God, AIDS, Africa & HOPE

Reflections / Gedanken

27.10.2009 The state of the health care system in SA

An insight into the health system of South Africa is given by the following article published by IOL and spread throughout the country – this article speaks for itself:

South Africa’s public hospitals are in a bleak state with failing equipment, a lack of basic consumables and dwindling numbers of doctors, Parliament heard on Wednesday.  Professor Bongani Mayozi, the head of internal medicine at the University of Cape Town, told the portfolio committee on health it was taking up to three days for patients to get a bed in a public hospital. “It takes about 24 hours a day for us to put 50 percent of people into a bed,” he said. “These people are sitting on a chair or lying on a trolley. They are very sick. They need to be admitted. Some people wait up to three days to get into a bed. “We regard this situation as completely unacceptable. Something that you would not wish on your mother or father.” Mayozi said surgical lists in many centres had been cut, equipment had not been renewed and there had been an overall decrease in tertiary level beds. The capacity to train new doctors had also been severely diminished. “When you go to war you need troops. You can’t fight a war without soldiers.”
South Africa is producing 0.58 doctors per 1 000 people, he said. Brazil and Mexico, with a similar gross domestic product per capita, are producing nearly two doctors per 1 000.
“As a result of this South Africa’s infant mortality rate is a lot higher than it should be and more people are dying from infectious diseases,” he said. Mayozi said the situation had arisen due to an “increasing demand” with “diminishing resources”. “When one looks at the reasons for the lack of progress, they are not difficult to find. They are related to under-investment to our public health sector over the past 15 years.” Andries Stulting, the acting head of the school of medicine at the University of the Free State, said the province’s health care situation is in a dire position. “There is a collapse of systems in the Free State. TB, HIV, primary health care, hospital services, training platforms, research, you name it, we are declining.  “We can’t do elective surgery anymore. Patients with hernias and cataracts. They don’t seem to be emergencies, so we cannot operate. People go blind and people can’t do their work.  “We don’t have basic things like eye pads, eye shields, medications… or should we keep quiet because we can be reprimanded?
“I hope I can give you some good news, but at the moment there is none.” –

Filed under: HIV Treatment, Medical and Research, Politics and Society, Reflection, Society and living environment, Uncategorized, , ,

27.10.2009 … and in Africa..

JOHANNESBURG – AFP reports: — African leaders were urged Thursday to increase efforts to end HIV infections among children and women, in the world’s worst affected continent.

Speaking at the launch of the Campaign to End Pediatric HIV-AIDS, activist Graca Machel said that only two countries in Africa spent a target of 15 percent of their budgets on health. “You tell me next time we meet how much is being spent in wars and defence…but how much is being spent in health, how much is being spent in agriculture to produce food for our kids,” Machel told delegates. Sub-saharan Africa is home to 1.8 million of the world’s two million children infected with the virus that causes AIDS. Mother-to-child prevention and treatment coverage currently averages 30 to 40 percent against a target of 80 percent. “We need the international community to commit, to meet their obligations, but we have to show commitment ourselves no matter how small our budgets might be,” said Machel, who is married to South Africa’s Nelson Mandela and a member of the group of senior statespeople known as The Eld”We will not get there when African leaders do not get moved, they do not get moved by the hundreds of thousands of people who are dying on this continent when we know that this can be prevented,” she said.

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

27.10.2009 In between in Europe…

Press Release European Commission:

A strategy for combating HIV/AIDS in the EU and neighbouring countries 2009-2013

Today, the Commission has renewed its efforts to fight HIV/AIDS in the EU and neighbouring countries by adopting a strategy for the period 2009-2013. Effective HIV treatment exists but there is still no cure or vaccine against AIDS. The number of people living with HIV/AIDS in the EU and neighbouring countries has increased from 1.5 million in 2001 to 2.2 million in 2007. Approximately 730,000 of these people live in the EU. With 50 000 newly diagnosed HIV cases in the EU and the neighbouring countries alone in 2007, there is no time for complacency. Disparities exist between the numbers of HIV cases and the different modes of transmission across Europe. The strategy tackles these differences by concentrating on 3 key areas: HIV prevention and HIV testing, priority groups most at risk of HIV and priority regions. The strategy is accompanied by an action plan which illustrates concrete steps, target groups and evaluation tools that can be used to measure progress.

EU Health Commissioner Androulla Vassiliou said “We need to continue the political momentum in the fight against HIV/AIDS. We need to encourage people to take responsibility for themselves and their partners by talking about and practicing safe sex and going for HIV testing. However, this needs to go hand in hand with the respect for the human rights and non discrimination of people living with HIV/AIDS. We have treatment options today that can delay the outbreak of AIDS for many years”.

Objectives

The overall objectives of this Strategy are: (i) to reduce new HIV infections across all European countries by 2013, (ii) to improve access to prevention, treatment, care and support and (iii) to improve the quality of life of people living with, affected by or most vulnerable to HIV/AIDS in the European Union and neighbouring countries.

