HIV/AIDS + Healthcare

You’ve got questions, THEY’VE got answers!

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Peter Odero, founder of HEKO shares with us some insight from an interview he had with a couple on social health disparities on stigma and discrimination against people with HIV/AIDS. 

Q: Why do people not like going for HIV/AIDS Testing?

A: “Many people do not like going for HIV/AIDS Testing for fear of disclosure if tested positive.  Stigma and discrimination is still a major factor among families and communities. People tested positive are still a subject of isolation even at such a time like this when a lot of information is available in the public domain because of the negative attitude people received about HIV/AIDS. Some facilities employ unqualified staff who have poor approach to clients. There is also fear of not getting proper attention among family members and even during counseling sessions.”

 

Q: Why do people default on ARVs?

A: There are many factors that cause people to default on ARVs: 

  • False Prophesies: There are a number of healing churches which pose to have a healing strategy for people living with HIV/AIDS.  People who are desperate are easily swayed and believe in such and deliberately decide to drop their adherence to ARV drugs.
  • Traditional Healers: Some people who are HIV positive easily believe in traditional healers and choose to default and go for traditional option.  This is also common practice among slum dwellers.
  • Stigma, Discrimination or Denial: This is a common occurrence practiced among pregnant mothers who turn HIV positive after volunteer on HIV pregnancy test.  Their spouses or immediate family members discriminate against them and many times are subjected to fear and become discouraged from taking their ARVs.  At this stage, there are some who face hostility and resistance after disclosure of status.
  • Fatigue from Medicine: Majority of people on ARVs suffer from the burden of being under so many drugs prescribed due to opportunistic infections. Taking such drugs alongside ARVs causes fatigue and discomfort which result into default on ARVs.
  • Food and Nutrition: Dietary issue in nutritious meals go with ARVs given the fact that some of these drugs have clear warnings “do not take without food”.  There is fear of taking ARVs in an empty stomach.  This means that most people living below poverty level are at risk of defaulting.

 

Q: With all the facilities and information on the ground, why are some people not accessing these facilities?

A: “With all the facilities and information available on HIV/AIDS, people are still not freely accessing these facilities because majority are still having a feeling of fear, despair, and isolation when an HIV test result is positive. Stigma and discrimination is still causing a lot of challenges to the fight against the spread of HIV/AIDS in the society.  Some facilities are also not equipped with the right personnel to effectively handle cases where one is tested positive. Information of HIV tests are supposed to be personal and confidential to help restore confidence on the affected individual.

There are many cases where families or individuals have not yet received the correct information about HIV/AIDS.  There are also many negative beliefs and assumptions about HIV/AIDS that has led to non-compliance attitude among community members.”
QIn your own opinion, what is the quality of life for people on ARVs?

A: “Many people on ARVs have accepted their new status and are living positive with HIV/AIDS despite challenges around them. Majority no longer suffer from fear and discrimination that characterize people tested HIV positive. They participate fully with the rest of their family members in the day-to-day socio-economic activities for their well-being to have sustainable resources to make them stay in treatment for a lifetime as they cope with local social disparities.

In my opinion, and in the eyes of majority, there is a sharp contrast between people on ARVs and the other people living with HIV/AIDS who are not yet on ARVs.”

 

Q:What would you like to be done differently from what is being done now?

A: “There is a need for a more collaborative approach to help deal with HIV/AIDS pandemic in our society.

More intensive door to door approach on families and individuals would make more appeal in terms of education and general management and control of the spread of HIV/AIDS.

There is a need to invest more on poverty reduction to create an enabling environment for self-reliance among families and individuals infected and affected by the impact of HIV/AIDS.”

Without help from the Mocha Club, these people would not get the help they need to live a full and happy life with HIV/AIDS! Join the Mocha Club today!

INSPIRATION, MOCHATERNS

Better when we’re together.

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82 degrees. It’s fall in Nashville, and the leaves are letting go and falling to be crunched under our boots, but the temperature doesn’t know it yet. We’re fine with that, though, because today we’re putting on a house show, and we’ll trade cold fingers and toes for a light breeze.

We arrive at 4:30; doors won’t open until 6:30. We spread twinkle lights around the back porch, spread a rug, and call it a stage. The sound guys arrive at 5, with a minivan full of equipment. We set up borrowed tables, spread someone else’s tablecloths, put out the snacks we bought at Kroger last night, hoping-praying we’d be reimbursed soon. We spread blankets gathered from three different houses as the bands run through soundcheck. Friends and friends of friends begin to come in the back gate just as they’re finishing, and we turn on the collaborative Spotify playlist.

