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My time in South Africa on the Clinton Health Access Inititaive HIV counseling and testing campaign.



Monday, April 11, 2011

Victoria Falls

Becky, Nora and I had an amazing long weekend in Victoria Falls.  We flew into Livingstone, Zambia and took 3 cabs to get across the border to Victoria Falls, Zimbabwe.  Between the defunct currency and the general ridiculousness of the Mugabe regime, Zimbabwe is a fascinating country.  The people were incredible friendly and intelligent, we felt a million times safer than we do in South Africa, and we made tons of new friends.  It is really one of my favorite countries in the world so far. 
The actual falls are incredibly beautiful and impressive.  It is the largest waterfall in the world and is enclosed in a national park.  There are lots of activities like bungee jumping, zip lining, white water rafting (except in April b/c it's too dangerous), sunset cruises, game drives, gambling, and a great craft fair with beautiful stone work and wood carvings.  Becky and Nora bungee jumped but I was content to watch them.

Ponchos are for suckers
We stayed at the Shoestrings backpackers which was simple but perfect.  Clean, safe, in walking distance to everything and the center of local nightlife for Zimbabwaens in their mid 20s.  Also very cheap, both for the rooms and the drinks.  We made lots of good friends including Bornwell, Jacob, John, Sunshine, Cowboy and Chocolaka.

After Nora and Rebeca left Sunday morning, I wandered over to the Victoria Falls Hotel which was the first hotel in all of Zimbabwe.  It was built by the British shortly after the discovery of the falls.  It has a beautiful view and is a nice place to have tea, lay by the pool or walk around.  Later I watched the sunset at the Victorial Falls Safari Lodge where I made some friends.  We headed over to the casino together to play some blackjack.  Finally, we went on a late night game drive and called it a night. 

I obviously asked alot of questions about the government.  I think these are the highlights.

1.  Robert Mugabe and Morgan Tsvangiria are both Shona but the people I talked to think Tsvangiria is more for equality for all Zimbabwaens including Ndebele and Tonga.  Most people in the Victoria Falls area are Ndebele so they suffered greatly a couple years ago after the elections when Mugabe cut off the food supply to areas that did not support.him.  My friend Bornwell is a river guide and he would cross the river in the middle of the night to Zambia to try to find food for people.

2. No one seemed to know if the press is free so I read the paper for myself and it's not.  It calls the opposition party comical and ridiculous and had multiples stories about how bad they are.  There was also a story about prisoners dying of malnutrion because they haven't had meat in four years so I guess it does not try to sugar coat everything.

3.  White Zimbabweans were driven out of Zimbabwe in the 90s - they were only about 3% then but are less than 1% now.  Their land was taken away and given to Mugabe supporters regardless of whether or not they had any farming experience.  So now the farm land lays barren and Zimbabwe has to import the stables like pap that they once exported.  A couple years ago, Mugabe told white farmers they could come back now but they think it's too late, the land is ruined.  I met one white Zimbabwean who moved to the UK but is trying to find a job now so he can move back.  He said he agreed that land reform was necessary after independence in 1980 because 1% of the population owned 70% of the land but it was done in a way that was detrimental to white and black.

4.  Zimbabweans my age got a really strong public education and until about 10 years ago, Zimbabwe was considered the center of higher education in southern Africa.  They are smart, worldly, and I found many to be very ambitious and goal oriented.  But, they all told me that the kids in schools now are getting an inferior education if they go to school at all and they are worried about the future of their country. 

5.  There are not alot of clothes there.  Everyone asked me if I had any extra t-shirts I could give them and I wished I had brought more stuff with me. 
View from the bar at the Victoria Falls Safari Lodge


Victoria Falls Hotel
 

Wednesday, April 6, 2011

Going Back to America Soon

I head back to America in 11 days.  On tap for the end of my time in South Africa:

1.  Breakfast tomorrow with SABCOHA which is a coalition of businesses that are working to get more companies to offer HIV counseling and testing at the workplace.  

2.  A long weekend at Victoria Falls!  We are flying into Livinstone, Zambia and staying at a hostel in Victoria Falls, Zimbabwe.  There is actually a bridge that goes across the falls and spans the countries' border.  It is one of the wonders of the world and April is when the falls are in full force.

3.  My mom gets here!  She will arrive while I'm away but I will see her on Monday evening.

4.  My final meeting of the HIV Schools task team which has been interesting but has also been frustrating.  Due to some extenuating factors, we haven't made that much progress in my time here.

5.  Pearcey's birthday! 

6.  A day at the races!  I can't leave South Africa without checking out the ponies. 

And finally,

7.  An 18 hour flight plus a 9 hour layover in London.   It's the weekend before the royal wedding so I'm thinking we (me and my mom) should do a ridiculous tour of all things wedding.

Looking forward to seeing friends and family and all the other othings I've missed about America.  I sure hope Tracy Jordan's return coinsides with mine. 

Will post pictures over the weekend.

Tuesday, March 29, 2011

Couldn't Agree More

“We welcome the fact that history is on the move in the Middle East and North Africa, and that young people are leading the way.  Because wherever people long to be free, they will find a friend in the United States. Ultimately, it is that faith – those ideals – that are the true measure of American leadership.” - President Barack Obama


Tuesday, March 22, 2011

My scary adventure to the Northern Cape

So on Wednesday I drove to the Northern Cape for two days of visiting health care facilites that are intitiating patients on ARVs (AIDS drugs).  The logistics were a bit of a disaster.

