Alternative education for HIV-positive children in Ethiopia

It’s early morning in Shashamane, 250 kilometers (155 miles) south of Addis Ababa, and children are joyfully running through the gate of the Yawenta Center. Before classes start, they play in the green compound, greeting their teachers as they make their way into the main building. But this place is far from a regular Ethiopian school. Here, free alternative education and medical support is provided to over 100 vulnerable children. About half of them are HIV-positive.

“The project was initiated right when the government started to make the anti-retroviral treatment available to children,” says Berenice Morizeau. The French woman took over the center six years ago and runs it with over 20 local staff, with whom she converses in fluent Amharic.

“The idea was, yes they are getting the free medication, but if they don’t get proper food and hygiene support, it’s not going to work. They would still be exposed to a lot of opportunistic infections. Then, because they are children, you also have to add education.”

Practical skills

The center is recognized as an official school, and is largely inspired by the Montessori system. In addition to the core curriculum, children choose activities ranging from music to sports or sewing. Over the last few weeks, a well-known local artist has been coming to the center regularly to give singing and guitar lessons.

Ras Kawintesseb is a member of the city’s famous Rastafarian community. As the school day starts, children sing to his acoustic guitar with a contagious enthusiasm. In the meantime, older pupils are busy building boxes out of wood, which they proudly show off as they near completion.

According to Berenice, these practical skills will bear a multitude of advantages for their future. “They’re not all going to reach university, we know it already. It’s extremely difficult for these children with the background they have to even reach high school, which is our basic aim. So giving them basic practical skills will work for them in different ways, whether they drop out of school and have to find a job, or whether they become doctors or engineers. They will have better opportunities to get integrated into society through this general knowledge.”

Berenice Morizeau

Aids in Ethiopia

It is difficult to gauge the current prevalence of HIV in Ethiopia, especially since testing campaigns have had issues with data collection. But according to the Joint United Nations Programme on HIV and AIDS (UNAIDS), 690 000 people were living with the virus in 2018, about one percent of the adult population. Shashamane has a particularly high proportion.

“It has been taboo for years. In Shashamane, there is definitely a bigger ratio of people living with HIV, the simple reason being that it is the major crossroad for the southern region. There are a lot of truck drivers, a lot of prostitution, and some military camps. These are known as groups at risk for HIV,” Berenice explains.

Keeping the children healthy is the main priority at Yawenta Center. Lessons about good hygiene practices as well as bathing sessions for younger children are provided on a regular basis. Two meals and two snacks are served every day. After breakfast, Misa Bekele, the head of the health department, makes sure the children take their anti-retroviral treatment. Colourful cups await, lined up on the table, while Misa takes note of the absentees. In a quiet routine, the children swallow their pills before running back outside. Ideally, they have to take them twice a day. But at home, it can be hard for them to stick to the routine.

“Some children have no mother, or their father is working, so they forget. As a result, the CD4 cell count decreases and they get sick,” says Misa. CD4 cells, which play an important role in the immune system, are attacked by the HIV virus, which can ultimately lead to AIDS. “But even if they don’t get the medicine at home in the evening, at least we are sure that they always take it the morning.”

• 
  

  Many different approaches to tackling HIV/AIDS in Africa

  Deadly denialism

  Former South African president Thabo Mbeki (1999 – 2008) went down in history as the foremost African denier of AIDS. Against all scientific evidence he maintained that HIV did not cause AIDS. He instructed his health officials to combat the disease with herbal remedies. Experts believe his denialism cost up to 300,000 lives. Some have called for Mbeki to be tried for crimes against humanity.

• Many different approaches to tackling HIV/AIDS in Africa

  A president as traditional healer

  In 2007 former Gambian president Yahya Jammeh (1996 – 2017) forced AIDS patients to undergo a cure that he had personally developed. It turned out to be a concoction based on herbs; an unknown number of people died. Jammeh, who claimed that he had mystic powers, is the first African head of state to be tried for violating the rights of HIV-positive people.

