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Monday, December 13, 2010

ICMDA HIV INITIATIVE 2010 DIGNITY AND RIGHT TO HEALTH AWARDS - more details of the joints winners

The joint winners of the 2010 Dignity and Right to Health award are Dr Gisela Schneider from Germany and Dr Joseph, Kwong Jeung Yu from Taiwan.

Dr Gisela Schneider  has worked for many years in West Africa, East Africa and now more recently in Europe. Working in multiple settings she has been and continues to be a strong advocate and role model for many through her excellence in several fields of the HIV challenge, including clinical work, community engagement and mobilisation, and teaching. Dr Schneider is an exceptional person who has demonstrated an incarnational ministry in Gambia and Uganda and now continues to seek to bring Christian healing and compassion to people in many other countries through the work of Difaem, the German Medical Missionary Association. Gisela continues as a great role
model for all. Her work in the many fields of HIV medicine and community responses has been of the highest calibre.

Dr. Joseph, Kwong-Leung Yu has done excellent work in both his home country of Taiwan and also for many years in the nation of Malawi. He energetically worked at setting up a model of how to eliminate discrimination and stigmatization of HIV/AIDS in the public domain. He actively participated with PLWHA groups to encourage and ensure the enhancement of public awareness. Dr Yu is an exceptional person whose ministry is growing.  He now represents Kingdom values in many other countries as well as continuing to serve the people of Malawi as Director of the Rainbow clinic. He has established and strengthened a comprehensive multi-level program in an area of great need in Northern Malawi working closely with government and local church communities. A journal article on the challenges facing Malawi prisoners spoke to us of a Christian man with a great heart to better the lives of those who are marginalised and rejected by many.

It is a great honour and priviledge for the ICMDA to recognise and acknowledge the exceptionally inspiring service and witness of Drs Schneider and Yu to the glory of God the Father, Son and Holy Spirit.

We pray for God's presence to be ever with them both.

Previous Award winners

2006 - Dr Biangtung Langkham (India), 2007 - Prof Ruth Nduati (Kenya), 2008 - Dr Geoff Faster (Zimbabwe) and 2009 - Dr Stephen Watiti (Uganda).

Wednesday, December 1, 2010

Joint Winners of 2010 Dignity & Right to Health Award #WAD

After much discussion and prayerful reflection, the 2010 Dignity and Right to Health award of the ICMDA HIV Initiative is to be jointly awarded to Dr. Joseph, Kwong-Leung Yu of Taiwan who has worked for many years in Malawi and Dr. Gisela Schneider of Germany who has worked for twenty years in the Gambia and many years in Uganda.


Dr Gisela Schneider - Gisela has worked for many years in West Africa, East Africa and now more recently in Europe. She has worked in multiple settings and has been and continues as a strong advocate and role model for many with her excellence in several fields of the HIV challenge including clinical work, community engagement and mobilisation and teaching. Dr Schneider is an exceptional woman who has demonstrated an incarnational ministry in Gambia and Uganda and now continues to seek to bring Christian healing and compassion to people in many other countries through the work of Difaem, the German Medical Missionary Association. Gisela continues as a great role model for all. Her work in the many fields of HIV medicine and community responses has been of the highest calibre.

Dr. Joseph, Kwong-Leung Yu has done excellent work in both his home country of Taiwan and also for many years in the nation of Malawi. He strongly tried to set up an example of how to eliminate the discrimination and stigmatization of HIV/AIDS in the public. He actively participated with PLWHA groups to encourage and ensure the enhancement of public awareness. Dr Yu is an exceptional man who ministry is growing and he now represents Kingdom values in many other countries as well as continuing to serve the
people of Malawi. He has established and strengthened a comprehensive multi-level program in an area of great need in Northern Malawi working closely with government and local church communities. A journal article on the challenges facing Malawi prisoners spoke to me of a Christian man with a great heart to better the lives of those who are marginalised and rejected by many.

It is a great honour to have both Dr Yu and Dr Schneider join the ranks of earlier nominees and winners of the Dignity and Right to Health award of the ICMDA HIV Initiative.

