God, AIDS, Africa & HOPE

Reflections / Gedanken

World Aids Conference in Amsterdam

After a conference is always before a conference – but after attending this years World Aids Conference it remains to reflect on what was achieved and what does one take home?

World Aids Conferences are for me always places to listen – to step back from constantly producing or standing in front of an audience but to remain in the back of auditoriums and conference rooms to listen and learn. This year was not different, hearing how other organizations work and applaud their achievements and listen to their worries and concerns is indeed a much appreciated learning curve.

Not all looks good – so we learned in the five days: in over 50 countries worldwide the numbers of new infections are rising again and especially in the Ukraine and Russia but also the Near East we see numbers climbing. In South Africa the numbers seemed to stagnate when it comes to new infections – a situation known since years without a real explanation. There is less money globally to spend on HIV related issues and the 90-90-90 goal of UNAIDS is definitely at risk not to be reached.

On the good side we now know for certain that undetectable means no transmission possible. And it translates in more people tested and put on treatment equals less new infections. But if the laws of the land punish HIV positive people for sexual acts or even spitting with attempted murder – who wants to be open about his or her status? Ignorant governments denying a problem with HIV in their respective country or even countries which prosecute LGBTI people or sex workers can’t count on getting the people on treatment. Politics and law are standing in many countries in the way of testing and treating and with it fostering the circle of new infections. Stigma and discrimination, also in the health sector, add to the problems of not achieving a next generation of zero new infections.

So where does this leave us? First of all with lots of fresh motivation seeing and experiencing the other round about 15000 activists, researchers, doctors, community workers, lawyers; somehow confirming that one is not alone. It is great to mix and mingle and greet and smile and clap hands and feel inspired with all those fighting the same battle.

But it leaves us also with lots of continued and new challenges – the fight against HIV is not won yet, I guess some people were too sure claiming the end in 2030 – the virus remains a nasty challenge to the world and it will not give up easily.

So San Francisco will be next in 2020 – but even there is a question mark. Many activists felt and made it heard that Trump-land is not the ideal place to have such a conference. An ignorant world leader and lots of states with ignorant state laws might not be an ideal scenario for such a conference.

Filed under: General, HIV and AIDS, HIV Treatment, Networking, Politics and Society, Reflection, Society and living environment, Uncategorized, , , , , , , , , , , , ,

Durban2016 – a reflection on the World Aids Conference

durbanTomorrow ends the World Aids Conference in Durban – most probably the same way it started, with lots of encouraging words and hopes held high: treatment for all, equity, justice and equal treatment for those on the margins of the so-called society.

It was a week full of talks, presentations, encounters – a week full of demands, pleas, promises and a concert of different voices: researchers, activists, business people – all wanting to have a share and a say in the biggest HIV related global conference, taking place every two years.

The magic year 2020 and the numbers 90 – 90 – 90 were repeated and mentioned over and over: 90 % of the infected people should know their status; from those knowing 90% should be on treatment – and from those on treatment 90% should be undetectable.
Another magic year named very often was 2030 – the aimed end of the Aids pandemic.

But let’s be honest: all the tears, pleas and promises could not hide the fact: as the world stands today, we will not reach this goal. 16 out of 37 million people are in the moment on treatment – and the Global Aids Fund lacks promised money to reach all of the ones in need of treatment. The so-called “war on terror”, the financial crisis, the madness of politics let made financial pledges degrade into empty promises. The gap between what governments have pledged, what is needed and what they finally pay into the global fund is going into millions of US Dollars.

And it is not the lack of money – besides the madness of war and terror, perceived or real – it is the assumption that we have the Aids pandemic under control. It seems forgotten that every year 2 million new infections are still counted and 1 million people perish as a consequence of HIV, Aids and related illnesses.