First, I couldn't pick up my car because the rental company wouldn't accept my debit card and Bank of America still insists on shutting off my credit card every week or so because their fraud protection is maybe just a bit too vigilant.  So I had to book at another rental agency through a travel agent and got a lovely Honda Jazz hatchback with air-conditioning, automatic transmission and power steering - win for me.

The drive to Vryburg was uneventful.  I stayed at a cool B&B that was a renovated police station  It didn't have hot water but that was the least of my problems.   The next morning I set off for Loopeng.  The map looked like I could get to the site from where I was and I probably could have if it wasn't raining but the dirt roads were too muddy in the rain.  After 100 meters or so I turned back and accepted the fact that I had to drive 2 hours out of way to get there.

So 1.5 hours later I am a little stressed about being late (even though everyone in SA is late, I still insist on my own punctuality) and as I am driving along and suddenly see rocks the size of basketballs across the road every 10 feet or so.  So I drove slowly on the grass like the cars in front me were doing until the source of the rocks came into view.  About 30 kids were up ahead waving me back, yelling and holding up signs.  I drove a litle closer to figure out what was going on and all the kids surrounded my car.  5 or 6 of them had big rocks in their hands and they were gesturing towards my windshield, obviously conveying their threat to throw them.  I rolled down my window to ask the kids what was going on and they explained that they were picketing their school because their teachers were abusing them.  I begged the kids at the window to tell their rock weilding friends that I was on their side, I would turn around and drive back the other way.  I also mentioned 5 or 6 times that I am American and love protests which is ridiculous but I was grasping.  Despite my temptation, I thought explaining that I walked on the New England Patriot's picket line when I was 6 or didn't eat grapes until I was 18 would have been lost on them.  The kids cheered as I put my car in reverse and went back down the road.  I waved and honked my horn as I drove to make sure the other kids lining the road considered their rocks better used elsewhere.  About 1/2 a mile down the road, I watched as police poured out of 5 cars with automoatic weapons and stood around to figure out their next move.  I found out later that a teacher called the police because she thought a student stole 10 rand ($1.25) from her.  The police assaulted all the boys in the classroom and two are in the hospital.  I also found out later that the police fired rubber bullets and used tear gas but I don't know the details.  Needless to say, it was too scary to take pictures.

Of course there was not another paved road to the clinic.  The GPS didn't work and the local people tried to help me get there on dirt roads which was a disaster.  I drove into several working mines, stopped at a really remote B&B where no one spoke English (but they thought I was a doctor!) and finally gave up and drove back to Kuruman.  Obviously when I got back I realized I had a flat tire and had been driving on the rim for about 20 miles.  Fortunately, I realized this right across the street from a tire place and they fixed my tire quickly.  Bank of America decided to pick that day to shut off my debit card which has worked for the entire 2 months I've been here.  None of cards worked at the ATM or at the tire place but luckily I had a photocopy of our corporate card and the nice lady allowed me to use it.   

The next day I actually visited facilities, another post for another time.  Here is the map of where I was.  The Navajo Nation is the only thing I can compare it to in terms of how rural it is is and how difficult it is to navigate without addresses, etc.


View Larger Map

Tuesday, March 15, 2011

A bulgarian woman waxed off half my eyebrow

I guess I should have waited until I got back to America.  If you look closely, you can even see the tan line where my eyebrow used to be!

Tuesday, March 8, 2011

Update on work

The testing campaign in secondary schools has been hit a few bumps along the way but is still moving forward, slow and steady.  Some provinces have already started and KZN reports they testing over 1,400 students in the first couple weeks.  What's really exciting is that only 12 were positive.  That's only .85% in a province with a very high prevalence rate (around 25%).  That information reafirms why I think this campaign is so important to prevention as opposed to just focusing on treatment - hopefully the students who tested negative got the information and counseling they need to stay negative.  Of course, the 12 that tested positive will also get the care they need and knowing their status will help them ensure they don't pass the virus to their partners and future children.  There was an interesting article in the Washington Post yesterday (link here) that suggested DC is backsliding in its efforts to fight AIDS - very unfortunate.  In it, Mayor Gray voiced his support for increasing the schools counseling program.  Maybe after becoming an expert at HIV counseling and testing in schools here, I can help! 

The rate of infection in DC is about 3%, which is much higher than the estimated 0.4% in the US but much lower than South Africa which is estimated at 25%.   

We met with the Minister of Health last week and he reaffirmed his support for testing in schools but also stressed that this campaign will only be successful if it is integrated into strengthening school health programs in general.  That means testing for HIV is part of a package of services which includes testing for vision, hearing, diabetes, anemia, etc.  Makes sense.

The conclusion of Post's visit





We spent the last night hours of Post's time in South Africa at a log cabin at a game reserve.  The Rhino and Lion reserve was much different than Kruger, it's not true wilderness.  But it was beautiful and the game drive was really interesting.  As you can see, we played with the white lion cubs.  White lions are actually 25% of all lion births but they are rarely found in the wild because their mothers kill them in the first few days of their lives.  They are killed because they will never make good hunters because of their lack of camoflauge and they will endanger the rest of the lions.  Some game reserves take them away before they are killed and send them to live in captivity at places like this one.




















We also saw lots of lions which we didnt see at Kruger.  They see the vehicle we are in as one large object that doesnt present a danger to them.  So as long as you stay relatively quiet and don't make sudden movements, you are safe.  At least that's what our guide told us.