This article from Mmegi in Botswana about the Miss Stigma Free 2006 pageant gladden my heart. I know beauty pageants are frowned upon these days in the liberalised northern hemisphere but they're big business all over sub-saharan Africa.
"I am very happy to have won this crown. I feel that I have achieved what I wanted. This will give me a chance to pursue my mission of sensitising the public about HIV/AIDS," said the jubilant Regina Lesole after she was crowned Miss Stigma Free 2006.
Lesole, former teacher and counsellor at Mahalapye Tebelopele Voluntary Counselling and Testing Centre scooped the crown during a colourful event held at Orapa and Letlhakane mines Sports hall. The annual pageant is designed to encourage people to eradicate HIV/AIDS related stigma and discrimination and to accept People Living with HIV and AIDS in the work place.
The new HIV/AIDS queen displayed breathtaking cat walking skills in front of a full hall that was beautifully decorated, and to the amazement of visitors who could not believe it was a sports hall. Seemingly enjoying every moment of the competition, Lesole eloquently explained her experience of living positively with the virus, and she was the only contestant who answered questions in English. The pageant had attracted different contestants living with the virus from all over the country.
Lesole who hails from Mahalapye told Showbiz that she was diagnosed with the deadly virus in 2000. She said that she had observed that some professionals link the disease with the poor and illiterates hence her decision to go public about her status. "Highly educated people do not want to accept that the pandemic can infect them also. Being a former teacher, I wanted to show that HIV is not for the poor only," she said.
She lamented that support groups are comprised of people with little management knowledge and they tend to fail. She suggested that highly qualified people should join the support groups saying that would lead to a step ahead in the battle against the scourge, which is overwhelming the country.
The theme of the pageant was, "Eradicate stigma and increase production." The 39-year-old Lesole pointed out in an interview that, though it is not for the first time, she is going to sensitise people in the workplace about the stigma related with HIV/AIDS. She feels that her encouragement as Miss Stigma Free would have an impact on people's minds.
The HIV activist advised that HIV positive people should not feel sidelined. They should take advantage of free anti-retrovirals provided by government and other such kind of assistance. She strongly advised infected people to take Antiretroviral drugs (ARV) as prescribed.
Failure to follow instructions is like sentencing yourself to death, she warned. The healthy mother of three was proud to announce that she is on ARVs and she does not feel any social pressure from anybody. She told a full hall that her family, especially her children, encourage or always remind her to take ARVs when it is time. She said people should test for HIV and know their status early in life. She emphasised this would help them in making decisions for the future.
Showing posts with label ARV's. Show all posts
Showing posts with label ARV's. Show all posts
Saturday, September 09, 2006
Friday, September 08, 2006
Zambian children and HIV
Zambia has a population of about 11 million people. More than one million of Zambians are living with HIV. Estimates put the prevelance rate at around 20%. 290 000 Zambians are in need of antiretroviral therapy (ART) and this is the official figure that only takes account of those who know their status. As at March 2006, an estimated 76000 people were on ART in Zambia.
That 76000 Zambians are currently on ARV treatment as of now is not a mean achievement at all one when considers the circumstances. In fact it is quite a phenomenal feat. Especially when we consider that less than three years ago in 2003, during the pilot phase of ART in the Zambian public health sector, there were only 2,000 people on treatment in two centres at Lusaka’s UTH and Ndola Central Hospital. In the second phase in 2004, 10 centres with 15,000 people on treatment. By the end of 2005, it had expanded to over 50,000 people in 62 centres. By now, at the end of August 2006, there are 126 centres and 76,000 people on ART, the vast majority of who are receiving this treatment for free.
(It is sometimes argued that this treatment is not entirely free to the patient as they incur costs in traveling to the clinics to access it. The point is that the patients themselves do no have to pay any of the nearly US $150 per patient per year that it costs to have a person on first line ARVs alone, without even considering the costs of all the laboratory costs that go with the practice of HIV medicine.)
While credit, commendation and praise must be given where they are due because as a country Zambia has made very good progress in this area, we must also acknowledge that Zambia has failed her children. Experts tell us that there are about 85000 children infected with HIV in Zambia, but only less than 3000 of them are on ARV treatment.