This is what being a college student in Nashville looks like: concerts in the backyards of our houses, nights where everything we need is borrowed. Everything pauses when the band starts to play. For a few hours we sit and listen, marveling at the talent of the friends who perform and the good hearts of the ones who welcome us in. And then the concert is over, we pack up all the things, and a few of us head to Cookout for milkshakes and french fries. Homework is ignored, but so much good work is done.

Nights like this remind me of something that I hope I’ll remember long after I graduate: sometimes, it only works if we all work together. And isn’t that half the fun? Isn’t it even better if the ground is covered in blankets you don’t own and the seven strands of string lights come from four different people? When the after-concert Cookout party consists of the bands, the photographer, the hosts, the ones who donated time and apple cider and the rug for the stage, and the friends who just came to support?

When we look at our lives, aren’t the sweetest moments the ones we worked for together?

Speaking of Nashville nights…Come to The Well at Green Hills on Friday, November 11 at 7pm to enjoy a night of stories and songs in support of Mocha Club, much like the night I just wrote about, and hear the artist pictured above + some more great songwriters & storytellers! 

https://www.facebook.com/chrisrenzemamusic/

http://www.randwalter.com

https://www.facebook.com/marsongs/?fref=ts

AFRICA NEWS, Education, FROM THE FIELD

Hannington’s Story

I was born on 11th November in Githogoro, Kenya, as the third child in a family of five. My parents were both laborers in the coffee estates that surrounded the region.

When I was eight, my mom died from an unknown disease. Due to the family’s economic status, it was not possible to get appropriate medical attention; hence, the diagnosis of the illness that took her life remained unknown. I was class one (grade one), my two elder brothers, Nicholas and Phanuel were in classes three and four, respectively, while the two younger siblings, Freedom and Philip, were in baby class (pre-school) at the time. It was apparent that my parents valued education and took initiative to ensure all of us attended school.

Following mom’s burial, things took a negative twist. Dad bore thehannington sole responsibility of fending for all five of us, which was hardly sufficient to place a single meal on the table. Our family was living on rented premises which made things far more difficult. Basic items such as clothing became a luxury alongside anything else. A day with one meal was considered an extremely good one.

Because of the intensified hardships, my eldest brother, Nicholas, dropped out of school to assist Dad in hustling. The combined effort did not yield sufficient income, so eventually the remaining four of us dropped out of school as well, each turning to the endless search for a meal. There were disappointing times when he came back home empty handed. This got us even more desperate.

Not long after, Dad came home with some news of a high school that was being started in the neighboring Huruma village. Many who had been out of school for years and could not afford the secondary education were interested when it was confirmed that the school was offering free education. This was music to our ears! The only requirement was for students to bring to school a bundle of firewood for cooking of our lunch. I was in high school at New Dawn Educational Centre with no fees required, no school uniform necessary and as if that was not enough, there was free porridge (uji) and the popular beans/corn meal (githeri) provided for lunch. Who would ever resist that? A miracle of miracles!

Hannington

My experience at New Dawn transformed me totally. I came in hopeless, but I was filled with hope. We found a mom in Mama Irene Tongoi, the school director. She was so assuring that a lot of good would come out of our lives. Mama Irene ensured that we received a holistic education; intellectually as per the curriculum, socially by meaningful and impactful interaction amongst ourselves and the community around, as well as spiritually through the word of God.  We had regular devotions and sessions of what was known as ‘vision conferences’. These spiritual forums provided opportunity to be affirmed and assured of God’s love and purpose for our lives. Our confidence was boosted and the sense of hopelessness gradually faded away. Where else would students be treated to good meals and even offered food to carry home for the next meal for the family? We were loved.

To my greatest amazement, upon completion of high school, I topped my class with a grade “B-” and qualified to join public university. And Mama Irene contacted me with grand news: a donor had showed up and was willing to pay the university fees for anyone qualified to join university from our class! God again provided the resources in my time of need.I was enrolled in a five-year degree course at Jomo Kenyatta University of Agriculture and Technology. I graduated with a Bachelor’s Degree in Geomatic Engineering and Geospatial Information Systems (GIS). All this was accomplished with the help of the scholarship.

I appreciate God’s work through the ministry of New Dawn and all the well-wishers who contributed towards the transformed life that has become mine. You did it not only for me but for the many others that have walked along the same path.

“Give me bread today and tomorrow I will ever be at your door knocking, but give me education, the key to life, and you will have transformed the world.”

