PAMBAZUKA NEWS 134: WORLD AIDS DAY: INSTITUTIONALIZED AIDS AND THE QUEST FOR ACCOUNTABILITY

Fear of abduction is leading anywhere from 12-15,000 children in Northern Uganda to migrate to locked shelters every night. The Lord's Resistance Army (LRA) is the reason these children walk up to two hours every night in order to sleep. The LRA has a long history of abducting children and looting personal property. Parents send their children into town for their own security while they stay at home to protect their property.

Education Minister Kadar Asmal's valiant plan to extend free basic education to all our children up to matric illustrates an international conundrum of the first order. If education and other services like health and water are to be seen as human rights, how are they to be funded? Can we envisage a situation in which these services are free to everyone, while those who can afford them are taxed appropriately? Is it possible to come up with a new taxation system that gives governments the revenues they need, engaging the commitment of electorates to the health of societies as a whole? These are the two central questions this editorial seeks to answer.

It is the first day of catch-up classes for vulnerable children in Ruhengeri, Rwanda. This is a big day. For the 300 children who succeeded in getting a space in the classroom, the suspense and excitement are overwhelming. Most of these children, aged nine to 14, have never been to school. Others dropped out years ago. A national study supported by UNICEF found that around 400,000 primary school-aged and 600,000 secondary school-aged children across Rwanda are not in school. In response to this educational crisis, UNICEF and the Rwandan Ministry for Education set up these classes to give the children another chance.

Fighting corruption is no longer just a moral issue. It has become a major tool in the fight against world poverty. Once seen as the cost of doing business in much of the globe - sometimes even regarded as useful in greasing the way for development projects - bribery increasingly is viewed as a major stumbling block to progress.

The Debt Management Office (DMO) recently reported that Nigeria owed about $28 billion from 1980 to date. The entire process of debt renegotiation and rescheduling, says this editorial, may be fraught with shady dealings. Nigerians need to know exactly the status of both the domestic and external debt profile and the strategy for tackling it.

South Africa and Namibia are the only two southern African countries included in the ‘medium access' list of the world's first Digital Access Index, which measures an economy's access to information and communications technology.

Shadreck Pongo, a photojournalist with the Standard newspaper, was severely assaulted and injured by the police on 18 November in Harare while covering a nationwide demonstration organised by the Zimbabwe Congress of Trade Unions (ZCTU). Riot police apprehended him while he was shooting photographs of demonstrators and pulled him into a police truck where they severely assaulted him.

The International Monetary Fund has ended its three year freeze of Kenya by approving a $252,75 million loan. President Mwai Kibaki has immediately appealed to other donors to resume financial aid to his east African nation. The IMF suspended lending to Kenya in late 2000 due to concerns over corruption under former ruler Daniel arap Moi.

Carlos Cardoso, Mozambique's most famous journalist, was gunned down on a Maputo street on 22 November 2000. Three years later, the identity of all the persons involved in his death is still unknown, even though six people were convicted in an exemplary trial. At least one of the instigators behind the contract killing is still at large. This is the main conclusion of a report issued by Reporters sans frontières (RSF) on 21 November 2003.

The University of Sienna and the African Medical and Research Foundation-Italy got together recently for a critical reflection on the quality of information offered by the media and non governmental organisations on Africa. Jean Leonard Touadi, a journalist born in Congo but who works in TV and radio in Italy urged non-African journalists to develop the capacity to listen to Africans.

Summary killings, rape, torture, and illegal detentions remain commonplace. Children are among those who have been subjected to physical and sexual abuse by soldiers. Villagers have been harassed by Angolan Armed Forces (FAA) soldiers while working in their fields, hunting in the forests or fishing in rivers. As a result, some Cabindans, especially those in rural areas, are afraid to pursue the livelihoods that ensure their existence. Growing numbers of villagers are suffering from hunger in a region that is rich in natural resources. This is according to a report on the human rights situation in Cabinda, which is an enclave that seeks independence from Angola.

The ruler of this Islamic African republic is doing his utmost to be a loyal ally in the war on terrorism: He has jailed Muslim clerics for speaking against the war in Iraq, banned political sermons, and outlawed anti-US rallies, but there are fears that allying with the US could stir up Islamic anger.

"AMANITARE is a pan-African partnership that works to build an influential social movement to institutionalise the recognition of African women’s and girls’ sexual and reproductive health and rights as fundamental to their civil and human rights. The struggle against gender-based violence is at the heart of AMANITARE’s work, with the recognition that violence is a widespread, brutal tool used to systematically control women’s bodies, self-expression and social and political participation. Violence denies African women and girls the agency granted as citizens and equal members of our communities. Violence against women is fuelled by a lack of recognition and respect for women’s rights to their bodies, and their rights to make decisions regarding their sexuality and fertility."

The Sudanese government’s efforts to control oilfields in the war-torn south have resulted in the displacement of hundreds of thousands of civilians, Human Rights Watch says in a new report. Foreign oil companies operating in Sudan have been complicit in this displacement, and the death and destruction that have accompanied it. The report, “Sudan, Oil, and Human Rights,” investigates the role that oil has played in Sudan’s civil war. This 754-page report is the most comprehensive examination yet published of the links between natural-resource exploitation and human rights abuses.

