From what I've learned so far, the organization I'm working for is a coordinating body for hundreds of support groups that have formed at community levels for people infected and affected by HIV.
The Support Groups face many challenges, including huge difficulty with stigma and discrimination. Especially within rural and isolated communities, there is an astounding amount of discrimination against people living with HIV. A barrier to the fight against the HIV epidemic is simply creating openness for people to get tested and disclose their status.
The organization provides support to PLWHA (People living with HIV/Aids) through several different programs:
-they doing training workshops on Stigma & Discrimination, Human Rights, and Gender Based Violence
-they provide training on nutrition, home-based care, ART (anti-retroviral treatment), TB signs and symptoms, and the importance of testing for HIV
-they help with family planning services, and provide condoms (both male and female)
-they help start income generating activities (IGAs) within Support groups and run a Self-help program. The Self Help program is where support group members will agree to bring a small amount of money to every week's meeting. They then pool the money together and lend it to one of the members to finance a small project. (Like buying seeds for a garden, or feed for some chickens) Once the member has made enough profit, he/she will repay the sum borrowed with some interest.
Challenges
The challenges faced by PLWHA and the organization as a whole are extensive and encompass many aspects of Development. Here are just a few:
- Poverty: families cannot afford to buy food - this makes it difficult to sustain any sort of IGA (income generating activity), it decreases daily productivity, it makes it very difficult to take ARVs, and TB treatment. They do not have access to clean water, reliable shelter, schooling for their children etc.
-Centralised Care: ART is free in Swaziland, in addition to condoms and many other services provided by NGOs or the government, however this help does not often reach the most isolated and rural communities. If someone has to walk a very long distance to the nearest clinic it is less likely they will continue ART treatment.
-Vulnerable Children/Orphans: When adults die or become too weak because of HIV/Aids and other related illnesses, they often leave children behind. If and HIV-infected mother is not educated and has not sought proper medical counselling, it is relatively easy to transmit to her baby. Primary education is not free yet in Swaziland (bringing the issue of poverty back into the picture).
-Lack of education: Many of the information dissemination is in English, which is not widely spoken in especially rural areas. There are still a lot of traditional beliefs and customs which are inaccurate and exasperate the spread of HIV. People may take condoms, but they do not necessarily use them correctly.
I could go on! There are so many complex challenges, and of course many many wonderful people and programs attempting to tackle them. I have had a hard time just wrapping my head around all of it, because everything is so interconnected.
Phew...that was a bit long. I'll finish with a brief note on what I'll be working on during my stay. Recently the organization has partnered with the United Nations Development Programme (UNDP) in attempt to coordinate and organize the Support groups into a Regional System. This will assist in coordination and cooperation between support groups, as well as effective implementation of programs and training in terms of the organization. I will be helping the organization develop a database of their Support Groups. (approx. 4000 members).
Please let me know if you have questions or comments!
Tuesday 29 September 2009
Thursday 24 September 2009
"Worry not, it will come!"
I think the theme of this post will be kombis.
Kombis are the form of public transit here, and to a westerner such as myself, they are absolutely chaotic. Luckily, I find it quite amusing-most of the time.
A kombi is a bus- really more like a van or minibus. (think VW van). In Mbabane, they all come to a kombi station at the centre of the city. It is basically a giant parking lot. There are no signs. No real parking spots. There is honking and shouting and tons of people-and kombis! They come and go from all different directions, with some sort of guidelines or rules that I have yet to understand. You find your kombi by :
1) either asking people who seem to know a network of kombi drivers who know where all the kombis are (another system I have yet to understand)
2) Or by carefully and vigilantly weaving your way through the madness, attempting to catch a glimpse of each kombi (origins and destinations are written either on the front or back or both of a kombi)
My kombi doesn't come nearly as often as the others..haha, or that's just how I feel. And it tends to fill up instantly (a kombi seats 15 people). It doesn't ever seem to park in the same place or come at the same time. So I just wait. Actually, my strategy is to wait by the entrance to the "station." Then once, I see my kombi coming, I sneakily follow it to whatever "parking spot" it chooses for this round of passenger pick ups.
