The World Starts With Me

HIV/AIDS: U have a role 2 play 2!

Today's Lesson

In the previous lesson, you learned about the risks, your choices and about safe sex. Today's lesson will specifically deal with the most destructive sexually transmitted infection known to man, with disastrous consequences for people all over the world: HIV/AIDS. Although HIV/AIDS can be prevented by using condoms, abstinence or monogamy, many Ethiopian people are infected with HIV or suffer from AIDS. They need our support.

You have probably heard and read a lot about this subject already. Maybe you know someone who has HIV/AIDS. But have you got all the facts? Do you know the impact HIV/AIDS has on your community? Have you considered taking an HIV test yourself? How do you support people living with HIV/AIDS?

Let's ask ourselves what we can do about it, because U have a role 2 play 2!

Todays Program

Activity
Time
Warming Up - Stand Alone (5 mins)
Presentation - HIV/AIDS: U have a role 2 play 2! (30 mins)
Listen to real stories (10 mins)
Group work: discuss what you can do (30 mins)
or
 
Individual work: make and send a postcard
(30 mins)
Conclusion and homework
(5 mins)
Optional: visit an HIV/AIDS clinic or orphanage
-
Optional: invite a person infected with HIV/AIDS or affected by it to visit the school
-
Optional: HIV/AIDS in the news (45 mins)
Tools, Games & Materials

Presentation - HIV/AIDS: U have a role 2 play 2! (30 mins)

Handout - HIV/Aids: the Facts (word doc)

Sound Interviews

Newspaper articles and assignments

  • Article 1
  • Article 2
  • Article 3
  • Article 4
  • Article 5

Article 1: USAID boosts AIDS fight
By Allan Kamagara

Taken from The MONITOR
www.monitor.co.ug, - National news.

The US Agency for Development has injected $ 448,000 (Shs 828m) in the fight against Mother to Child Transmission of HIV in Addis Ababa private clinics. The money has been raised through a global initiative.
Population Services International (PSI) has launched a social marketing programme to help prevent mother-to-child transmission of HIV in Ethiopia. The project aims at expanding access to voluntary testing and counselling services through private health care providers in Addis Ababa, Mbarara and Bushenyi.

The project was launched Dec 9 at the Fang Fang Hotel. Minister of State for Health (General Duties) Mike Mukula was the guest of honour. 'One very important aspect of prevention of mother to child transmission of HIV is the promotion of voluntary counselling and testing,' he said. He said the ministry believes in the public-private partnership model because it goes a long way to improving health care.

Population Services International (PSI) has worked in more than 60 countries implementing innovative and cost-effective maternal and child health promotion and HIV/AIDS prevention. December 11, 2002 00:42:43

Assignment
Working with your group, first read this article carefully and then answer the following questions:

  • What are the five main points of this article?
  • What will the money be spent on?
  • What do the government and PSI hope to achieve?
  • Do you think this initiative will help those who need it? Why?

Write down your answers in order to present your findings to the class.

Article 2: Living with AIDS - 'My father's brother raped me'
By Hussein Bogere

Taken from The MONITOR
www.monitor.co.ug, 6-12-02 Gender.

Grace Tumuhairwe is just 18. She has had HIV for over a year. And she got it when her real uncle defiled her.
It was in 2000. She came from Bunyaruguru to Kampala to look for her father after her mother had passed away. But in Kampala, her father was a poor man. 'He was running a bar in what ideally would have been his sitting room,' Grace told The Monitor. He could not accommodate her but sent her to stay with her uncle in Nakawa.

Soon after, her uncle's wife fell sick and was admitted to hospital. One night, Grace woke up to find her uncle in bed with her. She tried to raise the alarm, but he threatened to beat her, listing the number of times he had helped her. 'He said that my father was a fool to let me stay with him when he knew that his wife was away in hospital. That I was ready food served for him on a plate and there was no way he was not going to "eat" me.' Days after the fateful night, Grace developed wounds around her private parts. 'I feared to tell anybody about what had happened between me and my uncle. I feared my dad so much because he was a very strict man.'

Her groin wounds grew worse and a neighbour spotted her walking improperly. She got curious and asked her about it. She told her everything. The neighbour was shocked and told her that her uncle was HIV-positive. 'I almost fainted.' The neighbour took Grace to Naguru for medical examination. The doctor found she had syphilis and asked me to bring my father to see him.

