Today we had the AIDS talk.
Rumour has it that President Kikwete is coming to Tabora in the first week of December to promote international AIDS day on 1 December. Kikwete has been pretty good about encouraging AIDS awareness and even started the “know your status” campaign by publicly going to a clinic and being tested (his status wasn’t publicly revealed, but the point was that he got himself tested). A larger and (for the cynics) harder-to-believe rumour is that he will come to HAPO and open the new computer room that has been built with the funds raised by Holly, a former volunteer. Anyway, we decided that in the lead-up in to this alleged visit (I am amongst the cynics, in case that wasn’t clear), we’ll try to get in some lessons on UKIMWI (AIDS). Lots of the children have been orphaned by AIDS, two (that we know of) are HIV+, several have a queried status and many, we can assume, are affected by it in some way or another, as why else would both parents be dead in the 20s? We thought: a good lesson on how you can and can’t get AIDS; what to watch out for; what to do if you have it; how you have to be tested to know you have it; et cetera. This would include a safe sex talk (obviously). Our kids range from 7 to 16 years old so many of them are definitely in the market for a sex talk. We imagined.
Selling this to Mama, however, was another story entirely. We asked her to prepare a lesson on AIDS and this morning she called us into the office to say she had been going through several AIDS education books donated by former volunteers. She wanted each of us to read one of these books to the class (in Swahili) and she would basically commentate along the way. So we had a look at these books. The first one was about how you can’t get AIDS (sharing plates and cups, hugging, shaking hands, coughing, sneezing, playing football). The second one was about who can get AIDS (fat people, thin people, babies, black people, white people). The third one was about who can get AIDS (business people, sheikhs, reverends, taxi drivers, poor people, wazungu). The fourth one was about what to eat if you have AIDS so you stay healthy (spinach, ugali, rice, meat, fish, eggs).
So…. Fascinating. Very informative. There was just one problem.
Where did it explain how you do get AIDS?
“Here it is, Mama!”, says Mama (she calls us all Mama), opening up the first book. On the second-last page, there’s a picture of two toothbrushes and two razors.
Right. Don’t share your toothbrush and don’t share your razor. Two pieces of advice that have definitely halted the march of AIDS across East Africa.
Here’s where it gets tricky, you see.
“So, Mama,” I say, pausing (totally out of character, I know) to consider how to say the following, “do you think we can take some of the older children aside and talk to them about some of the other ways you can get AIDS? Like through breastfeeding, for example?”
Mama gives a smile that says damn these wazungus, marching in here with their wazungu ideas, trying to tell me, a teacher of 30 years, how to teach Tanzanian children about UKIMWI. But they pay for this program so I must indulge their questioning.
“It is not our culture, Mama,” she says. “We do not talk about these things in a sharp way. We talk slowly, slowly. It is not in our culture to talk to young children about such things. In Form One, Form Two, then we have this kind of talk. But not with children in Standard 3, Standard 4.”
At this point I forced myself to keep going even though I was privately having the culture vs. life preservation conversation with myself.
“The problem, mama,” I said very carefully, “is that the vast majority of people who have AIDS got it either from having sex with someone who has AIDS, or from their mother. Very, very few people get it from a razor or from a toothbrush.”
(Read: bloody no one ever gets it from a toothbrush; has there ever been a documented case of someone getting it from a toothbrush?)
Ultimately she gave in and agreed that we would have a general talk with the whole group, and then take aside a select group of older children, separate them by gender and talk to them in a separate room. We did count that negotiation as a success, though, because I was there for the girls’ talk and although I could understand about one word in nine and the girls spent a lot of time giggling their heads off, it seemed like the message got through in the context of keeping safe, staying home and not engaging in activities that would invite HIV, like sleeping at the train station (here there were some pointed looks at Zawadi).
It gave me some pretty good insight into how AIDS education happens here. Even though Tanzania is one of the better African countries in terms of AIDS education and encouraging public discussion of the issues, today really revealed that culture still plays a huge part in the extent to which the accurate message gets through. I get the point that a 7 year old is too young to learn how to put a condom on a banana, but if they think that a 16 year old, by definition, has no need to know about the connection between AIDS and sex, they are surely kidding themselves. I’ve always been conflicted over the relationship between culture and human rights, but I do believe in certain moral imperatives and surely, surely, the preservation of life should take precedent over the expectations of culture. I mean, in the ’80s when the AIDS thing happened in the West, sex education wasn’t really high up on the educational agenda for us either. Can anyone imagine learning how to put a condom on a banana in Year 8 25 years ago? But that’s what the kids in Australia are doing now, right? We had to acculturate in accordance with changes that AIDS created in society. Why isn’t it right to expect that the same thing should happen in a society that has been far more ravaged by the disease than ours has? Again, credit where credit is due; they do talk about it here. But it seems like the focus (at least at HAPO, who knows what goes on everywhere else) is on decreasing stigma of people who have it, rather than being upfront and honest about how to avoid it.
Today we sent Jeni home with a temperature of 39.5C. Malaria, of course (here, all you need is one hand on your forehead and the other on the suspect to “diagnose” malaria. It seems only wazungu are indulged with a blood test). The truck is still broken down so she had to walk the whole way home (about 4 km). Mama just told her to get her Bibi to take her to the hospital tomorrow. Jeni was crying as she left and there was absolutely nothing I could do about it except give her paracetomol. I have never seen a disease hit so many people in such a short space of time – not measles, not chicken pox, not a cold, not the way-overdiagnosed “flu”, nothing. Everyone has it all the time, it’s just ridiculous. It’s so debilitating; the kids end up out of school for days on end; they stay home from school looking after sick family members; they can’t concentrate when they do make it to school. It seems insane that mosquitoes could rule an entire country, and yet, indirectly, they do. Everyone send good vibes to the Bill and Melinda Gates Foundation in the hope their research finds a malaria cure soon. It’s just far too frustrating to think that life in Africa will continue to be so bloody unfair.