God, AIDS, Africa & HOPE

Reflections / Gedanken

Drama, trauma and hope …

Much is written in our days about the cut down on foreign aid in the budgets of giver countries. There is a new sensitivity towards these cuts after USAID and PEPFAR were practically shut down in a moment’s time. Millions in developing countries will fall victim to those cuts, with deadly consequences. In a time when trillions of Euros and Dollars are spent on weaponry and tools to kill and destroy, the imbalance is visible and can’t even been covered and made invisible by the hardcore right-wing political tendencies the world experience.

But it would be very shortsighted to see only the drama and call for more aid without seeing the imbalances of money, skills, opportunities on the planet. It would be shortsighted to see all the drama without seeing the shortcomings of many developing countries ruled by single-handed power and greed. And it would be shortsighted without seeing the drama and trauma of social-political developments in the USA, where politics is turned into a cult-like mass phenomenon and similar tendencies rise in Europe and around the world. Real democracy has to pull up its sleeves to show what it is capable of and what values remain important.

But there is more: We have to see the current situation also as a chance to create better conditions for humanity and environment. The current situation is a wake-up call not to be missed in economical, but also political and social terms.

One of the calls is certainly for Europe to stand up and find its rightful place – and it will definitely fall short if it betrays its values or tries to negotiate the unnegotiable connected to it.

The wake-up call clearly also stipulates to have a deep reflection about our neighbours and the possibilities they pose. For Europe, the neighbouring continent of Africa has certainly all the ingredients of becoming in the future one of the most close ally. It holds the future in so many ways – notwithstanding all the problems and challenges it has to overcome. And instead of looking like the rabbit towards the snake in direction USA or China, we should start building up a much more beneficial win-win situation between the two continents. Creating value chains together, investing in the continent, share training and education and abolish the last colonialist tendencies still present in our days.

Looking at the USA, another conundrum is definitely the question of how to limit the influence of money on politics in the real sense of the word. Oligarchs and multi-billionaires should be limited in their ability to overrule democracy and its mechanism or to ignore/rewrite the rule of law due to undue influence. We need to reflect and to come up with rules and values serving more than just those who made it by luck, inheritance or using the system cleverly. The current “big beautiful bill” discussed in the US Senate is a showcase of how things can go wrong.

Once again: taking the current situation as a chance and the wake-up call will not take away the death and destructions we witness in our days. It will remain more than a scar in the skin of humanity and a clear defeat of its values and responsibilities. It is terrible! But in every situation there remains also the hope to learn out of it and to allow for progress and a dignified future. Democracy in different forms and shapes and a basic value system should be the framework for such a joined way

NGOs can be very flexible vehicles to support a way forward which balance the imbalance and to allow also Europe and Africa to grow. They are entrepreneurial in nature, and they have a lot to say and to contribute to politics, social questions and economy. They often consist of a pool of people from different walks of life and traditions – being able to show how a win-win situation is achieved. Alone for that very reason, the proposed cuts of development money in Europe remain short-sighted and plainly wrong!

Filed under: Africa, General, Politics and Society, Reflection, SA-German Chamber of Commerce & Industry, Society and living environment, South Africa, vocational training, , , , , , , , , , ,

From Prevention, Polygamy and Crime…

As always in between posts I like to share some of the articles I am reading in between and they are ranging from the blue pill to criminal laws.

US Federal health officials recommended yesterday that hundreds of thousands of Americans at risk for AIDS take a daily pill that has been shown to prevent infection with the virus that causes it. If broadly followed, the advice could transform AIDS prevention in the United States — from reliance on condoms, which are effective but unpopular with many men, to a regimen that relies on an antiretroviral drug. Please read this article here.

In Africa, most people infected are female. In a modest public health clinic behind a gas station here in South Africa’s rural KwaZulu/Natal Province, a team of Norwegian infectious disease specialists think they may have found a new explanation. Not sure it will hold the scrutiny of sciences but it is worth reflecting on it. Read here.