Thursday, November 25, 2010

Three nominated for the 2010 Dignity and Right to Health Award

Given to individuals and organisations for excellence, outstanding leadership and compassion in responding to the HIV/AIDS epidemic, the ICMDA HIV Initiative Dignity & Right to Health Award this year has three nominees:
1. Dr Gisela Schneider – nominated by Dr Vicky Lavy. Gisela has worked for many years in West Africa, East Africa and now more recently in Europe. She has worked in multiple settings and has been and continues as a strong advocate and role model for many with her excellence in several fields including clinical work and teaching.
Gisela’s work has been focused on developing community based responses that are integrated with government, church, hospital, training institutions, etc. Has an emphasis on building capacity by getting all stakeholders (e.g. churches, hospitals, families) to work to their strengths in addressing HIV.
2. Dr. Joseph, Kwong-Leung YU – nominated by Dr. Herng-Der Chern, M.D, Ph.D. This nominee has done excellent work in both his home country of Taiwan and also for many years in the nation of Malawi. "Dr. Yu has been working in Malawi for 5 years. He strongly tried to set up an example of how to eliminate the discrimination and stigmatization of HIV/AIDS in the public. He actively participated the need group with the enhancement of public awareness."
3. Dr .Geoff Foster (Zimbabwe) nominated by Dr S. W. Hynd – Geoff, a paediatrician, has an outstanding record as a clinician, researcher, writer and advocate for the rights of orphans in Zimbabwe and beyond.
Interviewing processes are continuing. The award winner will be announced prior to World AIDS Day, December 1 2010.
The 2009 winner Dr Stephen Watiti, Of Uganda, continues his important clinical work with the Mildmay group in Kampala, and his important work in media and in advocacy for the rights of HIV infected and effected people.

Wednesday, September 22, 2010

What is Distinctive about Faith Based Healthcare & Advocacy?

The following is just a brief summary of some discussions held in London yesterday by the Faith Working Group.

It was noted that working with the UK's Department for International Development (DFID) presented some singular challenges for Faith Based Organisations (FBOs) and Faith Communities (FCs), and in particular getting them to understand the distinctives within faith based responses to health needs such as HIV.


Two members of the group highlighted how internationally, through President Obama, WHO, the Partnership Unit of UNAIDS and others, faith has become a key issue in international health and development circles, but this has had relatively limited traction in the UK.  The difficulty is not just one of evidence of a tangible difference made by FBOs, it is also one of world view and culture – most donors are driven by managerial, input/output approaches to health and development, whilst most FCs and FBOs come from a different world view, that is usually more relational, community, behaviour/lifestyle and values oriented. As a consequence most FBOs either buy into the donors world view for the sake of funding (and run the risk of losing their distinctive faith dimension in the process, becoming indistinguishable from secular development agencies) or they bypass donors and strategic bodies, operating independently, but keeping their faith based distinctives.

If we are going to engage with DFID (which seems to be where the FWG could make a singular contribution - there already being much work on engagement between faith and other bodies being done elsewhere), then we need to enter into a dialogue with them, and explore with them the specific dimensions that faith brings to the table that are distinctive, both in approach, practice and impact.

In light of the Pope’s recent visit to the UK, and his speeches that challenged the churches in the UK to be more engaged with society, and challenging society to allow space for faith and belief in the public square, alongside the positive speech from David Cameron (and other voices within the coalition, such as Baroness Warsi) it would suggest that, in the UK at least now is the time to make such an engagement.

World AIDS Conference – Vienna
Those who had been in Vienna in August reported back.  Some encouraging advocacy with Pharma – encouraging more of the big drug companies to sign up to the Patent Pool, and some good networking opportunities.  The big issue seemed to be the increasing emphasis, from USAID and the Obama administration on health systems strengthening rather than AIDS as a unique focus, and how this was feeding through into wider strategy and funding priorities from other major donors.

The Ecumenical Pre-Conference was really multi-faith, only one day, and as a result far too broad, large and brief to be of much value.  African voices were not much heard (the focus seemed to be more on intravenous drug users , commercial sex workers and men who have sex with men), and there was an overall feeling that the whole conference is now so large that it is of very limited value for the vast majority of participants.
Question marks were being raised about the value of the 2012 Washington D.C Conference, although there were plans to restore the faith based pre-conference to three days. See earlier posts reporting back from various other faith groups at the Vienna Conference for some wider perspective

Faith Based Advocacy
In a wide ranging discussion on the theme, several key points were raised.

