The University Of Zambia      
School of Medicine

 

University of Zambia Medical Library



HIV/AIDS in Zambia: August - September 1998

"Kasama AIDS Patients Cry For Help."
Times of Zambia, September 24, 1998
People with HIV/AIDS in Kasama have complained about the lack of support from the community to enable them to carry out self-sustaining activities. United Nations Volunteers field worker in charge of Isubilo day care centre for people living with HIV/AIDS Idah Mporokoso said in Kasama that life for the patients was increasingly difficult because of inadequate support from all sectors.

The centre which catered for orphans, widows, affected and infected persons, had the capacity to offer training in various skills, especially tailoring, knitting and gardening. The lack of funds and other requisites was hindering progress. She said the day care centre presently had three affected, nine infected, two orphans and five bed-ridden people. Ms Mporokoso said more people would have come to the centre but they were discouraged by inadequate support which had led to starvation.

"As people living with HIV/AIDS, we are supposed to be well fed but the situation here is the complete opposite of what should prevail," she said. She said the United Nations Development Programme (UNDP) had provided six sewing machines and materials at the beginning of the centre two years ago and since then nothing more had been forthcoming.

"We need instructors in tailoring and knitting, and fertiliser for the gardens, but where to get money to pay for them is a big problem for us," Ms Mporokoso said. She said the idea of having a day care centre was brilliant but nothing tangible would be achieved without logistical support from both well-wishers and the Government. Ð Zana.

"In Zambia, the Abandoned Generation." By Suzanne Daley
The New York Times, September 18, 1998
LUSAKA, Zambia -- Children of the Plague
It was only two weeks after their mother died from AIDS that their aunt took them to the bus station. She said she did not want to take care of them anymore. She told them to go to Lusaka, find a police station and ask for an orphanage.

The children, Calvin Katoya and Jackson Kabaso, who would like to be soccer stars someday, did as they were told, riding the bus an hour from the small town of Kabwe, then asking strangers where to go. But the police could not help them. As the days went by, the boys, 12 and 15, slept in the rusting, abandoned cars nearby. They had no money or food.

Edith and Khuzini Banda lived with their aunt for about year after their mother died in 1994. But then the aunt said her home was too crowded. She sent the girls -- then only 13 and 14 -- to live alone in their mother's house. The girls make do by renting out half the two-room house for $15 a month, and begging from the neighbors when food runs out.

The two keep their cinder-block room tidy, decorated with magazine layouts of models and Hollywood stars. They hope the headmaster will be lenient about their school fees, which are eight months over due. Sometimes, said Edith Banda, she is jealous of those who still have parents. "It would be nice to have someone who cares about us," she said.

The AIDS epidemic has been raging in Zambia for nearly two decades, and as the deaths pile up, so do the orphaned children. It is much the same in many other parts of Africa. In rural areas of East Africa, four of every 10 children who have lost one parent by age 15 have lost that parent to AIDS, according to U.N. figures. In 1997 alone, the disease orphaned 1.7 million children, more than 90 percent of them in Africa south of the Sahara.

But it is Zambia, a landlocked county in southern Africa that has never embraced birth control, that has the highest proportion of orphaned children in the world, according to the United Nations. Here, an estimated 23 percent of all children under 15 are missing one or both parents, many of them dead from AIDS, and the numbers are expected to keep rising.

For now, most of the children have been absorbed into extended families. Almost 75 percent of all households are taking care of at least one orphan. But in this country, where half of all households are living in extreme poverty, the strain of caring for extra children is beginning to take its toll. Many children are being squeezed out. In 1991 Lusaka had 35,000 children living on the street. Today there are more than 90,000.

Zambian officials believe the number of adults infected with HIV, the virus that causes AIDS, will not decline before 2010, which means that the orphan population will not peak until 2020. Recent U.N.reports estimate that there are now nearly half a million orphaned by the disease in Zambia. That number is expected at least to double in the coming decade, further straining the country's meager resources.

The Orphans: Even Within Families, Many Are Outcasts
Experts say that already the orphans are suffering. When there is not enough to eat, orphans often get less than the other children in the household. They are also often the last to get shoes and the last to go to school. In the rural areas, girls are being married off at 12 or 13, far younger than the usual age of 18. The reason: the family no longer has to feed the girl and, in keeping with local custom, can claim a bride price.

