Humanitarian and grassroots
organizations say 30 years into the AIDS epidemic, testing, treatment and care
are falling far short of what's needed. The groups are meeting in Nairobi this
week to discuss new approaches to deal with the epidemic.
AIDS expert Wasai Jacob Nanjakululu, who's attending the conference, says, "The
purpose of holding this meeting is to reflect on why 30 years down the line…we
have made some progress, but not significant enough."
Many ignorant of HIV status
80 to 90 percent of people living with HIV and AIDS do not yet know they live
with HIV. It's…sad, especially since in countries like in east and southern
Africa combined carry over 50 percent of the burden of HIV/AIDS globally," he
says that estimate is based on studies by the World Health Organization (WHO)
and UNAIDS. Another says about 70 percent of those who need treatment are not
are wondering whether in fact if we've been doing the right thing as NGOs. We
need to be more critical whether we've been part of the problem or part of the
solution," he says.
Better plan needed
"From this citizen summit, come up with
a radical action plan that would enable us to achieve universal access,
prevention, treatment, care and support services," he says.
"radical" approach recommended by WHO is called "provider initiated testing and
counseling." The proposed policy calls for offering HIV testing to anyone who
goes to a public health clinic for any reason.
that we can begin to know people's HIV status early enough and therefore give
them a better chance to manage it better," he says.
Early treatment, fewer infections
WHO proposal calls for an annual HIV test during generalized epidemics. Those
found positive would be placed on anti-retroviral (ARV) treatment immediately,
rather than waiting for the immune system to fail.
would use treatment to actually cut down on new infection….because it has been
found that people are mostly infectious when they are in the early stages of
infection with HIV," he says.
says OXFAM is among the organizations that have the capacity to mobilize
communities, something he calls the "missing link" in AIDS policies.
must be involved in deciding how to deal with HIV and AIDS," he says.
Promises not kept
He says, "Although sub-Saharan Africa
is heavily affected by HIV and AIDS, our governments do not seem to live up to
2001, at the Abuja summit, African governments pledged that 15 percent of their
national budgets would be devoted to health to fight HIV/AIDS, TB and malaria.
eight years down the line, it's only Botswana and The Gambia who have lived up
to that commitment. Over 80 to 90 percent of resources going into the HIV/AIDS
war chest is external from donors," he says.
says it means African governments have "embarrassed" themselves "by ceding the
agenda to drive AIDS activities to external actors."
The Nairobi AIDS meeting continues