Faith leaders have a huge impact on behaviour, and FCs on the whole put an emphasis on ‘orthopraxis’ (right behaviour) as much as they do on ‘orthodoxy’ (right beliefs).  As a consequence, being able to talke to faith leaders in their own terms and own language to help them see the value they can bring to tackling HIV by promoting behaviour change can be highly effective and reaching a whole community.  And often those communities are ones that secular groups find it hard to access – e.g. Muslim women in rural areas.
Advocacy to governments and international bodies can only come from our engagement on the ground – seeing the issues ‘at the coal face’, and so being able to present real cases and real solutions gives us a very strong voice. But advocacy that just changes policy and not behaviour of individuals or practices within a community is of very limited value.

However, many FCs, FBOs and religious leaders are anxious about advocacy because it can seem political and confrontational, and in some cases, e.g. where a certain FC is a marginalised or persecuted minority, it could rightly be perceived as dangerous.  However, there are ways of addressing these concerns and going back into tradition, scripture and the spiritual dimension to address advocacy needs.

One story was recounted of getting a group of Ethiopian church leaders together to start to self identify needs in their communities and what they could do to address them.  Without prompting they identified female genital mutilation (FGM) as not only a problem to be addressed, but one that they as male church leaders had overlooked. This led to a spontaneous act of public repentance, a lengthy prayer meeting followed be discussions on actions that could be taken to change attitudes to FGM, and subsequently they have been active in working to end the practice in their communities ever since.  They could see the need, could see from scripture that this was one they needed to address and there was a leading of the Holy Spirit to change.  This is not the sort of advocacy a secular group would have felt comfortable or able to facilitate, but it was one that a Christian organisation was able to.

AHPN shared how they were now working with Christian and Muslim leaders of the African Diaspora in the UK to address HIV and other health issues amongst the African expatriate communities of Britain, and were already seeing the huge influence of these leaders in changing behaviour and attitudes.

It was agreed that these discussions were opening up some of the areas where the British faith communities and FBOs should start a dialogue with DFID and the British Government.


Wednesday, July 28, 2010

Religious activists leave AIDS conference worried about funding but committed to continue efforts

In the last of our items feeding back on the 18th International AIDS Conference, we present the feedback from Ecumenical Advocacy Alliance, who were the official coordinators of the Faith Based Responses to HIV & AIDS represented at the conference.

While faith based organisations (FBOs) and faith community responses to the pandemic seem to have been well represented, well listened to and more integrated into the main programme at this conference than in previous years, there has been a real sense that the tide has turned in turns of international funding commitments, and that we will be ploughing on with our work, doing more with fewer resources than before.

There are also cries for more coordinated responses from faith communities at future conferences and summits on HIV & AIDS so that we can bring our voice ever more clearly to the public debate on AIDS strategy.

So - doing more with less and making ourselves heard better seem to be the main challenges coming from the EAA - from CHAA a recognition that the Western, secular discourse on AIDS is missing the realities on the ground that faith based responses deal with day-to-day, and from ICMDA a question mark over the current, highly individualistic and Western emphasis on a rights based approach to care and prevention.

As Bishop Yvette Flunder, senior pastor of the City of Refuge United Church of Christ in San Francisco said "this work is not for wimps”!

Tuesday, July 27, 2010

Report on XVIIIth International AIDS Conference #AIDS2010

The XVIIIth International AIDS conference in Vienna, Austria told a story of measured progress in responses to the challenges of the epidemic. There were encouraging news on the development of microbicides, early signs of lives saved by the PMTCT programs and better more informed science that indicated that there may be further major steps available.

The conference was titled “Rights Here, Rights Now”. Obviously there was a major emphasis on a human rights response to the epidemic. Yet there was correspondingly much less on the importance of partnerships. The role of faith based organisations was little voiced, even though in many countries they provide approximately half of the health services.

A human rights framework has been helpful in many areas in acting as an umbrella that has allowed many groups to move forward. Yet it now seems to have over extended its clam for adherence. While there was discussion of the risk of ideologically driven responses to the disease, there was little recognition of the limitations of the ideology of human rights. An ideology is a set of aims and ideas that directs one's goals, expectations, and actions.

Human rights affirms an individualistic response to treatment options. The individual is assumed to have agency. And while this may well resonate in international conference settings, it often is little understood in rural village settings, where the individual has little power to bring about needed change, and where the power of fear greatly overwhelms externally derived science and knowledge.

