News / Africa

Uganda’s Fishing Communities Encounter Higher HIV/AIDS Risks

A newly-diagnosed HIV positive woman in the treatment ward of the Mildmay, Uganda clinic, Feb. 27, 2014.A newly-diagnosed HIV positive woman in the treatment ward of the Mildmay, Uganda clinic, Feb. 27, 2014.
x
A newly-diagnosed HIV positive woman in the treatment ward of the Mildmay, Uganda clinic, Feb. 27, 2014.
A newly-diagnosed HIV positive woman in the treatment ward of the Mildmay, Uganda clinic, Feb. 27, 2014.

Multimedia

Audio
Kim Lewis

 More than 130,000 people who live in 42 fishing villages along Uganda’s shores of Lake Victoria have an HIV-infection rate that is three to four times higher than the national average in this country of 36 million people.

Uganda has been aggressive in combating the HIV virus for more than 30 years.

The IOM studied the fishing communities in six Uganda districts. When they examined the level of knowledge of HIV and the attitudes and practices of people in the communities, they found the high HIV prevalence was caused by many inter-related factors, said Dr. Natalia Gitu, IOM’s chief medical officer in Kampala.

Gitu said the IOM study and several previous reports describes the mobility and lifestyle of the fishermen - “The fact that they have every day, new cash, that flows in their business, and it’s associated with drinking alcohol, and engaging themselves in unprotected sex.”

“These are the factors that our studies confirm that lead to increased prevalence of HIV among fishermen,” she said of a community in which condom use if low.

Cultural attitudes lead to unprotected sex

The doctor said that while a large majority of men and women in the fishing communities are aware of the risks of contracting HIV, they most likely do not use protection due to cultural attitudes: They live and work in the face of high risk.

“The profession of fishermen is considered to be very risky,” said Gitu.

“They can lose their lives while they are fishing, and they don’t value their life.” So, the challenge is to work with existing attitudes.

“The intervention should be appropriate to the local culture.  And we believe that any intervention should be tailored specifically to the fishing community based on their culture, on their attitudes, on their beliefs,” she said.

For example, the IOM medical chief explained that the women of these fishing communities depend very heavily on the fishermen who provide them with jobs.  As a result the women feel they have no choice but to do what the men want them to do.

“In the fishing community, traditionally they believe that women can be shared by the men - women belong to the community,” she said.

“For example, when people engage themselves in unsafe sex, only 37 percent of men report that they use a condom and only 13 percent of women.  So the use of condoms in fishing communities is very low and that is also a big contribution to the spread of HIV,” noted Gitu.

Having access to treatment was another big factor in the spreading of the disease.

Most of the fishing communities are located in remote parts of the country, and traveling to obtain healthcare is a real challenge. More than 80 percent reported seeking treatment when they felt the symptoms of sexually transmitted diseases, but health facilities are far away from these villages.

“Sometimes they have to travel two hours to go to the health facility,” she said. “Therefore, bringing health services closer to fishing communities will definitely benefit men and women,” Gitu said.

 

You May Like

Australia-Cambodia Resettlement Agreement Raises Concerns

Agreement calls for Cambodia to accept refugees in return for $35 million in aid and reflects Australia’s harder line approach towards asylum seekers and refugees More

India Looks to Become Arms Supplier Instead of Buyer

US hopes India can become alternative to China for countries looking to buy weapons, but experts question growth potential of Indian arms industry More

Earth Day Concert, Rally Draws Thousands in Washington

President Obama also took up the issue Saturday in his weekly address, saying there 'no greater threat to our planet than climate change' More

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
Are Energy Needs Putting Thailand's Natural Beauty at Risk?i
X
Steve Sandford
April 17, 2015 12:50 AM
Thailand's appetite for more electricity has led to the construction of new dams along the Mekong River to the north and new coal plants near the country's famous beaches in the south. A proposed coal plant in a so-called "green zone" has touched off a debate. VOA's Steve Sandford reports.
Video

Video Are Energy Needs Putting Thailand's Natural Beauty at Risk?

Thailand's appetite for more electricity has led to the construction of new dams along the Mekong River to the north and new coal plants near the country's famous beaches in the south. A proposed coal plant in a so-called "green zone" has touched off a debate. VOA's Steve Sandford reports.
Video

Video Overwhelmed by Migrants, Italy Mulls Military Action to Stabilize Libya

Thousands more migrants have arrived on the southern shores of Italy from North Africa in the past two days. Authorities say they expect the total number of arrivals this year to far exceed previous levels, and the government has said military action in Libya might be necessary to stem the flow. VOA's Henry Ridgwell reports.
Video

