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ZIMBABWE:
Alarm over HIV prevalence in armed forces
IRIN
News
June 24, 2004
HARARE – Health workers
in Zimbabwe have called for increased efforts to stem the high number
of AIDS-related deaths in the armed forces.
The recently released 2003 Zimbabwe Human Development Report claimed that
HIV prevalence in the armed forces far exceeded the general population
infection rate of 24.6 percent in the general population, and three-quarters
of soldiers died of AIDS within a year of leaving the army.
A UNAIDS survey undertaken in 1999 showed that 55 percent of the then
36,000-strong army were HIV-positive.
"In the military, young and socially inexperienced people are recruited
and trained to be fearless and aggressive. While this is good for war
situations, research shows that the youthful soldiers carry this approach
into civilian life and into their private sexual interactions," the report
noted.
The study was compiled by the Poverty Reduction Forum and the Institute
of Development Studies, with support from the UN Development Programme.
Sostain Moyo, director of the Pan-African Treatment Access Movement (PATAM),
told IRIN the high incidence of HIV/AIDS in the army could be attributed
to how the military functioned.
"Even though there is no concrete research done to prove it, the military
would tend to be [more] vulnerable [to HIV infection] because of the manner
in which soldiers operate," said Moyo. "They are highly mobile, and this
exposes them a lot [to possible infection]."
The situation was compounded by a lack of HIV/AIDS intervention programmes
in the army structure. "The army needs voluntary counselling and testing
centres. [Soldiers] would be counselled on how to live positively and
what they can do to avoid passing the virus on to other people," Moyo
suggested.
"Recruits can be screened if the practice is guided by the goal to fight
HIV/AIDS in the army. It [testing] should be regular [and] extended even
to those who have served for some time. Screening, however, becomes meaningless
if it is meant to stop some people from joining in the military, since
this promotes discrimination and stigmatisation," he said.
Civil rights groups have opposed compulsory testing, citing the infringement
of privacy.
The health ministry has pointed out that soldiers were put at greater
risk of contracting the virus by the very nature of military operations:
military camps, where soldiers are posted on missions or for training,
are often situated in remote and poor areas; and the camps are seen as
high-income areas by the local communities, particularly female sex workers.
A military base can have as many as 1,000 soldiers, of which most reside
in single quarters or are placed with civilian families in neighbouring
villages.
"Research suggests that members of the military [guarding borders] are
offered sex in return for allowing vendors and other traders to pass through
[customs] without paying duty," the report added.
Twenty-three year old James Guyo (not his real name), a Lance Corporal
with the Zimbabwe National Army, told IRIN that frequent posting away
from the base was one of the major factors contributing to the high HIV
infection rate among soldiers.
Soon after graduating four years ago, Guyo was posted to the Democratic
Republic of Congo (DRC), when Zimbabwe was part of a Southern Africa Development
Community effort helping the besieged DRC government repel a rebel takeover.
"As you can imagine, like hundreds of my colleagues, I was excited to
be in the bush for the first time - more so because I had never ventured
outside our borders," he said.
"The war experience was horrible, but we found our solace in the brothels
of Kinshasa [DRC's capital]. Also, it was my first time employed, [and]
I found it gratifying to spend my money on women of the DRC, maybe also
as a way of beating homesickness," Guyo told IRIN.
He admitted that he had unprotected sex and contracted a sexually transmitted
disease while in the DRC, but thought it unlikely that he had contracted
HIV, as he had not experienced any symptoms of infection since returning
home.
Although more than 10 of his friends have died of AIDS-related illnesses
over past two years, Guyo was reluctant to undergo an HIV test.
"Even if the army would set up its own testing centres, I do not see myself
going there. Being tested or not, what difference does it make when you
are going to die? After all, as a soldier, I was taught not to fear death,"
he told IRIN.
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