nations Secretary-General Ban Ki-moon. Titled Uniting for universal access: towards zero new HIV infections, zero discrimination and zero AIDS-related deaths, the report highlights that the global rate of new HIV infections is declining, treatment access is expanding and the world has made significant strides in reducing HIV transmission from mother to child. Between 2001 and 2009, the rate of new HIV infections in 33 countries—including 22 in sub-Saharan Africa—fell by at least 25%. By the end of 2010, more than 6 million people were on antiretroviral treatment in low- and middle-income countries. And for the first time, in 2009, global coverage of services to prevent mother-to-child transmission of HIV exceeded 50%. But despite the recent achievements, the report underscores that the gains are fragile. For every person who starts antiretroviral treatment, two people become newly infected with HIV. Every day 7 000 people are newly infected, including 1 000 children. Weak national infrastructures, financing shortfalls and discrimination against vulnerable populations are among the factors that continue to impede access to HIV prevention, treatment, care and support services. The Secretary-General’s report, based on data submitted by 182 countries, provides five key recommendations that will be reviewed by global leaders at a UN General Assembly High Level Meeting on AIDS, 8–10 June 2011.

“World leaders have a unique opportunity at this critical moment to evaluate achievements and gaps in the global AIDS response,” said Secretary-General Ban Ki-moon at the press briefing in the Kenyan capital. “We must take bold decisions that will dramatically transform the AIDS response and help us move towards an HIV-free generation.” “Thirty years into the epidemic, it is imperative for us to re-energise the response today for success in the years ahead,” said UNAIDS Executive Director Michel Sidibé, who joined Mr Ban for the launch of the report. “Gains in HIV prevention and antiretroviral treatment are significant, but we need to do more to stop people from becoming infected—an HIV prevention revolution is needed now more than ever.”

Rebecca Auma Awiti, a mother living with HIV and field coordinator with the non-governmental organization Women Fighting AIDS in Kenya told her story at the press conference. “Thanks to the universal access movement, my three children were born HIV-free and I am able to see them grow up because of treatment access,” she said.

In the report there are five recommendations made by the UN Secretary-General to strengthen the AIDS response:

  • Harness the energy of young people for an HIV prevention revolution;
  • Revitalize the push towards achieving universal access to HIV prevention, treatment, care and support by 2015;
  • Work with countries to make HIV programmes more cost effective, efficient and sustainable;
  • Promote the health, human rights and dignity of women and girls; and
  • Ensure mutual accountability in the AIDS response to translate commitments into action.

The Secretary-General calls upon all stakeholders to support the recommendations in the report and use them to work towards realizing six global targets:

  • Reduce by 50% the sexual transmission of HIV—including among key populations, such as young people, men who have sex with men, in the context of sex work; and prevent all new HIV infections as a result of injecting drug use;
  • Eliminate HIV transmission from mother to child;
  • Reduce by 50% tuberculosis deaths in people living with HIV;
  • Ensure HIV treatment for 13 million people;
  • Reduce by 50% the number of countries with HIV-related restrictions on entry, stay and residence; and
  • Ensure equal access to education for children orphaned and made vulnerable by AIDS.

As international funding for HIV assistance declined for the first time in 2009, the report encourages countries to prioritize funding for HIV programmes, including low- and middle-income countries that have the ability to cover their own HIV-related costs. It also stresses the importance of shared responsibility and accountability to ensure the AIDS response has sufficient resources for the coming years.

The report and more information about the High Level Meeting on AIDS can be found online at: unaids.org/en/aboutunaids/unitednationsdeclarationsandgoals/2011highlevelmeetingonaids/

 

Filed under: HIV and AIDS, HIV Prevention, HIV Treatment, Medical and Research, Politics and Society, , , , , ,

First get rid of the relics

Some 144 German Catholic theologians, along with a handful of colleagues from Austria and Switzerland, recently issued a public declaration calling for reforms on matters such as celibacy, women priests and homosexuality. The list of signatories represents roughly one-third of Germany’s professors of Catholic theology. The letter also touches upon lay participation, styles of leadership, the liturgy, and the legal culture of the church. While most bishops and remarkably the secretary of the German Bishops Conference welcomed in principle a debate about burning issues of the church, the chair of the German Bishops Conference, Archbishop Zollitsch set a different tone today writing an article for “Die Welt”.