Advocates for the children say the orphans are more likely to be forced to work long hours, to suffer from beatings and to experience sexual abuse. "When you start talking about the rising number of orphans, you are quickly talking about a rise in all these related issues -- child labor, child abuse and sexual abuse," said Stephan Dahlgren, a project officer with Unicef based in Zambia. "The more vulnerable children you have, the more the problems escalate."

Despite the huge number of people infected with HIV in Zambia, there is little planning for death. Most people are never tested for AIDS and would not admit to it even if they did find out they are infected. Only among the educated elite is this beginning to change.

The Shelters: Help for Children Hardened by Life:
Zambian health authorities believe that the prevalence of HIV here will peak this year because recent surveys report significant behavioral changes. But even that seems like bitter news: The infection rate in urban areas is expected to plateau at 28 percent. In rural areas, experts calculate, it will be 22 percent, giving Zambia one of the world's highest infection rates.

As is the case elsewhere in Africa, the vast majority of infected Zambians are between 15 and 40, meaning that they are dying when they should be in their most productive years. This, combined with wide-scale layoffs as the government tries to retool a socialist economy by selling off state-owned businesses, has made it all the more difficult for families to absorb the growing number of orphans. Children, orphaned or not, have hard lives in Zambia. Nearly half are stunted from a lack of food, about 20 percent severely so.

"Everybody knows about AIDS," Dahlgren said. "If you go into a small village and ask a chief about AIDS, he knows all about it. But when it comes down to 'What is this disease that so and so died from?' then it's tuberculosis or malaria."

Many orphans are losing both their parents and all their inheritance at the same time. Relatives quickly swoop in and grab property, be it cooking pots or farm land, and the children have little to say about it. In theory, they could appeal to the courts, but few Zambians have the wherewithal and the money to do so.

Florence and Veronica Phiri once lived comfortably with their parents in the modest house they owned. Their father was an electrician. But in 1994 both parents died within months of each other. The girls were 8 and 6.

Within weeks, their father's family took over the house and sent the girls to live with an aunt in a rural village. There, the girls said, they were beaten and had to work long hours fetching water and collecting wood.

Two years later, their mother's relatives intervened and brought the girls back to Lusaka to live with their maternal grandmother, who sells vegetables in the market. Florence and Veronica and four cousins who are also orphans spend most days playing in the dusty streets in front of their grandmother's dilapidated house.

Florence and Veronica have nothing that ever belonged to their parents and do not expect they ever will. At her grandmother's, Florence said, some days there is no food. But she is still glad to be there. "It is much better than before," she said, shyly adjusting her ragged clothes.

This year a community group donated money for her school fees, a school uniform and shoes. But Veronica will have to wait; there was not enough money for her. Elsewhere in this city, as the sun sets, casting shadows over the modern government-sponsored high rises, entire families settle in for the night on the sidewalks. Scattered among them are the ragged street children, many of whom make money as prostitutes and look for any means to get high.

The Hard Numbers:
In countries across Africa, tuberculosis, hepatitis, malaria, measles and cholera -- all wholly preventable -- have surged mercilessly. Cases of malaria, tuberculosis and other diseases have surged across Africa as national health systems have become overwhelmed.

Workers at the Fountain of Hope, a nonprofit organization that works with the street children, say the children have even found a way of getting a powerful high from fermented human feces, a substance known as jekem. In the daylight, many idle the hours away kicking a soccer ball around outside the Fountain of Hope headquarters. The organization is trying to offer them a special four-year education program that will ready them for school exams. But the street children here are like street children everywhere -- hardened and focused on immediate survival.

The stories the children tell of fear, rejection and loneliness are numbingly similar. Simon Phiri, who is 14 but looks about 10, can not even remember when his parents died. Slumped in a chair, he peels the dirt from his palms as he talks sullenly about his short life. For a while, he said, he stayed with his mother's best friend. But after a while, he left. "They were always insulting me," he said. "They always ate when I went out and never saved me anything. ''

He said he has spent many nights sleeping in the aisles of the local market place. But now he sleeps on the floor of a friend's older brother's house. He must get his own food, though, and he has no money for soap. He earns money doing odd jobs in the market, he said. The counselors said that he has a sexually transmitted disease. Nearly half the boys do.

Simon has not been to school in at least four years, though he hopes to be an accountant when he grows up. "I would like to work in an office," he said, suddenly brightening.