That 76000 Zambians are currently on ARV treatment as of now is not a mean achievement at all one when considers the circumstances. In fact it is quite a phenomenal feat. Especially when we consider that less than three years ago in 2003, during the pilot phase of ART in the Zambian public health sector, there were only 2,000 people on treatment in two centres at Lusaka’s UTH and Ndola Central Hospital. In the second phase in 2004, 10 centres with 15,000 people on treatment. By the end of 2005, it had expanded to over 50,000 people in 62 centres. By now, at the end of August 2006, there are 126 centres and 76,000 people on ART, the vast majority of who are receiving this treatment for free.
(It is sometimes argued that this treatment is not entirely free to the patient as they incur costs in traveling to the clinics to access it. The point is that the patients themselves do no have to pay any of the nearly US $150 per patient per year that it costs to have a person on first line ARVs alone, without even considering the costs of all the laboratory costs that go with the practice of HIV medicine.)
While credit, commendation and praise must be given where they are due because as a country Zambia has made very good progress in this area, we must also acknowledge that Zambia has failed her children. Experts tell us that there are about 85000 children infected with HIV in Zambia, but only less than 3000 of them are on ARV treatment.
Thursday, September 07, 2006
Non adherence to ARV's a huge problem in Botswana
This editorial from The Voice in Botswana caught my eye. It points to a very worrying trend facing those living with HIV in sub-saharan Africa. As I've alluded to in previous posts non-adherence to treatment is a big issue in Bots!
'There were two related reports that emerged at the recently ended 16th International AIDS conference in Toronto that caught our attention and hopefully the attention of every responsible citizen who don't want to see this country's human resources decimated by HIV /AIDS.
These are the reports that TB strains resistant to first and second line drugs have been found among HIV-Positive people in our neighbour, South Africa and another one which states that first line drugs are no longer working for a growing number of people living with HIV who are now in need of far more expensive drugs that are out of reach for the general majority of Africans.
In light of the above discoveries we sought a comment from a local HIV/AIDS expert who to our horror confirmed our suspicions that we are in the same boat with South Africa concerning the above worrying developments in the fight against AIDS.
In brief the expert explained that apart from the natural progression of people living with HIV towards resistance to ARVs ,the process is often speeded up by certain factors such as non- adherence and reckless living, which in many cases results in re-infection.
"We already have a growing number of people who are now on the much more expensive third line drugs mainly because of non-adherence. Many have also turned up with signs of new infections. If these drugs become resistant too all we can do is help such people manage the disease, avoid catching opportunistic diseases and hope for the best," he said
Suddenly it dawned on us that our modest achievement of having reduced Botswana HIV/AIDS infection rate to 17% fade into oblivion when placed next to the mountain we face ahead of us.
We applaud the government efforts to keep the sick alive by spending huge sums of money on providing individuals with ARVS.
We condemn those whose attitudes(and they seem to be many) have been undermining the government efforts by mistaking ARVs for a cure for AIDS.
We hope that the reports from the AIDS conference will be an eye opener and a strong urgent warning to many people, especially the 35% of our population which is already living with HIV some of who have clearly been lulled into a false sense of security by the abundance of ARVs dished out by government for free to wake up and take control of their lives before its too late.
'There were two related reports that emerged at the recently ended 16th International AIDS conference in Toronto that caught our attention and hopefully the attention of every responsible citizen who don't want to see this country's human resources decimated by HIV /AIDS.
These are the reports that TB strains resistant to first and second line drugs have been found among HIV-Positive people in our neighbour, South Africa and another one which states that first line drugs are no longer working for a growing number of people living with HIV who are now in need of far more expensive drugs that are out of reach for the general majority of Africans.
In light of the above discoveries we sought a comment from a local HIV/AIDS expert who to our horror confirmed our suspicions that we are in the same boat with South Africa concerning the above worrying developments in the fight against AIDS.
In brief the expert explained that apart from the natural progression of people living with HIV towards resistance to ARVs ,the process is often speeded up by certain factors such as non- adherence and reckless living, which in many cases results in re-infection.
"We already have a growing number of people who are now on the much more expensive third line drugs mainly because of non-adherence. Many have also turned up with signs of new infections. If these drugs become resistant too all we can do is help such people manage the disease, avoid catching opportunistic diseases and hope for the best," he said
Suddenly it dawned on us that our modest achievement of having reduced Botswana HIV/AIDS infection rate to 17% fade into oblivion when placed next to the mountain we face ahead of us.
We applaud the government efforts to keep the sick alive by spending huge sums of money on providing individuals with ARVS.
We condemn those whose attitudes(and they seem to be many) have been undermining the government efforts by mistaking ARVs for a cure for AIDS.
