Showing posts with label HIV. Show all posts
Showing posts with label HIV. Show all posts

Saturday, December 4, 2010

Why do I fight?



The question continues to haunt my thoughts.

Yesterday, seated on our verandah, came a child, a girl, about ten or so. She was well dressed. Knelt, greeted me, and told me she was hungry. Been sent to school for some function or other. Didnt have food for the day. Wanted some.

There is so much need all around me. I am a privileged person. I have internet. I have a job. I have an income. I have..., so many things which the rest of my people do not have. I am even sure that I will get a meal today. Reasonably sure.

So, why do I fight the wars about my sexuality? No worthier causes? [Well, my life might depend on it, life and liberty. But, I am a chameleone. I do not have to fight. I can blend in and hide for life. Yes. I can.]

And, this fight is a bitter one. So many chances of failure, of not getting through. The rewards? Uh, they can be bitter like lemons. Offered asylum to get out of the country? Or some regard by fellow kuchus? Or, the monies that many believe are my motivation?

Its complicated. Like the Facebook relationship status.

Why I fight, why I do whatever I do. It is complicated. Cant even begin to explain it to myself.

But, some news out of Africa. Maybe these things do offer a clue to the why of my 'fight'

The other day was World AIDS Day. And, the Independent ran this article. The bigotry that keeps Aids alive
Experts have long stated that HIV epidemics cannot be successfully quelled unless the underlying spread of HIV by male-to-male sex is addressed. Yet, across the globe, socially accepted homophobia and violence against sexual minorities have created barriers to HIV-prevention efforts in this population.
It is a horrific fact. Ssempa in Uganda... the statement of his that they cannot allow us HIV prevention programs. Us, as in gay Ugandans... that statement still reverberates in my mind. And, that of the Director General of Uganda's AIDS commission that gay men were one of the drivers of the epidemic, but the national program simply wouldnt target them.

That, that hatred is a fuel for me. You can hate me all you want. But, I will simply not lie down and die because you hate me. No way.

And, you did hear of The Prime Minister of Kenya' s statement? Yes, he is being asked to retract it. Kenya, our neighbour to the east, is amazing in some ways. Not least because Gay Kenyans do have a voice. We don't have that in Uganda. To continue with an extract from the Independent-
Raila Odinga, the Prime Minister of Kenya. On Sunday at a rally in his constituency, he said: "Homosexuals should be arrested and taken to the relevant authorities." What is happening in such situations, explains Dr Carr, is that people are "regarded as disposable, less than human".
They are "left with no protection under the law and no means of seeking redress for the wrongs done to them", he said.
Disposable. Less than human. Yes, in the eyes of Giles Muhame. Pastor Ssempa. Minister Buturo. Pastor Male, MP Bahati, that is what I am as a gay Ugandan. Disposable. Less than human. Hang Them!

When the anti-Homosexuality bill was introduced in parliament at the end of last year, I was pretty sure that it was a preparation for elections in Uganda. Yes, we are in the midst of politicking. Elections in February 2011. And, it is very cheap politics to rally the masses to persecute a minority. And one that cannot fight back.

Happened in Uganda.

Violence against homosexual men in Senegal has escalated in the past two years and may continue to rise before a presidential election in 2012, according to advocacy group Human Rights Watch.
Incidents of mob beatings, arbitrary arrests, police brutality and public discrimination and lynching were reported to the New York-based group and published in a report today released in the Dakar, the Senegalese capital.
The West African nation is one of 38 African countries that criminalizes homosexuality, and has become one of Africa’s most “abusive” enforcers of such laws, said Boris Dittrich, Human Rights Watch’s acting director for its lesbian, gay, bisexual, and transgender rights program.
“When elections are coming up and politicians are under scrutiny, all of a sudden there is more focus on homosexuality, because that’s a very easy target,” Dittrich said in a phone interview from New York.
Bigots and spreaders of hate are a reality in my world. And, I have no compunction exposing them. I have no compunction when I see them reaping what they sow. They spread misery with their words. They reap less than that.

Pastor Dr Martin 'eat da poo poo' Ssempa has learnt to keep his mouth shut. Because garbage spews from it. Hate and garbage. In Uganda, it is thought to be honey... by many. But, to his supporters outside the country, he is an embarrassment. And, pressure is being applied to bless him with these things.

He resigned from the 'Board of Reference' of Oral Roberts University. Good riddance....! I have no doubt that he was forced out. And, I am ruthless enough to be happy at his pain. [I am no Christian. I will not turn the other cheek. No thanks.]

Why do I fight?

I try to answer that question. I have failed to do so to my heart's content. What I do know is that I am still fighting. Bloody, stupid, unchosen war.

But, will I accept to be less than human? That seems to be the only alternative!

Have a great day.


gug

Thursday, October 14, 2010

My Voice shall be Heard.



It is a pretty important voice, isnt it?!!!!!

Feel in the mood to blow a trumpet. Heap praise on myself for non-existent achievements. For, what have I achieved from my song?
Don't know... My voice is hoarse. Too hoarse... not the kind that is heard with much enthusiasm. And, my countrymates think it is a disaster for me to be heard. But, I am their countryman, and I do have a voice, and I choose to shout.

Now, for the last few months, I was off the air.

And then, when I came back, I started re-thinking my strategy. It is too easy to be a whiner. But, it is also easy to get on the high horse of righteous indignation, and let the anger burn and fuel one. It did me. And, I did what I thought was not possible. And the sword wore out the scabbard. Back to earth I crashed, and I was silent. For too long.

But, my voice has to be heard.

I have been following, ear to the ground, what has been happening. In the US, the sudden emphasis on bullying of teens, and the suicidal consequences. What happens in Uganda? In Africa? We don't know. Just got in touch with a former classmate who surprised me by confiding that he is gay. He lives and works in the villages of Uganda. And, though he confides that he is 'underground', he is frank that he knows of me. And that, I am 'over ground'. Asked myself the question, how is it to be gay and live in the villages, in the country side of Uganda? A nightmare...! What is it to be gay and a teen growing up, in the rural areas of Uganda?

I don't know. Yeah, freely admit it. I have fought my journey in a more urban setting. I know a lot about that. And, I know that we all come to Kampala.... the Mecca, so to say. Seek out the anonymity of the urbanised environment.