INSPIRATION, MOCHATERNS

“They Do This,” But We Don’t Have to Do That

The People of the Other Village

hate the people of this village

and would nail our hats

to our heads for refusing in their presence to remove them

or staple our hands to our foreheads

for refusing to salute them

if we did not hurt them first: mail them packages of rats,

mix their flour at night with broken glass.

We do this, they do that.

They peel the larynx from one of our brothers’ throats.

We devein one of their sisters.

The quicksand pits they built were good.

Our amputation teams were better.

We trained some birds to steal their wheat.

They sent to us exploding ambassadors of peace.

They do this, we do that.

We canceled our sheep imports.

They no longer bought our blankets.

We mocked their greatest poet

and when that had no effect

we parodied the way they dance

which did cause pain, so they, in turn, said our God

was leprous, hairless.

We do this, they do that.

Ten thousand (10,000) years, ten thousand

(10,000) brutal, beautiful years.

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Part of me doesn’t even want to write anything about this poem by Thomas Lux because I want it to settle on the reader and get minds whirring on their own. But I will share a few thoughts since this is, after all, a blog and not a “share a poem” newsfeed.

I came across this poem in college and it moved me deeply. It cuts through so many excuses humans make for how we treat each other. This poem was written as a war protest poem and could easily lead to a discussion about that topic, but instead I want to look at how the poem calls out a mentality that many of us have but choose to stifle or ignore. How easy it is for us to live our days trading tit for tat with our enemies. How easy it is to say, “They started it.” How easy it is to retaliate because we do not want to look weak. Extending grace and forgiveness is an act of moral strength, not weakness. “They do this,” but we don’t have to do that.

Consider the many facets of your life. Where do you contribute to brutality? Most likely you aren’t putting shards of glass in your enemies’ flour bags, but where are your words stinging someone’s heart? Where are you putting yourself and your selfish reactions first? I ask this not to guilt trip anyone. There is always grace! I ask this because politicians can do great good, but they cannot create world peace through charters and laws (though we need them). We, the masses, have a role in creating peace, too.

There are at least two kinds of steps that we need to take to bring more healing into this world. First, take steps of reconciliation to close the gap between you and the person you hate or dislike. Second, take steps to close the gap between you and someone with a different type of need. Helping another person is not a matter of the “haves” and “have nots,” though it is tempting to think of the situation in this framework if you view yourself as the one with more power. (Yes, one group might have more of one monetary or spiritual asset, but the point is that we all lack in some capacity.) Instead, see yourself as an equal partner. You might have a little bit of money and someone else might have a way of life marked by joy. Give and receive. Make the next year or ten thousand more beautiful than brutal. “They do this,” but we don’t have to do that.

 

*Poem found at https://www.poetryfoundation.org/poems-and-poets/poems/detail/48485

**Thoughts in this post influenced by When Helping Hurts by Steve Corbett and Brian Fikkert and this Mocha Club video.

FROM THE FIELD, HIV/AIDS + Healthcare, Uncategorized

The results are in…

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In a place where there is a high percentage of individuals & families suffering from HIV/Aids, the real suffering occurs when the community turns its back on those in need instead of stepping in to support their own.  In the Kibera slum in Kenya, Peter and his staff at HEKO are striving to reverse this problem.  In a place where the church should be stepping up to lead & “care for the poor” in this situation, this place that should be one of rescue & restoration is actually virtually useless and detrimental.

Peter and his team conducted a study with the local church to find some answers; these were the results:

  • The majority of church members have felt the extent of the HIV and AIDS epidemic.
  • Gossip is the main source of how they know who has the HIV and AIDS.
  • There is significant loss of membership and tithe/offering returns.
  • Level of stigma is unbelievably high.
  • Level of awareness on transmission is very low.
  • Limited church initiated programmes on care and support.
  • Use of condoms are highly condemned and this position is non-negotiable.
  • Screening and testing for HIV is highly opposed.
  • Churches have not developed any activities or associated plans for the People Living with HIV/AIDS or family households affected by the HIV pandemic.
  • Church leaders and many parents are not prepared to tackle the issues, except the youths who feel free to share sexual experiences and discuss challenges with each other.
  • Lack of human material and capital resources including training, capacity building, material acquisition, curriculum development particularly on the sex education for youth, visionary leadership and resources acquisition to care and support OVCs and PLWHAs.

