Archive for the ‘Life in Zimbabwe’ Category

Practice compassion to improve healthcare

Saturday, April 14th, 2012

During my visit to Zimbabwe in March 2011 I met a young woman who’d been diagnosed with breast cancer several years earlier. Surgeons in Harare performed a mastectomy, and she lost her left breast. I asked her if she told others in her village about her illness.

No, she said. She didn’t want to tell anyone outside her family about her breast cancer. “I only wanted my family to know: my husband, his mother and father and family; on my side: my mother, father, my brothers and sisters. Besides that, I didn’t want to tell anybody since in our culture, most people will go around mocking you. They will say, ‘Look at that woman, she is no longer normal. She is surviving with only one breast. She no longer has another breast.’”

Her words brought to mind people with AIDS I’d met during earlier visits to southern Africa who were affected by stigma. Some had isolated themselves in shame from friends and family; some were shunned by the community; one woman refused to go to the clinic for a chronic cough fearing that if she had TB, friends and family would say she had AIDS and reject her.

To stigmatize someone is to scorn or reject them because they possess some undesired trait. Stigma arises from fear, denial, myths and prejudices, and from a lack of knowledge about a disease. Stigma leads to alienation, rejection, ostracism and isolation of people with the disease, and, often, of their caregivers, family and children.

Sadly, a Zimbabwean doctor notes that still today stigma adds to the suffering of many people with AIDS…and for people with cancer, as the young woman indicates.  (more…)

AIDS Stigma in Zimbabwe

Thursday, March 29th, 2012

I recently asked a physician in Zimbabwe by email whether stigma is still a problem for people with HIV/AIDS. Here is his reply:

Yes, in some sections stigma remains a big problem for people with HIV/AIDS, especially low-income working-class people who fear being dismissed from work once their employer finds out they are HIV positive, or that they are taking antiretroviral drugs (ARVs).
 
Stigma is also a problem for parents with children with HIV, especially teenagers. Parents  find it extremely difficult to tell their children about their status, how the kids got HIV through vertical transmission, and how their lives will be affected. In some cases  parents with kids taking ARVs have lied to them and told them the medication is for congenital heart problems.
 
Stigma has somewhat gone down in the workplace, with those affected coming out into the open about their status, and most of their colleagues are supportive—-thanks to HAART (highly active antiretroviral therapy). There could be still some problems in areas of heavy manual work, as those affected find it difficult to work from the debilitating effects of HIV/AIDS against heavy manual work, and they usually seclude themselves.
 
People living with HIV/AIDS are not usually excluded from African society because the family takes care of the affected up to death. But because of poverty, most families are disbanded and most children have resorted to living in the streets. Most HIV/AIDS patients are free to work, socalise, marry, and engage in sports, but once they are physically affected or they test HIV positive, they move away from the family. They blame themselves and look down upon themselves.
 
Couples who find that their partner is affected, yet they are HIV negative, are also the most hard-hit by stigma, especially if their immediate families find out about their status—-accusations of infidelity often lead to the family breaking up.

This doctor’s thoughtful reply is a reminder that stigma remains a cause of serious and unnecessary suffering for people and families coping with HIV and AIDS. We can end stigma and the unnecessary suffering it causes, and improve healthcare in the community, by practicing compassion. Compassion means putting ourselves into the shoes of another person, feeling that person’s pain, and then treating that person as we would want to be treated in that circumstance. Whereas stigma burns and hurts, compassion soothes and heals.

Darrell

Typoid Fever Strikes Harare

Thursday, February 2nd, 2012

HARARE, 30 January 2012 (IRIN) – Over the past few weeks some 900 residents of the Zimbabwean capital Harare have been diagnosed with typhoid, and about 60 have been admitted to hospital, say health authorities. See the full report.

Here is the Wikipedia article on typhoid fever.

Leading Health Problems Around St. Albert’s

Friday, July 1st, 2011
 
A village on the escarpment near St. Albert’s Mission Hospital

Abby Norris Turner, PhD, is a public health researcher in Ohio State University’s Department of Internal Medicine, Division of Infectious Diseases, who has conducted research in Zimbabwe since 1999. Her work focuses on women’s reproductive and sexual health. Her current project involves a counseling intervention related to practices that women undertake such as drying the vagina to increase male pleasure during intercourse. Such “dry sex” may increase the risk of acquisition of HIV as well as another reproductive tract infection called bacterial vaginosis.

