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September 7, 2008)
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Manila, Aug 28 : Health officials and experts from Asia-Pacific countries with a low prevalence of HIV and AIDS vowed Thursday to intensify efforts to prevent the spread of the disease in their nations.
Delegates from 11 countries who attended a three-day meeting in Manila noted there was a need for governments, civil society groups and international development partners to improve efforts to deliver interventions to most-at-risk populations.
By John Grafilo
Sep 2, 2008, 4:52 GMT
Manila - Bhutan Health Minister Lyonpo Zangley Dukpa did not hide his grave
concern over an increasing number of HIV cases in his tiny kingdom in the bosom
of the Himalayan Mountains.
Dukpa said the geographical isolation of his country and its close-knit communities have been breached by the disease, which has killed more than 2 million people around the world since it first surfaced in the late 1970s.
While Bhutan has confirmed 144 HIV infections, a low number compared with other Asian countries like China or Indonesia, Dukpa said his government was nonetheless alarmed.
'I come from a very small country,' he said, noting that Bhutan's population is just over 600,000. 'We thought we would be spared by this deadly disease that afflicts countries around the world, but we were not spared.'
'For the past three years, the number of HIV/AIDS cases is increasing despite our greater advocacy campaign, and, therefore, we are now working on measures on how to counter the spread,' Dukpa said in Manila at the end of a three-day meeting of 11 Asia-Pacific countries with a low prevalence of HIV.
According to the UN's World Health Organization, about 33 million people around the world are HIV-positive, 22 million of whom live in sub-Saharan Africa.
In Asia, China is one of the countries with the highest number of cases, estimated at 700,000. Other countries in the region with large numbers of HIV cases are Thailand with 610,000 and Indonesia with 270,000.
Dukpa conceded that extended families, monogamous marriages and other traditional cultural and religious practices, which have traditionally shielded his people and other Asian peoples from the dreaded virus, are no longer enough to contain the disease.
Nirmal Siripala De Silva, Sri Lanka's health minister, noted that industrialization and globalization have led people to open up to more liberal lifestyles that make them more susceptible to the disease.
While 706 cases have been confirmed in Sri Lanka, a country with more than 20 million people, De Silva said he was expecting more infections amid rising numbers of Sri Lankans working abroad.
'We have 1.5 million people working abroad, so that is one of our challenges,' he said.
Sri Lanka's situation is magnified in the Philippines, where more than 8 million Filipinos are working abroad and the influential Catholic Church objects to promoting condom use
Philippine Health Undersecretary Mario Villaverde said more Filipinos contracted HIV in the past two years.
'There is also a shift in terms of the pattern of transmission,' he said. 'In the previous decade, up to two or three years ago, predominantly it was through heterosexual contact, but there is now a shift in transmission to men having sex with men.'
The Philippines' Health Department said it had recorded 3,305 HIV infections in the country since 1984. Thirty-five percent of them were overseas Filipino workers.
Health Secretary Francisco Duque lamented that condom use in the Philippines was below international standards.
He noted that according to a 2007 survey, 48 per cent of female sex workers, 27 per cent of drug users and 49 per cent of men having sex with men used condoms.
Duque warned that while in previous years there was an average of 20 HIV cases reported every month, that number had risen to 29 since last year.
'Although the Philippines remains to be a low-prevalence country, it should not be the reason to be complacent as statistics and trends show that the number of those infected are on the rise,' he said.
Fiji Deputy Foreign Affairs Minister Ratu Epeli Nailatikau lamented that being labeled a low-prevalence country has made political leaders and people complacent.
'Low prevalence is not a crowning glory,' he said. 'I don't want my country to be classified as low prevalence. I want it to be no prevalence. That's the thing we have to aim for. There is no time for relaxation.'
By ANITA POWELL, Associated Press WriterMon Sep 1, 1:11 PM ET
Solomon Henderson inherited just three things from his birth parents, who left him at an Ethiopian orphanage when he was 1 year old: a picture of Jesus, a plastic crucifix and HIV.
As one of some 14,000 Ethiopian children born with the virus every year, Solomon's prospects for survival — much less adoption — were grim. But Erin Henderson's heart stirred when she saw him, and she decided, on the spot, to adopt him.
"They told me that they weren't sure he would live through the weekend," Henderson said by e-mail from her home in rural Wyoming, where she lives with her husband and 11 children, two of whom are HIV-positive adoptees from Ethiopia.
Solomon, now an active 2-year-old with chubby cheeks and a shy smile, is part of a small but growing movement: Americans adopting HIV-positive children from abroad.
