Showing posts with label HIV. Show all posts
Showing posts with label HIV. Show all posts

Sunday, December 26, 2010

Swaziland: Declining Customs Union Revenues Threaten Aids Response

Mbabane — An economic meltdown in Swaziland, exacerbated by a major decline in revenue from the Southern African Customs Union (SACU), is unlikely to leave the national AIDS response unscathed, say local health officials.
"There will be an impact on the health sector, but to what extent we cannot say," said government economist Deepak Sardiwal of the Ministry of Economic Planning and Development.

Revenue from SACU - the world's oldest customs union, comprising Botswana, Lesotho, Namibia, Swaziland and South Africa - contributed 76 percent of the Swazi government's income in 2009 but dropped in 2010 and is expected to continue declining over the next decade.
The global recession has been blamed, but according to Khaled Ahmed of the Health Economics and HIV/AIDS Research Division at the University of KwaZulu-Natal in South Africa, the decline in SACU tariffs and revenue collection is part of a policy shift towards freer trade within the region that is likely to continue.
Rather than put aside some of the additional revenue generated by SACU while it was plentiful, the Swazi government went on a spending spree and ignored warnings from the International Monetary Fund (IMF) that its public sector bureaucracy was bloated far beyond the needs of a small country of one million people.
"Today we sit with no savings or new receipts. We've dug ourselves into a pretty deep hole, according to the IMF. It's serious, very serious," Derek von Wissell, director of the National Emergency Response Council on HIV/AIDS (NERCHA), told IRIN/PlusNews.

Thursday, December 23, 2010

Saturday, December 18, 2010

The deadly link between police, sex work and HIV

Source: http://www.genderlinks.org.za/article/the-deadly-link-between-police-sex-work-and-hiv-2010-12-07


In a country known for its skyrocketing HIV and AIDS rates, conservatism, Christianity and traditional mores, it may come as a surprise that the abuse and rape of sex workers in Swaziland at the hands of police is a growing and widespread problem.

Sex work, known as one of the oldest trades, is still illegal in the country, yet sex workers have reported targeted campaigns of rape and violence at the hands of Swazi police.

One well known investigator is notorious to sex workers in the capital, Mbabane.

"He attacks us at our hotspot," said Phumzile Mamba*, a 20-year-old sex worker. "He threatens us with a gun so that we do not run away. He then rapes us, after he is done, he lets his boys rape us while he watches, and we cannot report this to the police."

Sex work in Swaziland is not confined to urban areas, but also common in rural areas, where patterns of abuse are often less evident.

A recent report by Swaziland Action Group Against Abuse (SWAAGA), in partnership with other local organisations, noted: "It is not just that they are arrested, to a greater or lesser degree they are forced by police to comply with demands for free sex or sex in exchange for not being arrested. 27% of the sex workers have at some point been arrested by state police for loitering. 60% of those arrested end up being sexually and physically abused by the police."

The study involved 150 sex workers, both female and male, from urban and rural communities.
In an attempt to intensify the fight against HIV and AIDS, several local organisations, including SWAAGA, have called for the decriminalisation of sex work in the country. They argue that the decriminalisation of sex work would enable their organisations and other partners to reach those involved in the illegal trade.

The National Strategic Framework for HIV and AIDS (NFS) identifies commercial sex as one of the key drivers of HIV and AIDS in Swaziland.

"Sex work is often characterised by high rates of partner change, low rates of condom use, unsafe sex and high rates of sexually transmitted infections. Consequently, HIV infection is often high and the virus can quickly spread through sexual networks encompassing sex workers, clients, regular partners and associated lovers," states one NFS report.

Over the past several years, Swaziland has recorded one of the highest HIV prevalence rates in the world. Data from the country's 11th National Sero-Surveillance Report indicates that HIV prevalence increased from 39 to 42% between 2006 and 2008.

The Swaziland Demographic and Health Survey estimated the prevalence among the population between 15-49 years to be at 26%. This means that for every four Swazis in the reproductive age, one is HIV positive.
In such a climate, sex workers have become a vital link in HIV prevention in the country.

Another recent study, the 2010 United Nations Assembly Special Session on HIV and AIDS (UNGASS) found that Swaziland's sex workers are being pressured by clients not to use condoms. These clients often pay more money, something sex workers may find hard to turn down.

Sex workers are put at greater risk of contracting HIV, and the client then likely goes home to a wife, who is also put at risk.

Many times that "client" is a police officer.

Because sex work is criminalised, law enforcers often overlook that sex workers can be victims of crime, and street-based workers in particular experience high levels of assault and rape.

Yet Police Public Relations Officer Superintendent Wendy Hleta said the police have no knowledge of sex workers in the country because their trade is illegal.

However, she said in cases where they have been abused or violated by police or individuals, such cases should be reported.

"We have competent officers, both female and male, who can listen to their concerns even when it means being heard in private. We encourage them to come forward and report such violations," she said.

However, because their trade is illegal, sex workers rarely avail themselves of such services.

Zanele Dlamini*, a sex worker from Ezulwini said: "Even if I have a simple cold I don't go to Lobamba Clinic, everybody knows that I am a sex worker. Although the nurses don't voice it directly at you, they act funny and make silly comments about you."

Poverty and unemployment remain the major forces pushing young Swazis into sex work.

Xoliswa Sithole*, a 24-year-old sex worker from Gundvwini said: "I looked for a job at the textile factories for five months and I got tired of "facing" (waiting outside the factory gates before being employed) there. My friends suggested that we try selling sex at Matsapha. At first I was afraid but I have now learnt the trade. I have a room at Matsapha and go home on weekends. At least I can afford food and pay for my children's school fees. My family thinks I am working at the textile factories."

Until sex work is recognised and decriminalised in the country, desperate Swazi mothers like Sithole will continue to be raped and abused at the hands of police and other violent men. And as long as this happens the HIV prevalence rate for the entire country will only continue to rise.

*Not their real names
Alec Lushaba is the editor of the Swazi Observer. This article is part of a special series on the 16 Days of Activism for the Gender Links Opinion and Commentary Service that offers fresh views on everyday news. For more information on the 16 Days Campaign go to www.genderlinks.org.za

Tuesday, December 14, 2010

HIV and AIDS in Swaziland

Poverty in Swaziland is inextricably linked with HIV and AIDS. Estimates of those infected range from 25 to 40% depending on the subset of the population you are talking about. The reasons for the very high prevalence are several. Men typically are polygamous and women have very little say in how they live their lives. Women can be forced to bear children again and again by their relatives or husbands.

Contraceptives are not widely used. The chance of HIV infection is increased by poor health and other infections. Women pass on the disease to their children. Infection can take place in the hospital by reusing syringes for example. People are not well educated about the risks. The newspaper obituaries are full of young faces.

The social consequences of HIV are dire. Tens of thousands of homes are headed by a child. There is only one state orphanage that I know of. The government is unable to organise effective support for those affected.

Someone with HIV can remain relatively healthy for a number of years. Then, with the declining immune system, the body becomes more susceptible to infections it can usually easily defend itself against. Fungal infections such as thrush can invade the throat and mouth making eating very painful. Limbs swell up with oedema, it becomes painful to walk, eyes develop conjunctivitis, tuberculosis, malaise, diarrhoea, caries, chicken pox can be fatal, and the list goes on.

Children then have to drop out of school to become carers to sick parents who can no longer work or feed their families. I am posting some videos here which are relevant.

Overwhelming Odds HIV AIDS Orphans in Swaziland

Thandiwe's story

Myths about HIV and AIDS