But her father insisted that she had been bewitched and took her to a witch doctor. There, she was given some mumbwa as her medication. The neighbour was shocked to hear this and insisted that the father take her to the Naguru doctor. But the father said he had no money and they went to Mulago instead. There, she tested positive for TB. In the same year, she developed a harpeszosta (kisipi).

Then the rest of the family members stigmatized her. They said she smelled bad. 'It is my stepmother who felt sympathetic and took me to Mulago for a blood test. But I was told that they only deal with HIV patients.' They proceeded to KCC's Kawempe office, where a blood test proved that Grace had, indeed, been infected with the virus that causes AIDS. Her stepmother then took her to TASO Mulago where she started to get counselling. She was advised against getting involved with any other man, lest she would get re-infected or would infect another person.
Her advice to parents is not to trust their children with anybody, not even relatives. She has learned this the hard way.

Assignment
Working with your group first read this article carefully and then answer the following questions:
What are the five main points of this article?
Is this a true story, why do you think so?
Could this happen in your village?
How did Grace's family treat her?
Why did they treat her this way?
Who was able to help Grace and how?
What would you do if you were Grace?
Write down your answers in order to present your findings to the class.

 

Article 3 Condoms minor cause of HIV decline
Professor Green: Fewer Ugandans are having casual sex.
By Charles Wendo

Taken from The MONITOR
www.monitor.co.ug, 16-12-02

Since the early 1990s, the level of HIV infection in Uganda has been dwindling. Now, contrary to what many people think, a new report says the decline resulted mostly from abstinence and faithfulness, and, to a lesser extent, condom use.
The report produced by a team of American and Ugandan researchers, is based on analysis of the changes in people's behaviours as seen in demographic and health surveys. In their report entitled What Happened in Uganda, the researchers say condom promotion 'has played a key but evidently not the major role' in reducing infection rates.
Their argument is that HIV prevalence started declining in 1992. This, they say, must have been the result of a reduction in new infections in about 1989. By that time, they argue, very few people were using condoms. The researchers, however, agree that increased use of condoms during the mid and late 1990s must have placed an additional muzzle on the virus that causes AIDS.

According to demographic survey reports, only 1% of Ugandan women had ever used a condom in 1989, but this increased to 6% in 1995 and 16% in 2000. The figure for men rose from 16% in 1995 to 40% in 2000. Professor Edward Green of the Harvard Centre for Population and Development Studies in the US says that large numbers of Ugandans must have heeded President Yoweri Museveni's earlier warning that 'you either abstain, be faithful or die.'
Greens, lead author of the report, says the fact that fewer Ugandans are having casual sex has contributed most to the decline. Various studies show that the number of people who have sex with more than one partner has decreased since the late 1980s. At the same time, young people begin to engage in sex at a later age, and the percentage of teenagers who are sexually active has gone down.

'There is some power in promoting abstinence and being faithful,' says Green. However, the latest demographic survey shows that, between 1995 and 2000, the number of unfaithful men and women has increased slightly.
Pastor Martin Sempa of Makerere Community Church says this relaxation is because people have forgotten about Museveni's original message of abstinence and faithfulness. He says the original billboards advocating abstinence in Kampala have either collapsed or gone rusty, and a new breed of condom-promoting billboards have replaced them. 'The whole anti-HIV/AIDS campaign has been taken over by the commercial interest of promoting condoms,' Sempa says.
Dr. Charles Atim, Director of Youth Alive, says: 'Many people who wanted to give us funds said "if you are not promoting condoms we shall not give you the money." We said no, we would rather be poor but stand by our grounds.'
But the Director General of the Uganda AIDS Commission, Dr. David Kihumuro Apuuli, says there is no single magic bullet against HIV/AIDS. Therefore, all available options should be used.

Assignment
Working with your group, first read this article carefully and then answer the following questions:
What are the five main points of this article?
What percentage of men use condoms?
Which do you think is better: to promote condoms or abstinence?
Do you agree with Dr. Charles Atim that 'we would rather be poor but stand by our grounds'? Why/why not?
What does the concluding statement tell us?
Write down your answers in order to present your findings to the class.


 

Article 4 Museveni issues AIDS directive
WAR ON AIDS: Museveni
By Hamis Kaheru

New Vision - Tuesday, 19th Nov 2002

PRESIDENT Yoweri Museveni yesterday said he had issued a directive that every head teacher must convene a school general assembly every two weeks to address students about HIV/AIDS. 'I have written to the ministry of health and ministry of education that the whole school should be assembled at the end of every two weeks to talk about AIDS. I didn´t say every week because that would be tiresome, but also I didn´t want it to be too rare' he said.
'And the headmaster or headmistress should not come to talk nonsense. They should be given guidelines from the ministry. This must be a pre-digested message from the centre which every head teacher must pass on to the school children who form a third of the population' he said.

