News / Africa

    Zambia Faces Shortage of Anti-AIDS Drugs

    An HIV-AIDS patient (R) places her hand on her forehead during a visit by a caregiver at her home in Matero township on the outskirts of Lusaka, Zambia, April 17, 2012.
    An HIV-AIDS patient (R) places her hand on her forehead during a visit by a caregiver at her home in Matero township on the outskirts of Lusaka, Zambia, April 17, 2012.
    The Zambian government is putting in place stringent measures aimed at ensuring a sufficient supply of anti-retroviral drugs. The drugs are essential for those infected with HIV/AIDS, but the medicine currently is in short supply.  AIDS patients have had to travel more than 30 kilometers from their homes - often on foot - to reach clinics, where all too often they are told that the medicine has run out.  

    This is the second time this year that the more than 500,000 people living with HIV in Zambia have had to cope with what the Ministry of Health calls rationing of the drugs - a system that some patients here have been contending with for more than a decade.

    It is a bitter pill to swallow, especially because obtaining medicine is not as easy as one would think.  A check at some clinics in Lusaka shows that patients must turn up at 4 a.m. to queue services they will only receive hours later.

    Zambia’s Ministry of Health admits there is a challenge regarding the stocks of ARVs in the country, which it refers to not as a shortage, but as "rationing."

    Chikuta Mbewe is the deputy director of pharmaceutical services.  He said part of the problem was an ongoing switch in Zambia and other countries from one drug, Truvada, to another, Atripla.  Mbewe said complications with the switch have driven down the stocks of both drugs.

    "I must hasten to say that there are a lot of planned shipments that have already started arriving in the country.  We think now we are in the normalization curve, so to say.  We hope we can get back to our normal levels,” he said.

    Mbewe said the Zambia government wanted as many people as possible to be on [taking] Atripla, since an eight-month supply of the drug was expected to arrive in Zambia before the end of October.

    Mbewe said the government’s strategy was to get 95 percent of people living with HIV using Atripla, to simplify the supply chain.

    But Felix Mwanza, national director of the Treatment Advocacy and Literacy Campaign, believed the ARV situation in Zambia could have been avoided with proper planning.

    “To us, when they say the situation will improve by October, I think justifies what we have been saying," said Mwanza.  "I think there is more than what the naked eye actually sees. Because if the government were saying initially that it will take two weeks for the situation to improve, and they and they move on to say that it will improve in one month's time - and this time they are talking about October - then who is telling the truth? So people should actually be asking questions, [such as] 'Is there something amiss?'"

    Whatever the cause, the shortage is real.  Ackim Sakala, a primary school teacher who has been living with HIV for 12 years, is not happy that he has to go to the clinic every month to collect his ARVs, though he acknowledged the situation could be worse.  His clinic is only a kilometer away.

    “I can imagine for those that walk long distances, I know what they are passing through. From the experience that I have had  some people have been rationed to two weeks and you can imagine every two weeks they have to get to the clinic to collect their drugs.  For sure there is a shortage," he said.

    One of the long-term interventions that Zambia’s Ministry of Health wants to achieve is to attract investors to set up a pharmaceutical plant that will not only manufacture ARVs in the country but other essential drugs as well.

    In the meantime, all the people living with HIV have to face the grim reality of what the authorities are referring to as rationing, when the people that use the drugs call it a shortage.

    You May Like

    Self-doubt, Cultural Barriers Hinder Cambodian Women in Tech

    Longtime Cambodian tech observer Sok Sikieng says that although more women have joined profession in recent years, there remain significant factors hindering women from reaching tech potential

    Trans-Adriatic Pipeline to Boost European Energy Security

    $4.5 billion-pipeline will become operational in 2020 and will deliver gas from Azerbaijan’s Shah Deniz II field to southern Italy

    Video California Celebration Showcases Local Wines, Balloons

    Annual festival showcases the region's harvested agriculture, fine wines and offers opportunities to experience the gentle breeze in a hot air balloon flight