The strategy calls on all key actors including national authorities and NGOs to work on:

  • improving information for all, especially targeting young people who have missed the successful HIV communication campaigns in the past
  • addressing migrants from countries with a high prevalence of HIV to make them knowledgeable on preventing transmission, HIV testing and treatment options
  • improving policies targeting, in particular, the populations most at risk, emphasising human rights, and addressing discrimination and stigma associated to HIV/AIDS

Priority regions

HIV infections are particularly high in the neighbouring countries of the Union. Exchange of good practices on prevention, testing, treatment and care between countries is important. This is especially beneficial in times of budget constraints. The cooperation and know how transfer of doctors, nurses and public health experts as well as the sharing of quality data will help colleagues in neighbouring countries to improve evidence based prevention, state of the art testing and treatment services, and to improve surveillance. Such joint efforts will reduce new infections and improve the life of people living with HIV/AIDS and underline the value of good cooperation between neighbours.

Priority groups: most at risk populations

The strategy reiterates the fact that the biggest impact on the epidemic can be achieved when the situation of the most at risk populations is efficiently addressed. The major at risk populations in Europe are men having sex with men, accounting for about 40% of all new infections in the EU, migrants from high prevalence areas, and injecting drug users, with a share of up to 70% of all new infections in EU neighbouring countries. Tailor-made approaches to reach these groups are essential towards containing the epidemic in Europe.

Early testing and timely access to treatment save lives

Of particular concern is the high number of persons who are not aware of their infection. About 30% of people in the EU and up to 70% of people in several neighbouring countries do not know their HIV status. This presents a serious concern for policy makers. Late diagnosis usually leads to late treatment and hence to a reduced life expectancy, a lower quality of life and to an increased danger of transmitting the virus to partners.

Background

The European Commission is involved in the fight against AIDS at European and Global levels. The first strategy on combating HIV/AIDS in the EU and neighbouring countries, adopted in 2005 laid the foundations for today’s updated strategy. A number of key achievements relate to a stronger political commitment, involvement of civil society at European level, the operational centralisation of HIV/AIDS surveillance by the European Centre for Disease Control and Prevention (ECDC), efforts to facilitate access to affordable antiretroviral medicines, funding of prevention projects and programmes, investments in research, and a close cooperation between partners.

More information:

http://ec.europa.eu/health/ph_threats/com/aids/aids_en.htm

http://ec.europa.eu/health-eu/health_problems/hiv-aids/index_en.htm

MEMO/09/479

Filed under: HIV and AIDS, HIV Prevention, Politics and Society, , ,

26.10.2009 Travel slivers of a Monday…

Early up – Germany decided to change the clock and the body reacts with confusion.  Early breakfast before heading to the airport. Why does the blackberry not function along the way – especially when you need to send some messages?

At the airport: check in is on one end, the waiting area on the others.. miles to run because for security reasons one should directly enter the holding area for passengers..

Frankfurt in fog – that is the first explanation for the delay – after boarding another announcement: There is another 20 minutes to wait until the plane is allowed to move… some chocolate is used to calm down nervous passengers, fearing about their connection flights…

Final we fly – quite delayed and while descending to Frankfurt the stewardess announces all connections flights, which have been already gone.. Please contact our ground staff for further information…

Another delay at Frankfurt airport, we have to wait another 10 minutes until we are allowed to cross a runway.. did I mention that behind me the kid is crying since “hours” and it seems that except the parents  all other passengers care…

Arriving to late to my meeting, but thanks God they all have time to sit and work through our topics – all only here for this one meeting. 2nd Ecumenical Church Day in Munich and the Vienna World Aids Conference are topics amongst others.  A good meeting and with that, the better part of the day starts:

My rented car has the number plate BIT – which stands for Bitburg, my hometown – a lucky one – and tomorrow I will go to Bitburg to give some talks.

The hotel, I check in, is quite booked and with an apology, that my booked room is not available they upgrade me..  I hope that my luck continues throughout the evening. I deserve it… do I?? 🙂 Well, we all deserve it sometimes…. 🙂

Filed under: Reflection, Uncategorized, , , ,

26.10.09 new week, new ventures

While this post is coming alive, I am on my way to Frankfurt to meet with representatives of the AIDS action alliance to discuss possible involvement at the 2nd ecumenical church day in Munich in May 2010 and the World AIDS Conference in Vienna. Mid November we have our annual planing meeting with HOPE Cape Town and then most travel arrangements must be decided on. Monday Frankfurt, Tuesday/Wednesday Bitburg and Wednesday eve Aachen are the next stations of my travel – Bitburg with a talk @ the Lion’s Club and various encounters and talks with the students and teachers of the St. Willibrord Gymnasium regarding the work of HOPE Cape Town and obviously touches the general situation in South Africa.  In Aachen I will talk about “HIV and AIDS as sign of the times” and discuss a possible theology of HIV and AIDS for our days.  All encounters create the opportunity to function as a bridge between South Africa and Europe. This becomes more and more important. In my talks in Berlin I once again realised how necessary it is that information is floating freely and honestly between South Africa and Germany to foster the development of relationships between the two countries which are helpful to the people and not only to the ruling class. Sometimes the European or German partners are very quick with solutions to our problems between Cape Town and Johannesburg – forgetting the different way, people in the South experience their realities. South Africa has a lot still to learn and to develop, be it that politicians are team player and not lone warriors trying to gain as much as possible as long as they are in office. But also the cooperation between NGO’s and government needs improvement and also here, the working mechanism developed in Germany between those parties, could have an assisting factor for us at the bottom of Africa.

Filed under: HIV and AIDS, HOPE Cape Town Association & Trust, Networking, Politics and Society, Society and living environment, , , , , , , , , , , ,

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