Figures from U.S.-based Adoption Advocates International, the agency that arranges the majority of HIV-positive adoptions in Ethiopia, show a clear and steady rise, from two such adoptions in 2005, four in 2006, 13 in 2007, and 38 either completed or pending this year.
The U.S. Embassy corroborates the trend, although its numbers are slightly different because it counts adoptions according to fiscal year. So far this year, the embassy said, Americans have adopted 25 HIV-positive children from Ethiopia, up from seven the year before.
Ethiopia is at the forefront of the trend, in part because it is a well-established adoption hub. But countries including China, Ghana, Haiti and Russia also have seen increases, although the numbers remain small — fewer than five children in each country this year, according to U.S. adoption agencies that work with HIV-positive children. The figures could be higher, however, as many nations do not ask if a departing child has HIV.
The motivations are wide-ranging — some parents say they were driven by religion or a desire for social change, or that the disease is more manageable than ever before. Others, like Julie Hehn, gave more personal reasons.
"I was just scrolling through these pictures, and I saw the photo of Tsegenet, and I said, 'Oh my God, that's my daughter,'" said Hehn, a 53-year-old elementary school teacher from Edmonds, Wash.
Hehn said she was not looking for an HIV-positive child when she decided to adopt from Ethiopia.
"I fell in love with Tsegenet and it just happens she's HIV-positive," said Hehn, who has 27 children, 19 of them adopted from Ethiopia and five adopted from the U.S.
At a recent goodbye party at an orphanage in Addis Ababa, a 9-year-old girl who was heading to the United States with her adoptive family gave a shy smile as her friends ate doughnuts and sang farewell songs.
The children — all of whom have HIV or AIDS and are looking for new families — belted out an Ethiopian hymn called "No one is ashamed of you."
Ethiopian adoptions to the United States peaked at 1,255 in 2007, and the adoption of HIV-positive children is growing in step, according to U.S. government figures. American adoptions in Ethiopia have steadily risen from 135 in 2003, to 289 in 2004 to 440 in 2005 to 731 in 2006.
So far, none of the children adopted through Adoption Advocates International in Ethiopia since 2005 has died. The oldest is now 13 years old.
Margaret Fleming, the founder of Chances By Choice, an international HIV-positive adoption advocacy group that connects parents with HIV-positive children and adoption agencies, said her group also has overseen adoptions of children from Haiti, Guatemala and Russia.
Fleming said her group has helped bring about 52 international HIV-positive adoptions since 2002 from assorted adoption agencies and countries, including Ethiopia.
Fleming, who has three HIV-positive children in her own brood of 12 children, said she wanted to make a difference in the world.
"I feel like I'm on the cutting edge of making an impact on this epidemic," Fleming, 72, said by telephone from her office in Chicago. "It's given us a chance to be ambassadors, and our children to be ambassadors."
Over the past decade, HIV has become a manageable, chronic disease, rather than a death sentence. Some children, like Solomon, require daily medication that can cost between $700 and $1,500 a month, though all parents planning to adopt children with HIV are required to carry health insurance, so costs are usually less.
Others, like Tsegenet Hehn, have been told by doctors that the low levels of the virus in their blood mean they don't need any medication.
"She doesn't get sick any more than my other children," said Hehn, who said another daughter, who has a condition that makes her react violently to wheat and gluten products, requires more care than Tsegenet does.
U.S. Secretary of Health and Human Services Michael Leavitt said HIV-positive adoptees pose no public health threat in America. Congress is set to repeal legislation that requires those with HIV to get waivers to enter the U.S. For adopted children with HIV, the waiver requirement can increase the nine- to 12-month adoption process by about two weeks.
"The American people are compassionate people," Leavitt told the AP on a visit to the Ethiopian capital, Addis Ababa. "I applaud their compassion and I'm delighted to know they're doing so."
But parents overwhelmingly say the reward is theirs.
"I have learned so much from Tsegenet," Hehn said. "I have learned to be more patient and kind through Tsegenet."
Like some parents interviewed, Hehn says she insists on being open with everyone about her daughter's condition.
"I'm a teacher. I want to educate everybody I can educate," she said. "And I believe it is the only way we can erase the stigma. I am not going to tell her that there is not one part of her that is not beautiful and wonderful and pure."
by Sibongile KhumaloSat Sep 6, 11:10 AM ET
At
only 15 Nonsikelelo Hlophe is old beyond her years after she and her
siblings lost both their parents to HIV-AIDS, turning the family into one of
thousands headed by children.
The slightly built teen lives in the mountainous kingdom's central region, in a remote, sparsely populated area, which according to the charity World Vision has around 3,000 child-headed households.