Finding homes for the street children is not really a possibility, say center employees. There are only a handful of very small orphanages in Zambia, including the Kabwata Orphanage, where Calvin and Jackson ended up after three days without food. Eventually the police contacted Lorraine Miyanda, who runs the place, and she bent the rules to admit the boys. Usually the orphanage will not take children over the age of 10.

But Ms. Miyanda said she has little hope that anyone will ever take the boys into a new home. In many African countries there is little tradition of taking in children who are not blood relatives and formal adoption is extremely rare. Child advocates say that this may be a particular problem in the future because of the way AIDS tends to devastate whole families, particularly in villages.

"The extended family in Africa is far better than in the West about taking in relatives.," said Mark Louden, a South African who is writing a book on AIDS orphans. "There is no formality about taking care of cousins. They slip right into saying 'Mom.' In Africa you have 30 Moms. The problem is that AIDS doesn't usually take just one woman in a family; it tends to take all the wives of the brothers because the brothers tend to behave similarly."

The Caring Adults: Grandmothers Help, but When They Go ... :
In the last few years, dozens of fledgling organizations have sprung up in Zambia to try to help the children. But there is virtually no government money available and many of the organizations are staffed only by volunteers. "It's not that the government in unsympathetic," said Louis Mwewa, the coordinator of Children in Need, an umbrella organization that tried to represent the groups. "But we are a poor country and they do not have money."

In Matero, one of Lusaka's poorer neighborhoods, where small houses with tin roofs stretch for miles, overwhelmed grandmothers and households that are a collection of siblings living on their own are easy to find. In one house, Brenda Tembo, 52, cares for 14 of her grandchildren.

On a recent afternoon, no one in her household had eaten yet: there was no food in the house. Mrs. Tembo was waiting for someone to buy tomatoes from her vegetable stand before buying corn meal, which would feed more of them for less. Five children in the household should be in school, but there is no money for tuition. There is barely enough room for all the children to lie down on the floor at night. The homemade plywood table and the three rickety chairs must be put outside when it is bedtime. "I am not alone like this." she said, pointing across the dirt road at another house. "Right over there, it is the same."

While the grandmothers struggle with the burden of feeding and clothing the children, some child advocates are more worried about those who are growing up in the households run by siblings, where chaos sometimes reigns. Like the Banda girls, the Zulu siblings survive on the rent they receive from their parents' house in a neighborhood called Kuanda Square. The seven children live in the back in a tumbledown two-room structure. But recently the oldest boy got married and set up his own household, leaving less money for the rest of the children, who range in age from 19 to 11. The 19-year-old is known in the neighborhood as a drinker who regularly beats the younger ones.

On a recent visit, there was no food in the dank-smelling house. Shoes and dirty clothes were strewn about. With the 19-year-old sitting silently nearby, no one complained of any difficulties. All but the youngest appeared to have found some way of making money, from working as a maid to selling sugar cane in the market. But each keeps that money for himself or herself, the children said. The 11-year-old appears to survive on the generosity of the others, but it was clear they expected her to do most of the housework. "Sometimes the laundry is difficult," the girl admitted, twisting the hem of her skirt nervously.

By 1991 the needs of the orphans in the Matero neighborhood had become so apparent that some local women banded together to try to help. They have registered 2,047 orphans in the neighborhood and assigned someone to look in on each household and help solve problems that crop up. To raise money for school fees, they make doormats, bake bread, sew and batik fabrics. Six days a week, they also give about 60 of the children a free meal, with the help of the local Catholic church.

So far this year the group, called Kwasha Mukwena, has promised to pay the school fees for 279 children -- fees that range from less than $10 for the younger children to about $30 for the oldest. But they have only raised the money to pay fees for 132.

As the lunch hour drew near recently, orphans began arriving in the carefully swept church yard. In the back, over an open fire, the women had made a vegetable and peanut stew to be eaten with a corn porridge. The children, in tattered clothing, were painfully obedient. Some, as young as five, carefully carried full plates to the room where even the toddlers ate without spilling a drop.

A dozen children also carried plastic boxes -- a signal to the workers that they were having a particularly hard time. Before eating, these children put half their food in their boxes. Either they knew they would get no supper and were saving for later, or they had been told to bring food home for other children in the household or face punishment. "It is not that people are so cruel," said Patricia Ngoma, who volunteers with the program. "But they have nothing themselves."