For those who hold to a Christian ideology that has made enormous contributions to the provision of health services throughout the world, our response to an exclusively human rights approach needs to be carefully considered. A human rights approach, in one form seems to affirm that a commercial sex worker can only best become a human rights empowered sex worker. There is a deficiency in vision, a restriction a limitation to a human rights ideologically driven approach to disease. Christianity offers so much more.

Michael Burke

ICMDA HIV Initiative

Monday, July 26, 2010

Collision of Worlds at Vienna’s World AIDS Conference

Rev Alan Bain of the Christian HIV/AIDS Alliance: writes a blog post from his time at the recent World AIDS Conference in Vienna.

Commenting on the cultural programme and the emphasis of the conference, Rev. Bain says
the schizophrenic attitude to the disease here in the West, where our loss of long dead pop stars and the almost glamorous dimension of AIDS now takes higher priority than 40 million infected people living with HIV throughout the world.
The big challenge for Christian responses to AIDS was given by UNAIDS’s Deputy Executive Director, Ms Jan Beagle who cautioned for faith groups to stay engaged.

“You are the advocates and practitioners. You have the networks on the ground and you can energise social movements... the poor still die while the rich live. Global AIDS is at tipping point. Although we have seen a 17% drop in AIDS infections worldwide we still reach only a fraction of those infected. For every one treated a further 5 are infected and still, 5,500 people die of AIDS each day.” The real barriers, she said, are not technical or medical but political and cultural. “We need political courage to break the trajectory of AIDS.” she concluded.
Read the full post at www.chaa.info

‘Back the banker’s tax’: International Aids Conference | The Robin Hood Tax

‘Back the banker’s tax’: International Aids Conference | The Robin Hood Tax

With reference to our earlier post about the Financial Transaction Tax campaign At the World AIDS Conference on 23 July 2010 the UN Special Envoy for Innovative Finance called on world leaders to ‘back the banker’s tax’ – referring to the IMF’s recommendation to create new taxes on banks – and to ‘fill the gap ‘, referring to the 70% gap in people accessing lifesaving HIV antiretroviral medicines.

Given the scale of the funding gap, and the scale by which several European nations and the USA bailed out banks during the crisis of 2008, it would seem both an effective and just measure. However, there seems to be a reluctance in several major powers to move forward on this issue, so now is a good time to engage with the Robin Hood Tax campaign where you live and change the minds of governments the world over.

Thursday, July 15, 2010

HIV Initiative at ICMDA World Congress

This July the ICMDA HIV Initiative had the privilege to present a seminar at the ICMDA World Congress in Punta del Este, Uruguay. Winners of the 2006 and 2009 ‘Dignity and Right to Health Awards’ Drs Biangtung Langkham & Stephen Waititi. Both spoke eloquently of their long experiences in tackling HIV in (respectively) India and Uganda.

The issue of harm minimisation as opposed to harm elimination was discussed at some length – in particular the issue of whether Christian organisations should be involved in distributing condoms to commercial sex workers – on the one hand this seems to condone behaviour that is not just dangerous but morally wrong, but on the other hand, as we know that they will be plying their trade whatever we say, we should at least seek to minimise their risks, and in so doing earn their trust and the right to help them find other ways of earning a living. The issue extends to clean needle exchanges for IV drug users, and working with other individuals and groups who engage in high risk behaviours.

We hope to bring further news and reports from the World AIDS Conference and other international news in the coming months

Tuesday, April 13, 2010

Boston Globe Examines How PEPFAR Budget Pressures Are Affecting AIDS Clinics In Africa - Kaiser Global Health

Boston Globe Examines How PEPFAR Budget Pressures Are Affecting AIDS Clinics In Africa - Kaiser Global Health

Depressing news that the Obama administration's downward pressure on PEPFAR funding is now impacting patient treatment programmes amongst the poorest communities.

We stated back in February last year that we would wait and see if Obama would match Bush's impact on HIV & AIDS care - the jury is still out, but the verdict is looking less favourable just over one year into his presidency.

Wednesday, February 10, 2010

Robin Hood Tax


Excellent video explaining the basic idea behind a miniscule tax on bank transactions that could have a huge global impact, including increased access to treatment and care for people living with HIV & AIDS in the developing World

See http://robinhoodtax.org.uk/ for more information - and if you are outside the UK, news will be coming out in the coming days and weeks of campaigns in Europe and the US