    By the Numbers

    Featured Videos

    Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
    Vietnamese-American Youth Optimistic About Obama's Visit to Vietnami
    X
    Elizabeth Lee
    May 22, 2016 6:04 AM
    U.S. President Barack Obama's visit to Vietnam later this month comes at a time when Vietnam is seeking stronger ties with the United States. Many Vietnamese Americans, especially the younger generation, are optimistic Obama’s trip will help further reconciliation between the two former foes. Elizabeth Lee has more from the community called "Little Saigon" located south of Los Angeles.
    Video

    Video Vietnamese-American Youth Optimistic About Obama's Visit to Vietnam

    U.S. President Barack Obama's visit to Vietnam later this month comes at a time when Vietnam is seeking stronger ties with the United States. Many Vietnamese Americans, especially the younger generation, are optimistic Obama’s trip will help further reconciliation between the two former foes. Elizabeth Lee has more from the community called "Little Saigon" located south of Los Angeles.
    Video

    Video First-generation, Afghan-American Student Sets Sights on Basketball Glory

    Their parents are immigrants to the United States. They are kids who live between two worlds -- their parents' homeland and the U.S. For many of them, they feel most "American" at school. It can be tricky balancing both worlds. In this report, produced by Beth Mendelson, Arash Arabasadi tells us about one Afghan-American student who seems to be coping -- one shot at a time.
    Video

    Video Newest US Citizens, Writing the Next Great Chapter

    While universities across the United States honor their newest graduates this Friday, many immigrants in downtown Manhattan are celebrating, too. One hundred of them, representing 31 countries across four continents, graduated as U.S. citizens, joining the ranks of 680,000 others every year in New York and cities around the country.
    Video

    Video Vietnam Sees Strong Economic Growth Despite Incomplete Reforms

    Vietnam has transformed its communist economy to become one of the world's fastest-growing nations. While the reforms are incomplete, multinational corporations see a profitable future in Vietnam and have made major investments -- as VOA's Jim Randle reports.
    Video

    Video Qatar Denies World Cup Corruption

    The head of Qatar’s organizing committee for the 2022 World Cup insists his country's bid to host the soccer tournament was completely clean, despite the corruption scandals that have rocked the sport’s governing body, FIFA. Hassan Al-Thawadi also said new laws would offer protection to migrants working on World Cup construction projects. VOA's Henry Ridgwell reports.
    Video

    Video Infrastructure Funding Puts Cambodia on Front Line of International Politics

    When leaders of the world’s seven most developed economies meet in Japan next week, demands for infrastructure investment world wide will be high on the agenda. Japanese Prime Minister Shinzo Abe’s push for “quality infrastructure investment” throughout Asia has been widely viewed as a counter to the rise of Chinese investment flooding into region.
    Video

    Video Democrats Fear Party Unity a Casualty in Clinton-Sanders Battle

    Democratic presidential front-runner Hillary Clinton claimed a narrow victory in Tuesday's Kentucky primary even as rival Bernie Sanders won in Oregon. Tensions between the two campaigns are rising, prompting fears that the party will have a difficult time unifying to face the presumptive Republican nominee, Donald Trump. VOA national correspondent Jim Malone has more from Washington.
    Video

    Video Portrait of a Transgender Marriage: Husband and Wife Navigate New Roles

    As controversy continues in North Carolina over the use of public bathrooms by transgender individuals, personal struggles with gender identity that were once secret are now coming to light. VOA’s Tina Trinh explored the ramifications for one couple as part of trans.formation, a series of stories on transgender issues.
    Video

    Video Amerikan Hero Flips Stereotype of Middle Eastern Character

    An Iranian American comedian is hoping to connect with American audiences through a film that inverts some of Hollywood's stereotypes about Middle Eastern characters. Sama Dizayee reports.
    Video

    Video Budding Young Inventors Tackle City's Problems with 3-D Printing

    Every city has problems, and local officials and politicians are often frustrated by their inability to solve them. But surprising solutions can come from unexpected places. Students in Baltimore. Maryland, took up the challenge to solve problems they identified in their city, and came up with projects and products to make a difference. VOA's June Soh has more on a digital fabrication competition primarily focused on 3-D design and printing. Carol Pearson narrates.

    Special Report

    Adrift The Invisible African Diaspora