Archive for March, 2009

True Love Waits – The Pope’s African Condom Problem

Tuesday March, 17, 2009, the pontiff on board the plane headed for a five-day pastoral trip to Africa told reporters;

“The (HIV/AIDS) problem cannot be overcome by distributing condoms. It only increases the problem.”

It’s been only a few hours since the Pope talked to reporters and I already have so many forward emails from people from all walks of life and from all over the world.  Some say the media has distorted the pontiff’s words, and other’s are outraged that the Pope had the audacity to say something like that.

The Pope is not saying anything different from what many Africans have been saying since the AIDS epidemic broke out.  Nobody’s has been listening but hopefully the world will start to listen to what Africans are saying with their deafening silence on HIV/AIDS and paying for with their lives.

I wrote a few weeks ago about Africa’s resistance to condom use.  Because sex and sexual behaviors touch on matters deeply personal and closely linked to specific moralities, values, and religious beliefs, many Africans protesting the use of condoms believe that condoms contribute to the breaking down of self-control and mutual trust. 
This concern is well voiced in the words of Kenyan HIV activist Dorothy Kwenze who once said,
“Abstinence education remains the best strategy, especially for the risk group aged 15-25 years. The concept has worked well for Uganda and can work for other African countries”.
Uganda government’s message of self responsibility, “True Love Waits” for the unmarried and “Zero Grazing” for the married found in many HIV/AIDS awareness and education materials is credited for Uganda’s great success in reducing infection rates.
 
President Yoweri Museveni’s 1987 aggressive grassroots country-wide abstinence program embraced by local communities, schools, religious organizations, and even medicine men/women and herbalists is the reason Uganda today boasts of one of the fastest falling HIV prevalence rates in the world (18% to 5-7%.). Many reports –even those from condon advocates – say Uganda is the only nation in the world that has achieved such success.
 
But just like the Pope is taking heat for his comments, Uganda’s President took a lot of heat for saying he looks at condoms as an improvisation, not a solution. 
“Just as we were offered the magic bullet in the early 1940s, we are now being offered the condom for safe sex…. I feel that condoms have a role to play as a means of protection, especially in couples who are HIV-positive, but they cannot become the main means of stemming the tide of AIDS.”
Although Uganda’s model on HIV/AIDS also educated the population on condom use for protection against the virus, President Museveni’s message of optimal relationships based on love and trust (the African way) is the “genius” behind Uganda’s great success story.
Unfortunately, the Uganda model has not taken off in other parts of Africa because most sub-Saharan African nations have embraced the UN’s pro-condoms model over effective abstinence programs. 
 
The rest is public knowledge.  The pro-condoms model has failed, and UN’s own statistics show it.
 
We can learn from our past mistakes but first we must acknowledge that mistakes have been made. This is the first step forward that will bring us nearer to the truth, even though we may never know the truth for certain. 
 
The epidemic rages on.  The fight for African lives just began all over!
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African Resistance To Condoms: Africa’s Daughter Beware

“No one eats candy still wrapped in plastic” is what some young Africans reluctant to use condoms say. Others feel that condoms say “I do not trust you” or even “I do not trust myself”.  Suggesting the use of a condom in an already established relationship is just as another way of either confessing that one has been cheating or accusing a partner of cheating. 

In fact there are Africans who believe that using a condom during sex does not constitute to having sex at all. “We used a condom” or “it’s not like it was skin to skin” are some of the excuses some partners use to show that they were not “completely” unfaithful.  The rationale here is that condoms are largely “the lesser of two evils.”

Then there are young African men and women who believe that “going in live” (sex without a condom) is a badge of bravery.  Where being “white” was for many decades of colonial oppression promoted and continues to be promoted as a “good” thing; a mark of higher intelligence, moral superiority, status and privilege, and being “black” and African as “bad”; a sign of diminished intellectual capacity, hereditaty immoral-ness, a position of disadvantage and a curse, these young people are rebelling [a little too late, I have to add] by choosing the ‘bad’ option as a matter of principle. If good white people wear condoms during sex then bad black people will “go in live” as a badge of bravery and honour to their African identity.  Not wearing a condom during sex in their twisted thinking means that they are not afraid of what white people are afraid of.  They’re therefore braver and more courageous.  They are B-a-a-a-d.

It’s good to be proud of our “African sexual prowess” [reality or myth... believe whatever makes you sleep at night], but there is a point at which you must ask yourself, “Is it really worthy it?”

“Creative suffering” sounds brave and courageous but have we Africans ever stopped to think what’ll happen if all the brave and honourable Africans died for no apparent good reason other than proving to “white” people that we are tougher and “badder”?  Our people have a saying: “even a crocodile’s back can be cracked by a whip made out of its own skin?”

