Showing posts with label PEPFAR. Show all posts
Showing posts with label PEPFAR. Show all posts

Saturday, July 22, 2023

US Funding, for HIV Programs in Uganda

When the Anti-Homosexuality Act, 2023 was signed into law in Uganda, the heads of Uganda’s international partners in the fight against HIV/AIDS (UNAIDS, PEPFAR, Global Fund) came out with a statement telling Uganda that was a bad move.
UNAIDS and its partners have always advocated for decriminalisation of same sex sexuality one of the major ways of HIV prevention. That is historical fact, so the statement should not have been a surprise.

In Uganda, the public sphere went amok.
‘The Americans’ were threatening to kill poor innocent Ugandans simply to spread and promote homosexuality. Cries of ‘blackmail’ and ‘bring it on’ were heard from Ugandan leaders, influencers and other concerned Ugandans. Our ‘sovereignty’ was defined under attack, our dependency on foreign aid decried and lambasted. Quite a lot was said-, quite a lot which should not have been said.

So, why should the HIV prevention efforts of Uganda be affected?

Simply because of the law. The Anti-Homosexuality Act; 2023.

The US spends almost half a billion dollars annually on a comprehensive HIV/AIDS prevention and care programme in Uganda. This is distinctly different from the military aid that is also under attack. These monies go on HIV/AIDS prevention and care, including some 1,2 Million Ugandans on life saving and life prolonging drugs.

Inevitably, since LGBTQ+ individuals are a key vulnerable population in HIV, there are programmes and clinics that focus on the LGBTQ+ population for prevention and care.

According to the text of the Anti-Homosexuality Act, 2023 as written; there is a Reporting mandate, and more that would impact HIV/AIDS programming.

·         HIV/AIDS prevention and care for ‘homosexuals’ is ‘Promotion of Homosexuality’, and was clearly defined in the law as such.

·         In that case, funders for the ‘promotion of homosexuality’ were criminalised.
Since USAID and PEPFAR (the American government) fund those clinics and organisations, USAID, PEPFAR and the American Government are clearly breaking the law of Uganda, and ‘promoting homosexuality’ by funding HIV/AIDS prevention and care in Uganda.

·         Organisations that work with homosexuals in HIV/AIDS are also very clearly ‘promoting homosexuality’ and are criminalised in Uganda, according to the Anti-Homosexuality Act.

·         Landlords who house the above organisations are also quite clearly criminalised in the Anti-Homosexuality Act, 2023 of Uganda.

·         In another part of the Act, good Ugandans are encouraged to report the known ‘homosexual’ to Police.
The reporting mandate excluded lawyers, but it doesn’t exclude health care workers who include HIV/AIDS care workers, doctors to other extension workers.

Clearly, the law was a problem.
The American Ambassador to Uganda took it upon herself to have some discussions with relevant government people. Besides the real investment in funding over multiple decades of the HIV/AIDS epidemic, a lot of people could die, simply because there is a law against the ‘promotion of homosexuality’.

In the flying accusations of blackmail, telling the Americans to fuck off, with the Ministry of Health denying a problem as per its spokesperson, and other medics coming out and seeing nefarious reasons, aka, ‘promotion of homosexuality, the head of Uganda AIDS Commission had a blunt assessment

 

““they are just taking precautions and saying for communities that may be discriminated, ‘What steps do we want to put in place to ensure that they continue accessing treatment to ensure that they continue to access treatment?’”

 

Apparently, the Minister of Health, A medical doctor, was unhelpful on the concerns of ‘the Americans’, to the point that the American envoy’s assessment of her was brutal and blunt. Maybe she is more concerned for the spiritual safety of Ugandans than their physical health…, am just saying. Here is the American envoy’s assessment of Minister of Health Dr Ruth Aceng;

 

“She reportedly took issue with Health Minister Jane Aceng, who was not in the meeting, saying her disposition on the matter of homosexuality was likely to reverse years of gains in healthcare and particularly HIV/Aids treatment, largely supported by development partners.”

 

The American envoy then took it up with the President. Apparently the discussions were a little more fruitful.
The President made an announcement, medics and health care workers were not going to have to report known homosexuals. And of course it was a tacit green light to continue HIV/AIDS programming with the evil and dastardly, bad homosexuals, who happen to be citizens of Uganda.

So, the whole fracas ended up being partly resolved.
The US government and its organisations are not going to be hauled to Ugandan courts for ‘promotion of homosexuality’. The partner organisations in Uganda are not going to be defunded, nor are they going to be prosecuted, nor will they be forced to report their homosexual clients.

Turns out ‘the Americans’ were actually looking out for our people, Ugandans…!

What a shame? Err, we are fanatics and zealots in Uganda, on matters of homosexuality. We don’t get ashamed. We don’t even feel it, nor admit to that nefarious emotion. We are fighters, and winners, against homosexuals and homosexuality.

I doubt that that saga ends there. This is Uganda. Keep tuned in!