"Zulu Lives With HIV for 8 Years." By Dickson Jere
The Post Zambia, September 8, 1998
I didn't know that I will survive for eight years, it's unbelievable, said Winstone Zulu, the first Zambian to go public about his HIV status, yesterday. Zulu, who yesterday clocked eight years of living with HIV, in a walk-in interview, said he is very excited and now looking forward to living another eight years.

"I didn't know that I will survive. I have seen friends die terribly and I was scared that next it will be me," said a visibly happy Zulu. Ever since he was found with a virus in 1990, Zulu only had one major attack when he was diagnosed TB positive early this year. He said he thought he was going to die but later recovered. "I'm on TB medication and I will be finishing my course this month," Zulu said. "I was really bad. One time I fell at the airport when I was going to Geneva to attend an AIDS conference. I was moving on a wheel chair. I couldn't walk."

When asked what makes him strong, Zulu said he has five basic principles which he follows. He said his first principle is to do with nutrition. "Eat well. While the second one is personal hygiene. I have to keep myself clean to avoid some germs from attacking me," Zulu said. "The third one is early treatment to any disease. I have to be in contact with a doctor when ever I am sick. And the fourth one is to have safer sex. I have to avoid by all means getting infected with other STDs [Sexually Transmitted Diseases]." The last one, Zulu says, is to live to a positive life but accepting his situation. He said he does some exercises to keep fit.

"I live freely. Though at times I get scared that one day I will wake up with herper zoster on the face," Zulu said. "But my five basic principles have really helped me live long. " When asked whether some people who got infected long after him are dying early because they don't follow his five basic principles, Zulu said his living long is also to do with his immune system and the type of virus he has.

"Those are just my principles. They differ from person to person," he said. "The type of virus also matters. Others have a very strong virus and that's why they die early. But depending on how you keep yourself, you can live very long." Zulu, who got married in 1993 to a fellow HIV positive woman, said they have now adopted a child. He said they adopted a child from women who wanted to abort.

"I told her that I will look after the child when she gives birth," Zulu said. "So I got the child just after birth. His name is Michael." Zulu said his wife used to have several attacks of different diseases before she got marriage, "but she is copying very well with her health". "After marrying her, I taught her how to live positively," Zulu said. "Now she is alright." When asked whether he has tried to take African drugs in view of getting healed, Zulu said he avoids by all means taking "unnecessary drugs". "Actually, people who are HIV positive should avoid taking these drugs. They should only take any drugs when they are sick," Zulu said.

He said to be HIV positive does not mean one has AIDS. "I have seen people in Europe who have lived for 16 years with a virus without getting AIDS," he said. "We want even big names to start coming out in the open and tell us their experiences. AIDS is just a disease like any other disease." He said there is lack of understanding on how people with HIV look like and that is why they usually say he is cheating. "We have hundreds of people who are living with HIV in Zambia without knowing," he said.

Zulu said last year during his HIV/AIDS work, he came across many gay organisations in Europe who are willing to fund health programmes for the gays in Zambia. "I got funding for the gays in Zambia. We have a lot of gays who are Zambians," he said. "For me these people need to be helped. They exist and HIV is easily transmitted among the gays." He said he wants to start teaching the Zambian gays on how they can have safe sex. He said gays need lubricant when having sex and he help them source it for them. "For me I just look at the dangers of HIV/AIDS. Whether gay or not," he said. "I have a relative who is gay. I cannot change him just like I cannot be changed." He urged the gays and lesbians in Zambia to get in touch with him if they want help from him, especially on funding. "Especially now that they are trying to form an association, it will be easy for them to get help," he said. "We should accept that these people exist in Zambia and Africa. It is not true to say gayism is not African."

Asked what are his future plans, Zulu said he wants to pursue his political career which he abandoned in 1990 when he was found with the HIV virus. "I was told I can't live long. That's why I stopped pursuing my education. I wanted to do political science so that I can contribute to the development of the nation," Zulu said. "Now that I know I can live the next eight years, I will have to go in politics."

"Lusaka Residents Wallow in Poverty."
Times of Zambia, August 28, 1998
Seventy-five per cent of the population of Lusaka is said to be living below the poverty datum line. This is contained in a summary report of the study on urban poverty reduction and governance in the City of Lusaka. The report was released at the ongoing three day poverty reduction and governance workshop held at Lusaka's Mulungushi International Conference Centre.