Museveni was opening the 36th Commonwealth Regional Health Ministers' Conference at the Imperial Botanical Beach Hotel, Entebbe. About 33 delegates from 12 countries in East, Central and Southern Africa, plus donor representatives are attending the five-day conference. Museveni said he made the directive because the school children were highly mobile and did not get time to listen to educative messages on radio. He said he had categorised AIDS under 'diseases of ignorance' like stomach worms and measles which can be stopped through preventive intervention like immunisation, hygiene and nutrition.

'AIDS is not very infectious. You cannot get it by shaking hands and it is very complacent. It just stays where it is unless it is disturbed' he said amid a bout of laughter. 'If a disease cannot spread by insect bites, through breathing or casual body contact, then it should be easy to stop' a jovial Museveni said.

He said, 'They wait for 10.00 am when everybody is at school and adults are in the garden or at work, then they put the message on radio. There is a big advocacy programme going on which costs a lot of billions but the message has not reached its target,'.

Museveni decried the poor conditions of work for health workers, saying he personally pushed for last years increase of salaries for doctors and other medical workers.

Assignment
Working with your group, first read this article carefully and then answer the following questions:
What are the five main points of this article?
How is HIV/AIDS transmitted if it is not through shaking hands?
Do you think it is a good idea to talk to students about AIDS every two weeks? Why/why not?
What information do students need about HIV/AIDS? Make a list.
Do you agree with President Museveni? Why/why not?
Write down your answers in order to present your findings to the class.

Article 5 Bwaise youth show ignorance of HIV
By Kiganda Ssonko

New Vision - Tuesday, 19th Dec, 2002

DESPITE the many sensitization programmes on the AIDS epidemic over the radio, in newspapers, seminars and workshops, some people are still largely ignorant of disease, and many are at risk.

On Tuesday, The New Vision found a group of youth in Bwaise, a Kampala suburb, to discuss the ways HIV infection spreads. One youth argued ignorantly: 'You know, fellow guys, it doesn´t mean that live sex is entirely dangerous even if you have it with an infested person. You can only get AIDS from live sex if you ejaculate into a lady, but if you withdraw at the point of ejaculation and the sperms just go out, then you are more than safe. This is tantamount to protected sex.'
Another backed up the same misconception: 'You are right. I have used that method for a long time on the most feared ladies you know in this area who have lost husbands to AIDS, and I am sure of my life safety. That is why I am looking healthy, together with my wife and children.'

Another one drove the whole group to laughter when he said that he washed a condom after using it and kept it for later use either on that day or some other day. 'As for me, I don´t just waste money anyhow on buying these condoms. I just use one, wash it and put it in a cool place ready for another time. I only throw it away when it develops a visible hole. This is also one of the safest ways,' he confessed.

Finally, one youth got out a packet of condoms from his pocket, bragging to his friends about being so protective of his life that he took them with him wherever he went, night or day. 'You see, I always move with my missiles. When I get a chance, I just put one on for satisfaction and safety. I do not throw them away until I have used them all in order to save my money,' he said.

Unfortunately, when The New Vision had a look at the condoms, their condition had deteriorated dramatically while they were stored in his pocket, and they could no longer provide safe sex.

Assignment
Working with your group, first read this article carefully and then answer the following questions:
What are the five main points of this article?
Can you recognize the misinformation in this article?
Give the correct information on at least two points.
How do these young men use condoms in ways that wouldn't protect them?
What would you say to these young men given the chance?
Do you think many men have these ideas?
Write down your answers in order to present your findings to the class

Guidelines for newspaper assignments.

Research
Each group should sit down together and take their time to read their article. If possible, print a copy for each individual. Give the groups about 10 minutes reading time and 10 - 15 minutes discussion time to formulate answers to the questions relating to the article. If the questions are too difficult for the students, perhaps you can simplify them or formulate other questions. You can also select your own articles from the local paper, if it is at hand.

Presentation
Each group should choose two speakers to present their answers. The first speaker should read the five main points of the article for the whole group. The second speaker should then read the questions from the assignment relating to the article. The first speaker can present the answers the group has given. The whole group should be asked for their reactions and be encouraged to discuss points that come up.

Tip
You can ask the group if they agree with the statements made.

Examples of this Lesson

Pregnancy 4 Girls ánd 4 Boys!

 

HIV / Aids – U have a role 2 play 2

 


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