But even the future looks bleak – conferences like this are needed: they serve as a public reminder of the injustice of poverty, sickness and premature death and the responsibilities of governments and public health sectors. They also bring people together one would not meet otherwise.
In South Africa without the activism we still would be told that HIV does not cause Aids and that antiretroviral treatment kills. Only activism, toi-toi and conferences as well as taking the government to court as civil society brought the much-needed results. But we should never forget those having died because Manto Tshabalala Msimang and others fought against common sense for a far too long time.

I am grateful that this conference brought me together with gay, lesbian, transgender, intersex people, with male and female sex workers and with drug users – encounters without the moral pointing finger – it was about meeting other human beings with their struggles like I have my struggles. It was about listening and giving everybody dignity and space to talk, to share, to explore, to feel loved and accepted. How much could also the churches learn from such encounters – understanding that the world is much more diverse and colorful than most allow themselves to accept in their small little world of daily and religious life.

Conferences like this also help to deepen the understanding of HIV and its related problems, it gives the chance to celebrate successes, mourn failures and last but not least to feel not alone in the battle against a deadly syndrome. 18 000 people from all over the world, united in an ongoing battle to save lives, to demand access to treatment, to put the fingers on human rights abuses and inhumane and unjust laws hindering our fellow brothers and sisters to live life to the fullest.

Conferences like this are energizing – they liberate one from the narrow views one automatically have working day in and day out in the same social and cultural environment – for me as a priest they open up to what “catholic” really means in the full sense of the word.

Churches are praised for their active role in the fight, but they are not very much appreciated when it comes to legal matters or global or national policy decisions. The anti-gay laws in Nigeria, the questions of sexual orientation and the women’s rights in matters reproduction are contentious issues which impact clearly also onto the fight against HIV and Aids. Sometimes it seems that moral considerations overshadow the life-and-death consequences, such stances have on grassroots level.
And obviously the long stance of my own church regarding condoms did not help either – and it took Benedict XVI’s interview to start open up this question in his acknowledgment, that if a male escort uses a condom to protect his customer it is the beginning of morality.

So lastly conferences like this put the finger on open questions, on answer demanding questions, they make the bridge between teaching, sciences, research, religion, faith and real life palpable and it’s the conversation between all parties which could bring solutions adequate to the life of the ordinary person plagued by all the challenges on a daily base.

So thank you to the organizers of the conference for making it possible once again to meet, to greet, to exchange, to laugh together, to learn together, to fight together, to discern together, to disagree with each other in the quest of the best answer possible.

Filed under: Africa, Catholic Church, HIV and AIDS, HIV Prevention, HIV Treatment, HOPE Cape Town Association, HOPE Cape Town Association & Trust, Medical and Research, Networking, Politics and Society, Reflection, Religion and Ethics, Society and living environment, South Africa, , , , , , , , , , , , , , , , , , , , , , , , , ,

05.08.2009 some general thoughts about prevention work in the fields of HIV/AIDS

“A comprehensive HIV prevention package includes, but is not limited to, delaying sexual debut, mutual fidelity, reduction of the number of sexual partners, avoidance of penetration, safer sex including correct and consistent male and female condom use, and early and effective treatment for sexually transmitted infections.”

This statement of UNAIDS from 2008 is as valid today as it was at that time. What I like on this statement is that it really tries to cover all aspects of prevention without favouring one or the other or to demonise on or the other method of prevention. I guess this is the most important in prevention work as I do understand it: having no fear to discuss and name all aspects of preventing HIV transmission and giving the participants of workshops the tools to decide for themselves what and how they choose to protect themselves. Demonising either condoms or faithfulness or abstinence does not make any sense. And only naming what ones own ideology or faith seems to prescribe to oneself is also not enough. Diversity of prevention possibilities which could fit different lifestyle situations are important.

Doing prevention work, we last but not least must learn that at the end, we cannot change the behavior of the people, everybody can change only him- or herself. And we as activists are not responsible for what people doing, we are only responsible to give the utmost attention to detail to provide accurate and meaningful information.

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

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