IRIN HIV/AIDS Weekly - 289: 23-Jun-06

IRIN HIV/AIDS Weekly - 289 Africa 23 June 2006

NEWS: SOUTH AFRICA: New AIDS threat looms UGANDA: Challenges of resettlement for HIV-positive displaced UGANDA: Staff shortages hampering HIV/AIDS care in Kitgum KENYA: Free ARVs a step in the right direction, but much more needed ETHIOPIA: Poverty limiting treatment options for HIV-positive children COTE D'IVOIRE: Involving children in issues raised by HIV/AIDS ZAMBIA: Low testing figures forces govt to launch national testing day NAMIBIA: Concern as BMS starts handover of HIV/AIDS treatment EVENTS/RESOURCES 1. Women's Treatment Literacy Toolkit Launch 2. Media Guide for AIDS2006 VACANCIES 1. Law and Policy Researcher: HIV and AIDS NEWS SOUTH AFRICA: New AIDS threat looms South Africa's Western Cape province has so far maintained the lowest HIV prevalence rate in the battle against AIDS, but this could be changing. According to the 2002 National HIV and Syphilis Antenatal Sero-prevalence, based on a sample of more than 16,000 women attending antenatal clinics in the country's nine provinces, Western Cape recorded a rate of 12.4 percent, compared to a prevalence level of 16 percent to 36.5 percent in other provinces. However, this figure rose by three percent over the next two years, causing some experts to suspect that increased levels of HIV might be linked to the growing popularity of a relatively new but highly addictive and easily accessible drug. Andreas Pluddemann, a senior researcher in alcohol and drug abuse at the Medical Research Council (MRC), recalled that sporadic queries about a mysterious substance known only as 'tik' began reaching the offices of the South African National Council on Alcohol and Drug Abuse (SANCA), and the Cape Town Drug Counselling Centre (CTDCC) three years ago. "It turned out to be crystal d-methamphetamine hydrochloride, otherwise known as 'speed', 'ice', 'crystal meth', 'crystal', or just 'meth'. It is a crystalline form of methamphetamine, a powerfully addictive stimulant often used recreationally as a party drug," he told PlusNews. More details: http://www.plusnews.org/AIDSreport.asp?ReportID=6079 UGANDA: Challenges of resettlement for HIV-positive displaced Walter Okello clutched his wheezing, gaunt three-year-old son as they sat on a wooden bench outside northern Uganda's Lira Regional Hospital waiting for the results of an HIV test. "If Emy tests positive then it means my wife must be positive too, and that will make three of us," said HIV-positive Okello, resigned to the likely outcome of the blood test. "At the moment we live in Amuka [camp for the internally displaced], close to Lira hospital, but I hope soon we will return to the village, but getting [medical] help will then be difficult." In 2002, the bloody conflict between the rebel Lord's Resistance Army and government forces forced 70 percent of Lira's population into cramped, unsanitary camps. Now, across Lira district, improved security is offering hundreds of thousands of people the opportunity to end a day-to-day existence dependant on humanitarian handouts and return home to their villages. More details: http://www.plusnews.org/aidsreport.asp?reportid=6082 UGANDA: Staff shortages hampering HIV/AIDS care in Kitgum A shortage of trained medical staff in the war-torn northern Ugandan district of Kitgum is compromising efforts to improve the care, support and treatment of HIV/AIDS patients. Continuing insecurity and dire living conditions in the district's ubiquitous camps for the displaced are prompting qualified staff to quit in search of a more comfortable working environment, leaving already ill-equipped health centres even more short-staffed. "It's a real struggle to get qualified staff in Kitgum," said Dr Vincent Oringa, district director of health. "Working conditions in the camps are not easy, simply because the basic necessities like decent housing, running water and electricity are not there." More details: http://www.plusnews.org/aidsreport.asp?reportid=6085 KENYA: Free ARVs a step in the right direction, but much more needed Kenyan President Mwai Kibaki's recent announcement that antiretroviral (ARV) treatment will now be free of charge in public hospitals came as a welcome relief, particularly to the East African nation's HIV-positive people. "Very few could afford the drugs when the ARV programme opened in Kisumu [city in western Kenya] in 2004," said Dr Lennah Nyabiage, the government's ARV officer for Nyanza Province. "Then, they cost 500 shillings [US $7] per month, but we realised that many patients were not accessing drugs because of poverty, so we reduced it further to 100 shillings [$1.40]." Nyabiage said when the cost of the drug was initially decreased, Kisumu - the main city in Nyanza, which she said had an HIV prevalence of 15 percent, more than twice the national average of about six percent - saw a two-fold increase in the number of people accessing treatment. "We expect a further increase now that the drugs are completely free," she added. But it remains unclear how the free ARV scheme will be implemented. More details: http://www.plusnews.org/AIDSreport.asp?ReportID=6080 ETHIOPIA: Poverty limiting treatment options for HIV-positive children With an estimated 2.6 million children orphaned by HIV/AIDS over the last decade, Ethiopia faces an uphill battle in its attempts to care for these children. Five-year-old Tesema Asamnew (not his real name) is one of the children being cared for at the Abebech Gobena Child Care and Development Organization. Abebech Gobena, founder and manager of the organisation, remembers the day Tesema came to the home four years ago. More details: http://www.plusnews.org/AIDSreport.asp?ReportID=6084 COTE D'IVOIRE: Involving children in issues raised by HIV/AIDS As co-founder of a shelter for children orphaned by the HIV/AIDS pandemic, Rodrigue Koffi knows that children should never be shut out of the complex problems faced by families living with HIV/AIDS. But Koffi winces when tagged an AIDS orphan himself. Instead, the 20-year-old chairman of the Nzrama home housing 50 HIV/AIDS orphans describes himself as a defender of children's rights. "There are no pre-defined criteria for orphans and vulnerable children," he told IRIN in the rebel stronghold city of Bouake, in divided Cote d'Ivoire. "You can find orphans everywhere: in prisons, on the streets, in villages