Showing posts with label Treatment Action Campaign. Show all posts
Showing posts with label Treatment Action Campaign. Show all posts

Wednesday, September 14, 2011

The Latest Treatment Action Campaign (TAC) Briefing - Antiretrovirals and Prevention

via the Treatment Action Campaign (TAC), by Catherine Tomlinson and Nathan Geffen

Exciting new evidence has demonstrated the potential of antiretroviral medicines (ARVs) to prevent HIV from being sexually transmitted. This TAC briefing explains the evidence and then discusses policy implications.

Our recommendations

1.The WHO must release its guidelines on serodiscordant couples.
2.People living with HIV should be offered highly active antiretroviral treatment (ART) when their CD4 counts fall below 350 cell/mm3, or if they have an AIDS illness or TB.
3.HIV-positive people in serodiscordant couples should be offered ART irrespective of their CD4 count.
4.For serodiscordant couples trying to conceive, both partners should be offered ARVs until conception is confirmed, after which the HIV-positive partner should continue on ART.
5.Pre-exposure prophylaxis (PrEP) should be made available to sex workers.
6.In other cases, pre-exposure prophylaxis should be made available to HIV-negative people who request it or who will --in the opinion of their nurse or doctor-- likely benefit from it.
7.The rollout of ARVs for prevention must not divert funding away from treatment programmes. Achieving universal access for people with HIV must remain the priority for governments, policy makers and funders.
8.Effective prevention interventions such as voluntary medical male circumcision and ensuring availability of male and female condoms continue to be critically important.

Read the rest.

[If an item is not written by an IRMA member, it should not be construed that IRMA has taken a position on the article's content, whether in support or in opposition.]

Monday, March 23, 2009

Life is Sacred - Zackie Achmat on the Pope, Condoms , Choice, Freedom and Equality

by Zackie Achmat, of the Treatment Action Campaign

[For fair comment and use, I republish below and in full a blog from a conservative US journal National Review Online on subject of the Pope and Condoms in Africa. I introduce it with a few comments on the Catholic Church. While I never address personal attacks and this is not the real reason for this reply -- I have to address the prejudice inherent in the blog as indicative of the failure adopt a nuanced and moral approach to sexuality and HIV by some people in the Catholic Church.]

THE CATHOLIC CHURCH AND CONDOMS IN AFRICA

For me, a moral position on sex (irrespective of sexuality) requires that one does not harm yourself or others. Expressed differently love yourself and love others as you would love yourself.

The Catholic Church is one of the most important global institutions both in religious terms and as a political and social force. Its positions, statements and actions must be taken seriously by every person who struggles for social justice. It is also important to note that this Church now more than 2000 years old is not a single institution and neither does it hold a single theological or moral perspective.

Aside from its position on HIV prevention, the Church has played a very important role in the epidemic. The Treatment Action Campaign and many of our allies have worked with the Catholic Church in Southern Africa to ensure support for the ill and dying; advocate for access to medicine globally and a national treatment plan in South Africa. The Church has also been a staunch ally against stigma, discrimination and opposing HIV denial.

One of the most memorable speeches at a TAC organized event was that of the late and much loved Archbishop Denis Hurley at the Global March for Treatment at the Durban AIDS Conference in 2000.

Many TAC members are Catholic and the Church is one of the most powerful forces of organized religion on our Continent. It is often the only provider of healthcare in many African villages and townships. Our engagement with the Catholic Church is based on the need to save lives and our respect for many of the great achievements of all faiths. This does not blind us to intolerance, discrimination or fear of knowledge from within religion.

One of the tenets where we find common ground with the Catholic Church but also where difference exists is in relation to the right to life.

For the Catholic Church, the right to life is sacred -- that is why it correctly opposes the death penalty, and, especially since the Second World War, it has also been opposed to war. Sadly, the majority in the Church hierarchy often reduces the right to life to questions of procreation and sexuality and this opposition becomes an obstacle to social justice.