Hey, I know that a judge struck down 'don't ask don't tell'. Another of those curiously stupid laws. But, there are many of those. I have listened, and shrugged it off. Wasnt in the mood to open the blog and put down more of my opinion.

But, recently, I got across a report. It was made about HIV and programming amongst gay men in Uganda, Kenya.

I was disgusted.

You know of Uganda's fame as a country that has fought and turned the epidemic of HIV? No? Well, we are there amongst the 'greats'. It is in Uganda that many of the ground breaking research has been made. And, the politicians have been proud of that fact.

But, what of HIV amongst Gay men in Uganda?

Blank. A blank slate. I read through the report, knowing the facts, having lived them, but not recognising... because it is almost impossible to realise that it is only in Uganda that this could have happened. Homophobia is killing gay Ugandans with HIV. With ignorance. The people who matter in the country decided not to tell us that we were dying. They denied us knowledge, information, simple prevention tools. And, it was not a single instance. No, it was a systematic turning of a blind eye to everything that concerned gay men.

Why did they do this?

Because, doing otherwise is 'promotion of homosexuality'. The kind of thing that the Anti-Homosexuality Bill of 2009 sought to make criminal.

Such broadcasted thoughts like these from Ssempa, who is very influential in Uganda, and Professor Apuuli are the iceberg showing the dinosaur beneath the surface.
"Gays are one of the drivers of HIV in Uganda, but because of meagre resources we cannot direct our programmes at them at this time," Mr Apuuli, chairman of the Uganda AIDS Commission, said today.
and from Ssempa, this guy who cries crocodile tears that he loves gay Ugandans..

“These people are just looking at ways of legitimising their practice, which is illegal and deviant in our society,” said Pastor Ssempa. “Our previous experience showed us that bringing homosexuals into campaigns against HIV only gives them a chance to propagate their illegal and unnatural acts.”


If I shut up, I will die, and be thrown into an unmarked grave.

What beat me was the contrast to our neighbour to the east, Kenya. Oh yes, Kenya is homophobic. But, they are leading the way. The Kenya AIDS Commission serves gay Kenyans. They have been delivering services. And they are leading the way in research.

Why the difference? Insane Christianity. False moralising.

So, I have no option. My voice has to be heard. And, don't I love yelling!

Caution. I am going to do it so well that, I will be heard.

gug

Monday, December 14, 2009

Anti-gay bill may cost Uganda research institution


(AFP) 
KAMPALAUganda may lose the chance of hosting a major AIDS research institution if it passes an anti-homosexual bill that seeks to significantly curtail gay rights, a UN official said Monday.

United Nations and Ugandan health officials announced that the Geneva-based African AIDS Vaccine Programme (AAVP) will be shifted to Entebbe during an AAVP conference that began in Kampala Monday.
The move is to boost Africa's participation in AIDS vaccine research.

"Criminalising adult consensual sex is not only a human rights issue, it goes against a good HIV strategy," said Catherine Hankins, the chief scientific advisor for UNAIDS, which alongside the World Health Organisation backs the AAVP.

"If the bill passes, UNAIDS and WHO would have to decide what happens and to see whether this is an appropriate place," she told AFP.

Uganda's AIDS Commission director Kihumuro Apuuli welcomed UN's selection of Entebbe as the AAVP headquarters, but has been silent about the bill, which has been widely condemned by human rights and public health officials.

But recently Apuuli said men who have sex with men were not a priority group in Uganda's fight against HIV.
"You go back to France and tell them that in Uganda we have limited resources and have to allocate resources to areas of need," he told AFP.

He said that gays were responsible for less than one percent of new infections in 2008.

Sigh, any wonder that in Uganda there is no HIV prevention programme for gay Ugandan men? The head of the Uganda AIDS Commission is homophobic.


Well, there goes that.


gug

Sunday, October 4, 2009

Eyes open, But still blind...

Reading this article, one can be frustrated by the apparent lack of logic. Why are people who are sane and well meaning, so blind to somethings? Why does sex and sexuality have to be so complex for adult men and women? Many questions. The answers are not so many.


Anyway, here is the article.


ISAAC KHISA & CHRISTINE KATENDE

Kampala

Homosexuality has been identified as one of the factors that have contributed to high HIV/Aids prevalence among male inmates.

A report released yesterday by the United Nations on Drug and Crime shows that HIV/Aids prevalence in male prisoners is at 13 per cent whereas among the females it stands at 11 per cent out of 490 prisoners surveyed throughout the country in 2008.

This rate is however higher compared to the national HIV/Aids prevalence that stands at 6.5 per cent.

A total of 392 male and 98 females were interviewed in addition to focus group discussions and HIV/Aids testing and counseling.

This was revealed during an advocacy and policy dialogue meeting on prisons health services on HIV/Aids and Tuberculosis in Kampala yesterday. The Commissioner General, Dr Johnson Byabashaija, attributed the high rate among male inmates to  homosexuality. He however, said many inmates are coerced into homosexuality.

“The highest numbers of inmates are normally convicted when they are already infected with HIV/Aids,” Dr Byabashaija said.

Mr Byabashaija said there’s need to educate inmates about the dangers of homosexuality.
He said homosexuality is an offence that carries a two or three year jail term.
Sharing razor blades was also cited among ways the disease is spread.

The Executive Director of the Aids Information Centre, Dr Raymond Byaruhanga, said the country still has a lot to do in the fight against the epidemic given that it is higher among the inmates.

The country has 1.5million people living with HIV/Aids but only 175,000 receive ARV treatment.

Some of the fantastic things which have happened in prison include this. There has always been an HIV prevention programme in prison. Know what they teach? Homosexual sex spreads HIV. So, a young man has a 20 year prison term, and, what should happen to him?


Does he live the hormones outside the prison gates? Seems to be an unreasonable thing. If even catholic priests and monks are not celibate...!!!!!! Why the hell imagine that prisoners would be celibate?


Anyway, there has always been an HIV prevention programme in Uganda's prisons. Teaching that 'homosexuality' spreads HIV. And promoting masturbation.
To prevent the evils of homosexuality, you cant take margarines and oils to a prisoner. Because they can be used as anal lubricants. And of course, you cant distribute condoms to prisoners.


And, most ironically, each prisoner receives a box of condoms on discharge from the prison.....!


Yeah, back, and cynical as ever.


gug

Sunday, September 6, 2009

Ignorance is a Curse.

