22.2.13

HIV/AIDS stigma still widespread in society

If asked, many will say that gone are the days when people living positively with HIV/AIDS faced discrimination and stigma within the society. 
 
Truth is; stigmatization and discrimination is still on the rise in the community and the worst is that this issue is greatly witnessed at family level. 
 
This has made some people living with HIV shun from disclosing their statuses fearing to open gates for abuse, discrimination and segregation. 
 
How will I benefit if I disclose my status? How sure am I that it will work for my benefit and that of people around me? Are some of the questions most people living positively with HIV/AIDS ask.
 
In a case screening workshop organized by Futures International and the National Council of People living with HIV/AIDs (NACOPHA) in Morogoro, it was evident that there are still high rates of discrimination and stigma against HIV positive people. 
 
The forum aimed at enhancing the understanding of the 2008 HIV and AIDS (prevention and control) Act among people living with HIV/AIDS since many of them are not aware of it and how it protects them against any kind of violation, harassment and discrimination.
 
The forum was also geared towards identifying incidents with potential court cases in defense of NACOPHA members and a way forward on how such cases may be pursued in future.
 
The HIV and AIDS (Prevention and Control) Act was enacted by the government in 2008 but different circumstances and testimonies, show no comprehensive understanding about the legislation. 
 
According to the existing system in the country, the existence of the law reflects the presence of applicable regulations as a means of monitoring the implementation and dealing with those who violate the requirements of the law. But with no clear regulations yet to be tabled concerning the law threatens to be a restriction on how the law should be applied. 
 
A lawyer from the Ministry of Health and Social Welfare, Abdul Rahim said the HIV and AIDS (prevention and control) Act 2008 should have many regulations, but only one was written by 2010. He cited lack of finance as one of the main reasons hindering efforts by the government to write regulations for laws that are being enacted including the one for HIV/ AIDS.
 
However, it was also noted that it is not just those living with HIV/AIDS who are not well informed about the Act. There is need for capacity building to different stakeholders. Among them are lawyers, magistrates and the police. 
 
On the other hand, there is a need to equip the community with knowledge on how to seek legal assistance on HIV/AIDS issues. Since some tamper with what should have counted as evidence when penalizing the offender. 
 
Vitalis Makayula, Chairman of the National Council of People living with HIV/AIDS (NACOPHA) said his office is going to embark on disseminating information across the country through its members and the peer educators on the Act. “This is to help those living positively to know where to go when faced with challenges and to also minimize discrimination and stigma within the society,” he said.
 
Zainab Hamis, a resident of Kondoa in Dodoma narrated her case of being denied access to her child by her husband claiming she was soon going to die. Her efforts to report the matter to the police were all in vain when the police asked her to pay 5,000/- for the case to be filed. She could not afford the amount and the case was therefore never filed. 
 
This shows how uninformed the community is on matters concerning access to justice. It then calls for community mobilization especially in the rural areas since many could be blocked from accessing justice.
 
Until now, Zainab has no idea where her son is. Justice to her remains a nightmare since she is faced with so many setbacks in the process. She stays in Kondoa and was married in Arusha and therefore for her case to be listened to, she has to file the charges with the court in Arusha and all proceedings to take place there. To a common woman without any income generating activity like her, this translates to be a bit expensive.
 
Legal aid service providers also bear the blame for not advising victims appropriately. For instance, not many HIV positive people are aware of first tracking of cases filed by someone living with HIV.   
 
In another incident, Zuhura Musa who got married in 2000 says her husband secretly tested for HIV in 2006 and was found to be positive. He did not disclose it to her. After learning about it from her husband’s close relative, she decided to go for testing and discovered she was positive too. 
 
Despite the fact that her husband did not disclose his status to her, she disclosed hers to him since she had been advised so by the counselor. “That was the beginning of my problems. I asked him to get tested but he refused saying he was not infected,” said Zuhura. 
 
This left her wondering how she could have contracted the disease but the fact that her husband never used protection even after she told him she was HIV positive made her believe he was positive too. 
 
In 2012, after a life full of difficulties, her husband chased her from their house and brought in another woman and made her status public (to the extended family). She is now seeking legal advice on how to get assistance from the father of her children since they were legally married and she is not capable of looking after them single handedly.
 
Her incident is protected by section 21(1a & b) of the Act which states that any person found to be infected with the virus should immediately inform their spouse and take all measures to prevent transmission of HIV to others. 
 
The lawyers stated that Zuhura’s husband might have been aware of his condition and did not disclose it to her. Section 21 (3) of the Act also protects a spouse from any abuse which Zuhura’s husband committed.  
 
NACOPHA’s Advocacy and Networking Manager Lillianne  Chovenye said there are so many forms of stigma in the community towards those living positive. She cited self stigma, location of CCT centers and family stigma as the most common.
 
She challenged them to access information and empower themselves by starting small income generating projects as individuals or in groups that can help them sustain themselves  rather than languishing in poverty, waiting for hand outs.  
 
Jean Eyase is a Kenyan journalist currently on exchange programme in Tanzania