The report said the poverty stricken majority lived mostly in unplanned settlements where they had limited access to quality and quantity water and sanitation, physical and social services. They were also prone to hunger and food insecurity. The Lusaka Health Surveillance Team put child malnutrition at between 25 and 30 per cent, child mortality at between 40 and 45 per cent and under-five mortality at 215 per every 1000 births. The common causes of deaths were diarrhoea and respiratory tract infections.

Adult mortality was also high with life expectancy at 45 to 50 years and even lower among the urban poor because of high disease prevalence. Progression was reportedly high with HIV/AIDS at 30 per cent. "This is attributed to poor nutritional food intake and inter-household congestion among the poor in the settlements," the report says.

"The Tragedy of Being a Nurse in Zambia." By Paradious Sakala
The Daily Mail, August 26, 1998
Except for its nobility, to work as a nurse in the Third World is absolute drudgery. "Nursing is a calling and not ordinary work," nursing icons say. Whoever is called to this profession should enter to serve, not to pursue personal interests - hard as the conditions may be. Imagine a nurse standing next to a decomposed corpse with a swarm of green flies. Imagine victims of fatal accidents brought to hospital without eyes and limbs. These are some of the challenges involved in the nursing profession. Faustina Chipapula, a career nurse, and president of the Society for Women and AIDS in Africa, Kalulushi chapter, is a living legend of nursing in Zambia.

"Ever since I became a nurse, my life has never been the same. Everyday, I meet different people with different ailments like malaria, accident victims, TB cases, HIV/AIDS related diseases and others which have not even been identified in medical circles. There is nothing tougher than nursing sick people. You always have to be sober. Cheering the patients to help them get better faster when you know that the situation is hopeless is a real feat.

While ensuring that the ward is clean, there are always incidents when a patient can't go to the toilet, so all he/she does is to help himself/herself on the bed. Cleaning is a non-ending event in the wards. There are patients with smelly sores, so bad that their bodies appear to be rotting and emit some green pus combined with maggots. Occasionally, you are not in the mood of working but you are compelled by the call to duty. On such days, work becomes very difficult because the mood is bound to affect the patients.

Though such experience in the earlier stage of the profession was tough, working with the sick and touching dead bodies is no longer a problem to me. At times patients are a problem, especially when they try to control you. Their demands can be quite many. You find some patients are crying to be discharged when they realise that they are not improving. Sometimes when a person dies on your duty, his grieved relatives descend on you. If there is anything more painful in this career, it is during such moments when patients die. Especially if the patient dies just after a nurse has administered some medication. Relatives will hurl all kinds of insults at the nurse. That is difficult to endure.

There are always surprises in the wards. You find at times a patient is very violent and all he is demanding for is a nurse to be next to his bed. So to overcome such, one has to be firm, which is not easy. There is no better day for me as a nurse than to see a patient I have been looking after getting discharged better than he/she came. And then we keep in touch wherever he may be.

Since I entered into this profession 20 years ago, my days have never been the same. Everyday I have to make sure that my patients in the ward are given all medical attention as prescribed by the doctor. I also give hope to the patients. Another hard thing about this career is to avoid being moody with patients because you can end up mistreating them, which is not good. One incident happened at Kitwe Central Hospital in 1982 when there was a critical shortage of drugs in the country. Patients who came to the hospital were advised to be buying their own medicines. This meant that those who were unable to afford would just be kept in the hospital without any attention. This caused a lot of trouble when ever I was on duty. Patients thought I was hiding medicines. I always carried the blame and thought quitting was the only solution.

There was one incident of a man who had a long illness. One day his child advised us to have his blood tested for HIV/AIDS. The gentleman was all smiles, he even swore that nothing of that nature existed in his body. When results came, everyone was shocked that the man was a carrier. He became delirious upon hearing the news. He fled to the nearby bush in an attempt to hang himself. We all watched helplessly. The situation was bad. Tension mounted in the hospital. Other people, especially fellow patients, wondered why the man had to be told the result. It was sad that the man who was very sick could behave in such a way.