Ha! Surprisingly, so far, I have not taken the wrong kombi. (even though the name of my village has a click in it. yep, a click)
ta for now!
Kombis are the form of public transit here, and to a westerner such as myself, they are absolutely chaotic. Luckily, I find it quite amusing-most of the time.
A kombi is a bus- really more like a van or minibus. (think VW van). In Mbabane, they all come to a kombi station at the centre of the city. It is basically a giant parking lot. There are no signs. No real parking spots. There is honking and shouting and tons of people-and kombis! They come and go from all different directions, with some sort of guidelines or rules that I have yet to understand. You find your kombi by :
1) either asking people who seem to know a network of kombi drivers who know where all the kombis are (another system I have yet to understand)
2) Or by carefully and vigilantly weaving your way through the madness, attempting to catch a glimpse of each kombi (origins and destinations are written either on the front or back or both of a kombi)
My kombi doesn't come nearly as often as the others..haha, or that's just how I feel. And it tends to fill up instantly (a kombi seats 15 people). It doesn't ever seem to park in the same place or come at the same time. So I just wait. Actually, my strategy is to wait by the entrance to the "station." Then once, I see my kombi coming, I sneakily follow it to whatever "parking spot" it chooses for this round of passenger pick ups.
Ha! Surprisingly, so far, I have not taken the wrong kombi. (even though the name of my village has a click in it. yep, a click)
ta for now!
Saturday 19 September 2009
The Blog of Jules
Welcome to the blog of Jules!!! :D
So I arrived in Swaziland just over a week ago! Its been a tough one- but the first bit always is. Haha, I'm not going to lie--I made my parents call me EVERYDAY! :)
Now that a week has gone by I'm starting to feel a bit more adjusted and comfortable!
For those of you who don't know, Swaziland is a teeny weeny country nearly encompassed by South Africa, with a small section bordering Mozambique (that is, the Northish East corner of South Africa)
I will be here for 3.5 months (until Dec. 21), and I'm working for a local HIV/Aids organization.
The Aids epidemic is very pervasive here. (I've heard numbers infected ranging from 30-40%) and is hugely interrelated with issues of poverty, gender equality, stigma, discrimination, and human rights.
I'm living with a Swazi family here. They are wonderful!! and I'm slowly learning to speak SiSwati (slowly being the key work ;) and cook local dishes. Most people speak English too though. (thank goodness!) My family is relatively well-off. (haha, I've watched Oprah reruns on their T.V.)
There are internet cafes, but I only really have time to visit once or twice a week. It is unsafe for me to be out alone after dark...and it gets dark at around 6pm which means I pretty much have to head home right after work!
More updates to come!!!x
I'm living near and work in the capital city: Mbabane. Everything is pretty developed in the city, and has pretty much all the conveniences that Vancouver has. (grocery stores, clothing shops, pharmacies, hospitals etc)
So I arrived in Swaziland just over a week ago! Its been a tough one- but the first bit always is. Haha, I'm not going to lie--I made my parents call me EVERYDAY! :)
Now that a week has gone by I'm starting to feel a bit more adjusted and comfortable!
For those of you who don't know, Swaziland is a teeny weeny country nearly encompassed by South Africa, with a small section bordering Mozambique (that is, the Northish East corner of South Africa)
I will be here for 3.5 months (until Dec. 21), and I'm working for a local HIV/Aids organization.
The Aids epidemic is very pervasive here. (I've heard numbers infected ranging from 30-40%) and is hugely interrelated with issues of poverty, gender equality, stigma, discrimination, and human rights.
I'm living with a Swazi family here. They are wonderful!! and I'm slowly learning to speak SiSwati (slowly being the key work ;) and cook local dishes. Most people speak English too though. (thank goodness!) My family is relatively well-off. (haha, I've watched Oprah reruns on their T.V.)
There are internet cafes, but I only really have time to visit once or twice a week. It is unsafe for me to be out alone after dark...and it gets dark at around 6pm which means I pretty much have to head home right after work!
More updates to come!!!x
I'm living near and work in the capital city: Mbabane. Everything is pretty developed in the city, and has pretty much all the conveniences that Vancouver has. (grocery stores, clothing shops, pharmacies, hospitals etc)
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