He questioned the public declaration by saying, that even having benevolence for the authors of the declaration, nobody would think seriously that the list of reforms would lead to a new flourishing church and faith in our days.  For him, the question rather is how to keep alive in our society the question for God and a convincing Christian answer.

I understood the declaration differently and I never assumed that anybody will think that with the requested reforms the church will directly be beamed into a new spring with people flocking to become active Catholics again. But something else would happen: Getting rid of the relics which borders us since ages could free our thinking and acting to follow the question of God and faith in our world. All these topics we discuss in our church since the last century – and it was widely reported that even Benedict XVI in his earlier time signed a declaration lamenting the situation of the church and calling for a rethink of celibacy.

HIV & AIDS are practical examples. We hardly have time to think of new strategies how to approach people in this regard and to change the habits of people because every discussion with the secular world ends that we have to defend the stance on condoms and sexuality. Additional for all those who want to have a career in the church, there is the constant anxiety to keep the official line. This stance has given away lots of credibility – we are simply not relevant anymore in these questions. Reconciling us with modern sciences in these fields and getting rid of the relics would free us to be able to think constructive and to deal honesty with the people concerned. It would enable us to give the answers of the questions of today and space for new considerations and a development of theology and spirituality.

So to answer the question of the article:  how to keep alive in our society the question for God and a convincing Christian answer is to free ourselves from stances which are not essential for the church and to allow then a real debate to answer from a Christian point of view the questions really asked by modern society and its people.

Filed under: HIV and AIDS, HIV Prevention, Reflection, , , , , , , ,

The knives are out at home…

It seems the knives are out in the Catholic church especially of my country of birth and in Europe – everybody wants dialogue but it seems that every fraction is fighting seemingly assuming that their position is the right way into a bright future of the RC church. The permission of the “old tridentine mass” as the extraordinary mass and the remarks of the pope regarding the condom use in the book of Mr Seewald – mixed with the abuse cases, the attempt to change the text of the mass to make it more “latin like” – from outside it looks frightening – fulled by irresponsible essays and news of so-called “catholic” websites in German language lacking every inch of the ethos of Catholicism and using a language rather be found in the times of the thirties of the last century in Germany. The just published declaration of theologian in Germany calling for a review of celibacy, women ordination and viri probati shows that since the II Vatican Council, nothing really has moved in these fields – binding our energy for matters which should have been resolved a long time ago.

If we really want to tackle the issues of the people and the faithful of our times, we have to stop fighting but first of all listening to each other. What energy is burned to hold up a certain ideology in our church or a so-called “tradition” – anxiety instead of freedom, attack and defence instead of listening to God’s good spirit.
And obviously this has also consequences for the topic, this blog is reflecting about. How much energy some put in to defend “Humanae Vitae” in a way which simply made it impossible within the church to develop an answer to the question: protection of life. And as Benedict XVI dared to speak his theological mind not saying anything new – for days the newspaper were full of comments and the Vatican had to issue three statements to interpret the interview of the pope in the right light. And now Vatican sources tell us that there is a new word on HIV/AIDS to expect, looking at it from a Christian perspective.  I hover between hope and despair waiting for this new paper.

I really would like to see a stop on all this navel gazing – how we can serve the people and make their life meaningful, that is the only question we should ask ourselves as members of or church, how we can open ourselves up to God’s spirit without always killing the breeze out of anxiety, stubbornness and a picture of God, which in reality is already outdated when we put it together. Then whoever and where ever God is, I believe that he/she is much more than we ever can think of. And for that, I am indeed grateful.

Serving in the field of HIV/AIDS would mean then to look anew at what sexuality constitutes, what sciences are telling us, how we have developed in the last 100 years. And from there to see how we can create a meaningful and responsible context for sexual activities which also matches the realities of us humans. Seeing how many young people world-wide are still dying we also have to reflect more on what life and death means and how we can learn to speak of a meaningful life, even if it is short. We have to put our view of a “successful” life on the test bench. HIV and AIDS has also to do with evolution, with a virus meeting a new host and being not able to co-exist in a way, other bacteria are living with us since ages.  The questions of justice and peace are also still not solved and I am sure the topic HIV and AIDS with all consequences could contribute immensely towards those questions.

So much to do… to reflect … to get down to business …

Filed under: HIV and AIDS, HIV Prevention, Reflection, Society and living environment, Uncategorized, , , , , , , , , ,

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