Video Putin Accuses Kyiv of ‘Cutting Off’ Eastern Ukraine

Russian President Vladimir Putin, in his annual televised call-in program, again denied there were any Russian troops fighting in Ukraine. He also said the West was trying to ‘contain’ Russia with sanctions. Henry Ridgwell reports on reactions to the president’s four-hour TV appearance.
Video

Video Eye Contact Secures Dog's Place in Human Heart

Dogs serve in the military, work with police and assist the disabled, and have been by our side for thousands of years serving as companions and loyal friends. We love them. They love us in return. VOA’s Rosanne Skirble reports on a new study that looks at the bio-chemical bond that cements that human-canine connection.
Video

Video Ukrainian Volunteers Search for Bodies of Missing Soldiers

As the cease-fire becomes more fragile in eastern Ukraine, a team of volunteer body collectors travels to the small village of Savur Mohyla in the what pro-Russian separatists call the Donetsk Peoples Republic - to retrieve bodies of fallen Ukrainian servicemen from rebel-held territories. Adam Bailes traveled with the team and has this report.
Video

Video Xenophobic Violence Sweeps South Africa

South Africa, long a haven for African immigrants, has been experiencing the worst xenophobic violence in years, with at least five people killed and hundreds displaced in recent weeks. From Johannesburg, VOA’s Anita Powell brings us this report.
Video

Video Sierra Leone President Koroma Bemoans Ebola Impact on Economy

In an interview with VOA's Shaka Ssali on Wednesday, President Ernest Koroma said the outbreak undermined his government’s efforts to boost and restructure the economy after years of civil war.
Video

Video Protester Lands Gyrocopter on Capitol Lawn

A 61-year-old mailman from Florida landed a small aircraft on the Capitol lawn in Washington to bring attention to campaign finance reform and what he says is government corruption. Wednesday's incident was one in a string of security breaches on U.S. government property. Zlatica Hoke reports the gyrocopter landing violated a no-fly zone.
Video

Video Apollo 13, NASA's 'Successful Failure,' Remembered

The Apollo 13 mission in 1970 was supposed to be NASA's third manned trip to the moon, but it became much more. On the flight's 45th anniversary, astronauts and flight directors gathered at Chicago's Adler Planetarium to talk about how the aborted mission changed manned spaceflight and continues to influence space exploration today. VOA’s Kane Farabaugh reports.
Video

Video Badly Burned Ukrainian Boy Bravely Fights Back

A 9-year-old Ukrainian boy has returned to his native country after intensive treatment in the United States for life-threatening burns. Volodia Bubela, burned in a house fire almost a year ago, battled back at a Boston hospital, impressing doctors with his bravery. Faith Lapidus narrates this report from VOA's Tetiana Kharchenko.
Video

Video US Maternity Leave Benefits Much Less Than Many Countries

It was almost 20 years ago that representatives of 189 countries met at a UN conference in Beijing and adopted a plan of action to achieve gender equality around the world. Now, two decades later, the University of California Los Angeles World Policy Analysis Center has issued a report examining what the Beijing Platform for Action has achieved. From Los Angeles, Elizabeth Lee has more.
Video

Video Endangered Hawaiian Birds Get Second Chance

Of the world's nearly 9,900 bird species, 13 percent are threatened with extinction, according to BirdLife International. Among them are two Hawaiian honeycreepers - tiny birds that live in the forest canopy, and, as the name implies, survive on nectar from tropical flowers. Scientists at the San Diego Zoo report they have managed to hatch half a dozen of their chicks in captivity, raising hopes that the birds will flutter back from the brink of extinction. VOA’s George Putic reports.
Video

Video Exhibit Brings Renaissance Master Out of the Shadows

The National Gallery of Art in Washington has raised the curtain on one of the most intriguing painters of the High Renaissance. Mostly ignored after his death in the early 1500s, Italian master Piero di Cosimo is now claiming his place alongside the best-known artists of the period. VOA’s Ardita Dunellari reports.
Video

Video Sidemen to Famous Blues Artists Record Their Own CD

Legendary blues singer BB King was briefly hospitalized last week and the 87-year-old “King of the Blues” may not be touring much anymore. But some of the musicians who have played with him and other blues legends have now released their own CD in an attempt to pass the torch to younger fans... and put their own talents out front as well. VOA’s Greg Flakus has followed this project over the past year and filed this report from Houston.
Video

Video Iran-Saudi Rivalry Is Stoking Conflict in Yemen

Iran has proposed a peace plan to end the conflict in Yemen, but the idea has received little support from regional rivals like Saudi Arabia. They accuse Tehran of backing the Houthi rebels, who have forced Yemen’s president to flee to Riyadh, and have taken over swaths of Yemen. As Henry Ridgwell reports for VOA, analysts say the conflict is being fueled by the Sunni-Shia rivalry between the two regional powers.

VOA Blogs