Solar panels are bringing environmentally friendly power to homes, health centres, schools and other facilities in the Nuba mountains in south central Sudan, helping impoverished communities recover from decades of conflict that ended in a ceasefire last year. Sudan suffers from a huge shortage of energy, with only 15 per cent of the population, mainly those living in urban areas, linked to power grids.

Today, some 200 million people in sub-Saharan Africa don't know where their next meal will come from and, despite international aid, Africa will still have 183 million undernourished citizens by 2030, according to a report published this year by the UN Millenium Task Force. Against this backdrop, Africa is emerging as one of the front lines in the battle for acceptance of genetically modified (GM) crops.

Scientific diasporas - networks of expatriate scientists -are no substitute for direct capacity building in developing countries. Nevertheless they have an important contribution to make, and their activities need more support.

The New Partnership for African Development (Nepad), which many of Africa's leaders have pinned their hopes on for economic recovery, has been blasted by civil society as another form of colonialism and imperialism. Civil society leaders, meeting under the first ever Southern Africa Social Forum (SASF) in Zambia last week, charged that Nepad was a foreign owned initiative with "African elite kinship" from the powerful G8 countries and the main institutions responsible for corporate globalisation.

While many of the constraints to development of the Tanzanian dairy sector can be tackled locally, low world market prices can largely be explained by EU subsidies, and the existence of cheap powdered milk remains an unfair competition which has effectively blocked the expansion of the dairy sector. This is according to a study by the Centre for International Development Issues that examines how Europe's common agriculture policy (CAP) is operated and influences the livelihoods of dairy farmers in Tanzania and Jamaica in order to demonstrate how European policy can hamper the development of farmers in developing countries.

Violence and discrimination against women and girls is fuelling Africa's AIDS crisis, Human Rights Watch says in a report to be released on World AIDS Day. African governments must make gender equality a central part of national AIDS programs if they are to succeed in fighting the epidemic. The 40-page report, "Policy Paralysis: A Call for Action on HIV/AIDS-Related Human Rights Abuses Against Women and Girls in Africa," documents human rights abuses that women and girls suffer at each stage of their lives and that increase their risk for HIV infection.

Women and girls should be safe in their homes, on the streets, in the workplace and in school, Thoraya Ahmed Obaid, UNFPA Executive Director, said on the occasion of the International Day for the Elimination on Violence against Women on November 25. Yet, far too many live in fear and countless others have paid with their lives, she stated.

The town of Kuruman in the Northern Cape turned into a battle field following an assault on a black customer by a white business owner. A mob from the black community then ran amok in what was believed to be revenge and caused serious damage to the nearby businesses, vehicles and injuries to locals.

U.S. forces have disrupted several planned terrorist attacks against Western and other targets in the Horn of Africa and local authorities have killed or captured more than two dozen militants, the U.S. general in command of an anti-terrorism task force told The Associated Press. The task force is responsible for fighting terrorism in seven Horn of Africa countries: Djibouti, Eritrea, Ethiopia, Yemen, Sudan, Kenya and Somalia.

The Anglican Church of Uganda said Saturday that it has severed ties with the Episcopal Church of the United States for elevating an openly gay man to the rank of bishop.

The faltering Zimbabwe public health system has been further reduced as nurses and senior doctors join junior and mid-level doctors on a month-long strike. The nurses briefly joined the doctors striking last month for higher pay. They returned to work after being promised an 800% pay rise. But the strike was on again after pay checks last Thursday showed no increase.

The Nigerian government has included former government ministers in a long awaited report on a US$400 million corruption case involving Nigeria Airways, the national carrier.

Members of Burundi's main Hutu rebel group, a faction of the Forces for the Defence of Democracy, are now represented in the country's government. They hold four of the 27 ministerial posts. Rebel leader Pierre Nkurunziza is Burundi's new minister for good governance.

The applicant must have a BA in Community Development or equivalent as the main requirement, and have a driving license. He/She must also have experience of working in a humanitarian programme for not less than 3 years.

We are looking for an outstanding individual to lead our programme in Liberia and to strengthen its impact and quality with a view to growing the scope of Oxfam's response even further.

Tagged under: 134, Contributor, Jobs, Resources, Liberia

IRIN is working to move beyond news reporting to include more in-depth analysis of important humanitarian issues. This is being done through the increased production of thematic/global stories, special reports, features and web specials. The Nairobi-based Focal Point for Information Analysis provides IRIN's regional desks in sub-Saharan Africa and Central Asia with the guidance, advice and materials needed to boost their output of analytical and feature-type reporting, and also contributes directly in researching and writing his/her own articles.

This is a full-time appointment for an initial period of one year as of January 2004, with the possibility of extension. The researcher will be based in a field office in Kigali, Rwanda.

Tagged under: 134, Contributor, Jobs, Resources, Rwanda

The Zimbabwe authorities are investigating the conduct of the judge hearing the case against the Daily News after he allegedly said he would rule in favour of the newspaper and allow it to publish again, the state-run Herald reported.

Reporters Without Borders has urged the Zimbabwean authorities to drop charges against 14 people who were arrested for circulating an e-mail message criticising President Mugabe's economic policies and calling for his departure. They were all released on bail but have been ordered to appear in court on 26 November.