In Kenya, a new law came into effect allowing for polygamy. Men can take several women as wives without the consent of the first or any of the others already married. Does it make sense? Well, questions are asked here.

Uganda was once the example of how to reduce the HIV pandemic. Then came complacency and PEPFAR rules, latter a curse and a blessing at the same time. Now Uganda has chosen to add to the draconian law regarding homosexuality also to criminalize HIV transmission. It is known that this has an adverse effect, but it seems that politicians in Uganda want to go the extra mile to do the wrong thing.  Click here to read the story.

Enjoy reading!

Filed under: HIV and AIDS, HIV Prevention, HIV Treatment, Medical and Research, Politics and Society, Reflection, Religion and Ethics, Society and living environment, Uncategorized, , , , , , , , , , , , , , , , , , ,

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

Desmond Tutu pleads with Obama…

Desmond Tutu 2007 at the Deutscher Evangelisch...

Desmond Tutu 2007 at the Deutscher Evangelischer Kirchentag in Cologne 2007 (Photo credit: Wikipedia)

The Nobel Peace Prize winner urges the U.S. president to increase global access to antiretrovirals:
“We are making historic progress against HIV/AIDS: The global rate of new HIV infections has levelled, and the number of annual AIDS deaths has decreased by nearly a third since 2005. Antiretroviral drugs are driving these gains by stopping progression of the disease and, we now know, preventing the spread of HIV infections. Yet AIDS remains the leading cause of death in sub-Saharan Africa, where poverty limits access to lifesaving treatments and 25 million people are living with HIV—representing 70 percent of cases worldwide. President Barack Obama should be commended for uniting the world behind the goal of creating an AIDS-free generation. I share his passion and believe we can achieve this in the next decade—but only if we accelerate the provision of antiretrovirals to the poorest and most vulnerable people. The opportunity has never been clearer. New data published in the New England Journal of Medicine project that early treatment with antiretrovirals in South Africa, my home country, would prove very cost-effective over a lifetime (costing $590 per life-year saved) and generate both public health and economic benefits. The World Health Organization (WHO) now recommends early and preventive treatment with antiretrovirals, including administration to children and uninfected partners of people living with the disease. The WHO estimates that this could save an additional 3 million lives and prevent at least as many new HIV infections through 2025…”

Read the complete plea of Desmond Tutu on politico.com: http://www.politico.com/magazine/story/2013/11/keys-to-defeating-hivaids-100006.html
or POZ.com
http://www.poz.com/articles/desmond_tutu_2676_24819.shtml

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

PEPFAR

THe PEPFAR fund was and is a lifeline for thousands also in South Africa. The RC Church in South Africa relied heavily on the fund and since it’s cut down, also the involvement of the church in the fields of HIV and AIDS will be changing…

kboehner's avatarJohns Hopkins CFAR

Through the President’s Emergency Plan for AIDS Relief (PEPFAR), the United States has provided an unprecedented level of health and development assistance and health diplomacy around the world. PEPFAR has saved and improved the lives of millions of people; supported HIV prevention, care, and treatment; strengthened systems; and engaged with partner countries to facilitate HIV policy and planning for sustainable responses to their epidemic.

The IOM evaluation drew upon a variety of data sources, including quantitative data, extensive document review, and primary qualitative data collection through more than 400 interviews, including some site visits, with diverse stakeholders in 13 PEPFAR partner countries, at PEPFAR’s headquarters, and at other institutions and agencies involved in the global HIV response.

PEPFAR has been globally transformative. Across partner countries, PEPFAR was described as a lifeline, and people credit PEPFAR for restoring hope. The initiative’s future contributions will be informed by its past achievements and…

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Filed under: Catholic Church, General, HIV and AIDS, HIV Prevention, HIV Treatment, Medical and Research, Networking, Politics and Society, Reflection, , , , , , , , ,

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