We hope that the reports from the AIDS conference will be an eye opener and a strong urgent warning to many people, especially the 35% of our population which is already living with HIV some of who have clearly been lulled into a false sense of security by the abundance of ARVs dished out by government for free to wake up and take control of their lives before its too late.
Monday, August 21, 2006
WHO calls for more ARV's for children
THE majority of children in sub-Saharan Africa are not benefiting from efforts to expand antiretroviral treatment for AIDS, WHO has said. In a featured talk at the just ended International AIDS conference in Toronto, World Health Organisation (WHO) director of AIDS programmes Dr Kevin De Cock said 800,000 of the 2.3 million children infected with HIV worldwide needed antiretroviral drugs to stay alive. His comments followed an extensive review of progress in efforts to step up antiretroviral treatment. “Of the 800,000, only 60,000 to 100,000 are receiving therapy.
While the children account for 14 per cent of AIDS deaths, they make up only six per cent of recipients of antiretroviral drug therapy and many of these are orphans,” he said. “We must conclude that the scale-up has so far left children behind.”
Dr De Cock said while rich countries had virtually eliminated pediatric AIDS, less than 10 per cent of pregnant women with HIV in poor and middle-income countries were receiving the simple regimen of pills that could prevent the transmission of the virus to their newborns.
“An urgent priority is improving access to antiretroviral therapy for children, especially in sub-Saharan Africa” he said. Dr De Cock said women in developing countries were receiving therapy in proportion to the female infection rate but added that their access to follow-up care could still be inhibited. “Of the 38.6 million people with HIV, about 6.8 million in low and middle-income countries would be expected to die within two years without antiretroviral therapy. Of these, about 1.7 million are now receiving it, but for many it is coming too late to get the full benefit of the drugs,” said Dr De Cock. “The one million people now receiving therapy in Africa is 10 times the number who were being treated in December 2003 but the figure is two million fewer than the number the late Dr Lee Jong-wook had set as a goal when he became director general of WHO in 2003. The aim was to treat three million people by the end of 2005, in a program called ‘three by five’.”
While the children account for 14 per cent of AIDS deaths, they make up only six per cent of recipients of antiretroviral drug therapy and many of these are orphans,” he said. “We must conclude that the scale-up has so far left children behind.”
Dr De Cock said while rich countries had virtually eliminated pediatric AIDS, less than 10 per cent of pregnant women with HIV in poor and middle-income countries were receiving the simple regimen of pills that could prevent the transmission of the virus to their newborns.
“An urgent priority is improving access to antiretroviral therapy for children, especially in sub-Saharan Africa” he said. Dr De Cock said women in developing countries were receiving therapy in proportion to the female infection rate but added that their access to follow-up care could still be inhibited. “Of the 38.6 million people with HIV, about 6.8 million in low and middle-income countries would be expected to die within two years without antiretroviral therapy. Of these, about 1.7 million are now receiving it, but for many it is coming too late to get the full benefit of the drugs,” said Dr De Cock. “The one million people now receiving therapy in Africa is 10 times the number who were being treated in December 2003 but the figure is two million fewer than the number the late Dr Lee Jong-wook had set as a goal when he became director general of WHO in 2003. The aim was to treat three million people by the end of 2005, in a program called ‘three by five’.”
Friday, August 11, 2006
HIV/AIDS Vaccine?
It will take a very long time to wipe out the horrible AIDS virus without developing a vaccine.
All the other measures on which we are spending so much time, financial and other resources will only mitigate the problem but will not be able to eradicate this virus. It is therefore pleasing that efforts are being made to develop a vaccine that may help conquer the AIDS virus. Given the wisdom and endeavour of humanity it must be actually possible to come up with an AIDS vaccine. But this has not been easy to achieve not necessarily because of limited scientific knowledge on the part of humanity but because of unbridled lust for money, for profits.
Those with the scientific and technical know-how, those who have spent gigantic sums of money developing what appears to be very profitable antiretroviral drugs (ARVs) may not be very keen to see them off the market so soon. They may still want to make more profits from their investments in ARVs. And moreover, it is these same corporations that somehow have the scientific and technological know-how needed to develop AIDS vaccines. And when it comes to matters like these, profits take precedence over human life, especially the lives of those poor human beings in Third World countries.
