Sunday, 13 October 2013

How poverty fuels spread of HIV

A section of Makete Town in Njombe Region. The past decade has proved to be very tough for the residents, particularly, as Aids ravaged lives of thousands. The scars of the pandemic remain vivid to this day. PHOTO | ATHUMAN MTULYA 
By Athuman Mtulya, The Citizen

Posted  Saturday, October 12  2013 at  08:44
In Summary
This, however, is not her only trade, for as little as Sh5,000 (about $3.00), she would go for unprotected sex with any man who is not from her immediate environment.


Makete. A girl in her late teens, Irene (not her real name), works as barmaid at one of the pubs at Mabehewa Square in Makete Town.
This, however, is not her only trade, for as little as Sh5,000 (about $3.00), she would go for unprotected sex with any man who is not from her immediate environment.
“I don’t have any problem with you guys from Dar; I’m just scared of my fellow residents here. You have to be extra careful with them… but I’m not infected,” she tells this reporter.
For a number of years, Makete, a town in Njombe Region in the southern highlands, has become synonymous with Aids. With a population of just less than 100,000 people, Makete came into the limelight in the early 2000s following reports of hundreds of orphans who had lost their parents due to Aids.
It is not surprising, therefore, that a mere post on a social networking site about being in Makete, draws quite a number of warnings about HIV.
While some stories about Makete could pass for stereotypes, the town’s record on the pandemic is of great concern.
Statistics from the 2002 National Census showed that slightly over one per cent of the town’s children below the age of 17 were orphans, with both parents having died due to the scourge.
However, in just two years, the number of orphans in the district rose to a shocking 35 per cent. Figures released by the district’s social welfare office revealed that out of 41,413 children in the district, 13,867 were orphans.
A disaster had descended on Makete. The elderly were left to take care of the orphans. In some cases children were forced to drop out of school to become bread-winners -- the documentation which put Makete on the spotlight in national HIV campaigns.
Some of these troubles were captured in the 2005 Parapanda Theatre Lab’s heat song ‘Tufungulieni’ (open the door for us), pleading with the society to wipe away the tears and give the children of Makete a new start full of hope and development.
Irene was not spared by the pandemic. Both her parents died between 1999 and 2001, leaving her orphaned at a tender age of seven. She and her older brother remained in the care of their grandmother who died last year.
Many years later, those who were in their teens at the height of the crisis, are now adults, in their early 20s. A big bunch of the then orphaned and Most Vulnerable Children (MVC) are now in the sexually-active age bracket.


This reporter spent over a week mingling with them to observe their lifestyles.
The general picture of the pandemic in the district is much better today compared to any other time; the prevalence rate has dropped from 16 per cent in 2008 to nine per cent this year. The rate is, however, still above the national average of five per cent.
At Mabehewa where Irene works, there are more than 20 pubs surrounding a ground of less than 100 square metres. Here, one finds that not only alcohol is for sale, but sex too. Young girls here have been forced into prostitution.
“I don’t know about others but poverty drove me to do this. I am paid only Sh30,000 a month and I have to support myself and others back home. If I can add another Sh5,000 for sleeping with a man, why not?” she said curtly.
Unlike say, in Dar es Salaam or other urban centre, where prostitutes identify themselves and even have common areas from where to operate, in Makete a majority of the pub workers double as sex workers and their employers earn up to Sh10,000 from willing customers wishing to pay for the women’s off duty.
Edwin Moshi, 28, is a journalist with a local radio station in Makete, Kitulo FM. For the last three years he has been hosting a weekly show on the pandemic, particularly targeting the youth. According to him, the majority, if not all, of the youth are well informed about the pandemic.
“But the majority do not seem to care. Some will tell you they have heard enough of it and they are now living their lives,” he says.
Moshi admits there is a notorious trend in Makete where girls go easy on newly arriving visitors.
“It so happened to me, but I was earlier warned. I saw it happen to others who came after me. The girls expect to get money from you and since you are new they know that you are not aware of their conduct and so you become an easy target,” he says.
Women here don’t have much control over their bodies, it all depends on what the man wishes -- whether to have a protected or unprotected sex -- according to Moshi.
Friday and Saturday nights are the most lively as the youth in the town become so wild.
A till dawn disco is held at Mangwangwa Hall at the main market, where the youth dance to latest local and international tracks. They also seep beer and abuse drugs, mostly marijuana.


Abel, 26, who describes himself as both a man and an animal frequents Mangwanga disco nights. He always takes with him a box of condoms during such occasions.
“You never know what will go down after the music and alcohol; to tell the truth I have courted different girls after the dance. Condoms are a must for me if I have to engage in sex,” he says.
Haruna Mwamalwa, 24, echoes his words,but to him condoms are not a preference.
“I am not saying ‘the rubber’ is not important, but sometimes you get so heavily intoxicated that you can’t remember to use it. At times girls themselves discourage us from using them,” he says.
Out of the young men that the The Citizen on Saturday spoke with, only Abel had gone for HIV testing.
“I did it two years ago; it was a hard decision. I had had an unprotected sex with a woman; thankfully I was found negative,” he said, adding that he has since been cautious.
Peter Tweve, 40, volunteered as a counsellor for six years from 2005 to 2011 for a locally-based NGO, Support Makete for Self Support (Sumasesu). He says working with the youth was the most arduous part of their campaign in the district.
“Some of them had started hearing about HIV/Aids from a very young age. They now took it for granted. Sometimes they would ignore you and show it on their face. However, in spite of all that I had to soldier on and kept telling myself that what I was doing was worth it,” he says.
According to him blaming alcohol and poverty for unprotected sex or having multiple partners is a cheap excuse, and calls on the youth to stop lying to themselves.
“Take a look at the three most widely championed interventions: abstaining, being faithful to one partner and using condoms. They all tackle our behaviour; it’s upon oneself to decide what is best for his/her life; if you will be careful with your footsteps the chances of catching HIV are almost nil.”

SOURCE: THE CITIZEN