Short story.

Ok, I had a very, very long night. Out partying. Continued sleeping into the early afternoon. And what with sex and sleeping again. Am exhausted!!!!!! Oh well, one is only young once. Let us party….!

Someone, a visitor to Uganda, came across this blog. Was kind of tickled. He decided to write a long letter to me. Instructive.

There were a couple of paragraphs that I would like to share with you. This is his experience. In his words.

“Reading your blog today about the water based lube, reminded me of a discussion I had with one of the guys when I was there. They had had a meeting of lgbt people shortly before I visited. They had discussed the use of condoms and someone mentioned that condoms were being used and people were still getting AIDS. The problem was attributed to the fact that being made in India and old, they tended to break. Then in my conversation with my friend , he mentioned they were using petroleum jelly. Needless to say, I was flabbergasted. I said "A--, if you use PJ, there is no point in using a condom!" He informed me that non of them could afford to buy KY jelly . I had a large tube of KY with me (hope runs eternal), I gave him the KY and later learned several people used it and as we say here, it was the best thing since sliced bread.”

Yeah, and I have come across this too many times. In this day and age, with HIV raging in the country for this long, gay men in Uganda still use Vaseline on their condoms for sex. Horrible.

And ignorance is a powerful weapon. This is the kind of knowledge that we should have, that every gay Ugandan man should have from when they first have sex. Sadly, it is proscribed information. Deadly knowledge.

I read a lot of irrelevancies. Or, relevant nothings which find their way into the blog. In Uganda, we have anti-condom activists. Their logic is that promoting condoms promotes promiscuity. Pastor Martin Ssempa. A condom burner.

They use the same logic to deny gay Ugandan men of an HIV prevention programme. It is horrible because it promotes the Homosexual Agenda. Should I quote Martin Ssempa again? And, the same kind of argument is being used in the US against a vaccination that prevents cancer. See, it is supposed to be given to young girls before they have sex. So, if you give it, you promote promiscuity. (and prevent a deadly cancer at the same time…!)

This kind of attitude jars my mind. The logic is so flawed that I find it impossible to believe that someone does believe in it. But people do. And justify it in the name of god, and angels and religion. And, they are strong enough, and subtle enough to influence policy makers.

Anyway, if you are gay, have your sex. Use condoms, don’t use the readily available Vaseline. It makes the condoms useless. What should you use….????

Unfortunately, at the moment, I have no answer for you. We don’t seem to have a cheap ‘water based lubricant’ for sex, except the expensive KY Jelly. But use that, if you can afford it. Okay? And if you cant… well, doesn’t hurt for you to know what works and what doesn’t, does it? Is a hard world out here…!

Is your life anyway. Isn’t easy to live with HIV, so, help yourself, and your family, and everyone, stay HIV free. Yeah, I know. Sex is sweet. (Despite the marathon, planning to have more before I sleep tonight. Bite me, it is great, is sex!) But, don’t sell your life for a few minutes of heavenly pleasure. Aint worth it.

Use a condom. Use a water based lubricant. Have wonderful sex.



gug

Thursday, September 3, 2009

Corrective, Curative Rape: What a blasphemy!


Nathalie Rosa Bucher

The 07-07-07 Campaign, named after the gruesome double murder of Salome Masooa and Sizakele Sigaza in 2007 seeks to end the targeting of lesbian women for their sexuality.


CAPE TOWN, Aug 31 (IPS) - "Women are getting killed in the Western Cape," says Ndumie Funda, who runs LulekiSizwe in her "cabin" in the township of Gugulethu near Cape Town.


The project is named after her late fiancée, Nosizwe Nomsa Bizana, who was gang-raped by five men and subsequently succumbed to crypto meningitis, and Bizana's friend Luleka Makiwane, who contracted HIV when she was raped and later died of AIDS.



The initiative provides support for lesbian women in the township, most of them teenagers and young adults, many in their final years of high school. According to Funda, young lesbian women aged between 16 and 25 are most vulnerable and often get evicted by their families.

"Police are often remiss in their investigation and victims are often subjected to secondary victimisation from homophobic police officials, the justice system is slow, struggles to cope with cases of gang attacks and it is hard to convince prosecutors of the importance of hate as a motivation for crimes," Emily Craven, Joint Working Group co-ordinator explains.

There are no authoritative figures on exactly how many incidents of hate crime are committed in South Africa.


The horrific levels of sexual violence in South Africa have been well documented and publicised. According to police statistics, 36,190 rapes and attempted rapes were reported to the South African Police Service (SAPS) between April and December 2007.


The number of unreported cases, however, is estimated to be ten times that. A study released by the Medical Research Council (MRC) in June this year found that of the 1,738 men interviewed 27.6 percent had perpetrated the rape of a woman or girl.



A crime with many names

There are no solid statistics for the frequency of what is known as "corrective rape".


"While the problem has most certainly existed for years, our recorded understandings of the problem has mushroomed over the last couple of years," Emily Craven of the Joint Working Group explains. While she has recorded an increase in reported cases - early June even saw the first trial for a rape case of a gay man - Craven suspects that this is still only the tip of an iceberg.


"There is no awareness around hate crimes and corrective rape," activist Ndumie Funda insists. "We need a programme of action, we need intervention and research, a budget to find out the problems lesbian women encounter."

Bernedette Muthien, co-founder and director of Engender, a Cape Town-based NGO, insists on the term "curative rape": "Curative is more powerful. It’s rape as a cure for your queerness," she says. The 07-07-07 Campaign, named after the gruesome double murder of Salome Masooa and Sizakele Sigaza on Jul. 7, 2007, used the term "hate rape" in a recent press release.

"From New York to Afghanistan, to the Balkans, across Africa, Latin America. I’ve been to many conferences and asked the questions. (Curative rape is) a global phenomenon and it’s often friends and family," says Bernedette Muthien, co-founder and director of Engender, a Cape Town-based NGO.

"It has always been in society since the onset of patriarchy and been used as a tool to control people’s sexuality, women in particular ways and also some men. Many, many of my women friends and comrades themselves are survivors of curative rape."


The MRC report urged a much broader approach to rape prevention. "This must entail intervening on the key drivers of the problem which include ideas of masculinity, predicted on marked gender hierarchy and sexual entitlement of men," it reads.

