God, AIDS, Africa & HOPE

Reflections / Gedanken

19.10.2009 news in between: Condoms are not reliable in fight against HIV, says African cardinal

It just crossed my laptop screen while in Rome and I want to share it without further comment:

VATICAN CITY (CNS) : Condoms are not always effective in preventing the spread of HIV/AIDS in Africa, said Cardinal Peter Turkson of Cape Coast, Ghana.

Abstinence, fidelity in marriage and universal access to antiretroviral drugs are the strategies the church continues to promote in the fight against AIDS, he said. The cardinal, who Cardinal Turkson  copyright CNSwill turn 61 Oct. 11, made the comments during a Vatican press conference Oct. 5, presenting some of the issues to be discussed during the second special Synod of Bishops for Africa. Cardinal Turkson was asked about the AIDS epidemic in Africa and what position the synod will take, specifically concerning the use of condoms in HIV prevention. He said when “people propose the use of condoms it becomes effective only in families where they are going to be faithful.” However, condoms give “people a false sense of security, which rather facilitates the spread of HIV/AIDS,” he said.

Condoms cannot be relied upon to provide 100-percent protection against HIV transmission because “there are condoms which arrive in Ghana, which in the heat and whatever burst during sex,” he said. Because there is always a chance condoms might break during sexual intimacy, he is reluctant to recommend condom use even to married couples in which one partner is affected with HIV, he said. The priorities for African bishops at the synod will remain “abstinence and loyalty and fidelity” within marriage, he said. During pastoral counseling, he said he presents the issues and discusses them with the person seeking advice, which “allows the person to decide, to (make) his own decision.” He said he does not “undervalue the possibility that somebody who has AIDS recognizes his own Christian commitment (and) would simply just decide to refrain from sex,” even if he or she were in a faithful marriage, in order to prevent the spread of HIV. “Some would in such a situation have advised the use of condoms by a partner who has HIV so that it doesn’t spread, but again, in our part of the world, even the use of condoms is sometimes risky,” he said.

“If we have proper, top quality condoms, then one can probably with certainty speak about” the effectiveness of an infected partner using condoms, “but that is also not the case” in Ghana, he said. Cardinal Turkson said he would rather see the resources spent on manufacturing and providing prophylactics to Africa be earmarked for subsidizing antiretroviral drugs for the people there. “Let us use those resources to support the production of antiretroviral drugs so (they) would be more available to people,” he said. “That’s probably the big favor that we can do for the people suffering from HIV/AIDS.”

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

20.09.2009 Beyond the condoms…

Having written a blog entry about the criminalization of  HIV and seeing the response so far, I just realise that there are quite some moral and ethical issues we still have to deal with in the fields of HIV and AIDS. One is used to hear only about the condom story when talking about or talking with the Catholic Church, but there are more things coming to my mind:
– Equality of man and women
– Criminal Code and HIV
– Travel restrictions or travel ban and human rights
– Commencement and possible cessation of treatment
– Dealing of the Catholic Church (or any church) with their own clergy being positive
– Understanding of sexuality in the context of Europe, Africa and Asia as well as Latin America
– Abstinence only or diverse approach towards prevention work

I wish I could convince the German and the Southern African Bishops Conference to set up a study group on all these issues and surely a couple of more questions, which will come up in a brainstorming session. It would make such a difference.

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

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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