God, AIDS, Africa & HOPE

Reflections / Gedanken

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, , , , , , , , , , , , , , , , , , , , , , , , , , ,

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, , , , , , , , , , , , , ,

PEPFAR and the Catholic Church

A street in Hillbrow, Johannesburg.

A street in Hillbrow, Johannesburg. (Photo credit: Wikipedia)

I am visiting Johannesburg and a Catholic institution asking for assistance in a difficult situation. The Catholic Church in South Africa has mainly relied on one big sponsor in the last years: PEPFAR, the US American President’s emergency fund. This was done for several reasons; one being that in the beginning it excluded any condom distribution or work with prostitution as a precondition for receiving these funds. There has been very much debate around it at World AIDS Conferences at times as this resulted in some countries showing a clear increase of infections again. Nevertheless, with the money lots of good was also done, amongst others instituting the distribution of antiretrovirals for thousands of South Africans.
The funds now drying up and so the Church is forced to transfer its patients to the governmental facilities with different results. As specially in Johannesburg also quite a big number of asylum seekers still without papers are among those catered for, these people would anyhow not be eligible for continuation of treatment in a primary health care facility.
So the need for special funding to at least get one doctor looking after those patients is needed and hopefully there is a way to support this for the new year.
From what I have seen and heard it seems that for many patients it is a bitter reality check: coming from church run clinics which really went the extra mile for a patient to ensure his or her health, governmental facilities are mostly overcrowded and not able to cope in this way with their patients. Experts fear, that people will be lost in transition or get lost in transition.This shows once again how important the support of the Catholic Church in providing medical services has been and it is to decry that lack of funding forces closure and that – at least in Johannesburg – the government now refuses to deliver antiretroviral medication as a matter of principle to NGO run medical facilities even if they could continue – forcing so the transfer in a way too often not beneficial for the patients.

With a generation of young people being born HIV positive and with the treat of resistance looming like we have seen it with TB, this country needs the continuation of support from all corners of society. Even if there is the growing impression that we have conquered and beaten the deadly pandemic, it might be too early to come to this conclusion. So it is really to hope that also the churches try their utmost to continue as many services as possible to give those infected and affected all necessary support.

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Filed under: Catholic Church, HIV and AIDS, HIV Prevention, HIV Treatment, Networking, Reflection, Religion and Ethics, Society and living environment, , , , , , , , , , , , , , , , , , ,

South Africa not in good shape but there is still hope

Christmas time and New Year, also time for the matric results to be published and Basic Education Minister Angie Motshekga will praise the improvement of the pass rate from 60,6% in 2009 to 76,6% in 2013. Not spoken will be about the grim realities surrounding this result:
* The low pass rate: pupils must achieve 40% in their home language and in two other subjects, and a minimum of 30% in the remaining subjects. They can fail in only one of their seven subjects.
* Extra exams for tertiary education: more and more universities ask for extra entrance or literacy tests and compulsory enhancement programs because they do not trust the matric certificate.
* Drop outs at school level: the total number of matric pupils who write the exams is half of those starting education – the other half is gone, be it through economic difficulties or for other personal or social reasons.
* Drop outs at University level: over 50% of those starting to study will not graduate, so a report of the Council for Higher Education chaired by Professor Njabulo Ndebele
It seems like in many other instances that the assessment of realities tend to differ sharply in South Africa and it is not only the fire pond baptized swimming pool of Nkandla. 20 years into democracy this society has not found its feet somehow and is still struggling to meet the dreams of those being liberated with the end of Apartheid.
I am not thinking South Africa is doomed to fail but I hear and notice things which indicates that there is still room for improvement in many ways and I don’t mean the remaining high crime rate, the lack of service delivery, worker unions which want to be government, representation of workers and capitalists at the same time, Malemas and there-likes  etc. Coming from Germany, where I was born in a city where US Americans ran a major airbase in Europe, in my childhood “black people” were rich people because they had the dollars. Moving to South Africa I learned how different worlds can be and I had to adjust to open and hidden conflicts between races and ethnic groups on a level not known before. Even thinking that I keep an open mind and a hopeful outlook, I catch me out at times to have doubtful thoughts indicating a deeper problem: Driving often to Parklands Mainroad I see all those youngsters standing there waiting to be picked up for a day’s job. Often I thought, it would be nice to employ somebody when help is needed but one reads so much about crime and spying out opportunities that I simply don’t have the courage to stop and give one of them the livelihood for today. It shows how deep mistrust is sewed into the heart and mind of people including me.  The same applies when it comes to the suspicion of corruption: Seeing not so talented drivers in big new shiny cars often brings up the thoughtful question whether hard work or corruption has brought this car on the street. I admit: it is a shame, but such thoughts are crossing my mind and with all the obvious corruption, from hungry police officers in Johannesburg asking for chicken wings at a police control up to Nkandla and all those politicians, people in power and the tiny group of multimillionaire turned BEE applicants it might be even excusable.  And I am sure I am not the only one having such thoughts.
Flying often from Cape Town to Johannesburg return and seeing the attitude of many at destination taken away by government cars I must hold on not raising my voice and telling those people what “service” in democracy means.
Despite those observations are all the positive points South Africa can show off with: besides breath-taking nature and mostly friendly and compassionate people with a smile on their face, natural resources, a young generation willing to take the challenge if society and education gives them the equipment needed. So there is so much positive to cherish in this country.