When the law is no protection

Craven said that one of South Africa's peculiarities is that legally-speaking, it is one of only seven countries in the world that allows same-sex marriage; its progressive constitution and laws were intended to protect LGBTI people but fear and violence reign in the LGBTI community. "People trust those laws and their decision to come out on the basis of them in fact places them in danger by making them targets."


Speaking at the Western Cape End Hate Alliance March gathered in St George’s Cathedral in Cape Town on Aug. 7, Nozizwe Madladla-Routledge, former deputy minister of health and still member of the African National Congress (ANC) National Executive Committee (NEC) said: "We don’t have enough understanding of the constitution especially around equal rights. Everyone has inherent dignity."


She also advocated guidelines to be developed. "We need to include these issues into the school curriculum, address issues around gender and sexuality we’ve avoided for too long."

A number of high profile cases, such as the murder of Eudy Simelane, a star player for Banyana Banyana, South Africa's national women’s soccer team, the murder of Zolizwa Nkonyana in Khayelitsha in 2006 or the double murder of Masooa and Sigaza, have resulted in campaigns to create more awareness and demand justice.

"These cases certainly have given momentum to our cause and they are very important to us not just in terms of getting justice for the victims involved - though this is of course a huge priority - but also in terms of setting some legal precedents around hate crime and hate motivation for crime and to send a strong message to the population that no matter how much you may hate gay people you will not get away with assaulting, raping, murdering LGBTI people," Craven states.
"There is no specific hate crimes legislation in South Africa and so setting precedent by getting a judge to find and record that homophobic hate motivated an attack is very important."

Justice delayed

Also speaking at the End Hate March, Craven stated that hate crimes were not "normal murders" and accused government of refusing to engage with the problem. "The police and prosecutors refuse to investigate on the basis of hate, the criminal justice system generally is slow and we live in a violent society. For every one murdered there are scores of victims," she said.

In the case of Nkonyana, the trial has been delayed 20 times.


"Zolizwa is certainly not the only one; people are reluctant to report cases," Funda says. "Cases are not taken serious, the police laughs, they’ll tell you ‘you’ve asked for it because you behave like a man’," she adds.

"Masculinity is key to our understanding of all homophobic hate crime and all gender based violence which we feel homophobic attacks are a part of," Craven elaborates.


Art against hate

South African kwaito singer Thandiswa Mazwai denounces rape and child abuse on her latest album "Ibokwe"; "same sex is shame sex, is assault with intent to grievous bodily harm, is justifiable homicide, constitutional suicide," rails poet Khadija Tracey Heeger in "Untitled Poem".

Dancer and choreographer Mamela Nyamza has conceptualised "Kutheni", a performance piece in which two women in love are faced with hatred and violence.

"Kutheni", Nyamza explains, means "why" in Xhosa. The piece was staged at the FNB Vita Dance Umbrella, South Africa’s premier dance festival earlier this year, and later – more pertinently - in the township of Gugulethu.

"I always wanted to do it and I was scared. But I saw the need," says Nyamza. "In the communities, some people didn’t know it was happening! I want the kids to be educated. The kids were explaining to me what they saw. I hope this can change these kids. Art is a way of changing one's life."

"I wanted to bring it to the people and where it all happened," says Nyamza. "People didn’t bring up issues, they’d say: "Well done, when are you doing it again?"

The piece was staged at KwaMlamli, a shebeen frequently turned into an art space by local art collective Gugulective.

Nyamza said that people were excited about a performance happening in their area. "The neighbours were so supportive, they watched the cars… They were seeing new art, not the African dance they’re used to - which I love, but let’s go beyond our roots," Nyamza explains.

"Kutheni" has since been performed at schools in other disadvantaged areas.

"We understand hate crime broadly - it’s not just about one person saying I am a lesbian and another saying I hate lesbians and killing them or raping them. It’s about gender presentation, it’s about subverting male power in society, it’s about women who don’t need men either for financial support or sexual pleasure, it’s about women who wear clothes that are considered unfeminine or drink in taverns late at night or fight back when attacked."

Asked what she thought was at the root of the violence against LGBTI people, Funda said that perpetrators of hate crimes were themselves scared of something they didn’t know, fuelled by the inability to accept their own sexuality.

Even out and outspoken lesbian say women must be careful. Butch lesbians challenge African patriarchal tradition. "I haven’t been to the bush (reference to Xhosa rite of initiation where young men get circumcised and spend time in the bush), I’m not a man!" Funda concedes.

"I’m very careful. I don’t go to the shebeens. I avoid notorious areas such as Nyanga (neighbouring township). I’m careful about who I sit with, who I talk to," Funda says.

"Townships and rural areas are seen as having higher levels of homophobic hate crimes," Craven explains. "This is where we find that schools show high levels of corrective rape and other abuses of LGBTI learners. Especially in rural areas, beyond the reach of LGBTI organisations and NGOs, the outlook with regards to support for survivors is bleak."

Media's role

Asked about the role of the media in creating awareness about the issue, Muthien thought that the media had helped by publicising the problem and making it more public. "The ways in which it has been reported in the popular media, however, is deeply problematic, either sensationalised or ripped out of context, there’s no exhortation when those cases come to the fore, for communities to take charge, to say that the lesbian who was so brutally murdered, has a mother, might have children, has a father, has brothers, sisters, had neighbours."

"In Khayelitsha you have sections where due to active community policing forums you have lower rates of violence especially gender violence and curative rape. We need to work more consciously at that level seeing that the criminal justice (system) has failed us."

"People hush but I’ve never been threatened," says Funda who has managed to gain the respect of some community members and insists that to do the work she does, she has to live in Gugulethu. Besides offering support, at times shelter to women in distress, she also runs a street soccer club and is affiliated to a range of other LGBTI organisations. "We even hosted Township Pride in 2005 and 2006 right here at the Gugulethu Sports Complex and received an amazing response from the community."

"Mandela said ‘my road is long’. Same here. Nobody knew Madiba. Or Biko. But we fought for them. I’ll fight until the last drop of my blood," Funda states defiantly.

