Malawi: Hardest Hit by HIV April 12, 2011Posted by acroanmph in Global Health.
Tags: AIDS, Antiretroviral drug, Health, HIV, Madonna, Malawi, Sub-Saharan Africa
In the sub-Saharan inland country of Malawi, one million of its population of 14 million are infected with HIV/AIDS, the primary cause of life expectancy being only 43 years.
Additionally, over two million orphaned children lost both parents to AIDS and have become a burden to the country for basic needs and education. Orphanages feed whoever shows up, often 2,500 children each day at each site.
Being the fourth poorest country in the world, this agricultural subsistence population suffers from the deadly loop of poverty-disease-poverty. The constant struggle is for Malawians to stay healthy enough to go to school or work the fields, but most people are too sick to work or must care for sick family members.
Between 1985 and 1993, HIV prevalence increased in women over the age of 15 from 2% to 30%. President Banda ruled for 30 years and refused to acknowledge the disease or help prevent it through education. In 1994, President Muluzi took office and put HIV at the top of his agenda including a more liberal climate making discussions about disease prevention more likely without the fear of persecution. By 2002, 70% of hospital deaths were due to HIV/AIDS or related opportunistic infection.
The prevalence rate hovers at 11%(rural) -17% (urban), whereas the global average is 1%. However, a world-wide response to Malawi’s condition has resulted in financial assistance, increasing the availability of testing, counseling, and antiretroviral drugs with an emphasis on reducing mother-to-child transmission.
Madonna founded RaisingMalawi.org in 2006 to aid the vast number of orphans with obtaining food and nutrients to avert severe malnutrition, skills training and education, and medication. Here is how one orphanage is coping:
One Love, a campaign established through the Pakachere Institute of Health and Development Communication, addresses in 10 African nations the harmful aspects of multiple sexual partners. The National Strategic Framework (NSF) has implemented several prevention and care programs, a National AIDS Policy was established, and today it is illegal to knowingly transmit the virus.
An increase in prevention education, funding, training, (healthy) human resources, transportation to and from medical facilities are still required in Malawi to decrease disease prevalence.