Freedom and equality for women, equality for lesbians and gay men, opposition to contraception, the right to choose termination of pregnancy and sex education often forms the basis for an intolerance that has led to loss of life and murder, for instance, in the US anti-abortion protests. The Vatican, George Bush, Iranian theocracy and many African countries often operated as an axis of intolerance on these questions

Support for the dominant Catholic hierarchy has also found an echo in movements that is described as right-wing and that oppose racial equality and the duty of the state to support people who need health-care, housing and education – those who are vulnerable and marginalised.

However, the Catholic Church also has a different tradition. In South Africa liberation and socialist theologians such as Father Albert Nolan helped me understand injustice. Archbishop Hurley was one of the most powerful moral voices in the struggle against apartheid and never believed that lesbian and gay people should be discriminated against apartheid. Countless Catholic parish priests from Africa and Latin America to Europe promote the equality and autonomy of women, the dignity of lesbian and gay people and right to choose termination of pregnancy, use contraception and condoms for HIV prevention.

More recently, the Catholic hierarchy endorsed the use of condoms between sero-discordant couples within marriage. Theologically, the Church accepted that HIV prevention and the use of a condom between a man and a woman was essential to promote the right to life.

The comments of Pope Benedict in this context were deeply regrettable and dangerous to life. Few people in Africa or for that matter Europe will have basic HIV prevention literacy that uses scientific evidence to explain that the smallest sexually transmitted virus Hepatitis B cannot find its way through a latex condom.

While one can accept and understand that the duty of Pope Benedict is not to promote condom education or use, it is our duty to ask that neither the Pope nor any leader make comments that on the basis of science and evidence can demonstrate harm when taken literally.

Everyone knows that the Pope and the Catholic Church are human as well as an institutional bureaucracy and therefore fallible. Intolerance and anti-scientific dogma caused death and suffering – not only during the Inquisition but closer to our time . Anti-semitism was promoted by the Catholic Hierarchy. The works of Aristotle was banned and only saved for the Enlightenment by one of my favourite philosophers the Muslim jurist Ibn Rushd. For centuries, the Church condemned Galileo as a heretic and while he was alive, he was placed under house arrest after a papal trial. More than 300 years later, the Pope and the Church apologized to Galileo, Jewish people and so on.

In relation to HIV, we know that millions have already died. In South Africa more than two million people have died in the last ten years. Today, more than 700 000 people are on treatment, however, more than 1000 people a day are still infected and another 900 people continue to die daily. How many men who refuse to wear condoms with many partners including their wives will use Pope Benedict’s statement as a justification for their behaviour?

We all owe it to future generations to conduct a discourse on HIV prevention that attempts to agree on the need to minimize harm rather than to engage in an ideological battle. The Catholic Church has changed. It no longer sanctions slavery or the beating of women by their husbands. On HIV prevention and the real questions of freedom, equality and dignity change must come sooner than the apology to Galileo.

Now to turn to a more personal subject. I have personally documented my sex life in different articles. I became sexually active as 10 year-old gay child. I could not turn to parents, teachers, friends, peers, priests or Imams for guidance on how to be a gay child. The streets were my refuge and education. Discrimination and prejudice against lesbian and gay people makes teenagers of a different sexual orientation invisible. It also denies us our rights to information, education and access to sexual and reproductive health services. All of us must work to change this to prevent harm.

I have probably had more sexual partners than many people – they are not responsible for my HIV. I am directly responsible for not using a condom during anal sex with one partner. It is not the number of partners I had but the fact that I did not use a condom and that is the cause of my infection. To suggest as the Catholic blogger in the National Review Online does that: “There is nothing more permissive and unscientific than finding a man [presumably myself as the rest of the blog suggests] in South Africa who's been recklessly promiscuous with numerous sexual partners and blaming his lack of self-control on the pope.” is not only wrong but unfair to the Treatment Action Campaign and the many different Catholics, Protestants, atheists, Muslims, Jews, Hindus and Buddhists who support it.