(END/2009)

Tuesday, September 1, 2009

HIV; No joke amongst Gay African men

New research from UCSF examining HIV among men who have sex with men in the township of Soweto in South Africa has found that a third of gay-identified men are infected with HIV
New research from UCSF examining HIV among men who have sex with men (MSM) in the township of Soweto in South Africa has found that a third of gay-identified men are infected with HIV.
The study's authors were the first to examine HIV and the community of men who have sex with men in the Soweto Township, an area on the periphery of Johannesburg reserved for black South Africans during apartheid.
The researchers found that Soweto MSM identified themselves as straight, bisexual or gay, with the highest HIV rate among gay identified men, at 33.9 percent. The researchers estimated the rate of HIV infection for bisexual MSM in Soweto to be 6.4 percent and 10 percent for straight identified MSM.
"Our findings clearly indicate that targeted prevention and treatment for men who have sex with men in townships are urgently needed. We also found that, despite South Africa's legal advances in gay rights, stigma and de facto segregation are reflected in the disproportionate rates of HIV infection," said the study's principal investigator, Tim Lane, PhD, MPH, assistant professor at the UCSF Center for AIDS Prevention Studies
The findings are now available in the online edition of the journal AIDS and Behavior and are scheduled for publication in an upcoming print issue.
Of the study's 378 participants, 34.1 percent identified as gay, 30.4 percent as bisexual and 31.7 percent as straight. All but one of the participants were black South Africans and all of South Africa's black African ethnic groups were represented in the sample.
The study showed that MSM's sexual identities predicted their sexual behavior with other men.
Gay identity was highly correlated with the exclusive practice of receptive anal intercourse and straight and bisexual self-identification was highly correlated with the exclusive practice of insertive anal intercourse with male partners.
"With the correlation of sexual identity and sexual practice, control of condom use in same-sex partnerships tends to be in the hands of bisexual and straight MSM. This finding demonstrates the pressing need to promote condom use among bisexual and straight-MSM for same-sex as well as heterosexual relationships," said Lane.
The authors also looked at other risk factors and found that HIV infection was also associated with being older than 25, lower incomes, purchasing alcohol or drugs for a male partner in exchange for sex, having receptive anal intercourse and having any unprotected anal intercourse with a man.
HIV infection was significantly less likely among men who have sex with men who were circumcised, smoked marijuana, had a regular female partner or reported unprotected vaginal intercourse with women.
"The circumcision findings clearly suggest that for this population of MSM, circumcision could be protective and that MSM should not be excluded from circumcision programs," said Lane.
###
Co-authors of the study include H. Fisher Raymond and Willi McFarland from the San Francisco Department of Public Health; Sibongile Dladla, Joseph Rasethe, Helen Struthers and James McIntyre from the Perinatal HIV Research Unit (PHRU), University of the Witwatersrand, Johannesburg, South Africa.
Funding for this research was provided by the National Institute of Mental Health and the Peninsula Community Foundation's Hurlbut-Johnson Fund. Medical care for HIV-positive participants at PHRU was funded by the President's Emergency Plan for AIDS Relief through USAID-South Africa.
Established in 1986, the UCSF Center for AIDS Prevention Studies conducts domestic and international research to prevent the acquisition of HIV and to optimize health outcomes among HIV-infected individuals.
The UCSF Center for AIDS Prevention Studies is affiliated with the AIDS Research Institute (ARI) at UCSF. UCSF ARI houses hundreds of scientists and dozens of programs throughout UCSF and affiliated labs and institutions, making ARI one of the largest AIDS research entities in the world.
UCSF is a leading university dedicated to defining health worldwide through advanced biomedical research, graduate level education in the life sciences and health professions and excellence in patient care.

Sunday, August 30, 2009

Circumcision Politics

Came across this article. Gosh, man is a political animal.

Not yet sure whether circumcision protects gay men from HIV. Seems as if the scientific consensus on that is not formed. But, it is a political issue.
Article is worth a read.

Thursday, August 27, 2009

Thurs Afternoon

It’s a day of wind
and quiet thoughtfulness.

What is there to think about? A lot, I think. Just had a surprise encounter with a former boyfriend. The circumstances were formal, and interesting. And, they revealed something about him that I didn’t expect.

Ok. He is positive. HIV positive.

That revelation is always a threat. Knowing that a person is positive. Knowing that one is, or is not, or how they think about it. Why? Because I am human. Because we are all human. And sometimes, many times, we are confronted by our own fears and prejudices. Or remnants of the same.

So, didn’t talk much with the guy. Didn’t share, didn’t ask what has been happening. In truth, I was not tongue tied by the surprise realization. Was too brief an encounter. But it makes me remember myself. Who I am.

And the many ways that we humans exclude others, on the barest, most minimal grounds. So, it is a matter of fact that most HIV positive kuchus don’t want to come out. They don’t want other kuchus to know. Because they are also human beings, and they know that fellow kuchus will stigmatise them just because they are positive. Cant blame only Ugandans. Happens in other countries too. Life is rough, raw and interesting. Kuchu life that is. Always something small, interesting to throw into the fray.


Reminds me of Castor Semenye. A good, interesting, uplifting modern tale of good.

A nation has rallied around her. At the moment when she could have been shamed and thrown to the gossip columns, her country mates have turned the tables. World wide sympathy and an outpouring of love for the young lady has turned the IAAF into the ogre in this story. I laughed when someone sent me a petition to sign, to ‘keep the IAAF out of Caster Semenye’s pants’. Hilarious.

The anger, the outrage is justified.

No, I don’t mean the old catch all phrases, blaming ‘colonialists’ ‘racist’ etc. It is pure and simple a case of trying to throw out a member of the human race from the family of humanity. So, according to the IAAF, she may be too much woman. But most likely she is not man enough. She will not conform to the small labels of man, woman.

But, and this is the beautiful thing, a nation, her nation has come out to rally around her, to say, and demand that that doesn’t matter. Instead of it Caster languishing in bitterness alone, she has known the love of her family, her village, her town, her people. Surely, Caster will be strong whatever the ogre, IAAF decide. And, it will be a difficult decision, if Castor is inter-sex. They will have to stand up and tell us how Castor is neither man enough to be a man, nor woman enough to be a woman. But somewhere in the middle. Do remember that one Indian athlete committed suicide on being called neither man nor woman.

The question that pops into my mind would be, does the IAAF have any inter-sex category where she can compete?

But it is a beautiful story, a fairy story that is still on going, that has yet to get to a conclusion.

Have a wonderful day.


gug

Thursday, August 6, 2009

An Anti-Gay, HIV Activist


Is that possible? Logically, an HIV activist should not be anti-gay. Or is that not so logical?