I sometimes have the feeling that our society here has come out of the truth and reconciliation commission process knowing most of what happened in the past, but had no time to heal the wounds of the past. A government blaming Apartheid for every own failure does not help to let wounds close and scarfs appear, which are still present as a reminder, but they do not hurt anymore. I honestly think South Africa is in need of better leaders on all levels, showing an example how to serve a nation instead of milking it in many ways. And for me, there are in every political party people who could rise to the challenge. I had the opportunity to speak to politicians of different parties and I am convinced that South Africans can take on the challenge of transforming this country to be a beacon of hope for all of Africa. We just have to escape the spell of corruption, lies, dishonesty and the devils circle of senseless violence marring this country. Healing is for me the miracle word, healing of a collective nations psyche.
Churches can play a big role in this – furthering the process of healing and being the needed conscience of the nation if and when they put aside they own agenda and just being willing to serve the people without the intention to proselytize or forcing their own believe system on a nation. There is an existing ethos we all can agree of – be it the golden rule or the principles of world ethos as described by Hans Kueng and his world ethos project. The justice and peace projects of the Roman – Catholic Church is another example of trying to support and assist this process. Other churches have similar portfolios. So there is hope for me – and I hope that this hope will be carried through to a year of elections which can be won or lost by any party; and there is no entitlement of owning certain parts of this democratic process – a good government, a strong opposition, separation of powers and the goodwill of all people should prevail and bring us a step forward. A blessed New Year to all.

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

Young adults born with HIV and parenthood challenges

As children born with HIV age into adulthood, they need guidance facing the additional challenges the virus poses if they consider becoming a parent. Especially in Southern Africa, where a whole generation of HIV positive want-t0-be-parents are growing up it is from utmost importance to face the upcoming problems and challenges. It’s not only about sexual encounters but responsible parenthood and dealing with the still existing stigma of being a HIV positive parent. Researchers at Royal Holloway University and St. Mary’s Hospital, London published their findings about this subject in the journal AIDS Care. I guess more should be done on this topic and I urge especially the churches to take on this topic – as a serious challenge for the parents, but also for the way, churches see sexuality and what goes with it. There is a common learning curve visible and is awaiting that we take the challenge.

Here you can find a brief resume of the write-up on the website of the Royal Holloway University in London / Great Britain. Click here.

Filed under: Catholic Church, General, HIV and AIDS, Religion and Ethics, Society and living environment, Uncategorized, , , , , , , , , , , ,

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