• Many different approaches to tackling HIV/AIDS in Africa

  ‘Take a shower’

  Another former South African head of state to make headlines for an unconventional take on AIDS was Jacob Zuma (2009 – 2018). After being charged with raping an HIV-positive woman in 2006, Zuma said he was not at risk of infection, despite not using a condom, because he had “taken a shower afterwards.” In 2010 he disclosed the negative results of his AIDS test, to fight the stigma, he said.

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  Many different approaches to tackling HIV/AIDS in Africa

  No condoms?

  Uganda’s President Yoweri Museveni took his time before joining the fight against the epidemic. As late as 2004, during an international AIDS conference in Thailand, he downplayed the effectiveness of condoms, alleging, among other things, that they ran counter to some African sexual practices. “We don’t think we can become universally condomised,” he said. His remarks were met with laughter.

• 
  

  Many different approaches to tackling HIV/AIDS in Africa

  A tax to fund treatment

  Some action taken by African heads of state to fight the scourge did not go down well at home. A tax introduced in 1999 by Zimbabwe’s President Robert Mugabe (1987-2017) to help orphans and sufferers met with resistance. It is still in place today. In 2004 Mugabe admitted that his own family had been affected by AIDS. He said the disease was “one of the greatest challenges facing our nation.”

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  Many different approaches to tackling HIV/AIDS in Africa

  A shining example

  Fear of economic repercussions affecting, for example, tourism, is one reason why African leaders have been reluctant to acknowledge the threat. But President Kenneth Kaunda of Zambia (1964-1991) announced as early as 1987 that one of his sons had died of AIDS. In 2002 he was the first African leader to take an AIDS test. He still fights against AIDS today.

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  Many different approaches to tackling HIV/AIDS in Africa

  Bid to make tests compulsory

  The fight against AIDS by Kaunda’s successor Edgar Lungu met with some hitches when he tried to make AIDS-testing compulsory in Zambia. Lungu said in 2016 that the policy was non-negotiable. But a huge outcry in Zambia and abroad forced him to backpedal especially as the World Health Organization made clear that compulsion encourages the stigmatization of HIV-positive people.

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  Many different approaches to tackling HIV/AIDS in Africa

  Championing an HIV-free Africa

  After leaving office, Festus Mogae, former president of Botswana (1998-2008), launched Champions for an AIDS-Free Generation, which brings together a number of former African presidents and other influential personalities eager to help fight the scourge. They hope that their experience and influence will enable them to exert pressure on governments and partners to invest in AIDS prevention.

  Author: Cristina Krippahl

Psychological support

In very disadvantaged families, neglecting behaviors are common, which puts HIV-positive children at particular risk of health issues or stigmatization. Most Yawenta pupils come from very abusive backgrounds, with some having gone through traumatic experiences. Some of them are orphans.

The center provides psychological support in various forms. Disclosure sessions, in which younger children learn about their illness and how to cope with it, are especially crucial. “It’s very difficult to let someone know that they are HIV positive. We have to gradually explain them that there is a virus inside their body and that they have to take the medicine in order not to be exposed to other diseases,” Misa says.

Group sessions are also a way for the children to deal with emotions or address important topics such as money or death. Today, 14-year-old Eyob shares a memory of bad anger-management with his peers. He enjoys these talks, where he doesn’t feel judged.

“We were consulting each other about what to do in difficult times, when we feel stressed or unhappy. Here we are not afraid to share because even if we did something bad, although it’s a secret, we will not get punished and so the others can understand what happened,” he says.

A model for Ethiopia and beyond?

Despite the financial challenges, Berenice sees the Yawenta Center as a potential model for the country. In Ethiopia, projects aimed at HIV-positive children are still rare and mostly very one-dimensional. This needs to change  says the French woman who lost her heart to the East African country. “They come here every day and receive that attention from us, which they wouldn’t get at home. We take them from a very young age and set goals for them – we want them to learn and we want them to succeed. This in itself is a great change in their lives, because a lot of parents are in such a difficult situation that they’re just trying to keep their heads above water.” In the long run, she wishes to open similar centers in other cities and see the approach expand to the entire country and beyond.

Article source: https://www.dw.com/en/alternative-education-for-hiv-positive-children-in-ethiopia/a-50238877?maca=en-rss-en-all-1573-rdf