I have been reading the Lancet article about HIV and gay men in Africa. Seems as if we gay Africans have been living an alternate reality. An artificial reality forced upon us and perpetuated by ignorance, by hate and by pure, undiluted conceit.

Is it possible to be an HIV activist who is rabidly and frankly anti-gay?

In Africa, it is. In Uganda it is.

Why should it be ‘impossible’? How can a person fight HIV and at the same time fight gay men, historically the most vulnerable group of human beings to HIV infection?

Reading the article, some scientific facts have been glaringly visible. Forgive me, if you are from the west and do not live the reality of an African gay man. These are things which, more than 26 years since the appearance of HIV amongst us human beings, these are facts which are known truths.

These are the facts.

  • HIV/AIDS was first identified and diagnosed amongst gay men.

  • Gay men were very quickly identified as a very high risk group to HIV. Highly vulnerable.

  • Extensive (gay men inspired) prevention programmes soon proved that the dreaded disease could be controlled. Even before drugs were available.

And what happened in Africa?

We were, (and still are), invisible.

So, it is possible for an HIV activist to be anti-gay. Who?

Ssempa of course. Pastor Martin Ssempa.

In Uganda, he has been lauded as an HIV activist. He has worn awards. He has campaigned for ‘moral’ HIV prevention. Abstinence. Being Faithful. He has gone to the US and before Congress testified about HIV and prevention in Uganda. He has earned degrees on that basis, including a doctorate (hope am not streatching the truth too much.)

Ok, he has also burnt condoms as bad HIV prevention measures. He is anti-Condom.

And the same individual is anti-gay.

He has won awards for his anti-gay activism. He has started gay witch-hunts in society, in church. His aim is clear, and he has stated it often. To Eliminate Homosexuality from the Country. He is a very (the most) vocal anti-gay activist in the country, if not on the continent. He believes that gay people are the depths of evil. And he believes that gay Africans, gay Ugandans should not have HIV prevention programmes. In his words, having an HIV prevention programme for gay Ugandans would be furthering the homosexual agenda. True, here are the exact words as quoted. “These people are just looking at ways of legitimising their practice, which is illegal and deviant in our society,” said Pastor Ssempa. “Our previous experience showed us that bringing homosexuals into campaigns against HIV only gives them a chance to propagate their illegal and unnatural acts.”

So, Ssempa believes that, it is better for gay Ugandans to get HIV than for the country’s moral purity to be risked by making sure that gay Ugandans get an HIV prevention programme.

Better to have HIV than to have homosexuals.

I know, if you are from the west, you are shaking your head. Is it possible? (Oh, I had forgotten that this illustruous HIV activist did testify to the US Congress. It is in the west...!)

Absolutely. And, just to rub some salt into the wounds of your incredulity, let me inform you that the individual is a Christian, who does all this in the name of Jesus, and loving homosexuals. He is an outstanding, upright man, fiery, hell and brimstone preacher and messenger of god.

Anyway, this would all not matter if he stayed at home and did nothing about his pet hate. Truth, if I sat back and didn’t write these articles, these posts, my incredulous examination of Ssempa would remain a personal issue. So it is with him…

Ssempa is a very powerful man, a huge fish in a small pond. Granted, he is not as huge as Kayanja, the pastor that he spitefully accused of homosexuality. But Ssempa is big. He moves in rarefied circles. He hobnobs with the president, was in fact a representative of the First Lady when he testified in the US congress. For years, he has held sway in the HIV prevention programs in the country, pushing an anti-condom, pro-abstinence and pro-faithfullnes programme in the country. His gimmicks and bombastry don’t hide the fact that he is listened to, and influences programmes.

Fact, 25 years after the start of this epidemic, gay Ugandans have just started getting access to information. To know that they are at risk, (oh, they thought they were not. After all, HIV prevention was frankly heterosexual. Why not assume that homosexual sex is risk free?) They have just learnt that oil based lubricants destroy condoms. They are learning that condoms, when used correctly, do protect. And, they are learning that the necessary, life saving, water-based lubricants are not available in the country. Yes, we are learning. Slow, but surely. It is a global village. Knowledge couldn’t be hidden completely, and forever. Let us for a moment remember the thousands of our friends who have died needlessly of HIV, who are living with a virus they could have prevented.

Granted that Ssempa follows ‘moral HIV prevention’, but God help us immoral, useless sinners. HIV prevention for those of us who are homosexual is not moral. So, by that criteria, it is entirely consistent to be an HIV activist who is fiercely anti-homosexual. Anti-gay.

He wants tougher laws, (current laws allow us to talk to other people, and to have sex. Though, if caught, we risk a life time in prison.) He doesn’t want a gay HIV prevention program in Uganda. Oh, he has worked against it, and rails that the homosexual money which comes into the country is for ‘recruitment’ of homosexuals. It is not for HIV prevention, but ‘making youths homosexual’.

Genocide?

This is a question I have asked before. Look up the word, it means the elimination of a group of people defined by a characteristic. Intentional elimination.

I cannot truthfully say that Ssempa DOESN’T know that HIV is a major problem amongst gay men. Does he want gay Ugandans to get HIV? He will say no. He doesn’t. His actions for upward of 25 years have intimated something else. He has the knowledge, but he stands in the way. His actions say he wants gay Ugandans to get HIV. He will deny them knowledge of HIV prevention. He will deny them condoms. He will deny them water based lubricant. He will allow them the ignorance of believing that they are not particularly at risk from HIV. Infection, death by hate and ignorance.

Reminds me of Jesus (read him as a philosopher and you will be surprised at the depth of his insight.) Jesus was railing against Pharisees. They stand in a doorway, and don’t enter. And they refuse every one else from entering.

Apt. Very apt.

An anti-gay HIV activist? In the virtual, un-earthly, reality of Uganda, Pastor Martin Ssempa manages to be exactly that rare, impossible thing.



gug

Friday, July 31, 2009

HIV, Gay Ugandans and Stigma

On the Spot; NTV tonight.

Major Rubaramira.

I have heard of the guy, and knew that he is a fearless HIV activist. And the papers have quoted him being gay friendly. But I have never seen him, or at least we don’t move in the same cycles. His are rarefied.

He is a veteran of the bush war. The one which brought the current president into power. But I think he did fall out with him, and then tied his star to that of Besigye, the opposition leader, who is also a veteran.

