Beating MCPs to beat HIV
I’m a computer fanatic, but there is no way that I can remember all the acronyms used in the computer world. The same applies for AIDS. It’s HIV, AIDS, VCT, PMTCT and MCP, to name just a few. This morning’s plenary session of the 4th South African AIDS Conference focussed, amongst others, on the problem of MCP. This is an acronym for Multiple Concurrent Partners. The debate in HIV and AIDS still revolves around methods to bring the number of infected people down. By the way, one of the top professors in micro-biology stated it clearly today that, in the fifteen years that he has been involved in research in finding a cure for AIDS, they haven’t really made much progress and he doesn’t think that any real progress will be made in the near future..
Coming back to MCP: The rationale behind this paper was that people in countries with a high prevalence rate of HIV infections, which include all the sub-Saharan countries, are not necessarily having more sex, but are having more sex with more than one sexual partner in the same time period, hence the term Multiple Concurrent Partners. (I don’t fully agree that this is the only important reason for the high HIV prevalence rate in Africa, because I’m not convinced that people in the USA, Europe and Australia, where the prevalence rate is low, are really living much differently). But the point is, and with this I do agree, if the number of sexual partners could be tuned down, the statistical possibility of someone who is HIV-negative to get the virus, is also lower. How much lower, is anybody’s guess.
One of the key note speakers at the discussion, Ms Lebogang Ramafoko, is a Black South African woman who also spoke about the role of culture. I myself have found that many people in Swaziland have an almost fatalistic attitude towards AIDS, saying that it is part of their culture to have a high number of sexual partners. Even many women seem to accept the fact that their husbands are unfaithful to them and shrug their shoulders when one tries to discuss the issue. “This is our culture,” they say. However, this viewpoint was challenged today by the speaker. She challenged a culture which fails to adapt to circumstances which causes the death of thousands of people every day. In South Africa, about 1000 people are dying daily directly as a result of HIV infection. She was loudly applauded when she demanded that we re-think our attitude towards culture, as if this was some kind of unchangeable monster.
A few other things which came out in some of the other papers today and which I found interesting: When speaking about AIDS in Africa, one of the topics which regularly come up is the problem of child-headed households. I wrote about this, about eighteen months ago, when I reviewed the documentary, Dear Francis. If you are interested in my viewpoint on child-headed households, I suggest that you read this. The point is that I have become convinced that people, working for NGOs, are often using the argument of child-headed households in an attempt to get money. Obviously, one’s heart has to be very hard if you don’t give money to assist children, especially if they are living on their own. But amongst the almost 1600 clients that we are serving in one of the poorest regions in Swaziland through our home-based caring project, we still have not found a child-headed household. Obviously the orphans are facing tough times, but all of them that we know of, are living with other people, mostly family members. Therefore, I’ve been questioning the truth of the alleged large number of child-headed households for a long time and definitely the claim that one out of ten households in the Mbabane area of Swaziland are run by a child is not the truth, as claimed in the documentary.
This was confirmed today when it was said that research has shown that, of the 4.1 million orphans in South Africa (out of a total population of around 44 million!), only approximately 60,000 are living in child-headed households. In no way do I want to suggest that this is acceptable. On the contrary, one child-headed household is one too many. But the point is that we need to be careful not to exaggerate statistics to draw an even bleaker picture, in order to obtain the sympathy (or funds) from others. The picture is dark enough. By being honest we will hopefully still get enough sympathy and assistance to be able to do something to help those in need and people will also accept our integrity.
Thursday, April 2, 2009 - Posted by Arnau van Wyngaard | Africa, AIDS, Cross-cultural experiences, Culture, Death, Giving, Health, HIV, HIV & AIDS, Home-based Caring, Hope, Mission, Movie Review, Poverty, Social issues, Swaziland
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This is a blog where I would like to share some of my ideas about contemporary mission. I have more than 25 years experience as a full-time missionary in Swaziland, have done a PhD on the theology of mission – specifically on the relationship between mission and eschatology – and am presently specialising in the problem of HIV/AIDS and how the church should approach this problem. You are welcome to respond and share your ideas on this blog.
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