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Zimbabwe News Diary: The governance response to HIV and AIDS
Institute
for Democracy in South Africa (IDASA)
Extracted from GAP e-newsflash - February 2007
February 14, 2007
News idea
After
more than five years of a practical donor freeze on the Zimbabwean government,
it is important to know the overall effect of the freeze in terms of HIV/AIDS
– that is, to determine whether there has been a rise in infection rates
or other secondary effects that have an implication on the fight against
AIDS.
Questions
you may want to ask:
- Which area of
the AIDS crisis has been the hardest hit?
- Have there been
positive developments as a result of this? What were they?
- How have NGOs been
affected?
- What are the implications
for people living with AIDS?
- What are the implications
for prevention programmes?
News idea
Find out the projected
national response to the pandemic in 2007 according to the Zimbabwe National
AIDS Council Before the UNGASS 2005 summit, Zimbabwe NGOs complained that
the government did not consult with them over the country’s submission.
At the 2006 World AIDS Conference in Toronto, Zimbabwe was lauded for
having a declining HIV prevalence rate. There is need to determine the
practical measures and indicators that the Zimbabwean government put in
place to effect the decrease in HIV infection rates.
Questions
you may want to ask:
- Are there indicators
of a better relationship between the government and NGOs working in
the field? Speak to NGOs working in the area of HIV/AIDS and also to
the Ministry of Health. Have there been any changes in the relationship
between government and NGOs in the past two years?
- Speak to the Ministry
of Health to determine what government activities were used to bring
down the HIV prevalence rate.
News idea
Food security
has been one of the areas hardest hit by the donor freeze on Zimbabwe. There
are estimated to be about three million living in severe poverty with little
or no food. The situation has been found to have a debilitating effect on
the HIV and AIDS scourge. Questions
you may want to ask:
- What is the current
situation regarding food security especially for low income groups in
Zimbabwe?
- Has food security
improved in the last two years?
- What do organizations
such as World Vision and Food and Agriculture Organisation have to say
about the situation on the ground?
- How might the food
security situation, especially during the rainy season, affect the HIV/AIDS
infected and affected people, especially orphans who rely heavily on
donor organizations to provide food support?
News idea
Women are the majority
HIV/AIDS infected population in Zimbabwe.
Questions
you may want to ask:
- What is being
done by the government to combat the spread of the disease amongst women?
(Speak to Ministry of Health, NGOs dealing with HIV/AIDS, and PLWHA).
- Is there guaranteed
access to the Nevirapine drug at all state hospitals for example? If
not, why is this so and what are the suggestions from NGOs and government
ministries on how the problem can be handled.
- Is prophylaxis
treatment available when women are raped? If not, what are the barriers
and how can they be tackled?
- What are the current
statistics of HIV prevalence in women? (Speak to Hospital authorities,
ministry of health, HIV-related NGOs, other caregivers and medical experts).
News idea
What are the
problems being experienced by local generic drug manufacturers and what
is being done to mitigate the situation?
Questions you may
want to ask:
- Is it possible
that foreign partnerships can help the situation?
- Private chemists
seem to be well stocked with ARVs while public hospitals are struggling
to access the drugs, what is the major cause of this situation?
- Speak to ARV drug
manufacturers/suppliers both on the black market and legitimate traders
to hear different points of view, speak to private pharmacies, Ministry
of health, NGOs.
Possible Sources
for Comment and More Information:
- Drug Manufacturing
Companies:
- Caps Holdings Ltd,
Harare, Tel: +263-4-661228/663595
- Datlab Industries,
Ranbaxy Pharmaceuticals, www.pfizer.com
- Black Market Pharmacies
- Ministry of Health
and child welfare: http://www.mohcw.gov.zw
- www.avert.org
- Red Cross Zimbabwe:
Edmore Shamu, National President, Tel:+263 4 775 416, zrcs@ecoweb.co.zw,
http://www.ifrc.org/cgi/pdf_profile.pl?zwprofile.pdf
- www.dfid.gov.uk
- www.unAIDS.org
- Zimbabwe National
AIDS Council: www.nac.org.zw
- World Food Programme:
www.wfp.org
- Southern Africa
AIDS Information Dissemination Service (SAfAIDS), Tel.: +263-4-336 193/4,
Fax: +263-4-336 195, www.safAIDS.org.zw
Regional news
ideas
News idea
The
National AIDS Councils that are present in each SADC country are as a
result of international and regional agreements made by all African countries
to fight the spread of HIV and AIDS on the continent in the most effective
manner possible.
Questions
you may want to ask:
- How effective
are the National AIDS Councils in the different SADC countries?
- Are they able to
meet their mandate or are they falling prey to disturbing elements such
as budget cuts, etc.
- To what extent
are these councils accountable to the public?
- Have there been
any public reports or evaluations regarding their operations?
- How does this body
comply with the guidelines set out by the World Health Organisation’s
(WHO) "three ones" strategy?
- What is the relationship
between the AIDS Council in your country and government, how closely
does it work with civil society and how does it represent the interests
of people living with AIDS?
News idea
An
assessment of SADC’s 2005 Regional Indicative Strategic Development Plan
(RISDP) that identifies HIV/AIDS as a threat to its effective implementation
is needed to better inform the region as to the project’s progress. The
plan is meant to improve the operations of SADC including in the area
of the administration of HIV/AIDS in the region.
Questions
you may want to ask:
- What has SADC done
to ensure the following targets:
- Harmonization of
regional policies and strategies
- Establishing mechanisms
to monitor and evaluate progress made by member states towards targeted
objectives so as to reduce impact of HIV/AIDS
- Mobilise resources
for the regional multi-sectoral response
- To ensure one agreed
framework and one system for the monitoring and one coordinating authority.
(Contact SADC Secretariat Information Office via e-mail and request
interview or send query to SADC Secretary General)
News idea
Access to ARVs is a
problem experienced by many of the SADC member countries. Medecins Sans
Frontiers (MSF) says there is need for newer generics to be manufactured
in order to fight drug resistance and side effects. Also, treatment costs
are scheduled to rise in the medium term. In Malawi, where MSF has up
to 11,000 people on treatment, it is roughly estimated that about 1,600
will have to switch to new drug combinations in three years time, which
will take up 70 per cent of the entire treatment budget.
Questions
you may want to ask:
- How does SADC hope
to tackle this problem? Has it been discussed or tabled for discussion
at any of its meetings? (Comment from SADC Secretariat)
- To what extent
has SADC prepared their members for the scenario described above?
- Are there any countries
in the region that are good examples of best practice in the area of
ARV treatment? How?
News idea
Women have been found
to bear the brunt of the HIV AIDS pandemic in southern Africa. What is
the response of SADC to this phenomenon? Are there any regional plans
to increase access to anti-retrovirals for women who make up the majority
of those infected?
Questions
you may want to ask:
- Are any of the
countries in the SADC region specifically targeting women? Why are they
doing that and why should they be doing that? (Speak to donors, e.g.
USAID, DFID, UNAIDS, and speak to SADC secretariat)
- Is SADC or other
regional bodies including UNAIDS looking at a treatment/prevention package
specifically directed at women in the medium term? If so, what does
this package involve?
- What is the current
situation of pregnant women who are HIV+ in the region? (Speak to regional
NGOs dealing with the issue such as Family Health International, UNICEF,
UNAIDS)
Possible Sources
for Comment and More Information:
NOTE:
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Gertrude Mwondela
GAP e-newsflash
editor
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