Rubaramira was on the NTV station. The topic; HIV, Gays and stigma.

The presenter was relatively unschooled. Maybe I just tend to know a lot about the gay topic! He didn’t know the correct questions to ask. He was weaving around the topic. And Rubaramira himself is a compelling individual. HIV positive, a veteran, fearless, and an HIV activist. He is in his 60s, and has lived with HIV for 25 years. He is a very well informed and opinionated individual.

So, the topic actually discussed ranged from the Major’s testimony of living with HIV, and how he did it, and how others can do that, and what the country was doing about HIV prevention at this particular moment.

Gay issues were discussed. But certainly as part of the issue.

Why now? Apparently, the Lancet article is making waves. People are asking questions. Being Ugandans, they are wondering. Are gays realy there? What to do about them? A moral question, so tighten the laws and force them out of Uganda? What about recruiting? What about sodomy in schools? etc, etc…! Those were the questions that the presenter asked of the Major. (Gosh, I cringed when the presenter aske what was the problem, these guys do not reproduce- like in have children!!!!! The major corrected him on that)

And the answers were concise, and easy. HIV is a disease. We have to understand that gay people exist in Uganda. Not burry our collective heads in the sand. And, the solution was not to make tougher laws, and not to stigmatise them.

One caller insisted it was a moral issue. Uganda is going to the dogs. Morality wise. And something has to be done. Subtext- stronger laws, and apply them. The Major refused such simplicity. Uganda is a Christian country? Surely? What about the Moslems?...!

And the often touted hate the sin and love the sinner. Christian hypocrisy. (My assesment. The major quoted Jesus and the woman caught in adultery)

I think the topic had broadened out too much, so, the guys in the studio wanted more fire. Decision, ring up Ssempa. Yes, the good Pastor. You know his opinion.. I documented it here. But, for some reason, he had not phoned in voluntarily. So, at the tail end of the program, he was put on line.

I listened to his question.

Ssempa is certifiably stupid. I have said that many times, but I must say it is such a prominent part of his personality that when you are dealing with him, you have to remember that despite the high sounding phraseology, the quasi-american gangster accent, that there is supreme emptiness in the words that he speaks. Truth. Fact.

Anyway, Ssempa reacted with a very personal attack on the Major. "That man." Those were his words. He attacked him personally, inspite of the wealth of knowledge the major had laid down before hand. Came off like they have had an ongoing quarrel. Ssempa is a better HIV activist than the Major. (Truth, I am stating what the man said, Ssempa.) That he has been an HIV activist for longer than the good Major. That the Abstinence, and being faithful which Ssempa champions has been working, and now the Major is advocating legalization of homosexuality…! And, that they have known of all this homosexual money being channeled into the country, and that Uganda will not take it. I waited for Ssempa to come out and frankly accuse the Major of taking homosexual money to champion the cause of gay HIV prevention. He didn’t come out to say it. But he certainly implied it. Wow! Well, the major should expect it. Anyone who opposes Ssempa is a homosexual, or is following the homosexual agenda.

Rebuttal, the Major didn’t have enough time. Ssempa flies all over the map, throwing out red herrings. And this was a major one. No, it was a lie, the Major had not advocated for legalizing homosexuality. And why was Ssempa accusing him of that?

I think it was to hide the fact that Ssempa was not answering the questions posed.

HIV is a big problem amongst gay men. Gay Ugandans. Statistics were quoted, but I am not sure the source. And increasing the stigma isn’t the way to go about prevention….

That is, unless you are Pastor Martin Ssempa.

gug

Thursday, July 23, 2009

HIV and Gay Africans

This is getting some play in the world media and blogosphere. True.


Needs to be emphasized that the homophobes are actually driving the lack of HIV services for gay Africans. Back, about two years back, I quoted Ssempa here.

In Uganda, Martin Ssempa is known as an HIV campaigner, fierce, advocating for 'Abstinence' Want to know what dear, loving Martin Ssempa talks about HIV prevention for Gay Ugandans? And he is a very influential man, with the ear of the First Lady, another Abstinence and Anti-Condom campaigner. He has gone to Capitol Hill in the US to claim that his programmes are to be accredited for the fall in Uganda's HIV rates. Back in the days of Bush...

This is what dear, loving, Martin Ssempa said. A man who says he loves gay human beings. Is a Pastor who witchunts gay pastors to cleanse the church, and makes inter-religious alliances to 'Kick homosexuality out of Uganda'

When we demonstrated in 2007 at the Implementers meeting, we were asking for an HIV prevention programme. This is what was reported about Ssempa's reaction to that.

Indeed, he wanted to sue the UNAIDS for not treating us like the criminals we are. Surely!

Anti-gay activist Martin Ssempa said Uganda needs to send a clear message to homosexuals that they are engaging in a suicidal and un-natural risk that fuels HIV and other infections such as hepatitis.

“These people are just looking at ways of legitimising their practice, which is illegal and deviant in our society,” said Pastor Ssempa. “Our previous experience showed us that bringing homosexuals into campaigns against HIV only gives them a chance to propagate their illegal and unnatural acts.”

Dont need to write more, do I? Of course I love the guy. He is a gift that gives, and continues giving...!


gug


Monday, July 20, 2009

Price we Pay

To be fair, the community has to pay it with us. So, who's to blame. Seems as if we can start tossing around the blame too.

BBC NEWS

Alarming Africa male gay HIV rate

HIV rates among gay men in some African countries are 10 times higher than among the general male population, says research in medical journal the Lancet.

The report said prejudice towards gay people was leading to isolation and harassment, which in turn led to risky sexual practices among gay communities.

But the risks are not limited to gay men, as many of the infected also have female sexual partners.

The report called for greater education and resources in the fight against HIV.

The Oxford University researchers found that the prevalence of HIV/Aids among gay men in sub-Saharan African has been "driven by cultural, religious and political unwillingness to accept [gay men] as equal members of society".

Lead researcher Adrian Smith told the BBC there was "profound stigma and social hostility at every level of society concerning either same-sex behaviours amongst men, or homosexuality".

"This has the consequence that this group becomes extremely hard to reach," he said.

Mr Smith said that gay male sex had always been acknowledged as being particularly dangerous in terms of contracting HIV/Aids.

But gay men were also more likely to be involved in other high-risk behaviours, including sex work, having multiple partners and being in contact with intravenous drug use, he said.