So, there is a vacancy in the space of help & support and Peter and his staff at HEKO are stepping right in.  Here are the services they offer:

·       Health and Nutrition Education: General well-being of the person and the value of good balanced diet to PLWHA on ARVs-ART.
·       Food Relief and Social Support: For the support of PLWHA, OVCs and Home Based Care givers for improved livelihood.
·       Sports and Recreation: To help improve good body health and social relationships among different target groups irrespective of status, age, tribe, culture and religious affiliations.
·       Economic Empowerment: To PLWHA, OVCs, Care Givers linked to opportunities for income generating activities.
·       Counselling: To PLWHA, OVCs, family household, drug addicts and other risky behaviors and negative lifestyle.
·       Life Skills: Psychosocial skills required in all aspects of young peoples lives that is critical to controlling HIV/AIDS among the youths as well as other aspects of education that highlighted participatory methodologies of the empowerment in all the activities and processes of decision making that concern the youth.
·       Discordant Couples: Special counselling service to couples where only one partner is infected or living HIV positive.
·       Alcohol and Drug Abuse: Small changes can make a big difference in reducing harmful effects and chances of having alcohol-drug related problems among the youth. Drug and substance abuse is linked to the rising crime rate, HIV/AIDS prevalence, schools unrest, family dysfunction, poverty and other malaise in the community. The youths are deliberately and tactfully recruited into the drug culture through personal factor, uncontrolled media influences and other related social exposure.

HEKO’s presence in the community is vital to closing the door on stigmatization, opening the door to community building, and ultimately ending the HIV/Aids pandemic. When you support Mocha Club and it’s healthcare initiatives, you are part of this eradication. Thank you.

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AFRICA NEWS, MOCHATERNS

Mochatern Monday 10.17.16 : Happy in the Midst of Horrible

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2016 has been a year of discouragement in so many ways. Between the refugee crisis, the primacy of terrorism in world affairs, and, here in America, a presidential race that is perhaps the most hate-filled and controversial that this country has ever seen, the news cycle is often filled with fear and confusion. News from Africa, especially, is often dominated by images of war, devastation, even hopelessness.

So today when I opened my computer and found some happy news, I immediately wanted to share it. The image above was painted by Leslie Lumeh, a Liberian artist. When the Ebola crisis hit West Africa two years ago, Lumeh was one of the artists called upon to help formulate posters to educate the public on how to protect themselves and prevent the spread of the disease. His posters went to multiple countries in West Africa, saving countless lives in the process. In addition, even after the crisis subsided, he continued to document life in Liberia, with colorful, winsome paintings like the one above.

Though Ebola-stricken Liberia was in many ways a fear-filled place, Lumeh’s art doesn’t just show that horror—it is also filled with hope. “I paint scenes and subjects that people can relate to,” he says. “You see it, you understand it, you know it, you feel it.”

Click here to read on, and to see more of Lumeh’s work: http://www.cnn.com/2016/09/20/africa/african-artist-who-helped-in-fight-against-ebola/index.html

INSPIRATION, MOCHATERNS

Mochatern Monday 10.10.16 : The Day of Small Things

It’s the way the sunlight drapes itself over the tops of the bushes in front of the office. The way the little chipmunk just scurried by. It’s hidden in plain sight: the sun rose this morning, maybe when you weren’t looking at its brilliant artistic talent strewn across the sky.

Did you see it?

That brief moment where something happened? There it is again . . .

Writing 35 thank you cards this week to some generous Mocha Club donors reminded me of how important it is to be aware of these moments. The task consumed time and wasn’t the most brain stimulating exercise. But it was worth my time and focus. Why can I say that? First off, who doesn’t love receiving a hand addressed envelope in the mail? Maybe just getting a letter gave someone that happy feeling when they wonder what’s inside. (If you’ve never felt that feeling, you need to get a pen pal ASAP.) Hopefully the letter reminded them that they are appreciated – that what they do has a positive impact on the world. How lovely that I got to be a part of bringing that thought to someone’s mind!

Here’s the point of this little ramble: Celebrate “the day of small things.” (Hint: that’s every day.) Some days just don’t feel fun or exciting or joyful or enjoyable. I get it; I live this human life, too. But muster the courage to find a window, look out, and consider whether there is something there worth noticing. Whether it’s your friend down the street, raindrops on the windowpane, or the tree branches dancing in the wind, there is something to inspire gratitude. And if your office or classroom doesn’t have a window, I’m sorry (I’ve been there too), but I’d bet that you can find something good in the article you’re reading, the décor in your officemate’s cubicle, or in the lines of the paper you’re writing for that college class.

Here at the Mocha Club, we’re all about everyday generosity. It starts with a small gift that gets transformed into food for an orphan, medicine for some who is sick, clean water, etc. Never believe the lie that a small gift of time, money, or energy cannot bring meaningful beauty into someone’s life. Here’s to the day of small things, to discovering joy in the mundane.