The Post has asked for consent from State House to broadcast on Zambia National Broadcasting Corporation (ZNBC) television part of President Levy Mwanawasa's speech in Mpika last week. Responding to State House principal private secretary Jack Kalala's press release of November 20, 2003 that President Mwanawasa's speech in Mpika was misrepresented by the newspaper, Post editor-in-chief Fred M'membe said the newspaper found no distortion in reporting that President Mwanawasa had said it would take four years to defend the 2001 presidential election petition case currently before the Supreme Court.

After 18 months of painstaking deliberation Parliament's justice committee has approved the new anticorruption bill with a new provision which makes it an offence to offer or receive "gratification" which has not been earned.

Much has been made of late of the notion of two countries in one. Yet this is one country characterised by combined and uneven development and gross unequal distribution of wealth. A country in which industry, labour and working class communities collide on a daily basis. All dependent on each other yet all treated unequally. A country in which, as in Wentworth, families live amidst unemployment of 50 per cent, the sole bread winner supports up to seven people, asthma rates are double the global average, yet living next to an industry in which it is not unusual for a CEO to earn over R 6 million a year.

A new report, launched by the United Nations Development Fund for Women (UNIFEM), highlights the urgency of making the elimination of violence against women a serious global priority. The report singles out gender inequality as the chief source and breeding ground for the continuing scale of violence against women.

The challenge of the coming decade demands new approaches in dealing with the underlying causes of poverty in Africa. Importantly there is a need for the African Development Bank (AfDB) to transform into a development finance institution that is relevant to Africa’s long term development. There is a need to establish alliances with grassroots organisations and civil society in developing breakthrough solutions to the myriad of problems that besiege the African continent, says this paper from AFRODAD, a research, lobby and advocacy organisation.

The headline statistics about AIDS in sub-Saharan Africa are well known: nearly one in ten adults, a staggering 26 million people, are estimated to be infected with the deadly HIV virus. In eight countries in Southern Africa, the overall adult prevalence rate is now well over 25 per cent. But, unlike no other pandemic before it, there is very little accurate information about just how many people have died of AIDS-related illnesses during the last decade or so. A real concern is that seriously over-inflated estimates of HIV prevalence could exacerbate already high levels of despondency and even fatalism about the epidemic among many young people in Africa.

The much-touted New Partnership for Africa's Development (NEPAD) risks deepening African women's poverty, the Kampala, Uganda-based coordinator of the African Women's Economic Policy Network told more than 200 women last week in an All Africa Conference of Churches pre-Assembly. "It's a document at the macro level. It doesn't capture the micro realities. NEPAD favours putting raw materials into the market and keeping labour costs low. That labour has a woman's face," she said.

Africa’s civil society is failing to harness the power of the internet to help communicate “strategically and effectively”, a global computer charity network warned on Monday. The Association of Progressive Communications (APC) said that all too often, advocacy and campaigning by charities was undermined by their lack of internet communications. The comments came at the launch of a pioneering project during a week-long summit at the UN Conference Centre in Addis Ababa to help charities tap the potential of the worldwide web.

Tens of thousands of refugees in Ethiopia face severe food shortages early next year, the UN's World Food Programme warned on Tuesday. It has appealed for US $5.3 million to help feed 123,000 refugees – mainly from war-ravaged Sudan and Somalia.

A US-based organisation has called for the dissolution of the African Union and the establishment of a new continental body strictly for democratically elected governments. The Free Africa Foundation president, Mr George Ayittey, from Ghana, said the AU could not solve conflicts because its leadership comprises "mafia states" practising a politics of exclusion.

A shortage of food and medical aid is threatening the lives of several thousands of displaced people living in Côte d’Ivoire’s administrative capital, Yamoussoukro, a Catholic nun told IRIN on Thursday. Yamoussoukro, 266 km north of Abidjan and an hour away from the rebel-held town of Bouake, has some 27,500 internally displaced people (IDPs) living in 4 major camps and with host families.

A recent post-harvest survey in Mozambique has shown worrying levels of vulnerability for children and orphans due to the combined impact of drought and HIV/AIDS. The UN Children's Fund (UNICEF) said additional analysis of data collected by the national Vulnerability Assessment Committee (VAC) in May and June, showed that "maternal orphans were found to be 50 percent more likely to be chronically malnourished than the general child population and 120 percent more likely to be severely chronically malnourished.

The UN refugee agency (UNHCR) and the Eritrean government are carrying out their first-ever joint registration of around 4,000 refugees, some of whom have been in the country for up to 10 years.

Despite the peace agreement of 18 August 2003 and the establishment of a United Nations (UN) peace-keeping operation, civilians continue to be killed, raped, used as forced labour and driven from their homes, an Amnesty International delegation recently returned from Liberia concluded. Speedy deployment of additional UN peace-keeping forces is necessary to provide protection. In addition, the perpetrators of these abuses must be made to understand that they will be held accountable.

This short review of ICT reproductive health education projects finds that small projects have begun to demonstrate the potential value of using the technology with youth. Some studies have shown that Web-based projects, CD-ROMs, and other types of ICT can lead to changes in young people’s knowledge and attitudes about sexual and reproductive health issues.

The Parliamentary Millennium Project is designed as a nation-building intervention that will assist South Africans in recognizing how their diverse past experiences and the perspective resulting from those experiences have shaped their views of the present. The project is currently compiling a database of potential service providers for their media campaign and seeks expressions of interest from service providers who have commendable expertise in the following key areas: design and implementation of a comprehensive and integrated communication strategy; development and management of a comprehensive media liaison programme.