Education crucial

George Kanuma, a gay rights activist in Burundi, told the BBC many men "hide their sexual orientation" to get married and have children, but continue to have sex with men.

"Most of them know that you can contract HIV/Aids or any infection when you are making sex with women, but not when you are having sex with another man," he said.

Mr Smith said there was "a desperate need for delivering a basic package of prevention for HIV", including ensuring supplies of condoms.

"There is also a need to sensitise, educate and train those involved in HIV, the interface with men who have sex with men, to educate those involved in care and prevention activities," he said.

The United Nations Aids agency estimates that 33 million people in the world have HIV, of whom two-thirds live in sub-Saharan Africa.

Story from BBC NEWS:

http://news.bbc.co.uk/go/pr/fr/-/2/hi/africa/8158469.stm

Published: 2009/07/20 01:05:31 GMT

© BBC MMIX

Sunday, January 18, 2009

Health leaders call on Senegal to release 9 gay men arrested (BTM)


I don’t think the sequence of these events was coincidence. But then, I just read the news. Can we legislate HIV out of existence, or is it the proverbial ostritch head in the sand?


gug


SENEGAL – 15 January 2009: The Society for Aids in Africa (SAA) and the International Aids Society (IAS) call on Senegalese government to immediately release and drop charges against 9 men sentenced recently for 8 years each in prison based on sexual orientation.


Among those arrested work towards providing critical HIV prevention, care and treatment services among men who have sex with men (MSM).


The organisations and other leading international and regional institutions partnered to organise a groundbreaking International Conference on AIDS and STIs in Africa (ICASA) held in December last year in Dakar, Senegal.


At that conference, public health leaders, scientists, community and politicians all affirmed their support to meaningfully address HIV among MSM.


In closing at ICASA, IAS Executive Director Craig McClure said: "The unique partnership that has driven the HIV response has at its core the people living with HIV and the populations most vulnerable - women and youth, gay men and other men who have sex with men, sex workers and drug users. The communities most at risk and those living with the disease have shown us that the fight against HIV

is a fight for the human rights of all human beings."


Senegalese government officials, as hosts to this international gathering of 8000 HIV professionals, also publicly pledged their support to reducing HIV among sexual minorities during their speeches and presentations.


On 22December last year, just ten days after the ICASA conference, police officers raided apartment of an HIV prevention programme leader working with the Senegalese lesbian, gay, bisexual, transgender and intersex (LGBTI) community, and arrested him and eight other men. Last week the men appeared in court to respond to charges of "criminal conspiracy and engaging in acts against the order of nature" where they were sentenced to eight years in jail.


Under Article 3.913 of the Senegalese penal code, homosexual acts are punishable by imprisonment of between one and five years and a fine of 100,000 ($200) to 1,500,000 ($3,000) CFA francs.


SAA and IAS believe criminalising sexual orientation has never been shown to reduce the transmission of sexually transmitted infections, including HIV and Aids, and is an abuse of basic human rights.


From the perspective of science and sound public health policy, the SAA and IAS believe that all countries around the world must work respectfully with all communities of their population to stem the tide of inequality and to support disease prevention. Evidence shows us that criminalising and discriminating against any group of individuals serve to fuel the HIV and Aids epidemic by denying services and relevant prevention messages.


"The arrest of these men, based purely on their sexual orientation, represents a major setback for the Senegalese response to HIV, which is widely viewed as a model in Africa", said Joanna Mangueira, President of SAA.


According to UNAIDS, fewer than one in 20 men who have sex with men around the world has access to HIV prevention, treatment, and care - and even fewer in low-income settings like Senegal. Compared to the HIV testing rates of 63-85 percent seen among men who have sex with men in Australia, Europe, and North America, rates in this population in much of Africa, Asia, and Eastern Europe are often under 20 percent.


As has been demonstrated in many different countries, reducing the social exclusion of gay and MSM communities through the promotion and protection of their human rights (including sexual rights and the right to health) is not only consistent with, but a prerequisite to good public health.

Once discriminatory policies are abolished and stigma and discrimination are confronted, country-based programmes can be put in place to encourage gay men and MSM to stay free of HIV infection, thus supporting national goals of reducing HIV burden.


Wednesday, January 14, 2009

In the Mandela Mould

Yes, this guy does give me the same thrill as Mandela does. A real living hero.

When Mbeki refused to appoint him on the Court, I thought it too petty. But, Mbeki was petty, though for some reason, he forced through Gay Marriage in South Africa. He had refused to appoint Cameron because of some personal reasons. But now, Cameron is on the court, and it is a good thing, for South Africa, and I bet you, for all Gay Africans. And for HIV positive people all over the world.

He is a real living hero.

Here is his story.

HIV+ judge appointed to South Africa's highest court
By Staff Writer, PinkNews.co.uk • January 5, 2009 - 15:28



Edwin Cameron has been appointed to the Constitutional Court

An openly gay man living with HIV has been appointed to the Constitutional Court of South Africa by the country's President.

Edwin Cameron, 55, was described by Nelson Mandela as a "hero" when he became the first prominent public official in the country to reveal his HIV positive status.

He was unanimously backed for promotion by the Judicial Service Commission.

There are eleven Constitutional Court justices who serve a non-renewable term of 12 years.

HIV activist Zackie Achmat told The Star newspaper he had spoken to the judge after his appointment was announced on New Year's Eve by President Kgalema Motlanthe.

"I think this is one of the most important events in his life," he said.

"The Constitutional Court needs judges who will continue its legacy of independence and rigour."

Justice Cameron's appointment to the Constitutional Court had been blocked by former President Thabo Mbeki.

"I was a gay man who came to terms with being a homosexual about 20 years ago," Justice Cameron told the BBC in 2005.

"And not long after I came out.

"I was infected with HIV.

"I experienced the diagnosis not only as a terrible shock because it was without my consent or knowledge but I also had this tremendous feeling of shame, a sense of contamination, of defilement.

"I thought the shame about my HIV diagnosis was because I'd got it as a gay man, and I was wrong.

"At that very time in Africa, we began to realise - it had been evident for the past few years - this was going to be a mass heterosexual epidemic."

He has campaigned against criminalisation of HIV exposure and transmission and spoke at the XVII International AIDS Conference in Mexico City in August.

"HIV is a virus, not a crime," he said.