I am a married gay man and an atheist who subscribes to one moral viewpoint on sexuality and HIV – protect yourself and protect those you love – do not harm yourself and do not harm others. My husband Dalli Weyers sitting opposite me doing a free hand drawing for university is HIV negative. I live with HIV and I am on antiretrovirals. We practice safer sex everytime we have sex. We have been together nearly four years. He is still negative.

There is a great deal of work to do on HIV prevention. Catholics who believe in choice, freedom and equality carry a greater burden because they have to overcome prejudice, stigma and discrimination within their spiritual home. We will support them in their work and we will work with all Catholics to promote access to health-care, housing, education, HIV treatment, fair trade and labour practices and good governance locally and globally.


xxxxxxxx


Ideology, Not Science, Often Drive 'AIDS Advocates'
by Tim Graham
National Review Online

It's completely fair for the media to reproduce nasty anti-pope quotes from secular leftists in opposition to the Catholic Church's opposition to artificial contraception. What's not fair is how these promoters of illicit sex (for what does condom distribution encourage and enable?) are presented as the Voice of Scientific Detachment, as "health advocates" or "AIDS advocates." There is no suggestion that their spitting out their annoyance at "dogma" tags them as sounding more emotional and ideological than scientific. From AP:

Rebecca Hodes with the Treatment Action Campaign in South Africa said if the pope is serious about preventing new HIV infections, he will focus on promoting wide access to condoms and spreading information on how best to use them. "Instead, his opposition to condoms conveys that religious dogma is more important to him than the lives of Africans," said Hodes, director of policy, communication and research for the action campaign.

There is nothing more tiresome and mudslinging than suggesting that a religious opposition to condoms is opposed to "saving lives." There is nothing more permissive and unscientific than finding a man in South Africa who's been recklessly promiscuous with numerous sexual partners and blaming his lack of self-control on the pope. But this woman is a hero to secularists: "So Rebecca Hodes knows that a live African is better than a dead Catholic. To me she’s worth more to the African continent than a busload of Popes."

So what is the "Treatment Action Campaign"? It would be a mistake to think it's a non-ideological health group, as AP would have you believe. The Guardian profiled TAC's founder:

Zackie Achmat was 14 when he took his first direct action.

It was 1976, and he felt fellow pupils at his "coloured", or mixed-race, school (where he was sent because of his Malaysian and Muslim roots) were not sufficiently supportive of the anti-apartheid education boycott spreading from the black townships around Johannesburg. So he set fire to the school and nobody went to classes....

Achmat was radicalised by his communist father and shop-steward mother in his youth. He was sent to prison for three months after setting the school on fire and, by the time he was 18, had been in and out of jail four times for political activities.

With liberation from apartheid — and about the time he discovered he was HIV-positive — Achmat founded the National Coalition for Gay and Lesbian Equality which, in the early 1990s, played a central role in ensuring that Calvinist laws banning gay and lesbian sex were overturned in the new constitution.

Its guarantees of equality became the levers for overturning laws banning sodomy and requiring the government to recognise same-sex marriages.

"AIDS advocates" aren't simply nonpartisan life-savers. The AIDS lobby and its media allies are often trying to set moral policy instead of medical policy. As Ray Suarez explained for PBS from South Africa: "Policymakers high up on the country's organizational chart struggle to find a message that strips the discussion of AIDS of shame, judgment and guilt. They openly strive for HIV status to become an unremarkable medical fact as easily produced as a cholesterol level or blood pressure."

Remove all concept of judgment or guilt from AIDS transmitters, and you're left blaming the pope instead of the Typhoid Mary and Mark who spread the virus. Now who sounds like they're promoting denial instead of hard facts?


Tuesday, June 10, 2008

"...we must admit that we are failing many, many people"


Speech by Mark Heywood for United Nations General Assembly on HIV/AIDS (UNGASS) civil society hearing on “Action for Universal Access 2010: Myths and Realities”


Click here for more info on the UNGASS 2008 High Level meeting

10 JUNE, 2008


Friends and comrades. Good morning.My theme is: Human Rights – do we believe in them and what if we do? My name is Mark Heywood. I am one of the leaders of the Treatment Action Campaign and the Deputy Chairperson of the SA National AIDS Council.

