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Tuesday, 19 August 2014

Why increase in new HIV infections and deaths whilst increased access to ARVs in Uganda?

By Sam Agona

This question was postured by the Daily Monitor. I found it worth responding to.

Some of the issues discussed in the article is voluntary HIV testing as shown in the photos below:
                                              A young girl testing for HIV in Iganga Town

                                                A friend, Liz Cho testing voluntarily

                 Two Health workers ( Liz and Claire) demonstrating to the author how to use female condoms

                                           Author and Liz Cho doing a wrap up discussion

An HIV test strip which shows someone’s HIV status; its advisable that everyone is aware of the status.

Humans are fast bored by mainstream life

By Sam Agona
A serie of events in the recent past have triggered my mind into thinking that humans get bored of a mainstream life but they just don’t know it. Human beings have a high propensity to look out for a something different within life than live within confines of day to day routine. I am sure I am not thinking crazy and some of these scenarios will shed light to my imagination;
University education has become too mainstream and will soon be dissolute. It is about some system of education like 7-4-2-3/4/5 like it is in Uganda. But what is all this about? Going to school getting a few documents, looking for jobs here and there or starting up some business of your own, need not to mention vying for a political seat, over time, school completion looks to be a baseline of success, I find this just too mainstream and boring.
Mainstream life is boring. People out there construct houses, and blame it on vanilla life. The roof will always be asbestos, tiles, dry grass thatch and or iron sheets. Why is it this way? Can’t we think of a life less boring than iron-sheets sort? Can’t we?
This is dynamism..
Social behavior; around 2009 – 10, Pastor Male and Pastor Martin Ssempa, opened a case against Pastor Kayanja of Miracle Center because of what they called “Sodomy”. In the subsequent weeks, Dr. Hilary Bainemigisha (whom I consider one of the best writers in Uganda) elaborated it all this way. People do great things and get bored. They can actually get bored of their success, thus rendering life unchallenging. Its human nature that they always seek for something outside the normal way of living, therefore it was understandable if a man who has close to 10,000 people forming part of his congregation one day chooses to have a sexual relationship with young boys. If you asked me, what is this? This is nothing but getting out of the mainstream way of living.
Marriage life; Man identifying a woman or woman identifying a man, marrying them, living happily ever after and spending all your nights with only them until death. This sounds so terminal. People have been doing this sort of dating as back as the BC days. How, however does this happen today? Plenty a people are bored by such “mainstream-ism”. My advise, is date.. date and date till you cant date no more..

Yes only one, but till when?

Women with their body sizes; why on earth do women stress over slimness and slenderness in the name of something as fictional as body figure; So many women are bothered by the level of estrogen generated by their body. Who really wants and or cares about this? Almost every woman out there is bothered about her size, how mainstream can life be? 
She is perfect in her own world..
Mainstream in Ugandan media, the best man at the end of the year will always be Museveni, worst man will be Dr. Kiiza Besigye, on the first of January; pages will always have pictures of fireworks. After releasing results, it’s the rule of thumb that a bunch of students will have their pictures on the pages following their results. This has become so mainstream that possibly newspapers that ignore pasting pictures of a few students on their pages won’t get enough sales for the day. Lately even TV stations show students based on results.
Working from 8am – 5pm; to begin with who said stamped the rule that people have to work from 8-5pm. Why can’t people change and start dressing up at 1 am or even 4 pm and go open office to attend to the day’s business? This is very mainstream; it may probably change one time in life.  
Related to the above, who hard coded it that night is meant sleeping? Dying with the rule of thumb that night is meant for sleeping. This could be changed as well including how you sleep, the stress on putting on heavy clothes on your body in the name of a nighty is just not the thing, why not sleep how you were born? Life needs some dynamism than what it is right now. 

Take the simple way please.. avoid being mainstream..
 Birthday gifts and messages are too mainstream. Over the last so many years people write on each other’s Facebook wall, wishing them a happy birthday. This is great but till when? When I began finding this too mainstream, I stopped writing “HBD” or “Happy Birthday” on people’s Facebook wall just because I got bored by it, it’s just too mainstream.
To some people, life itself becomes too mainstream; this normally happens when challenges outweigh the reasons to be alive; such people normally do the obvious.
“Don’t be too blind to see that you need a change” – Justin Timberlake, 2002

Ugandans should embrace child adoption and be proud of it

By Sam Agona
Statistics from the population secretariat show a population growth rate currently at 3.21% and a crude birth rate of 43.09 per thousand, which according to UNDP has profound implications on development. The direly pronounced challenges are evinced on social life sustainability, urbanization, access to health services and youth empowerment given the fact that the population is exceedingly young. 
Children like this need somewhere they truthfully call home
Against the above backdrop, it is important to note is that we already have a bulging population of over 36 million with  48.9%  being between 0-14 years  old, and a greater percentage of them being infants. Among the infants, several do not have people (parents or guardians) to take care of them. This is caused by high maternal deaths estimated at 138 women out of every 100,000 according to the U.S led Global Health Initiative (GHI). Some of the children are abandoned by their mothers shortly after child birth due to an array of reasons, according to the Mengo Hospital based Sanyu Babies’ Home’s Barbara Mutagubya; this is due to moral decadence as a result of poor parenting. There are over 2 million children abandoned in Uganda. This leaves the role on babies’ homes to take care of the children or they have to be adopted by noble hearted people, this includes you.
 Services offered by Ssanyu Babies’ Home : Photo adopted from Ssanyu Babies’ Home
Against the above backdrop, it is important to note is that we already have a bulging population of over 36 million with  48.9%  being between 0-14 years  old, and a greater percentage of them being infants. Among the infants, several do not have people (parents or guardians) to take care of them. This is caused by high maternal deaths estimated at 138 women out of every 100,000 according to the U.S led Global Health Initiative (GHI). Some of the children are abandoned by their mothers shortly after child birth due to an array of reasons, according to the Mengo Hospital based Sanyu Babies’ Home’s Barbara Mutagubya; this is due to moral decadence as a result of poor parenting. There are over 2 million children abandoned in Uganda. This leaves the role on babies’ homes to take care of the children or they have to be adopted by noble hearted people, this includes you.
Children playing at the Babies’ Home : Photo adopted from Ssanyu Babies’ Home
The few Ugandans who are willing to adopt come with excessive demands for instance, they tend to prefer girl children, they always want a child not older than 1 year; they are not always willing to take up children with special needs such as children with sickle cell, cerebral pulse, HIV, disabled children among others. Also importantly, Ugandans are not willing to undertake the formal steps of adopting a child by giving information about themselves; their families, their crime record, financial status yet this is the only ways a babies’ home can be sure that the child they are entrusting a prospective guardian with is in safe hands. It is against this background that we have more foreigners willing to adopt Ugandan and African children formally while the rest of us are less bothered. 
                  Children playing under guidance of a caretaker: Photo adopted from Ssanyu Babies’ Home
As Ugandans, it is important that we started taking responsibility of the society we live in. It is understandable that, times have incalculably changed, everything comes at a cost, however, the onus is still on us to make the world what you want it to be thus the statement “Be in the world, not of the world”. It is therefore paramount that well-intentioned people go out there adopt children and raise them responsibly. There is immense satisfaction in every act of nobility, producing one or two biological children, then adopting one through the right procedures and raising them with the desired values is both an act of grace and gear towards national development.
Twitter: @samagona 
The original of this piece was published in the New Vision on 11th March, 2014.