The Global Health Research Initiative invites letters of intent from teams of Canadian and developing country researchers interested in conducting operational research that will contribute to the Canadian International Immunization Initiative (CIII2). Letters of Intent due: December 15, 2003.

The Global Fund for Women, an international network of women and men committed to a world of equality and social justice, advocates for and defends women's human rights by making grants to support women's groups around the world. The Global Fund makes grants to seed, support, and strengthen women's rights groups based outside the United States working to address human rights issues.

The Africa grants programme aims to tackle poverty and promote social justice across Africa. All the work Comic Relief funds is about supporting people to make lasting, positive changes in their lives and their communities. The programme will consider applications that target one of the following groups of people: people affected by conflict; women and girls; people living in towns and cities; disabled people; pastoralists and hunter-gatherers; people affected by HIV and AIDS. Applicants from UK based registered charities only.

Hundreds of families who were driven out of their homes by recent fighting in the Galgudud Region, central Somalia, are said to be living in "destitute" conditions. Local elders told IRIN the exodus was due to heavy fighting two weeks ago between the Darod subclan of the Marehan and the Dir subclan of Fiqi Mahmud. The clashes were concentrated in and around the village of Herale, some 80 km northwest of Dhusa-Marreb, the regional capital.

The Kenyan government has initiated debate on a Bill which seeks, among other things, to give refugees citizenship status in Kenya. The bill was moved by Minister in the Office of the Vice President and Home Affairs Linah Chebii Kilimo and was seconded by Foreign Affairs Assistant Minister Moses Wetangula. Wetangula said the Refugees Bill was long overdue as the most dehumanising thing in a person's life was to be violently uprooted.

Some 700 people associated with Mayi-Mayi militias were demobilised in Kindu, eastern Democratic Republic of the Congo (DRC), on Saturday by the UN peacekeeping mission in the country, MONUC, in cooperation with forces of the seventh military region of the unified national army. A statement issued by MONUC on Monday reported that the 700 individuals - including women, children and the elderly - who opted to return to civilian life, were part of a larger group of about 2,000 fighters, the remainder of whom asked to be integrated into the national army.

Deported Senegalese Imam Mamour Fall has accused the Italian government of racism. The controversial cleric, who lived in Italy for 11 years, told the BBC he felt victimised for being an African. The Italian Interior Ministry deported Imam Fall for supporting Osama Bin Laden after he predicted more attacks on Italians in Iraq and Afghanistan.

The eldest son of Mobutu Sese Seko, former leader of the Democratic Republic of the Congo, has ended his six-year exile. Manda Mobutu, 43, who has started a new political party, was welcomed at the airport by 200 cheering supporters, reports Reuters news agency.

Nigeria will surrender ousted Liberian leader Charles Taylor to face a war crimes trial if Liberia asks, President Olusegun Obasanjo said Tuesday. Mr. Obasanjo's comments marked the first time he has publicly shown willingness to yield Mr. Taylor for trial.

In this issue: The road to affordable, accessible medications; Activists warn that the FTAA will push medicine prices up; Clinton Foundation brokers new HIV/AIDS drugs deal; Maternal mortality: where do we stand? To subscribe or unsubscribe please email [email protected]

It was Rule 2.9 that finally sparked the revolt. On the evening news, cameras bobbed and weaved through a heaving crowd of furious, toyi-toying Technikon Witwatersrand students, as they demanded that management stop curtailing their personal freedom. That was August this year shortly after management issued the offending Rule 2.9 decreeing that students were not to receive visitors (of the opposite sex) in their residence rooms. While there are no formal surveys, guesstimates are that about 22 percent of South African university undergraduate students are HIV positive.

The African elephant does not make a good neighbour. In the Serengeti-Mara ecosystem, it is simultaneously an endangered species and a pest. How can conservationists work with other stakeholders to lessen the conflict between wildlife and people and to reduce the impact of safari tourism? Can there be a win-win situation for animals, locals and tourists?

Defying the odds, people survive while conflict rages round them. How do they do it? In situations of chronic conflict and political instability (SCCPIs) can livelihoods analysis complement a political economy approach? What kind of aid channels are best suited to efforts to support livelihoods? A paper from the Overseas Development Institute (ODI) traces the development of livelihoods approaches taken by relief agencies and how they define and react to ‘crises’ and ‘emergencies’.

Worldwide, an estimated 11.8 million people aged 15 to 24 are infected with HIV, most of whom (77%) live in sub-Saharan Africa. In Zambia, 21% of the population fall within this age group. How much do young Zambians know about HIV and how does it affect their behaviour? Researchers from Population Services International put these questions to young men in Lusaka, Zambia.

HIV/AIDS hits schools hard, affecting both teachers and pupils. What is the economic impact in the education sector? Researchers from Imperial College London estimate HIV-related costs to the Ministry of Education (MoE) and donors in Zambia. They argue for extra funds to provide an active care and prevention programme.