After security personnel got hold of him, he was brought back to the hospital. Slowly the hospital personnel managed to convince him to calm down, that he was not the only one with the illness and that there was still hope that he could live with the virus for some time. He accepted the counsel, however, but violently. That is when I discovered what was burning in me. I wanted to be a counselor. I felt a lot of injustice had been done to many patients who had not been counselled before bad news was broken to them. I enrolled at the Kara Counseling in Lusaka where I graduated as a professional counselor in many other issues apart from HIV/AIDS."

"HIV-AIDS Ratio Frightening."
Times of Zambia, August 14, 1998
A consultant physician caused a scare when he told an Outreach Unlimited dinner audience in Lusaka on Wednesday night that in every group of six persons, one was HIV infected. Dr Paul Wangai Jr, who specialises in executive health for the World Health Organisation (WHO) and is a member of the International Union Against Cancer, told the audience which included Vice-President Christon Tembo and his wife, Nellie at the Intercontinental Hotel that the HIV/AIDS ratio stood at 1:6.

Dr Wangai who is a consultant with WHO and International Union said though HIV/AIDS statistics indicated a specific number of infected people, the entire world population was affected by the epidemic. "Just look at your table and count how many you are. One at each of these tables is carrying the HIV/AIDS virus. The ratio is 1 to 6," said Dr Wangai to diners who were at least 10 at a table.

Dr Wangai said the problem was not the virus but that people were not morally upright. He said if all Zambians could abstain from any form of sex for four months, the epidemic would be completely eradicated.

Gen Tembo commended the church in Zambia for organising a discussion on executive lifestyle. He said good health was key to productivity and retention of valuable human resources. "I wish to commend you for organising this occasion to meet and discuss the issue of good health and healthy living. This a good forum for discussing how to live healthy life styles," Gen Tembo said.

And an African-American Dr Walter Pearson Jr said a black man in America was always reminded to go back home because America was not his home. He said he was glad that he had at last reached home. "It is never comfortable to be in a strange land. I am glad that I am home today. I was born at a right time because I don't think I would have made a good slave," Dr Pearson who is a director and speaker at Breath of Life Television Syndicate in the USA said. Dr Pearson reminded the audience that no one knew what the future held but to know who held the future was critically important.

"Is Information About Sex Any Defence Against the HIV."
Times of Zambia, August 13, 1998
Anti-AIDS crusaders must address this question now because the flood of court cases involving sexual immorality and sexual perversions is drowning every sign of sanity in Zambia. On page one today, a student harvests for himself 10 years behind bars for two cases of defiling small girls; on page three, a wife confesses an affair with a family business driver. Is all this happening because people lack knowledge about the behaviour of the HIV? Or because they do not understand sex? No.

In our sister paper, the Sunday Times, accounts of the strangest happenings arising from sexual misconduct abound. Information or no information, people fear nobody and dread nothing. If they feel like doing it, they simply do it. Mere biological information cannot save us. The HIV is felling and mowing people by the droves, and even among medical professionals there are those who do not care about having sex with anything that moves. People are simply past caring.

Serious visionaries are drastically needed to strengthen and save marriages across Zambia. Sound marriages will establish sound homes and reduce significantly the street-sweeping that even highly respectable men and women are doing. Pre-marital teaching will follow, extra-marital affairs will become loathsome and post-marital relationships will find their right context. Currently, children are the open, defenceless targets of corrosive ideas pounding them mercilessly through radio and television, and publications of all sorts. Where is the will to save them by giving them the needful doses of sensibility and sensitivity?

Merely spraying sex-talk across the radio or television airwaves, or indeed newspaper or magazine pages, which is what is happening with vehement ignorance about love, is useless. It is hurting our society and perverting the thinking of the same authors of such information. All that such indiscipline and immaturity is doing is to defeat and overthrow the marital bedroom. For that, Zambia's outspoken modernity campaigners should feel free to congratulate themselves.

Our society needs to be saved from its own murderous passions first, its eyes set free from images of sex and set on survival plans; its hands taken off drugs, condoms and femidons and placed on the plough. When is this going to be understood? The people have escaped their own lives and become ghosts, committing suicide many times over before the HIV even strikes. A chance does exist, if we could only dare restore honour to marriage and family. There is simply no other way out.

"Female Condoms Received with Mixed Feelings."
Times of Zambia, August 6, 1998
The use of female condoms has been received with mixed feelings in the northern region. Planned parenthood association of Zambia (PPAZ) officials said although all the 1,000 condoms which were received in the first batch had been distributed by some branches, reports filtering in indicated that people had not accepted them.

