Francisco M. Guerra Jr by juanagui


									Francisco M. Guerra Jr.
 U.S. Peace Corps Volunteer
  HIV/AIDS Project, Zambia
    May 2005 – July 2007
               Part of My Story
• My experience and work as a PCV: coming soon
• Challenges I faced: language, limited resources,
  frustration with education and government related
  issues, lack of inputs, lack of time, lack of
• What I wished I knew before venturing to Zambia:
  info about HIV/AIDS (initiatives, programs, country
  specific statistics, etc.), info about “development”
  theory and projects, history of international
  involvement in all areas of life.
• Impact on my life, perspective, and future plans.
• What are international careers in health like?
  – Varied:
     • Time: Fully committed to a few days visit.
     • Focus: Medical practice, education in all sectors,
       diversity of NGO targets.
• How do people get their foot in the door?
  – Networking, GO/NGO projects, school linked
    activities, and self initiative.
• What is an average day like?
  – Where, what, for whom is… average…?
    AND CHILDREN, 2006

  Data from UNAIDS/WHO AIDS Epidemic Update: December 2006
• “Sub-Saharan Africa bears brunt of global
  epidemic. Two thirds (63%) of all adults and
  children with HIV globally live in sub-Saharan
• “In sub-Saharan Africa, for every ten adult
  men living with HIV, there are about 14 adult
  women who are infected with the virus.
  Across all age groups, 59% of people living
  with HIV in sub-Saharan Africa in 2006 were
• “Across sub-Saharan Africa, women are more
  likely than men to be infected with HIV, and
  they are more likely to be the ones caring for
  people infected with HIV.”
• “A little less than one quarter (23%) of the
  estimated 4.6 million [4–5.4 million] people in
  need of antiretroviral therapy (in sub-Saharan
  Africa) are receiving it.”
• “At current levels of HIV prevalence, young
  persons in Zambia face a 50% life-time risk of
  dying of AIDS, in the absence of treatment.”
                       Zambia Stats
• “In rural areas, HIV prevalence increased
  marginally from 11% to 12% in 1994–2004.”
• “Older pregnant women (30–39 years) in
  urban areas, HIV prevalence rose considerably
  (from 24% to 30%) in 1994–2004.”
• “Young pregnant women in some urban sites,
  HIV prevalence has remained high (at 28%–
  30% during 1994–2004), while in some rural
  sites, infection levels almost doubled in the
  same period (e.g. 7% to 14% in Kalabao).”
Data from UNAIDS/WHO AIDS Epidemic Update: December 2006 & Ministry of
Health Zambia, 2005

Fear Based Messages…
         HIV/AIDS and Morality
• “The tendency to link HIV and morality might
  be related to the fact that affliction is often
  perceived as an outward manifestation of a
  moral transgression. “
• “In some Asian cultures, these perceptions
  might be couched in terms of karma.”
• “In a number of African societies, specific
  illnesses or sets of symptoms are associated
  with having broken one or more social
         …Morality continued.
• “Elsewhere, including the Judeo-Christian
  traditions of North America and Europe, it is
  not uncommon for people to believe that
  illness is a punishment for one’s sins.”
• “Whatever its roots, the tendency to associate
  illness with moral impropriety is a central
  contributing factor to HIV and AIDS-related
  stigma. “
          Thoughts to think about:

Did you feel slightly embarrassed when I asked
whether you had been tested for a cold or the

Did you feel embarrassed when I asked about
         having been tested for HIV?

         If you felt differently, Why?
          HIV/AIDS Related Stigma
• “This stigma is exacerbated by the seriousness
  of the illness, its mysterious nature, and its
  association with behaviors that are either
  illegal or socially sensitive (e.g., sex,
  prostitution, and drug use). Also relevant is
  the perception that HIV infection is the
  product of personal choice: that one chooses
  to engage in “bad” behaviors that put one at
  risk and so it is “one’s own fault” if HIV
  infection ensues.”
  Data/text from “Common at It’s Core: HIV Related Stigma Across Contexts”
  by International Center for Research on Women.
                  Behavior Change
• “Unlike some infectious diseases, transmission
  of HIV is mediated directly by human
  behavior, so changing behaviors that enable
  HIV transmission is the ultimate goal or
  outcome required for HIV prevention. “
• “Sexual behavior, which remains the primary
  target of HIV prevention efforts worldwide, is
  widely diverse and deeply embedded in
  individual desires, social and cultural
  relationships, and environmental and
  economic processes. “
From the UNAIDS website: (under Behavior Change)
 Work as a Peace Corps Volunteer

1. Helping the people of interested countries in
   meeting their need for trained men and
2. Helping promote a better understanding of
   Americans on the part of the peoples served.
3. Helping promote a better understanding of
   other peoples on the part of Americans.
       Work as a PCV – HIV/AIDS
          Extension Worker
• The overall project         • Examples:
  purpose is to enhance         – HIV/AIDS workshops
  community-based                 with NHCs, Women’s
  development,                    groups, Farmers’ groups,
                                  PLWHA Support Group
  coordination, and
  implementation of             – Life Skills Lessons and
                                  HIV/AIDS sensitization at
  HIV/AIDS prevention,            8 government schools
  care, and                       with students and
  socioeconomic support           teachers
  in rural areas of Zambia.
World AIDS Day 2006
World AIDS Day 2006
Mukungule RHC
Putting all of this into context…

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