*For some inspiration, check out Alli Rogers’ song, “The Day of Small Things.

MOCHATERNS, Uncategorized

Mochatern Monday 10.03.16 : “Poverty Inc.”

What if our efforts to fight poverty have hurt more than they’ve helped? Do good intentions always equal good impact? What if we’re part of the problem?

Last Monday, my fellow intern, Kelly, wrote about the importance of working with—not for—the poor. Dignity is more effective than pity; the poor need a seat at the table, not a handout. Unfortunately, the poverty industry as we know it has far too often maintained the us vs. them mentality. Donations of money, food, clothing, and much more pour in; while this can be a boon for people in poverty in the short term, this variety of long-term aid can leave economies, local business owners, and individuals worse than it found them.

That’s all a little confusing, though, isn’t it? Phrases like “the poverty industry” can make us want to run far away from any such discussions. What does all of this really mean, anyway?

There are two things that have been most helpful to me in learning about poverty and how we should (and should not) address it. First is the documentary Poverty, Inc. I saw this film for the first time last year, and I haven’t stopped talking about it since. In a mere 90 minutes, Poverty, Inc. introduces viewers to stories of success and failure in poverty alleviation, explanations of why the system works the way it does, and solutions for forward movement. I can’t recommend it highly enough—get yourself on over to Netflix, Amazon, or iTunes, and watch it.

The second thing that’s been helpful to me is getting involved with organizations such as Mocha Club. The reason I applied to this internship at all is that, after getting to know Mocha Club last spring when I helped organize a showing of Poverty, Inc. on my college campus, I was impressed by the candid, honest way that Mocha Club seeks to help those in poverty in Africa and connect them to people here in America. Mocha Club wants to work with people in poverty; they help us break down the notion that poverty alleviation is a simple idea, and Mocha Club seeks to do this work in a humble manner that listens first to community members and workers already on the ground.

So what does all this mean for you? Go watch Poverty, Inc. Ask good questions. Find winsome, honest nonprofits like Mocha Club to support. (Go back to Kelly’s post from last week, and read the book she mentions, When Helping Hurts!) Poverty alleviation and relief isn’t impossible—it’s just not simple. But it can start with people like us taking steps to effect a cultural paradigm shift in the way we talk about the poor. It starts right here.

MOCHATERNS

Mochatern Monday 09.26.16 : Work with, not for, the people you aid.

“When one is poor, she has no say in public, she feels inferior. She has no food, so there is famine in her house; no clothing, and no progress in her family.”

Although our media-driven culture constantly places shocking images or words in front of us, this quote from a man or woman in Uganda emphasizes aspects of poverty that often merit less attention in North America. I am familiar with the need for food and clothing among people living in poverty, but hear less about what it is like to experience feelings of inferiority and being voiceless. What can we do so that this person has access to food and clothing as well as a sense of being heard in her community?

When Helping Hurts, the book where I found the above quote, strives to help North Americans answer this question, and its underlying questions, well. Brian Fikkert and Steve Corbett, the authors of this book, taught me an invaluable lesson about perspective. The quote at the beginning of this post does mention physical needs, but it, along with many others that Fikkert and Corbett use, demonstrate that when asked about what poverty is, many of the poor talk about psychological and social issues. In other words, poverty is deeper than its physical manifestations. However, when asked about the same topic, North Americans often refer to having less material things. Fikkert and Corbett go on to talk about how this lack of continuity in thinking damages the ability of wealthier North Americans to truly help those living in poverty. The authors emphasize the need for healing in relationships in order to bring about restoration and poverty alleviation.

Additionally, North Americans often perceive the poor as inferior. This can result in working for the poor instead of with them. They advise, “Do not do things for people that they can do for themselves.” The authors teach readers to combat this mentality of working “for” instead of “with” by using tools like asset-based community development. When beginning an aid project, a group often does a needs assessment, which essentially asks, “What is wrong?” Instead, an asset-based community development model asks, “What is right?” In other words, this method starts by asking what is good in a community that can be used to help solve whatever problems they currently face.

When I think about what I learned over the past month by interning at Mocha Club, the most important thing that comes to mind links perfectly to what I’ve learned from When Helping Hurts: Work with, not for, the people you aid. I love that the staff constantly communicates with African leaders about how to run the programs currently operating in multiple African countries. We partner with them to help their visions succeed. I think we’re part of helping, not hurting, this world, and I’m thankful to watch and participate in this work.