1000 mense in SA sterf vandag! Onvoorkombaar...

Vandag is n vent dag. Hierdie vent is 2 jaar "in the thinking" en dateer uit my gemeenskapsdiens jaar in Bethlehem,dit gee 6 fundamentele redes hoekom SA se pogings om HIV die see in te dryf so misrabel misluk. Die post is in engels geskryf want ek het dit op helium gepubliseer en hulle spellcheck aanvaar nog nie afrikaans nie. Geniet dit.

Talking about the effect of AIDS on Africa is like talking about the effect of global warming on the arctic ice cap. The full force of the situation only hits you when you're in the thick of it and realise that, probably, the tipping point has already been reached and the cascade is unstoppable.

When you stand in front of a giant glacier and watch it crash in to the sea, the inevitable catastrophe sends shivers down your spine. Walk into any government hospital in South Africa today and you get the exact same effect. Chilling. Walk by the myriad of fresh graves in any graveyard in South Africa and you would be excused for thinking the country is at war. Maybe it is.

The effect of AIDS crosses all boundaries. It is redefining culture, economics, religion, political stability, education, health and healthcare.

1. Not only are Africans faced with the dilemma of having to face up to the fact that their traditions are no longer protecting them against evil but their very definition of intimate relationships is also being redefined. A woman is getting AIDS from her husband, he got it from a far off city where prostitutes and shebeens have been a way of life for a long time. Women are giving it to their children. Who else is supposed to nurture and care for their children? Who else can take on that role. No-one, nature has us up against the wall.

2. Inevitably the economics of any country ravished by AIDS will suffer. The very workforce, the drive of the economy is dying, and with it competition, consumerism and all efficiency. South Africa's saving grace thus far has been the large amount of "reserves" not partaking in the economy at all. A country with an unemployment rate of 25% and no doll has a few willing hands to spare. Not for long, though. In certain areas the shortfall is already being experienced.

3. The education sector is badly understaffed with most schools not running at full capacity. 20% of teachers are HIV positive. This has a direct effect on the quality of the country's future workforce and thus on it's competitiveness in the global arena. An individual's education is the only thing that gives him/her the power to choose a different way of life than the well-known road of poverty, child prostitution and crime.

4. Not only is the healthcare system being stretched to the limit by the influx of new patients, many healthcare workers themselves are infected, on treatment, dead or dying. 1000 People die of AIDS in South Africa daily. The recruitment cannot keep up with losses because few of the unemployed masses have the right qualifications to work in healthcare. Many basic nursing duties in primary level clinics are already being carried out by volunteers with no training receiving no payment. This, of course increases their chance for infection too. The devastating effect of TB in conjunction with AIDS falls beyond the scope of this article.

5. Religion and traditional beliefs also have to be redefined. Many know of the furor caused by the spread of the superstitious belief that raping a virgin will cure you from AIDS. Many of South Africa's girls lose their virginity through rape, not some. The deputy prime minister's stint in court when he proclaimed that having a shower will protect him from any infection didn't improve the world's view on SA's arrogance and ignorance. Women need to prove fertility before being offered marriage, how can condoms then be a viable option for them? Many people still go to the local sangoma or church for miracle cures before going to the hospital, inevitably arriving "at death's door" due to procrastination, leading to the widespread belief that hospitals are the cause of death.

6. Many government policies directly oppose HIV prevention strategies. An impoverished woman cannot get a state subsidy for herself, only for her children. Her children only get grants up to the age of 14. Now, how in their right minds are these young girls going to abstain from trying to reproduce? Furthermore, the state pays a subsidy for AIDS but not for HIV infection. It also pays a subsidy for active TB which stops once treatment stops. Now, it is understandable that the government needs to draw the line somewhere because there is only so much money available in the national treasure chest. But to the man om the street it is pretty obvious that he is being paid to be sick.

Government is going about the management and prevention of AIDS the wrong way, it started much too late and is dragging it's feet unneccesarily. Government had to be taken to court by the TAC to be forced to start antiretroviral therapy for pregnant women, prisoners and finally the general populace. It does seem like an easy equation to let the people who are the biggest burden on government subsidies and healthcare and invariably then the country's economic stability rather just die. On the other hand, it also sounds alot like genocide if the health minister backs up her decisions by maintaining the disease simply doesn't exist.

The future for AIDS in South Africa looks rosy. The future for the people of South Africa? The Chinese have a saying- may you live in interesting times. It's up to you to figure out if it's a blessing or a curse. The battle against AIDS happens on a one by one basis. You make your decisions. You choose. You choose who you sleep with, you choose who to trust with your health, you choose to take the medication offered to you, you choose which charity to support, you choose to pay your taxes, you choose for whom you vote. Remember, you choose.

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