The practice of abducting children for exploitation as child soldiers or sexual slaves continues unabated in Northern Uganda’s three districts of Kitgum, Gulu and Pader. Despite tragic losses and cruel compromises of human rights of the kidnapped children, the government forces insist that they will not lay down their guns until they have disarmed and paralysed the rebel forces, while civil society, local communities, and religious actors are together crying for peace. This article in the Peace and Conflict Monitor assesses the chances for non-violent change in Northern Uganda.

African experts meeting in Dakar under the auspices of the United Nations Economic Commission for Africa (UNECA) deplored the lack of a consolidated African position in response to global policy proposals that have vast economic implications for Africa. They agreed that current debt relief schemes are inadequate, that increased debt relief is the most effective way to provide rapid additional funding for development, and that additional measures were also essential to advance the globally acknowledged goals of ending proverty. This is according to the latest issue of the AfricaFocus Bulletin, which contains information about the workshop.

There are few moments in the history of AIDS that can call for celebration. The recent decision of the South African government to begin rolling-out antiretrovirals is certainly near the top of the list. But many persons might be tempted to celebrate more widely as December 1st, World AIDS Day, arrives this year, if only because AIDS has received such mainstream appeal that funds now appear to be travelling in all directions, and new programs are announced nearly everyday. Bill Clinton, once the designer of trade sanctions stopping countries like Thailand and Argentina from importing AIDS medicines, now announces generic drug price negotiations. Randall Tobias, a former executive at multi-national drug company Eli Lilly now claims to advance a $15 billion U.S. foreign AIDS budget. If there is anything we can be certain of, it is that AIDS now travels as a key cultural commodity in the most established institutions. But is this cause for celebration?

There is a temptation to announce that AIDS is finally “being taken care of”, that if the farther right-wing elements of U.S. foreign policy are placing the issue centrally, then something must certainly be getting done. The temptation is to call attention elsewhere, to claim that AIDS has received “enough attention” and may be distracting resources from other problems. But such a temptation is, sadly, completely out of order. Those who would rebut such statements would, rightly, point out that the $15 billion is not only disproportionately small, but has not actually been appropriated. They will point to the limitation of drug price negotiations and the sad fact that press releases consistently belie the sad truths about implementation and the non-existence of effective health programs in the vast majority of sites around the world. They will talk about the infusion of abstinence-only rhetoric; the problems at USAID; and the obstacles posed by the New Partnership for Africa’s Development (NEPAD), the Free Trade Agreement of the Americas (FTAA), Southern African Customs Union (SACU), and the new bilateral trade agreements. And they will be right.

But there are other reasons to be concerned; reasons that will likely go unmentioned. These reasons can be revealed when we examine the institutions that now claim to command AIDS, and ask some very simple questions about them: how have they constructed and envisioned their “target populations”? What are the approaches they assume to be effective? Who is to blame, who is to be accountable, and on what basis do “AIDS programs” come to be constructed in these institutions?

Even the oldest data on AIDS provide clear answers to these questions if we examine them for what they are instead of for what we want them to be. At present, the assumptions of institutions are to institute educational programs, add some antiretrovirals for those already infected, and perhaps offer “culturally competent” videos to reduce stigma in the community of concern. Such is the standard format of AIDS programming today. My contention is that such programming is based on questionable premises. If we look to data from Haiti, we hear the stories of persons who are not simply individuals making “risky decisions”, but those who must engage in sex for the sake of achieving greater priorities than long-term personal health: for tonight’s food, for tomorrow’s money, for some means of security. In South Africa, male miners are housed in all-male barracks, worked six days per week, and have letters sent to them informing them that their wives have left or entered prostitution for money. They are given alcohol and prostitutes to prevent them from rebelling, and are called “denialists” (equating their mentality to that of elite politicians) by social scientists who argue that they should be more worried about a disease that will kill them several years in the future than about their 42% injury rate.

Are “behaviour change”, “education”, and stigma-reducing videos the most appropriate interventions we have available to us in such contexts? Perhaps. But data suggest otherwise. A recent systematic review of evidence in the British Medical Journal indicates that “providing information about health risks changes the behaviour of, at most, one in four people - generally those who are more affluent”. Data on HIV reveal that most persons know of its means of transmission, yet lack the personal agency to act on such knowledge, as the conditions of their lives dictate that dictate that, as Paul Farmer has stated, "their risk stems less from ignorance and more from the precarious situations in which hundreds of millions live". Even the BBC, in their recent worldwide poll, can confirm such claims. So why can’t our responsive institutions?

The public response from institutions is that “structural violence” - or the structural realities of poverty, inequality and other problems of power - are simply too difficult to address. Such claims ignore that AIDS activists have changed massive structures for years, from the entire development process of medicines to the housing and healthcare policies of the largest multinational companies in southern Africa. The private reality is that to expose the root responsibilities behind AIDS - rather than focusing on individual behaviours and “cultural” problems - is to expose the institutions who now claim to champion interventions for the disease. The Clinton Foundation would rather not admit its role in creating an intellectual property system that takes public research and development dollars into private hands and leaves the diseases of the poor to market failure; for them, AIDS is a unique issue to be negotiated selectively, rather than addressing the industry that spends 27% of its profits on marketing and 11% on R&D even as it ranks #1 in the world and makes 19% profits as a percentage of revenue (three times the Fortune 500 average). The World Bank would rather not deal with the association between their policies on agriculture and the subsequent migration of workers and break-up of stable unions; for them, AIDS is an issue of building narrow and specific health services with a few token antiretroviral projects and some “bereavement counselling” for the masses.

