South Africa's New Weapon against HIV

Each day, one million South Africans get a text message that reads something like this:
Frequently sick, tired, losing weight and scared that you might be HIV positive? Please call AIDS Helpline 0800012322.
It's part of Project Masiluleke — which means “hope” and “warm counsel” in Zulu — a plan to use mobile phones to encourage South Africans to test for HIV. It is believed to be the largest mobile communication campaign for health promotion ever attempted.
South Africa has an estimated six million people infected with HIV, according to the United Nations. And almost 90 percent of South Africans have mobile phones with plans that include free “please call me” text messages.
Encouraging people to get tested is a challenge in a country where stigma and shame accompanies a positive diagnosis. Project Masiluleke will offer South Africans discretion and privacy to get tested, treatment options and counseling.
Initial results have been encouraging. During three weeks of usability testing in October, Project Masiluleke helped increase daily call volume to the National AIDS Helpline in Johannesburg by nearly 200 percent, according to National Geographic.
As CNET reports, "This isn't the first time cell phones have been employed in the battle against AIDS. In August, a catchy 'condom, condom' ringtone made its debut as part of a three-year ad campaign aimed at making condom use more socially acceptable in India."
Project Masiluleke is another good demonstration of how mobile phones can be used for the public good. Let's hope it encourages South Africans to take control of their health and pursue the care they need.


Comments
Aids and the misusage of medication
This is a huge step and it is great to hear about outreach programs such as this one which uses the knowledge of technological formats, something which is a primary source of information-ramification in the current world sphere. Creative and revitalising to hear.
I read today though, an article published on the BBC webpage about anti-retroviral drugs being distributed and "abused" by many in certain South African communities, they are misused in the sense that their main purpose is abandoned and are smoked as drugs. Some which are prescribed and given the drug are selling it as oppose to taking it. The HIV/Aids issue in South Africa is an extremely frustrating, devastating and foremost sad topic. It is much like fighting any other natural discourse, striking with such a powerful force and uncontrollably quick at spreading.
Distribution of drugs (such as anti-retroviral drugs, set to improve Hiv patients immune system) have been a well discussed issue, the problem of the drugs in question being too expensive for lower class families to purchase and in many cases, for some African governments to purchase and distribute, of course this is also a matter of prioritising as well. Now that networks have been set up in South Africa, in order to make it possible for an increasing number of the population to retrieve anti-retroviral drugs, it is agitating to read that medicine is being misused, medicine that could make a huge difference to many patients with Hiv, it is striking and worrying in my opinion. Not only that the children and adults using these anti-retroviral medications as drugs, smoking them, making cocktails etc, can obtain serious physical consequences side-effects by doing so, but the fact that this shows a sign of lack of seriousness towards the usage and need for these anti-retroviral drugs.
Of course aspects like this have been prevalent in Europe and the USA too, the usage of medication as drugs is a big issue, but it is not medicine which is life threatening for someone when, like in South Africa, distributing it one person, means that one person less gets it. A bit rather like a zero sum game. Anti-retroviral drugs in South Africa are scarce.
The issue of how to perceive Hiv/AIDS and the fact that it has long been judged as a taboo and shameful existence has been an important aspect in tackling the spread of Hiv(AIDS. The respect and seriousness that needs to be evoked on the topic, a battle in many countries of the world still, this of course does not help when health ministers suggests that beetroots is the most essential for fighting this "disease". Patients risk a lot by nit taking their prescribed medication. The aspect of poverty is a striking problem in the fight against Hiv, an issue which of course is the primary reason for the misuse of anti-retroviral drugs as such. The hallucinating effects which these drugs have on people who smoke them, was quoted in the article: “ "When I asked them why they like doing it, they said it helps them relax and forget about their problems," said Ms Nhlapo”(documentary maker at the South African Broadcasting Corporation). It is a striking comment and of course not surprising affect of smoking drugs, but the paradox of drugs served to solve problems for some, is here used to forget problems of others. South Africa is a land of great prosperity but also of great poverty, the selling of prescribed drugs (instead of taking them) might say something about the problematic attitude towards Hiv/Aids or is it just a matter of desperations that comes with poverty, in a family where, with a choice between medication for one or food for five, one will choose the latter?!
Youth and HIV and AIDS
I have realized that as part of the youth our generation is not an HIV free generation but instead it is in fact an AIDS generation. This is because we have never known a world without HIV. Many millions have died of AIDS amongst the youth but this seems to be ignored by adults and the youth ourselves. Hence, stopping the spread of this disease demands ideas that will be geared towards the youth. furthermore this is ideal because this group is very vulnerable to HIV and STI's. In Zimbabwe, societal values have had a negative impact on the youth learning freely about HIV/AIDS and most importantly reproductive health because such topics are viewed as taboo and adults have difficulty discussing such issues. Furthermore, we are more susceptible to peer pressure especially in ways that increase our exposure to the risk. There is no need to continuously drive home the point that young people should abstain from sexual activities owing to the fact that it so clear that they are failing profusely at abstaining. Therefore, it's important to encourage the use of condoms. I had a few strategies in mind on limiting the spread of this disease amongst the youth :
1) Educating and communicating to the youth that they need to be aware of the risks of AIDS and how to avoid being caught up in such a web. This should include enabling the youth to embody risk avoidance skills that include delay in becoming sexually active.
2) There is a need to address cultural and societal norms because these actually increase the risk amongst young people and looking at the situation on Zimbabwe, young women are more at risk than young men. Once this has been done it would be necessary to reduce individual risk taking.
3) Influential people in society should speak out about AIDS amongst the youth and they should give it lots of support, funding and action.
4) Promote the use of condoms as a means of preventing young pregnancies and also as a means of protecting against HIV and AIDS. These condoms should be widely accessible to the youth but i realize that they are actually sold here in Zimbabwe. This is bad because they have to be given freely or put in places youth can get them.
I could have said more but i am running out of time. I just think that to curb the spread of this disease we need to involve the youth more and may their voices be heard more in our society. Please let's not ignore them because a future that is rid of this epidemic lies solely in their hands.
Congrats to South Africa for
Congrats to South Africa for doing something about this world-wide epidemic. If methods of promotion to get screened ever stop, then we are all in trouble.


we should endeavour in our fight !
the learned have said...were there is a will there is a way.....we need to be strong.
South Africa
I got to spend six months in South Africa last year. Although this text message awareness program is a great idea it seemed to me that the public in general was already well educated on the prevalence and effects of AIDs. In malls there were kiosk tents where anyone could walk up after shopping for shoes and get tested for HIV. Everyone I spoke to was extremely cautious in practising safe sex. But all this caution and awareness did little when it came to dealing with the rape and violence epidemic. Johannesburg is considered the rape capital of the world. Some studies show that as many as one in three South African women have been raped. It is one thing to know you are at risk when practising consensual sex and to prepare accordingly, it is another to be ambushed and given the disease without any chance of protection. So yes this program does help people "take control of their health" and that is great, but their are deeper societal ills that need to be addressed at the same time. South Africa still has a life expectancy below 50.
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