God, AIDS, Africa & HOPE

Reflections / Gedanken

30.09.2010 Diversity

Diversity has always driven my life, and also this week it is not different:

The death of Fr Roland continues to give reason for many talks about life and death, but also normal life is going on: The new HOPE Cape Town feature is ready now for post production and tomorrow I will sit with the chairperson to see the footage and to decide on the “red line” for the feature.
Premier Seehofer from Bavaria together with Premier Zille and Mayor Plato plus a delegation met in Kalksteenfontain to hear from NGO’s connected with Bavaria what they are doing here in the Western Cape. It was an interesting gathering and it is always also good for the NGO’s to see that they have neighbours they could relate too. But I guess it is also important for the politicians to see what is happening on the ground.And it is good to see the partnership between the Western Cape and Bavaria so lively; it is good to meet the same people again and again to  know that we are indeed on the same page in developing this partnership.

Senior staff meeting, a preparation meeting for a farewell next week, dinner with friends and a meeting with the Archbishop of Cape Town – never a dull moment and all is important – but I guess the most important part is really the meeting of hearts and minds, the exchange of ideas and the openness for a frank discussion, where everybody is listening to everybody. This human aspect of a business meeting becomes for me more and more important, because it is the base for good cooperation and a successful development in whatever stands on the agenda.

Next week will see me again in Johannesburg for 1,5 days and then directly afterward to Durban for the same amount of time. And then it is not far before I am leaving for Europe again with lots of meetings and talks – my last big travel for this year. Such travel needs lots of preparation, not only logistic but also the contents of what I want to bring over to my audiences and meeting partners must be well prepared.  3/4 of the year is gone – I am looking forward to the rest of the year and I know I will meet exciting people, new ideas and enough food for thoughts for the years to come.

Filed under: General, HIV and AIDS, HOPE Cape Town Association & Trust, Networking, Politics and Society, Reflection, , , , , , , ,

HIV @ the work place – 17.06.2010

Talk at the economic forum “Bavaria meets Western Cape” in Cape Town – outline of the talk  – as usual “check against delivery”

HIV/AIDS in the workplace – I am sure when you saw the topic some of you were considering a second coffee break – what new can come from this topic – even presented by a priest who has no dealing with business affairs.. And you are right… I do not have any hard core dealings… and when I present this, I have in mind on one surely your business interest – a dying worker is not a very productive worker… – and even with all our turn around in the month before the world cup – thousands are dying still every week as a result of HIV and AIDS – round about 800 per day to be more precise – and on the other hand – you should be aware and taking on the duty to realise, that you offer your employers much more than just a money earning scheme – you offer them meaning in life. Without getting to philosophical – with your workplace you offer your employers also meaning and purpose in life and you owe them a deeper understanding and commitment than only the salary sleep at the end of the week or month.

So let’s see this 20 minutes rather as a time of reflection – which fits a priest much more I guess…

Not only since the World Economic Forums in Switzerland we know and you are aware, that HIV/AIDS is impacting on economic benefits and social progress around the world. The CIA calls it in one of their reports one of the major threats to stability on our planet – and when you want to do business – there must be stability and people who produce and people who buy… That is the easy circle to have revenue and success with your business. Besides all costs for an individual company, HIV is known to delay human resource development, it undermines certainly the skills base and for South Africa it means that investors have to look twice before investing in a country with almost 6 million infected people.

Companies are obviously also direct affected ranging from lower productivity, greater absenteeism till less reliable supply chains and distribution channels – another consideration is surely the question of medical coverage, funeral covers and pension funds. I guess that most small and medium companies never made the effort to calculate the costs of this pandemic for there business – the bigger companies are running since years programs to tackle the pandemic – Daimler Chrysler, BMW, Volkswagen, De Beers, Anglo American and many more. They – and as big companies they are able – to use the direct access to the most affected, the productive members of our society, to tackle the pandemic by education, training and treatment. And in doing so they also prevent more erosion of our society – breadwinner of the family, who die away means that others in the family have to stand in, abandoning as youngsters for example their school education to provide an income which creates a circle of non education – difficult to employ – unemployed with all the consequences of alcohol abuse, drugs, prostitution etc. If you meet a 14 year old responsible for a family then you know what I mean…

You might realise by now – looking at and confronting HIV means not only a direct benefit for the company but also to the society, your company is working in. Healthy worker in a stable and healthy family environment and they again in a stable social environment are the basics for good business.. So what can you do as a small, medium and big company?

Be aware of the pandemic – don’t be ignorant – that’s the first rule – and if I say ignorant I mean not only that you acknowledge that HIV / AIDS is also around you – but that also this is not a black pandemic, but a south African one, a rainbow one.. The virus is an ideal South African – he does not discriminate against race or gender or profession or education or sexual preferences… Be focused like you are focused on other aspects of your business: If you are a big company – consider a proper HIV / AIDS programme, if you have not done yet. Do it yourself or get in touch with those doing it already – gain from their expertise in setting up mechanism within your company to deal with prevention, treatment, care and support.

60-80% of mining, manufacturing, financial services and transport companies have implemented HIV and AIDS awareness programmes, the most hard hit companies have full fledged  workplace HIV programmes that now even develop in so called wellness programs and they stretch further than just the employee covering also his/her family. As a smaller firm, you cannot do it – it is financially not feasible. But you can connect with your nearest clinic and make sure that your employees are knowledgeable about HIV and AIDS and that they are aware of the services of the neighbouring clinic. VCT should be always on the agenda and a proper HIV/AIDS policy – every company is able to spell out to their employees how stigma and discrimination is not an option and that the moral codex of the company and the mission statements starts with the fellow colleagues and not only with the customer.