We are all equals in this meeting. We each have a responsibility for human rights. Some of you, particularly from government, have power and resources to better people’s lives. Some of you have little power, but come from communities whose rights are violated daily. But whether from government or civil society we must admit that we are failing many, many people. This is because in most parts of the world human rights violations that increase the risk of HIV infection, and those that follow after HIV infection are getting worse.

Hundreds of thousands of children still are being born with preventable HIV infection – hardly making them equal. People are dying of preventable illnesses. People are being confined in squalid prisons for drug resistant TB – with no concern for their dignity - in the name of ‘public health’. Woman and children are raped in frightening numbers. Rich people live with HIV -- and poor people die, usually after a period of added pain and indignity.

Regrettably – in China, Zimbabwe and other countries - many who fight for rights – or expose their violations - find themselves the victims of their governments or their self-serving officials. We call on China to free Hu Jia now. We have to ask: do our governments really believe in human rights? In the last 20 years nearly one third of UN Members have adopted new Constitutions, many of which explicitly protect human rights. But this legal commitment is meaningless unless these rights are given effect to. This is a duty of governments – not a choice. And it is the duty of civil society to hold governments up to the standards they have accepted on paper. Poor people cannot afford lip service to human rights from civil society either. When civil society is snared in endless conferences and flattered at “consultations” we become part of the problem. When we gratefully accept the hand-me-downs of government, we leave the poor and vulnerable, defen seless, and eventually very uncivil – as we have seen in the horrific xenophobic violence of South Africa that has displaced 50,000 people.

We say to civil society leaders: work with and assist your governments, but do not trust their promises. There is a direct link between the degree to which human rights are protected and your pressure on government and its institutions. We have learnt this from experience in South Africa. For example:

Despite our liberation, it took 14 years until a court eventually ordered our national defence force to end the mandatory exclusion of people with HIV from all positions.

In South Africa it takes pressure from community activists to get the police to investigate and the courts to effectively prosecute murder, rape and domestic violence.

In South Africa officials of my government (some probably sitting among you) still persecute doctors for carrying out WHO recommendations on the prevention of mother to child HIV transmission and reducing maternal mortality.

Unfortunately, human rights violations are the global reality, especially when people lack power and organization to fight back. Therefore civil society must recognize that human rights have to be demanded, fought for, won and then held onto. This can be done through systematic community organisation, demonstration, legal action, treatment and prevention literacy, human rights education and by demanding to be meaningfully involved at every level of policy-making.

To the democratic governments here today we say: recognise us as equals. Account to us. The response to HIV will be better for that. When you exclude us from planning or implementation, or dismiss our demands, you betray a solemn pact to govern with stalwart adherence to democratic principles, which are the foundation for respect, protection and fulfillment of human rights. Where governments are not democratic and suppress and torture us we call on the UN to end its policies of quiet diplomacy. This meeting must not make any more false promises. Human rights will not be realized if they are delivered in e-mailed Declarations from New York.

Finally this High Level Meeting must reconfirm the principle that Universal Access by will not be achieved without human rights. So we call on you to:

Demand an urgent increase in development aid to meet the commitments that have already been promised, particularly by OECD countries; This is not a favour to us, but a human rights duty.

Devise and implement systems that measure and monitor human rights;

Have the courage to openly denounce countries such as Zimbabwe that violate rights to health;

Demand investment in justice systems that poor people have access to.

Finally, end the distracting talk of AIDS ‘exceptionalism’. Every threat to life and dignity of poor people, be it through a disease or other causes, should generate an exceptional response. We call on the UN and the WHO not to relegate the response to AIDS to the level of your past failures, such as TB or your mute witness to the demise of our health systems. Instead, raise the response to other challenges to the level we seek to achieve with AIDS.

Good luck and thank you.

Related Posts Plugin for WordPress, Blogger...