The institutions who are claiming to champion AIDS do not understand what AIDS activists have long realized: that AIDS is not merely a unique circumstance, but a massive symptom of a much larger disease. That is why the AIDS drug victories in South Africa are not merely celebrated by AIDS activists there, but by land-reform and water rights movements. It is because AIDS drugs are not merely medically necessary, but are also metaphorical: they represent broader inequalities in the distribution of resources. And for institutions to address that would be to admit that AIDS does not “compete” with malnutrition or cholera or respiratory infections. Rather, to truly address AIDS is to address the resource inequalities that drive all of these syndromes forward in the poorest of places in the world.

What, then, are the tasks for this coming year? I would argue that they are two-fold: (1) to turn research and action towards “structural interventions”, and (2) to change the meaning of what it means to use terms like “blame” and “stigma”. The first task is straightforward but rarely pursued: our research agendas and program implementation still focuses on information and educational speeches, rather than testing how primary commodity prices and housing scenarios and migration patterns affect AIDS, and how the campaigns to reform these resource inequalities can be replicated systematically. The second task is more difficult. Many social scientists and public health workers are wonderful at describing social problems and blame and stigma among the “marginalized”. But few ask what it means to be a marginalized person who must deploy the language of the mainstream, stigmatizing and blaming themselves and their peers for the sake of reducing their “marginalization” and struggling to reach the level of “individual responsibility” needed to be accepted in another social world.

What we need is more than description, but a turn to local geographies to ask how the process of becoming “marginalized” occurs, and why so many of the poor must resort to the language of the rich to stigmatize themselves and subsequently adopt the language of individual “responsibility” for the sake of survival. The answer, once again, becomes one of resources and institutions and power inequalities. We need to examine the basic processes of power, not merely its end pathologies. Because only in our understanding of the processes of power can we hope to find the answers to offer the institutions, and only in our understanding of the processes of power can we hope to take back the meaning of AIDS.

* Please send comments on this editorial - and other events in Africa - to References for this editorial can be found by clicking on the link below.

* Sanjay Basu is at the Yale University School of Medicine, where he studies the influence of trade agreements and health system reform on the spread of infectious and metabolic diseases. For more information: http://www.worldaidsday.org/
- http://www.unaids.org/wad/2003/Epiupdate2003_en/EpiUpdate2003_en.pdf
- http://www.un.org/events/aids/worldaidsday2003.html

Tagged under: 134, Features, Governance, Sanjay Basu

UN Secretary General Kofi Annan has warned that Cote d'Ivoire could "slip back into conflict" as five West African governments began lobbying for a fully fledged UN peacekeeping force to be sent to the country. Annan told the UN Security Council in New York on Monday that he was "deeply concerned" by a two-month-old impasse between President Laurent Gbagbo and rebels occupying the north of Cote d'Ivoire.

Zimbabwe's President Robert Mugabe will not attend the upcoming Commonwealth summit in Nigeria next month, ending weeks of speculation that the government's last-minute attempts might secure him an invitation.

At least eight people were killed and over 10 wounded in heavy fighting which broke out in the southern coastal town of Marka, 100 km south of the capital Mogadishu, last week, according to local sources.

"Charges against leaders and activists of the Zimbabwe Congress of Trade Unions (ZCTU), National Constitutional Assembly (NCA), Crisis in Zimbabwe Coalition and other civic societies, arrested on Tuesday November 18, 2003 were dropped this week. The activists were arrested for demonstrating against government’s mismanagement of the economy, high inflation and taxation. We applaud the individual officers within the Attorney General’s department whose decision it was to decline to prosecute some of Zimbabwe’s illustrious human rights defenders." Clicking on the link below will take you to the full press statement, a further statement by the Zimbabwean Lawyers for Human Rights on the arrests, and a report on the humanitarian crisis facing Zimbabwe.

Following the much disputed victory of Robert Mugabe in the long awaited March 2002 presidential elections, several major elections have been held in Zimbabwe. These elections have been influenced by four main factors. These are violence, voter apathy, the economic crisis, and the on and off again talks between the opposition Movement for Democratic Change (MDC) and the ruling Zimbabwe African National Union- Patriotic Front (Zanu- PF), says a report from the Zimbabwe Election Support Network on the post-election environment.

President Thabo Mbeki has denied allegations that Deputy President Jacob Zuma once tried to solicit bribes from the French arms manufacturer Thales to shield it from a corruption probe. "There is no scandal," he told a French radio station. "There is not anybody, anywhere - in South Africa or anywhere in the world - who can produce one single fact to demonstrate corruption.

On the one side is Bulelani Ngcuka and his Scorpions investigative unit, whose powers Ngcuka is alleged to have abused in an attempt to settle old scores with certain prominent ANC members. On the other side is struggle icon and former transport minister Mac Maharaj and the former head of the ANC's internal counter-intelligence unit, Mo Shaik. This week the two accusers, Maharaj and Shaik, who have accused Ngcuka of being an apartheid-era spy, were humiliated in public at a commission to investigate the claims.