All the other measures on which we are spending so much time, financial and other resources will only mitigate the problem but will not be able to eradicate this virus. It is therefore pleasing that efforts are being made to develop a vaccine that may help conquer the AIDS virus. Given the wisdom and endeavour of humanity it must be actually possible to come up with an AIDS vaccine. But this has not been easy to achieve not necessarily because of limited scientific knowledge on the part of humanity but because of unbridled lust for money, for profits.
Those with the scientific and technical know-how, those who have spent gigantic sums of money developing what appears to be very profitable antiretroviral drugs (ARVs) may not be very keen to see them off the market so soon. They may still want to make more profits from their investments in ARVs. And moreover, it is these same corporations that somehow have the scientific and technological know-how needed to develop AIDS vaccines. And when it comes to matters like these, profits take precedence over human life, especially the lives of those poor human beings in Third World countries.
Saturday, July 08, 2006
HIV/AIDS in rural Zambia
The Zambian health deputy minister Chilufya Kazenene has raised alarm about HIV/AIDS in rural areas reaching alarming levels in the next few years if the current interventions are not scaled up as a matter of urgency.
It will be very sad if some rural areas in Zambia which currently have relatively low prevalence rates of HIV/AIDS start to experience an upward swing in the spread of this virus because very little is being done to ensure that things do not get worse in the rural areas. Zambia has areas like Northern Province with 8.3 per cent infection rate and North-Western Province with 9.2 per cent but very little is being done to help these provinces push down these rates. Obviously areas like Lusaka with 22 per cent infection rates and Copperbelt with 19.9 per cent will definitely require more resources to deal not only with prevention, but also treatment, but this should not mean that the areas with low infection rates should receive negligible attention because soon they will also catch up and it will be a question of closing the stables after the horses have bolted. More work and investment in rural areas can help keep the rates of infection under control.
It is so important that public health officials in Zambia realise that prevention of HIV is of paramount importance. The trouble is that when HIV/AIDS is concerned the culture is often one of 'fire fighting' rather than one of prevention. There is a lot that can be done to reduce or keep under control the prevalence rates in rural areas but not enough is being done. Zambia is spending a disproportionate amount of resources in dealing with the HIV/AIDS problem in urban areas than in rural provinces.
Most rural areas don’t even have testing centres. It is very difficult for our rural dwellers to access ARVs. And for those who have some access to ARVs, they have no proper assistance in how to administer this treatment. They also do not have access to periodic or regular CD-4 counts. Those who have some access to ARVs are not properly helped with administration of these drugs. Some of them are swallowing them like beans, endangering their health. These are very strong drugs that need proper management by competent people; they cannot be taken like aspirin or panadol. The money that various donor organisations have been pouring into the fight against HIV/AIDS does not seem to be reaching the intended people.
Zambia has a myriad of non-governmental organisations that have been created to deal with the HIV problem - a good thing in itself. But most of these organisations (NGOs) really do not benefit the people they are intended to serve. Instead, the greatest beneficiaries are those who run them. Money is spent much more on HIV/AIDS workshops and seminars while even the wisdom that comes from such meetings never reaches the intended beneficiaries, especially those in rural areas.
It is very difficult for rural dwellers living with HIV to fight even the most controllable of opportunistic diseases. Most of the rural clinics or health centres do not have even the minimum facilities to diagnose opportunistic diseases like tuberculosis, let alone the means to treat it. The rural clinics and health centres don’t even have drugs for simple diarrhoea and other health complications that people living with HIV are usually open to. To this is added the problem of hunger. HIV patients, especially those on ARVs, need reasonable access to food. But there are so many people in the rural areas taking HIV drugs on empty stomachs.
We therefore urge those who have made fine use of their resources to help us fight the HIV pandemic in this country to start focusing their attention and money on rural areas. Of course, this shouldn’t be at the exclusion or abandonment of urban areas where the problem has today reached very alarming levels. Doing so will be self-defeating. We are calling on them not to forget the rural areas as they battle with the problem in our urban centres. We should not allow the prevalence levels in our rural areas to ever reach those of the urban centres. If this is allowed to happen, we are likely to see an extinction of the rural populations. Let’s act now on the rural HIV problem - tomorrow may be too late. Let’s scale up our efforts, especially in the rural areas, in fighting this horrible virus.
It will be very sad if some rural areas in Zambia which currently have relatively low prevalence rates of HIV/AIDS start to experience an upward swing in the spread of this virus because very little is being done to ensure that things do not get worse in the rural areas. Zambia has areas like Northern Province with 8.3 per cent infection rate and North-Western Province with 9.2 per cent but very little is being done to help these provinces push down these rates. Obviously areas like Lusaka with 22 per cent infection rates and Copperbelt with 19.9 per cent will definitely require more resources to deal not only with prevention, but also treatment, but this should not mean that the areas with low infection rates should receive negligible attention because soon they will also catch up and it will be a question of closing the stables after the horses have bolted. More work and investment in rural areas can help keep the rates of infection under control.