The Hlophe children lost their their father, the family's sole breadwinner, in 2002. The illness forced him to abandon his job in the gold mines of neighbouring South Africa and return to his home in Sandleni village where he died.
"As kids we were not told what killed him, causes of death are not discussed with kids," Nonsikelelo told AFP, staring blankly into the distance.
Two years later, in 2004, Nonsikelelo's mother also died leaving the family's eldest son Ndumiso, then 18, to assume the role of head of the family and provider even though he was still at school.
According to World Vision's Musi Mayisela, the Hlophe family is far from unique in Swaziland which celebrated 40 years of independence on Saturday and where HIV-AIDS affects nearly one in four adults, the world's highest infection rate.
Orphans are left penniless and with no means of supporting themselves.
"The case of the Hlophe family is a classic case of what is happening in many rural areas here in the country," he said.
Despite Swaziland's high HIV-AIDS rate, the disease is often still not referred to by name. "People call it this new disease or this three-letter illness," added Mayisela.
Life saving anti-AIDS drugs were only rolled out in Swaziland in 2003, according to local action group, Swaziland Positive Living.
There are currently 51,000 patients receiving therapy at different locations across the country -- a fraction of the number affected.
"Sick people have a difficult time reaching these places and drugs often run out, resulting in non-adherence, which could cause fatal complications," Cebile Dlamini, spokeswoman for the group, said.
Dlamini, whose organisation has field workers across the country, said children were the hardest hit by the disease.
"There is still a need for a more comprehensive roll-out of treatment. The available drugs are funded by overseas NGO's and this calls for support from within the country," she said.
For the Hlophe children, none of whom is HIV positive, home is a modest two-roomed brick house, built by World Vision after their traditional dwelling collapsed.
The kitchen doubles as a bedroom for the girls and school fees are subsidised by the government. They receive food parcels from aid organisations.
They work hard to help their eldest brother bring in enough money to keep a roof over their heads and food on the table.
But despite all the hardships, Ndumiso, now 22, who earns money doing odd jobs, has not given up on his dream of becoming an accountant when he finishes school this year.
"Right now I want to earn more money to support my sisters and brothers," he told AFP.
And Nonsikelelo's older sister Phumzile, 20, inspired by her family's experiences, cherishes an ambition to become a nurse after finishing school.
"I saw the pain that my mum went through - now I want to become a nurse when I finish school so that I can help other people," she said.
04 Sep 2008 17:19:43 GMT
Source: IRIN
Reuters and AlertNet are
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sites. The views expressed are the author's alone.
Text to Change (TTC) , an
NGO that uses a bulk short message service (SMS) platform for HIV/AIDS
education, recently partnered with the AIDS Information Centre in Uganda (AIC)
and Celtel, a local mobile phone network, to pilot a project in western Uganda
aimed at communicating knowledge about the disease and encouraging subscribers
to volunteer for HIV testing.
The Uganda Communications
Commission expects the number of mobile phone users to hit the six million mark
by the end of 2008. In urban areas, as many as 50 percent of people have mobile
phones, compared to 10 percent in rural areas, according to the 2006 Uganda
Demographic and Health Survey (DHS).
Knowledge levels are often
very low; the DHS found that while almost everyone had heard of HIV/AIDS, only
about 30 percent of women and 40 percent of men had comprehensive knowledge.
TTC launched the pilot
programme on Valentine's Day and ran it for the next six to eight weeks with the
slogan, "Don't guess the answers, learn the truth about AIDS".
The organisation chose a
list of 15,000 Celtel subscribers in Mbarara district in southwestern
A question was sent each
week; if the recipient answered correctly, a confirmation SMS was sent, and if
he or she answered incorrectly, a rectifying message was sent. Questions
included: "What is the difference between HIV and AIDS?", "How is
HIV transmitted?", "Have you ever tested for HIV?"
About 2,500 of the 15,000
subscribers contacted responded to each question. At the end of the trial period
of questions and answers, participants were encouraged to go for HIV testing.
According to Robert Natlaka,
AIC's representative, requests at their central Mbarara facility rose by 100
percent over the pilot's six-week duration. "About 255 [participants]
turned up to AIC in Mbarara for testing; some others also went to AIC partners
[around] the district."
Only 15 percent of rural
women and 11 percent of rural men know their HIV status. After reaching a low of
six percent in 2003,
Bas Hoefman, the public
relations officer at TTC, felt that more people would respond if the questions
were written in local languages, and there was better sensitisation and
awareness of the campaign. TTC plans to expand the programme to other districts
in the next year.