or working as a prostitute." More details: http://www.plusnews.org/aidsreport.asp?reportid=6087 ZAMBIA: Low testing figures forces govt to launch national testing day The low uptake of HIV voluntary counselling and testing (VCT) services in Zambia has forced the government to come up with a national testing day to encourage more people to know their status. Director of the Zambian National AIDS Council Ben Chirwa, announced that on 30 June this year, all health facilities and AIDS NGOs will for the first time be conducting free HIV tests in all 73 districts of the country. Chirwa told IRIN that the new campaign - which is to be marked annually - had been prompted by the fact that despite high levels of knowledge about the existence of HIV and the provision of free antiretroviral drugs through the public health sector, not enough people were coming forward to get tested. More details: http://www.plusnews.org/AIDSreport.asp?ReportID=6086 NAMIBIA: Concern as BMS starts handover of HIV/AIDS treatment Almost three years ago, the privately funded Mapilelo ('Place of Survival') project began providing people in the impoverished northeastern Caprivi region with anti-AIDS drugs. But with pharmaceutical company Bristol-Myers Squibb (BMS) announcing the end of its funding in September, concerns have been raised over the fututre of the project, which has about 1,700 people on antiretroviral (ARV) medication. "We have been in discussions with the Ministry of Health and donor agencies, and we are just waiting to see," Dr Zengani Chirwa, Mapilelo's principal medical officer, told PlusNews. "The ministry has been quiet about it, but it is likely to take over the treatment aspect of the project. But what happens to the community aspect?" More details: http://www.plusnews.org/AIDSreport.asp?ReportID=6088 EVENTS/RESOURCES 1. SAfAIDS in conjunction with the American Jewish World Service (AJWS) and ActionAid International proudly launches the first ever Women's Treatment Literacy Toolkit, giving practical information on antiretroviral treatment to women, girls and those supporting them. It is simple, user friendly, and clear and is designed to help its users make informed decisions about HIV/AIDS prevention, care, support and treatment. Illustrated with diagrams and pictures, the toolkit is equally useful for low literacy populations. The tools include: fact sheets, posters, activity cards, a calendar, a brochure, an audiocassette and lists of additional resource materials. The audiocassette shall support women with low literacy levels and visual impairment, realising their right to ART information. The toolkit is currently available in English, Shona and Ndebele. For more information: Santi Imbers SAfAIDS 17 Beveridge Road Avondale Harare Zimbabwe Tel:263 4 336193/4;335015 Fax: 263 4 336195 Web: www.safaids.org.zw Email: mediadesk@safaids.org.zw 2. A Media Guide is now available to assist journalists in planning their participation in the conference. Read more about the on-site Media and Broadcast Centre at AIDS 2006. Online at: http://www.aids2006.org/admin/images/upload/883.pdf VACANCIES 1. The Open Society Initiative for Southern Africa (OSISA) is an advocacy and grantmaking organisation operating in Angola, Botswana, Lesotho, Malawi, Mozambique, Namibia, Swaziland, Zambia and Zimbabwe. OSISA is part of a global network of foundations that share the common mission of developing more open societies through support to a range of programmes in various areas including education, media, human rights, information and communication technology, HIV/AIDS, language rights, as well as social, legal and economic reform. OSISA is looking to make the following appointment: Law and Policy Researcher: HIV and AIDS The successful candidate will be based in Johannesburg and will be responsible for conducting country-specific research on AIDS policy and law issues. The candidate will have a strong influence on supporting a new sub-programme on 'AIDS and the Law'. In addition, the successful candidate will be responsible for providing technical assistance to all grantees wishing to include legal and policy components in their HIV work. This will include primary responsibility for the technical content and editing of OSISA publications and documents relating to HIV and AIDS. The Researcher will also have a direct ongoing coordination and administrative responsibility over a number of grants. RESPONSIBILITIES: - Supporting the HIV and AIDS team with research and technical legal analysis within in the of the programme; - Coordination of programme communication and publication issues; - Supporting the AIDS and the Law sub-component of the HIV and AIDS programme; - Providing overall programme assistance; REQUIREMENTS: - The ideal candidate will have a minimum of a law degree or any other degree with a focus on Public Health, Human Rights, HIV and AIDS, Journalism, or any other relevant degree from the social sciences or humanities. - Close knowledge of the HIV and AIDS sub-sector and networks in the SADC region. They will have good knowledge of the HIV and AIDS terrain in the OSISA countries. They will also have sound experience in HIV and AIDS with a strong focus on governance, law and/or human rights. - Experience of working in a funding organisation is preferred. - The candidate must have excellent inter-personal skills. The ability to independently use computer packages such as MS Word, Excel, Internet and e-Mail is a must. - The candidate should also be open to innovation and experimentation and have appreciation for community-based approaches. - Fluency in written and spoken English is a prerequisite and knowledge of at least one African language from the SADC region (outside South Africa) is a must. An attractive remuneration package, commensurate with experience, including relocation costs within Southern Africa, is offered. The job is offered on a two-year renewable contract, subject to performance. Interested and qualified candidates who match the profile are invited to submit their CV and a letter of interest to: The Human Resources Department, Open Society Initiative for Southern Africa, P.O. Box 678, Wits 2050, Fax: +27 11 4032708. Email: human_resources@osisa.org Closing Date for applications is 15 July, 2006. Only short-listed candidates will receive a response from OSISA. 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