 

gug

Friday, July 21, 2023

Uganda & Ghana- Kuchus and HIV in Africa (2); The Failure of Africa’s Medics & Health Care Workers (3)

  

Continued from the previous post: Kuchus and HIV in Africa (2); The Failure of Africa’s Medics & Health Care Workers (2)

Uganda has actually had some great results with HIV prevention and care. It is deservedly praised…, as was lavishly commented on by the UNAIDS/PEPFAR/Global Fund joint statement.
Although the statement was taken quite negatively in Uganda, I think it was quite a ‘sucking up’ in many ways. The flattery, even evidence based, is quite a lot. Maybe Winnie Byanyima, knowing the Ugandan psyche thought it better to upload with lots of diplomatic nice talk to cushion the bite in the message…

If it was that, well, it was a dud.
Ugandans are quite consistent, and human. We embrace our prejudices with fervour and our prejudice to ‘homosexuality’  is the mother of all prejudices.Our doctors as detailed are also prejudiced. They are Ugandans!

But, we still expect better of them. A laughing stork Uganda demands people to blame. The medics are very convenient here…!
The Director General of Uganda AIDS Commission did explain the issue, though the article in the Daily Monitor relegated him to an after-thought. I guess it was more profitable for the paper to fan the flames of ‘Uganda is being bullied’!

Explains Dr Nelson Musoba, DG of UAC;

 

““they are just taking precautions and saying for communities that may be discriminated, ‘What steps do we want to put in place to ensure that they continue accessing treatment to ensure that they continue to access treatment?’”

 

Egg on our collective face as Ugandans. The conveniently reviled Americans were trying to protect our prize HIV/AIDS programme? The statement said so. It is our bad faith that read nefarious ‘colonialism’, ‘blackmail’, in their words. Prejudice twists clear thinking. Uganda collectively was a great example there.

But this begs the question, with Dr Nelson Musoba, Director General of Uganda AIDS Commission (UAC) knowing these probable effects of the Anti-Homosexuality Act 2023 on HIV programming, why wasn’t the Parliament of Uganda and the President of Uganda in the know? This is established science, this day and age of the HIV pandemic surely? It wasn’t ‘the Americans’ duty to inform our in-country experts.
Rumour was, Speaker of Parliament was so rushed to pass the bill UAC was not invited to the party. But, a lot of organisations came out detailing the probable effects of the proposed law. All that fell ‘on deaf ears’ in Uganda. No appeal to sanity could have stopped us passing the Anti-Homosexuality Bill, 2023.

Why did it fall to the US ambassador in Uganda to actually secure a promise from the President that the health services would not be subject to the Reporting mandate in the Anti-Homosexuality Act, 2023?
It is ridiculous when the conveniently reviled Americans seem to care more about our people than we do. It is shameful, and that shame tracks back to Uganda’s medics and health care workers, the Ministry of Health and the Uganda AIDS Commission.

The American envoy to Uganda actually commented this about Dr Jane Aceng, which makes me wonder what Uganda’s Minister of Health, a medical doctor, has been saying behind closed doors.

 

“She reportedly took issue with Health Minister Jane Aceng, who was not in the meeting, saying her disposition on the matter of homosexuality was likely to reverse years of gains in healthcare and particularly HIV/Aids treatment, largely supported by development partners.”

 

That is a loaded statement, particularly coming from a diplomat.

The same challenges are happening in Ghana. But, in their case, though there are medics and health workers who don’t understand, it seems the Ghana AIDS Commission has come out against the anti-homosexuality bill in Ghana.
And, for that temerity, Members of Parliament in Ghana are condemning the Ghana AIDS Commission.
I think that that is better than in Uganda where the Ministry of Health seem both ignorant and unwilling to state facts. The doctors responsibility is to state the facts, part of that responsibility for the power we hand to our medics and health workers.

In Ghana, the anti-homosexuality bill in parliament aims to stop or reduce HIV/AIDS programming to Ghanaian Kuchus. Why? Because HIV programming is actually ‘promotion of homosexuality’.
The bills in our parliaments, plural, aim to stop the heinous ‘promotion of homosexuality’.

If true, and Ghanaian MPs are refusing to listen to the Ghana AIDS Commission…, well, please don’t blame ‘the Americans’ for our own ignorance, and failure to be educated because of prejudice. We are sovereign in that.

It is the member of the clan who should point out that the elder didn’t wash face in the morning. Not to wait for a guest or visitor.
Yeah, and as an African, I am pointing out to my dear leaders and elders-, your are walking around naked, with unwashed faces. You are embarrassing us, please!

 

gug

Friday, August 17, 2007

HIV Prevention in Uganda

One thing really bothers me about HIV prevention campaigns in Uganda at the moment. They are purely and shamelessly driven by the morals of ‘good sex’. Does it work?

Someone has decided what constitutes good sex, and that is what is being promoted, in the name of HIV prevention.

For example, the current fad is that older men are preying on younger girls to have sex. So, campaigns are under way to target ‘something for something love’ and ‘cross generational sex’. It is being funded by the AID from the American Peoples (USAID)! Sorry, I was wrong. It is PEPFAR.

Sorry to all Bushites, but his influence is lasting more than a generation in Africa. Problem with these campaigns is that for me as a gay man, gay sex is considered immoral. So when will they decide to mount an HIV campaign for gay men in Uganda? They have not yet!

PS. Please, please, look at the spread from Daily Monitor today. Stupendous!

GayUganda