Before Abby left for a trip to Zimbabwe in April, Better Healthcare for Africa helped her arrange a meeting in Harare with Dr. Elizabeth Tarira, director of St. Albert’s Mission Hospital, to explore the possibility of doing some work at St. Albert’s. Abby asked Elizabeth to name the most pressing public health problems in the area around St. Albert’s. Here are the leading problems Elizabeth noted: (more…)

Cancer in Zimbabwe: Elizabeth’s breast cancer returns; she asks for your spiritual support

Thursday, June 23rd, 2011

Dr. Elizabeth Tarira (right) with her mother and sister Juliet. Juliet runs the Shelter Trust, an NGO in Harare that works with St. Albert's Hospital to care for abandoned pregnant women.

Rome
21st June 2011

Dearest Friends,

God has always good plans for each and every one of us. 

Greetings from Rome! Some of you have been following my breast-cancer illness for many years now, so I have to give you some updates. It seems I have developed resistance to the drugs I have been taking.

At the end of 2009, I had another small lump operated just below the previous scar and had a small mark on the sternum bone. The cancer markers that had started going up, after the operation and the change of therapy, started going down. This year at my check up, the markers had risen again and seemed on a loose end, and one of the ribs had some osteoblast sign (the bone looked eaten up). This did puzzle the doctors. Now I have been put on a new hormone treatment which is an injection (chemotherapy) every 28 days. I do not know yet if I shall respond well to this treatment. I shall have the blood test repeated on the 4th of July. The drug name is Faslodex (generic name, fulvestrant) produced by Astra Zeneca. (more…)

Breast Cancer in Zimbabwe

Monday, April 18th, 2011

A post of mine about cancer care available in Zimbabwe following my March 2011 trip led to interesting comments from readers that focused mainly on the problem of cervical cancer. Is breast cancer also a problem in Zimbabwe? For example: 

  • What is its prevalence and treatment?
  • What are the perceptions and treatment of the disease and how do they differ in urban vs rural areas?
  • Is stigma a problem?
  • Are there support groups to help women (and men) cope with breast cancer?
  • Are there any studies under way or planned that relate to breast cancer?

Your comments are welcome and might help others.

Thanks, and I hope all is well…Darrell

March 8 – Zimbabwe Premier of iThemba

Wednesday, March 9th, 2011

iThemba means “hope” in Ndebele, one of two major languages spoken in Zimbabwe, and it is the title a new documentary film by Elinor Burkett and Errol Webber. With wonderful good humor, it tells the story of five talented secondary-school students in the music group LiYana. But these are not ordinary secondary school students. LaYana is composed of disabled students from the King George VI School in Bulawayo, the only school in Zimbabwe for disabled children.  Elizabeth and I had the good fortune to attend the Zimbabwe premier, held at Prince Edward Secondary School in Harare Tuesday evening, at the invitation of Ms. Burkett.

iThemba is first a good story about talented musicians whose dream is to perform before audiences in the United States. At the same time, it demonstrates the human potential of disabled children everywhere. With humor, it shows what life is like for many disabled teens and their oh-so normal desires and wants. It is also a film about Zimbabwe. It accurately presents life in Zimbabwe’s rural areas, along with life during the country’s critical 2007 – 2008 period when food couldn’t be found in markets and inflation reached the millions of percent.

WHO estimates that about 10 percent of the Zimbabwe population – some 1.3 million people – have disabilities. These individuals often experience rejection within their families as children, and widespread discrimination as adults in employment, transportation, education, and sports and cultural activities. This film reminds us of this injustice and of how wrong stereotypes of the disabled can be. Those attending the Harare premier included Charles Ray, U.S. Ambassador to Zimbabwe, and David Courtart, Zimbabwe’s Minister of Education. Ambassador Ray’s comments included the importance of the Americans With Disabilities Act, which had its 20th anniversary last year.

Perhaps most important, the audience included a group of disabled primary-school children from King George VI School, who saw and heard iThemba’s entertaining message of hope. Ms. Burkett won an Academy Award for her short film Prudence, about LaYana ‘s lead singer. iThemba is the story of the larger group.

With good music and good humor, this is a good film. Catch iThemba if you can.

Life in Zimbabwe: Jess Cosby’s blog

Sunday, August 29th, 2010

A friend recently told me about a blog kept by Jess Cosby, a young British nurse who specializes in tropical nursing and in caring for people with HIV/AIDS. She worked as a surgical nurse in Gambia and Sierra Leone, earned a MSc in public health and spent a year in Botswana providing support for healthcare workers caring for Batswana with HIV/AIDS. Jess is now in Zimbabwe for a year on her first Medecins Sans Frontieres (Doctors Without Borders) mission.  Read about her adventures on her blog, “Jess in Zim.”

Darrell