Gorillas, chimpanzees, bonobos and orang-utans - the closest living relatives of humanity - could vanish from the wild within 50 years, say United Nations leaders meeting in Paris. They have appealed for $25m to save the world's great apes from extinction. The western chimpanzee has vanished from Benin, Gambia and Togo. Fewer than 400 remain in Senegal and 300 to 500 in Ghana. The population of chimps in Guinea-Bissau is below 200. Only about 600 mountain gorillas survive in Uganda, Rwanda and the Democratic Republic of Congo.

Botswana's successful efforts to preserve its natural resources, notably by working with neighbouring countries, drew praise November 13 at an international conservation symposium held in Washington. "It would be hard to find a country which has been more successful in establishing a transparent, active, professional governance in the last several years than Botswana has been in dealing with their assets and in dealing with their problems," Senate Africa Subcommittee Chairman Lamar Alexander told the "Conservation Is Good Business" symposium.

As part of its support to the 16 Days of Activism on Gender Violence campaign the Media Institute of Southern Africa (MISA) is circulating articles of the Gender and Media (GEM) Commentary Service for use in mainstream media. The GEM Commentary Service provides mainstream media with fresh perspectives on the news that affects the every day lives of women and men in Africa. Please indicate use of the articles by writing to Patricia Made on: [email protected]

Thohoyandou Victim Empowerment Programme (TVEP) is inviting tender applications for the development of monitoring and evaluation tools and strategies.TVEP is an NPO striving to create an attitude of zero-tolerance towards rape and domestic violence in the Thulamela Municipality.

Brigit Namwalo has nothing to celebrate. As the world marked the International Day for the Elimination of Violence Against Women on November 25, she sat in her house, dejected, nursing a wound inflicted by her husband of 12 years. "I have lived in this abusive marriage for the last eight years. I really want to move out, but I fear that I may not be able to take care of my children," the mother of four told IPS in Nairobi.

Who and What is the Zimbabwe Freedom Movement? The struggle for democracy has consumed this country for the past three years, yet the entire community of free thinking Zimbabweans and the Movement for Democratic Change, themselves have remained committed to the course of non-violent change. Let us not forget that Zanu PF used the ruse of dissident activity in Matabeleland in the 1980's to allegedly quell the situation. Thousands were tortured, raped and died in the Gukurahundi under the pretext of unfounded allegations.

Let us not forget the murder of Cain Nkala, a genuine war vet allegedly murdered just hours before he was set to expose the evil methods employed by Zanu PF sponsored thugs. Let us not forget that Nkala's murder supplied the pretext for Zanu PF youth to burn down Bulawayo's Movement for Democratic Change offices, while police idly stood by. The illegitimate Zanu PF regime is renowned for dirty tricks. Question the validity of the so-called Zimbabwe Freedom Movement (ZFM).

Peter Tatchell is undoubtedly committed to the defence of human rights, but we implore him to check his sources. Let this not be another excuse for Mugabe's thugs to spread mayhem and terror. True is the maxim -Those who live by the sword shall die by the sword.

A two month long general strike continues to paralyze schools, colleges and universities in Niger, where the government has made serious reforms to the education system in response to demands from the World Bank and international capital. Teachers and students continue to protest against the cuts that have come along with restructuring, which has led to numerous violent confrontations and arrests.

Records on wealth declaration should be made accessible to the media and the public if they were to help in the fight against corruption, a Uganda government official says. Mr Jotham Tumwesigye, Uganda's Inspector-General of Government, said both the media and the public were the government's partners in the fight against graft. He was addressing a workshop organised by Transparency International Kenya Nairobi.

Where are we making progress towards equity in health in southern Africa? What are the critical driving forces for health equity? Where are the barriers? How do we build equitable expansion of ARV treatment now? What do we do about health personnel migration? Which health rights campaigns have promoted equity in health? How do we ensure an effective community voice in health systems? These are some of the questions that the conference hosted by the southern African network on Equity in Health (EQUINET) will address.

The "marginalised majority" in Sudan, including rebel groups fighting against the government in the country's only remaining battlefield, Darfur, will not accept a bilateral peace agreement between the government and the Sudan People's Liberation Movement/Army (SPLM/A), according to a Darfur rebel group.

The AIDS epidemic and the spread of HIV infection are advancing in regions of the world long affected, and regions that saw little of the deadly virus in the first two decades of the epidemic. The Joint United Nations Program on HIV/AIDS (UNAIDS) announced in a November 25 press release that an estimated 40 million people worldwide are infected with HIV. In sub-Saharan Africa, long the world's most severely affected region, as many as one in five adults lives with the disease, according to "AIDS Epidemic Update 2003," an authoritative global census of the disease published by UNAIDS each year prior to World AIDS Day December 1. More than 3 million new infections and 2.3 million AIDS deaths occurred in Africa alone in 2003.

It is with great pleasure that I write this missive to introduce myself, as the newly appointed Cultural Program Coordinator at the Goree Institute. I look forward to continuing the legacy of providing cultural programs that are designed to ignite social change on the continent and throughout the Diaspora. The institute looks forward too expanding the link between culture and sustainable development. For a long time development has been exclusively defined in terms of tangible’s such as, dams, factories, houses, food and water, which are all in fact extremely essential. It is important, however, to include culture within the development paradigm as a means of achieving a satisfactory intellectual, emotional, moral and spritiual existence. This development allows groups, communities and nations to define themselves and their futures. The Goree Institute is expanding its cultural program in directions that respond to the current cultural environments, that we are committed to serving. The institute looks forward to providing fresh programming that is engaging to the intended populations. In short, programming that encourages self-reliance in Africa and throughout the Diaspora. The institute appreciates your continuous commitment and support. We look forward to strengthening and expanding these relationships to achieve the shared objective of realising cultural growth and development in Africa!

