God, AIDS, Africa & HOPE

Reflections / Gedanken

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

Politics can produce drug resistance

It will be a hot and contested election year in South Africa – and the heat is starting to be felt with all the manifestos and declarations but also toi-toi’s and service delivery protests. The DA want’s to march towards Luthuli House, Khayelitsha residence fight for better sanitation systems, AMCU is on strike again at the Platinum mines – people are going for their convictions onto the streets and politics one or the other way dictates for a lot of people how they spend their days. The question I would like to ask is whether with all those emotions boiling over are people still taking care of their health? Do people have time to go to the clinics to take their TB medication; do they think of appointments with doctors and nursing staff and do they take their anti-retroviral treatment as prescribed if they are in need of it?

We often hear that in times of unrest, civil war health issues are on the back-burner when it comes to people’s minds – often they don’t have the opportunity to organize their health related obligations to keep fit. But I believe even on the low-level of service delivery protests and strikes and marches we can see the problem arising of not adherence to life saving medication. We pride ourselves to put more and more people on those medication but we seem not to be able to ensure the proper compliance when politics takes over. With 2 million and still counting for example on anti-retroviral treatment, there must be a concern about their well-being in those heated days.
When we saw the poo-protesters on the N2 motorway many times last year – those questions of adherence and compliance were always on my mind. Knowing how big the restrains are already on the health system we can’t effort more resistant bugs. And reading this morning about the thoughts of government officials to let people pay if they self-inflict their health problems – non-compliance because of toi-toi might be also falling soon under that label. It might sound far-fetched – but country and society are in such a crazy mood in many quarters – let’s work together that we care about compliance and adherence, be it TB or HIV or any other of those disease bringing down a person if not treated in a proper way.

Filed under: General, HIV and AIDS, HIV Treatment, Politics and Society, Reflection, , , , , , , , , , , , , , , , , , , , , , , , , , , ,

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

PrEP – what you need to know…

Conversation around HIV prevention breakthroughs in pill form has permeated brunch tables, newspapers, and doctors’ offices. But even though pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) have been approved as methods to prevent the transmission of HIV through sexual intercourse or intravenous drug use, some of those who could benefit from PrEP and PEP are still not quite sure how they work. Here are answers to some of the most frequently asked questions about PrEP.
What is PrEP?
Can I take it only on days I have sex?
Do I have to take it forever?Who should start a PrEP regimen?
Is it OK to use PrEP as the only method of HIV prevention?
What are the side effects of PrEP?
Read about all this on the informative page of HIVplusmag here.

Filed under: General, HIV and AIDS, HIV Prevention, HIV Treatment, HOPE Cape Town Trust, Medical and Research, Uncategorized, , , , , , , , , , ,

AIDS as disturbance of creation?

English: Freddie Mercury in New Haven, CT at a...

 Mercury in New Haven, CT at a WPLR Show. (Photo credit: Wikipedia)

Relaxing a bit after the Berlin Gala, I watch with interest a TV production about 40 years of the rock band “Queen”. Central to the story is obviously the life and death of Freddie Mercury – singer and song writer of the band.  The life of a genius musician cut short through the HI virus. And there is the sudden realization, how much HIV and AIDS has robbed human mankind of the development of art and culture. As St. Paul writes about creation still ongoing, there is surely to consider that HIV might have disturbed creation in cutting down the potential in human beings to become in a lifetime what they were supposed to be. Or is the HIV pandemic part of creation, part of it laying still in labor?
As God and creation are connected, it makes more sense to talk about the body of Christ having AIDS, being in pain and suffering. And even if in Europe HIV is not that much connected to suffering, death and dying any more – worldwide millions of lives are cut short by this virus. The suffering, the stigma, the discrimination continues despite all successes in treatment. And theological, there is still so much more to learn and develop and put into our teaching than we have done before. The climate within my church has changed – at least it is allowed again to think without fear – it would be great to use this time of spring to see, what else HIV and AIDS can tell our theology.

 

 

Filed under: Catholic Church, General, HIV and AIDS, Reflection, Religion and Ethics, , , , , , , , , , , , , ,

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