God, AIDS, Africa & HOPE

Reflections / Gedanken

POZ Magazine: Angels Travel on Horseback in Southern Africa

In Lesotho, a Southern African country the size of Maryland, health workers on horseback are transporting blood tests, drugs and medical supplies between 
urban hospitals and rural mountain health clinics. More than four months of the year, bad weather washes out the roads, making them impassable by vehicle, so Horse Riding for Health, started by the United States Agency for International 
Development and the Elizabeth Glaser Pediatric AIDS Foundation, allows patients to be treated year-round. One in four adults in Lesotho is living with HIV.

Source:

http://www.poz.com/articles/HIV_Horseback_HIV_2634_20643.shtml

Filed under: General, HIV and AIDS, HIV Prevention, HIV Treatment, Medical and Research, Networking, Society and living environment, , , ,

POZ Magazine: Evaluating HIV Risk of Male Sex Workers in Africa

New research is illuminating the activities and risks of male sex workers in southern Africa, PlusNews reports. Researchers at the United Nations Development Programme (UNDP) and South Africa’s Sex Workers Education and Advocacy Taskforce (SWEAT) interviewed 70 male sex workers in Kenya, Namibia, South Africa, Uganda and Zimbabwe. The interviewees reported that unprotected sex was common in their profession for a number of reasons, including the unavailability of condom-compatible water-based lubricants, higher fees for unprotected sex, physically abusive clients, and alcohol and drug abuse. Those who visited hospitals and clinics for HIV testing and treatment also reported being mocked and publicly stigmatized by health workers.

Source:   http://www.poz.com/rssredir/articles/Africa_Male_SexWorkers_1_20660.shtml

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

So much to do and so little time…

Sitting on my working desk and  trying to plan the next months I receive the news that my uncle in Germany died. Well, he was old, but it still triggered besides all the normal reflection one has once again the acknowledgement that life has an end and that one has to use it wisely. I don’t think that it is important how much one has done, the much more important question is whether one has lived intensively whatever one has done in life and if one has been the person meant to be. So for me it is also not a question of age.. one can become 100 and waste most of his or her time. I have seen people having achieved with 40 more than others with 80.
I think such a reflection is also meaningful when one deals with HIV and AIDS. Right, in many countries they are talking about a chronic disease and also we starting in South Africa to do so. Nevertheless every day are dying hundreds of people, mostly young people still as a consequence of HIV and AIDS. And looking to Africa, there are more reasons for dying young on this continent. So, once again: every second of life is counting, nobody knows whether he or she will wake up tomorrow morning, whether he or she will see the end of this day. The past is gone for good, the future is not known, the only time we can live and determine is the second of the moment. I know, a well-known fact. But we need to be reminded again and again, because it is so easy to forget in all the hectic of life. And even if there is so much to do and so little time..let’s not worry, we can only do what can fit in that very precious moment we just living now…

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

The day of the U2 concert

The day of the U2 concert has arrived and in the days before the newspapers were full of allegations against Bono, the lead singer, accusing him of supporting Julius Malemas “kill the farmer” song. Even when Bono retracted from his statement yesterday during an interview – there is another question open:
Is this singer turned activist a blessing or a curse for Africa? The same question applies to Bob Geldorf, who seems to have found a new role amidst politicians on high-profile meeting of the G7 leadership. Looking into their claims how to help Africa, there is in my eyes only one answer: they are a curse. Asking again and again for more money is a spin, we have had for the last 50 years and indeed, never has Africa received more money than ever. And the result is also clear as the world bank defines it: The people of Africa are not getting more rich or reaching the standards of a decent living: Africa has grown poorer in all these years.
In pushing for more money as Bono and Geldorf do, they just prolong the suffering of Africa as more money does not mean more development, more education, more clean water, more decent lives to live. It is not the solution but makes a solution more difficult in the development sector.
So I guess they should stay with their music and we can discuss whether we like the music or not. But they should keep out of politics like so many music stars, who seems to get into politics when their musical career is declining or even coming to an end. We don’t need Madonnas adopting babies from Africa, Geldorfs and Bonos pushing for more dollars and euros,  we also by the way don’t need the usual “one to one” partnerships between countries which gives the giving hand so much influence (like Minister Niebler unfortunately pushes in the case of the Global AIDS Fund) – we need to see and experience the life of ordinary people out here in Africa, we need to listen and then to act in a way bringing Africa forward instead our own interests.

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

Interview

Interview with a journalist from the WDR radio – and once again I am reminded how different the situation is in Europe and in Africa. Once again I count all our blessings but also have to list all our challenges: more people on treatment but definitely a growing risk of resistance due to the fact, that medication is not taken as prescribed or discontinued for a while. And yes more people know about the pandemic, but knowing does not mean that they act accordingly. Knowing about HIV does not prevent unprotected sex in many instances, having HIV/AIDS in the curricula of schools or NGO’s or other institutions and companies does not mean that the stigma is going away.
People are still killed or silenced or kicked out when they reveal their infection – people still think it can only be the others but not my partner who is infected. People still go for a test but disappear before the result is revealed. We still have the pre-test counselling which might be a nice way of giving unemployed people a little stipend or allowance, but does it really make sense to scare the willing people off or to have badly trained counsellors – some of them also infected – projecting their fears on the poor client?

“treatment for all ” is still the TAC request – but what would happen to the health system if all are treated? I guess, it would collapse before we achieve the goal; not sure we should accept promises which cannot be fulfilled – and we know it beforehand. Let’s be honest with giving hope rather than creating disappointment.

We have come a long way since Mbeki’s stance of denial, but we still are living in a somehow tribal organized society where the chiefs are having the say – and our chief preaches protection, but handles his own affairs differently.

Somehow during this interview I once again realise how different the realities are on the different continents, and even on one continent, there is a diversity which must lead to different approaches in the same question. What is good for South Africa might not be good for Uganda or Mali.

And this obviously also applies to the handling of matters in my church – no interview without the special questions about church and prevention and my own struggle within this institution. And also here I try to explain that there are no universal solutions fitting to each and very situation – and that the protection of life in all it’s shade must be priority. No ideal, no ideology, even a Christian one, can replace facing the realities of life. Here and now, with the people in front of me, with all their challenges and weaknesses and possibilities I have to work.

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

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