"I am talking of millions of men who have been skilfully injected with fear, inferiority complexes, trepidation, servility, despair, abasement." (From. Discours sur le colonialisme, Aimé Césaire)

Medact, together with the People’s Health Movement and GEGA, is planning the publication of the Global Health Watch, a report providing a civil society view on the state of the world’s health. In preparation for this report, Medact is calling for testimonies from civil society on the different issues covered by the report. We will launch this call in several waves: firstly, we are looking for testimonies on the effects of the marketization of:

1. Health care provision in the developing world. Issues we are particularly interested in are:
* the effects of privatisation and commercialisation on access to health care and the quality of health care. For example, has privatisation led health providers to see health care as a business rather than a public service? Has it resulted in an increase in user fees? Have profit-motives led to an increase in unethical practices such as using cheaper drugs that do not work?
* ways in which advocacy has improved access to health services (such as report cards for public services; participatory budgeting; and health consumer protection groups).

2. Water, sanitation and electricity services.
* What is the effect of privatisation on access to these services? How does reduced access to water, for example, affect the poor? What is the effect on cost and quality of these services?

The testimonies will feed into and support arguments put forward in the publication. They will also be organised thematically and geographically and available for public access on the web. Testimonies should be no more than 800 words in length. We hope that the Global Health Watch will form a mechanism to express and amplify civil society’s concerns about the increase in marketisation and commercialisation of key public services and goods. Join us in this venture by helping us collate the testimonies of the unheard. Please e-mail Patricia Morton at [email][email protected]

PAMBAZUKA NEWS 133: A GENDERED DIMENSION TO THE ZIMBABWE CRISIS

It is the middle of the month and the buses headed from Zimbabwe's Bulawayo to Francistown, the border town in neighbouring Botswana, 160km away, are leaving half full. But vehicles driving in the opposite direction, back to Zimbabwe, are overcrowded. That is because traders, mostly women, are returning home.

Namibia could soon be forced to borrow from the World Bank if it adopts a plan to overhaul the education system, which has been gobbling up huge chunks of funds with relatively little to show for the expenditure. A decision to borrow from the World Bank would put paid to the country's refusal to become a debtor to the Washington-based institution and its sister body, the International Monetary Fund (IMF), which President Sam Nujoma has described as imperialist agents.

The Association for Women's Rights in Development (AWID) is hosting a 4-week e-based discussion to find out what young women are currently thinking about reproductive technologies. We invite all interested young women to provide their perspectives and insights into this discussion, which will be co- hosted by AWID's Young Women and Leadership program and the Gender Equality and New Technologies program.

Representatives of 11 member countries of the Economic Community of Central African States on Wednesday announced a two-year joint action plan to fight HIV/AIDS in the region. The plan was announced in Congo at a meeting of health ministers from Cameroon, the Central African Republic, the Democratic Republic of Congo, Equatorial Guinea, Gabon, Rwanda and Congo.

The cabinet in Uganda has paved the way for senior figures including the president's brother to be tried for corruption and wasting state resources. The officials are accused of wasting millions of dollars buying two unusable second-hand helicopters from Belarus.

A young girl who was being abused by her father was able to get help after tuning into a talk show hosted by Sandra Ndonye, a participant in an Internews Kenya workshop. The workshop trained students in the production of HIV/AIDS talk show programs, including interviewing, recording and scripting techniques.

Journalist Paulus Sackarias and driver Simon Haimbodi, both employed by the Afrikaans daily newspaper Republikein, were threatened and arrested at the weekend in a confrontation that resulted in the confiscation of their company vehicle by Special Field Force (SFF) members.

Reporters Without Borders has condemned huge libel damages awarded against the Zanzibar independent weekly paper Dira for printing "false and malicious statements" about the children of the autonomous island-state's president, Amani Abeid Karume.

Members and sympathisers of Mozambique's former rebel movement, the Resistencia Nacional Mocambicana (Renamo), seized Radio Mozambique journalist Salvador Januario at the weekend and held him prisoner inside the local Renamo offices in the northern province of Cabo Delgado for several hours.

Seldom could such a drastic reversal in direction have attracted so little attention. The market simply ignored it. There was little or no comment on it. And yet President Thabo Mbeki announced a fortnight ago that the neo-liberal market economic approach must be abandoned. But at the end of the day, argues this article, Mbeki is doing the old classical political thing: talking left but doing right.

The Debate journal came into sight to serve as a platform to liberate and publish voices from the South African leftist sector. Its latest August issue carries articles, influential and poetic voices, analysis, commentary, and discussions about current affairs on the social movements arena.

U.N. officials and activists recently marked the anniversary of Security Council Resolution 1325 on women, peace and security by highlighting the contributions women are making to national reconciliation and the role Resolution 1325 plays in promoting that goal. The resolution, adopted by the Security Council in 2000, calls on the secretary general and states to enhance the role of women in conflict resolution, "incorporate a gender perspective into peacekeeping operations" and "put an end to impunity" for crimes against women.

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