We’re whipping our own backs to death when even some of our governments still refuse to admit HIV/AIDs is a threat and continue to foot-drag on treatment programmes. Some of us to this day and time still believe that AIDS is a Western plot maliciously cooked up in science labs to try to keep Africans from being sexually active, stop reproduction and eventually come and take over our rich resources and lands. Though fewer than before, some Africans still call AIDS “America’s Intention to Discourage Sex”. All these “conspiracy” theories are causing so much paranoia — and resistance to the use of condoms.

It’s true condoms can in some ways change the beautiful act of love making turning it into a selfish “free-for-all” search for groin – pleasure.  I am all for not depersonalizing our sexuality or turning our genitals into tools, our sexual partners into mechanics or computer operators and sex into a  bargain chip. Nor should sex be demonized as sinful urges that must be denied, repressed and feared. I have seen the cost of this way of being with my own two eyes; and I am not buying nor selling it.

So yes, I fully understand that Africans want to retain some sense of sacredness around sex. And I agree that sex is best “organic” (happens naturally and effortlessly and with all it’s beauty, sense of otherness, surprise, reverence, magic and mystery of life and the infinite world). 

I also understand that with our “poverty”, it’s not realistic to tell someone in the heat of the moment, “you must use a condom” and expect him to run to the nearest drug store and come back panting with a packet of condoms in hand.  I can see that working perfectly well in the West especially with good branding and marketing tactics.  They have the money to spend on condoms!

But even when given free condoms in a double handful, some Africans — young and old — just toss them off on the roadside still unused because they feel that condoms can create a false sense of “safety”.  You can’t trust the people who make and give us these condoms, they say.
 
True, there can be manufacturing and inspection errors or if used incorrectly one will still get infected, but some safety is better than no safety at all.  This is why in addition to using condoms (as a fall back option), we must also pay attention to our own consciences and cultural morals.  Its not enough to make sex and sex education all about biology (birds and bees), reproductive rights and equality, and the right to make one’s own decisions. 
 
Sexuality and sexuality education, in addition to all the above should include the essential intelligence of being a healthy sexual being.  And that means addressing the deeper issues that all young men and women have to deal with on a daily basis; issues closely tied to communicating and negotiating boundaries of sexual or erotic identity and expression, reducing sexual anxiety, increasing sexual confidence, self esteem, desire, love, romance, intimacy and the sexual act itself.  All the vital data that shapes our sexual attitudes, influences sexual behaviour and drives our sex lives. This is the way of our people; these are some of the ways some of us have abandoned and now may be paying a high price for – with our own lives. 
 
Besides being infected with HIV/AIDS, there are emotional, social and spiritual consequences to engaging in sexual activities in improper ways.  Act responsibly — it’s in our blood.
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4 Things Every Woman Should Know About Getting Pregnant After 30

I’ve worked with many doctors to gather accurate information to help women over thirty plan their families and avoid the fears and complications that often accompany attempts to either have children now, or determine when the best time is. Let me share with you these tips for women over thirty:

First, a woman over thirty does not necessarily have ovulation every month. Let me remind you what ovulation is.   Ovulation is release of egg from ovary. The ovulation cycle may last from 5 to 8 days, while ovicells are being formed.

The problem is that the estrogen level in a woman’s body, at this period of her life, is not enough to produce a full ovulation process. Nature offers many similar situations. For instance, an apple tree can break into blossom, but does not necessarily produce apples.
Second, many women erroneously presume that as long as they have regular menstrual cycles, there is going to be no problem conceiving a child. Actually, regular monthly menstrual cycles do not necessarily mean a woman has regular ovulation cycles. Ovulation cycles vary with age – as a result of disease, or because of a wide variety of other reasons. Ovulation cycles, normally stable for any woman, may vary for two or three months after an abortion, or for a year after giving birth to a child. After a woman becomes forty, her body starts getting ready for her pre-menopausal period. So, ovulation may take place at any moment of a menstrual cycle or several times during a cycle. Some women get pregnant even while having a period.
Third, If you do not have an ovulation cycle for more than ten months, and if your pre-menopausal time is far away, you should see a doctor, as the absence may be caused by hormonal disorders in your body, and medical advice is indispensable. If the reason for hormonal imbalance is discovered in time and gotten rid of, ovulation can be restored.
Fourth, You should know that if you take the Pill for a long time, your ability to get pregnant may seriously decrease after you are thirty. In this situation, if you wish to have a baby, it may take your body some time to restore its hormonal balance. Don’t get excited or be nervous about it…because restoration of the ovulation cycle may take from 2 to 10 months. Human bodies differ! Nobody can tell you how much time your own body will need in order to restore its ovulation cycle. Just relax, wait and see. Watch your diet, do physical exercises, assure reasonable rest and get ready for a healthy pregnancy.

Futher Reading : How to know if You are pregnant

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