The officials said the general situation was that women in urban centres were more receptive than their contemporaries in typical village set ups. "The main problem is the negative manner some branch officials present the condom to would be users, a thing which suddenly put some of them off.

But PPAZ officials said some women who have used the condom, had come back commending it as a worth while innovation. They have found it to be very protective and it is a surety that ensures a woman is out of danger.

"Condoms Used as Bicycle Air Valves."
Times of Zambia, August 4, 1998
While condoms are distributed in the country as preventive tools in family planning and against HIV/AIDS, villagers in Chilubi and Luwingu districts in Northern Province are said to be using them for bicycle air valves.

According to villagers at Matipa and Chifwile villages in Chilubi and Luwingu, they were collecting condoms from health centres in large quantities not for the usual purpose, but as bicycle air valves. A villager claimed that most villagers had stopped buying air valves from shops because they were expensive. He said villagers had resorted to using condoms as air valves for bicycles because of their durability.

John Mapanda of Kabandulu village in Chief Chiwanangala's area said besides condoms, villagers were also obtaining gloves from health centres for the same purpose. Mr Mapanda said condoms and gloves were being cut into pieces and then rolled onto the connection valve before pumping the tyre.

"Family Planning Cardinal to Development, Says Luo."
Times of Zambia, August 3, 1998
Health Minister Professor Nkandu Luo says Government viewed matters of sexuality and reproductive health as cardinal to both human and economic development in the nation. She said it was no longer controversial that family planning had a direct synergistic effect with the social and economic development of any country. Opening a Planned Parenthood Association of Zambia PPAZ 26th general conference in Kabwe yesterday.

Prof. Luo said a well-planned family had all prospects of an improved quality of life and welfare at both family and community levels. She said situation in turn, led to the children being better educated, health and likely to better contribute to social and economic development of the country as citizens or leaders.

Prof. Luo told the conference that Government recognised and appreciated association's good work on sexual, reproductive health programmes as well as population policy it had embarked on and urged it to continue. She said Zambia was among the first few countries to adopt a population policy recognising the need to integrate population issues in the overall social and economic development of the country.

The minister however regretted that while Zambia had rendered necessary support for population programmes, new and emerging issues such as HIV epidemic, adolescent pregnancies had brought in a new challenge and dimension to the provision of productive health services.

"The issue of HIV/AIDS is particularly acute in Zambia where the statistics indicate that the pandemic is reaching an alarming proportion in both rural and urban areas. The spread of HIV/AIDS pandemic is not only affecting individual families, but also affecting the productive sector of the country as well. With loss of highly skilled manpower, the detrimental effect this is having on the country's development cannot be over-emphasised," she added.

There was an urgent need for increased financial investment in programmes which were targeted at addressing those concerns, she added. She urged the organisation to generate their own resources to sustain those programmes rather than relying entirely on outside help all times.

[Table of Contents] [AIDS/Zambia Index] [Alphabetical Index] [Zamnet] [UNZA] [UNZA Library]


Send comments and/or suggestions to: medlib@unza.zm or lenny@library.health.ufl.edu
Copyright © 1996-2001, The University of Zambia Medical Library and Lenny Rhine
Guide to Medical Resources WWW site: http://www.medguide.org.zm/

Last updated October 23, 1998

 

 

Anatomy
Community Medicine
Internal Medicine
Medical Library
Obs & Gynaecology
Paediatrics & Child Health
Psychiatry
Pharmacy
Pathology & Micro-Biology
Physiological Sciences
Physiotherapy
Post Basic Nursing
Surgery
Medical Education Development 
Teaching & Learning Resources
Academic Programmes/ Calender

UNIVERSITY OF ZAMBIA Med Guide      Index    Zamnet    UNIVERSITY OF ZAMBIA    UNIVERSITY OF ZAMBIA Library 

CONTACTING SCHOOL OF MEDICINE     OTHER INSTITUTIONS   BACK TO SOM HOME PAGE     DEPARTMENTS    Central Board of Health 

Send comments and/or suggestions to: Stan chewe 
Copyright © 1996-2001, The University of Zambia Medical Library and Stan Chewe
Guide to Medical Resources WWW site: http://www.medguide.org.zm/