It is so important that public health officials in Zambia realise that prevention of HIV is of paramount importance. The trouble is that when HIV/AIDS is concerned the culture is often one of 'fire fighting' rather than one of prevention. There is a lot that can be done to reduce or keep under control the prevalence rates in rural areas but not enough is being done. Zambia is spending a disproportionate amount of resources in dealing with the HIV/AIDS problem in urban areas than in rural provinces.
Most rural areas don’t even have testing centres. It is very difficult for our rural dwellers to access ARVs. And for those who have some access to ARVs, they have no proper assistance in how to administer this treatment. They also do not have access to periodic or regular CD-4 counts. Those who have some access to ARVs are not properly helped with administration of these drugs. Some of them are swallowing them like beans, endangering their health. These are very strong drugs that need proper management by competent people; they cannot be taken like aspirin or panadol. The money that various donor organisations have been pouring into the fight against HIV/AIDS does not seem to be reaching the intended people.
Zambia has a myriad of non-governmental organisations that have been created to deal with the HIV problem - a good thing in itself. But most of these organisations (NGOs) really do not benefit the people they are intended to serve. Instead, the greatest beneficiaries are those who run them. Money is spent much more on HIV/AIDS workshops and seminars while even the wisdom that comes from such meetings never reaches the intended beneficiaries, especially those in rural areas.
It is very difficult for rural dwellers living with HIV to fight even the most controllable of opportunistic diseases. Most of the rural clinics or health centres do not have even the minimum facilities to diagnose opportunistic diseases like tuberculosis, let alone the means to treat it. The rural clinics and health centres don’t even have drugs for simple diarrhoea and other health complications that people living with HIV are usually open to. To this is added the problem of hunger. HIV patients, especially those on ARVs, need reasonable access to food. But there are so many people in the rural areas taking HIV drugs on empty stomachs.
We therefore urge those who have made fine use of their resources to help us fight the HIV pandemic in this country to start focusing their attention and money on rural areas. Of course, this shouldn’t be at the exclusion or abandonment of urban areas where the problem has today reached very alarming levels. Doing so will be self-defeating. We are calling on them not to forget the rural areas as they battle with the problem in our urban centres. We should not allow the prevalence levels in our rural areas to ever reach those of the urban centres. If this is allowed to happen, we are likely to see an extinction of the rural populations. Let’s act now on the rural HIV problem - tomorrow may be too late. Let’s scale up our efforts, especially in the rural areas, in fighting this horrible virus.
Wednesday, November 02, 2005
Reflections on Boipelo's Life
Boipelo's death particularly touched me. I guess part of the reason I felt affected was because she was so young and full of life. She was also one of the first people I knew who died from an Aids related illness. It's not that Boipelo ever told me that she was HIV positive, after all very few people will disclose their HIV status to anyone in Botswana (or elsewhere for that matter) but we knew she was 'sick'. All who knew her knew she was 'sick'. No one ever described her as anything other than 'sick'. No one would ever openly say 'I suspect that Boipelo's illness is AIDS related'. I'd know that the other person knew and they'd know that I knew but neither of us could ever say it!
Weeks after Boipelo's death I spoke to a doctor friend of mine. He confirmed that Boipelo had been treated for HIV but that she had not adhered to the strict regime of taking her Anti-retrovirals. Apparently as her health seemingly improved she returned to her party-girl lifestyle and gave up on her treatment. She was young and reckless in that sense but I too was fearless in my youth. I drove my car too fast, I took risks and did things that were potentially life threatening. Most people would say the same. Boipelo took the risk of not taking her pills. She didn't live to tell her story though....
Weeks after Boipelo's death I spoke to a doctor friend of mine. He confirmed that Boipelo had been treated for HIV but that she had not adhered to the strict regime of taking her Anti-retrovirals. Apparently as her health seemingly improved she returned to her party-girl lifestyle and gave up on her treatment. She was young and reckless in that sense but I too was fearless in my youth. I drove my car too fast, I took risks and did things that were potentially life threatening. Most people would say the same. Boipelo took the risk of not taking her pills. She didn't live to tell her story though....
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