Voluntary Counseling and Testing

Monday, November 13, 2006

Compulsory HIV testing before marriage still a sore point

By, IRIN PlusNews, November 10, 2006

BUJUMBURA - The Roman Catholic Church's policy in Burundi that all couples intending to marry be tested for HIV is raising the hackles of some HIV-positive people, who claim that the measure promotes stigma.

"It is a breach of human rights to force someone to get tested; testing should always be voluntary," said Jeanne Gapiya Niyonzima, a leading AIDS activist in Burundi and the first person in the country to publicly declare her HIV status. "It is good that the church is supporting testing, but this is the wrong way to do it."

In March this year, the Catholic Church in Burundi released a booklet that made the HIV testing policy official.

"We do not require that the couple share their status with us, merely that they get tested and are aware of each other's status," said Father Antoine Sabushatse, spokesman for the Diocese of Bujumbura, the capital city.

He said mandatory testing started in 1989 in the southern province of Bururi, where the Church noticed that many returning soldiers living with the virus married local girls without disclosing their status and passed the virus on to them; the Bishop of the Diocese then began insisting on HIV tests before marriage, a policy that has since spread across the country.

"If there is no openness between a couple; if one hides their HIV status, then the sacrament of marriage is invalid," Sabushatse said.

Gapiya pointed out that priests, however well-intentioned, were not trained HIV counsellors and were unqualified to provide those services. She added that in this day and age, where the vast majority of couples have sexual relations before they get married, testing immediately before marriage was hardly the most effective HIV prevention tool.

"Anyone can pay a crooked doctor for a certificate saying they are HIV-negative; that's easy, and it's done," she said. "These days, people in the community who choose not to get married in church are immediately suspected of being HIV-positive - it is a stigmatising policy."

Sabushatse acknowledged that there had been incidents where one of the parties had presented falsified documents, but said the Church recommended a couple to a doctor known to be trustworthy, who would then have to confirm to the local Catholic priest that the couple had been tested and knew each other's results.

Even if one or both parties were found to be HIV-positive, the Church would still marry them - it was an issue of knowledge and openness, rather than judgment, he added.

Despite the protests, Sabushatse said the response to the testing requirement had been favourable: "Very few people refuse the testing; they have seen a lot of people around them dying and they do not want to take any risks."

kr/kn/he

[ENDS]

Monday, November 06, 2006

Gambia: Know Your Status

By, The Daily Observer (Banjul), November 2, 2006

The toll of HIV/AIDS on our population cannot be overemphasised. And since it is the duty of every responsible citizen, including ourselves, to deal with this horrible disease in whatever ways we can, we have no choice but to continue talking about it - especially to discuss some of the ways in which we can prevent further infection and to find ways of reducing the impact on those already living with the virus.

It is always encouraging to hear leaders from different spheres of life encouraging people to go for HIV testing, because that is one of the ways in which the virus can be contained.

While we are extremely aware that there is more to fighting HIV/AIDS than just taking the HIV test, we feel it is extremely important that each one of us is aware of their HIV status. Knowing one's status saves lives, whether one is positive or negative. It helps to prolong the lives of those living with the virus because they can begin taking the necessary treatment at an earlier time when the disease is not in the advanced stages and thus have more chances of living productive lives.

If a person's CD4 count is still at a reasonable level, there may not even be a need for treatment. A good diet may be enough to enable one living with the virus to live much longer and still lead a productive life. Knowing one's status also helps those who are positive because they will know how to protect others.Those who are negative should try to lead responsible lives and ensure that they maintain their status.

However, all these benefits can only be gained if each one of us is bold enough to know our HIV status. This is why time and again, we passionately encourage everyone to go for voluntary counselling and testing.

With figures already showing that the percentage of people dying from HIV/AIDS related diseases is going down in many Western countries because of anti-retrovival treatment, it is not necessary for people to continue dying as a result of HIV/AIDS. People who are not willing to go for HIV testing will remain an obstacle in the fight against the killer disease.

With the benefit that go with people knowing their HIV status, there is no need for people to remain in the closet, bury their heads in the sand and deliberately refuse to know their status.

The Gambia we want to build is The Gambia of healthy people.


Source: http://allafrica.com/stories/200611020802.html

Friday, November 03, 2006

Botswana testing babies for HIV

By, News24, November 2, 2006

Gaborone - Botswana will start conducting HIV tests this month on infants aged 16 weeks and above in a United States-funded programme, an official said on Thursday.

"This programme is a result of a partnership between (Botswana's) ministry of health and the US government," said Doug Johnson, an official working here under US President George W Bush's Pepfar initiative.

Pepfar, or the US President's emergency plan for Aids relief, was announced in 2003.

It is a five-year, $15bn plan aimed at combating the disease in more than 120 countries.

Johnson said: "The early-infant-diagnosis programme is going nationwide this month and will be offered in various health centres,".

Infants were earlier tested for HIV at 18 months and above.

Johnson said a pilot project for the early-detection system for infants had been run successfully in the country's north, costing $102 000 (about R755 000).

Aids 'an emergency'

He said Pepfar would allocate an additional $425 000 (about R3.2m) for the national testing project.

A study conducted last year by Botswana's health ministry and the US Centres for Disease Control and Prevention showed that out of 1 917 infants with one or more HIV-positive parent, only seven tested positive.

Botswana's health ministry has called Aids an emergency and says 38.5% of the adult population carries the HIV virus which can lead to Aids.

A 2006 UNAids report put Botswana's adult HIV prevalence rate at about 24%.

Antiretroviral (ARV) drugs, which dent the virus's ability to replicate itself and weaken the body's immune system, are sponsored by the government in what the health ministry says is the first of its kind in Africa.

A total of 68 440 people were receiving ARVs by June this year, the health ministry says. Of these, 59 940 were sponsored by the state.

The government has set a target of 150 000 on treatment by 2009, but has expressed concerns about the costs.


Source: http://www.news24.com/News24/South_Africa/Aids_Focus/0,,2-7-659_2024405,00.html