HOPE Cape Town, my organisation is more than willing to give advice or assist in setting up such a policy.

All in leading positions in a company should also lead in this field. Senior staff, GM, CEO’s, Board members should be able and without shyness to talk to their employees about HIV and AIDS. Even if you organise prevention workshops or there like, I am always amazed to see that the senior staff seems to know it all and that there is a definite “no show” from a certain level of the hierarchy onwards. Not sure that this is leading by example.. Or the senior staff knows it all – but why then invite an expert…? Or do you think that there is no transmission for CEO’s and managers? I can tell you something: HIV and AIDS is such a dynamic field that information you gathered last year might not be correct this year. To give you an example: Until recently the criteria for commencing treatment was a CD 4 count of 250 and lower – which meant that in most in instances the person had to become very sick before treatment was offered. That changed and now people receive much earlier treatment with the result

I guess that is enough for now, thanks for listening to this for South Africa very serious topic – and help that we can get to a new generation of South Africans without HIV or AIDS.

Information and figures are taken from various websites

Filed under: HIV and AIDS, HIV Treatment, HOPE Cape Town Association & Trust, Politics and Society, Reflection, Society and living environment, , , , , , , ,

09.06.2010 Pain & Pleasure….

I did not even remember how it is when a tooth must be extracted… but today was the day when in the morning all the old and cruel memories of a dentist visit became reality again – deja vu…

But I did not have enough time to pity myself as I directly have to drive to Blikkiesdorp near Delft for an interview for the “tagesthemen“. Duty instead of laying down and simply indulge in the pain of losing a tooth.. 🙂
Back to the office then to prepare the first draft for an input, I have to give next week during an economic gathering at the Bavarian House.

Then drive to the official opening to the Bavarian House at the Artscape – it is good to see Minister Schneider, Helen Zille and for me it is indeed a great joy to meet the son of Piet Meyers, previous Minister of Health WC, who is now the MEC for social affairs. A brief contact with Minister Botha and Minister Winde and the Bavarian Delegation. All the well-known faces again – it feels good and somehow home to be amongst them.

The music group “Haindling” shows that Bavaria is more than traditional music and it is a pity that the pain of the morning prevents me from indulging too much into the delicious offerings of the reception following the performance. The Bavarian House is open – now the Soccer World cup 2010 may begin… 🙂

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

18.02.2010 office work and good news

Today is mainly an office work day – so many things are waiting to be finalised. In the morning still sitting together with a colleague of mine and exchanging ideas. In the afternoon reading some emails I discover that the South-African Government has agreed to change their guidelines for HIV treatment and that now the 350 mark of the CD4 count is significant for the begin of the treatment. This is indeed good news . I have my little doubts whether the implementation will be smoothly and were the money is coming for all those now eligible for treatment, but we will see.

Another good news is the insight, the local minister of health of the Western Cape gave in saying that there is a good understanding between the Western Cape and the national government in health issues. No jealousy or there like. Also good to hear and my prayers are, that this will last longer than the world cup 2010 is in town.
All steps in the right direction and if correct implemented, we will see many South African being able to contribute to the countries well-being instead of dying to early.

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

20.09.2009 Mandatory testing

Mandatory HIV testing ‘violates their rights’
(IOL website 19.09.09)

Mandatory testing for HIV would violate the rights of people, the SA Human Rights Commission said on Friday. This comes after provincial Health MEC Theuns Botha announced plans to introduce legislation in the Western Cape to have every patient at every health facility tested for the virus. Botha says the move is the final onslaught in the fight against the disease.
Currently 200 000 people in the Western Cape are estimated to be HIV-positive and 63 000 are on ARV treatment. Botha has started the ball rolling to draw up legislation which he anticipates will be ready by next March. He said the legislation was necessary as people had “avoidance” behaviour and chose to not be tested.
Dr Mark Heywood, of the Aids Law Project, agrees with the rights commission. The Treatment Action Campaign was divided on the issue, spokesperson Rebecca Hodes said. Steven Ngobeni, the national HIV and Aids health rights co-ordinator for the commission, said yesterday mandatory testing “does not make sense”. People, he said, often did not know their rights, counselling at voluntary testing centres was not up to scratch and universal access to treatment was not readily available.  Both Ngobeni and Heywood said the provincial government would make a greater impact by educating people about HIV and testing.  Heywood said: “There is no way that you could justify a law to introduce mandatory testing.” It was also wrong from a public health and HIV management perspective.  “I would suggest a public campaign to get people to go for testing. Right now people are avoiding being tested as there is too little information and routine offerings are haphazard.”  He said a law would not work. “People will still be scared of a diagnosis and they could in fact completely avoid health care facilities.”  The TAC’s Hodes said mandatory testing in Botswana had been successful but it had been rolled out as part of a broader ARV treatment campaign.
“Some say mandatory testing will increase stigma, others say it will destigmatise the disease. But if testing becomes mandatory there should be proper support,” she said.  Botha said on Friday it was a two-pronged approach – testing as well as getting people into treatment sooner.   “We would introduce people much earlier into a treatment programme,” he said.

An interesting article and I would like to add: We have to make HIV testing as normal as any other testing. Which would mean in a first step to remove all “extra doors & extra benches” for HIV testing, counseling, treatment and so on..” I even think we can stop the pretest counseling. Like any other diseases we have to advise after a diagnose and not before. If somebody has cancer, we also do not put him or her through a lengthy intimate process before he or she is allowed to have a result.

Being HIV positive is a medical condition in this frameset, let’s treat it as such.

Filed under: HIV Prevention, HIV Treatment, Politics and Society, Society and living environment, , , , , , , , , ,

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