Tag Archives: HIV

Male circumcision and preventing transmission of HIV from mother to child

What Does Voluntary Male Circumcision have to do with preventing mother-to-child Transmission of HIV? A curious question?  Well,  the Catholic HIV and AIDS Network (CHAN), of which the CI Delegation in Geneva serves as Secretariat and Caritas Ireland (Trocaire) staffer, Ms. Finola Finnan, serves as chairperson, recently provided us with an answer …

For the past two years, CHAN has followed closely the implementation of the UNAIDS- PEPFAR (US government AIDS Initiative) Global Plan to Eliminate New HIV Infections among Children by 2015 and to Keep their Mothers Healthy. In 2012, CHAN pursued research on the number of Caritas and other Catholic Church-related organisations engaged in the Global Plan and found that they were active in all 22 priority countries (21 in sub-Saharan + India) where 90 percent of all mother-to-child transmission occurs.

Recently, CHAN completed additional research on Good Practices among Caritas and other Catholic Church-related organizations in their efforts to prevent mother-to-child transmission (PMTCT) and to promote early testing and diagnosis among mothers and children who already are living with HIV.

Of course, one major way to stop the transmission to children is to keep their mothers and fathers from being infected in the first place – that’s where male circumcision enters the picture. Studies have shown that men who are circumcised are more than 60 percent less likely to become infected with this virus. Of course, if the men avoid such infection, then there is no danger that wives may be infected by their husbands.

So the CHAN “Good Practice Study”, released, on 7 March 2013,  in Geneva, during the 22nd Session of the UN Human Rights Council, featured the work of Caritas member organisation from USA, Catholic Relief Services (CRS), and of Catholic Medical Mission Board, in close collaboration with local Church partners to promote voluntary male circumcision in such countries as Kenya, Zambia, and Nigeria. Other PMTCT efforts by these organisations include formation of support groups for men (so that they will be more open to seek medical check-ups and counseling and to be treated for sexually-transmitted diseases); strengthening communication and marital partnership among couples through CRS’  Faithful House programme; involving husbands in their wives’ ante-natal care visits.

•    The CHAN study also identified a number of additional good practices, including: a voluntary HIV testing initiative conducted as part of the  “Uzima (‘Full Life’) Day”at St. Joseph the Worker Catholic parish in the Kangemi slum of Nairobi;
•    the Association Community Pope John XXIII’s Raimbow Project in Ndola, Zambia, which addresses nutritional needs of malnourished children but combines this with a large-scale VCT (voluntary counseling and testing) programme in the same district;
•    The Association Community Pope John XXIII’s Raimbow Project in Ndola, Zambia, addresses nutritional needs of malnourished children but combined this with a large-scale VCT (voluntary testing and counselling) programme in the same district.
•    Kitovu Mobile AIDS Organisation, sponsored by the Catholic Diocese of Masaka, Uganda, solved transport difficulties by delivering ART to clients in hard-to-reach communities
•    Project Hope, an initiative of St. Martin de Porres Catholic Mission Hospital in Njinikom, Cameroon, which operates a “children’s HIV-friendly club” in order to improve anti-retroviral treatment (ART) adherence among some HIV+ 80 children under 15 years of age.

Read in greater detail about these  and other creative Catholic Church-related approaches to stop children from becoming infected with HIV and to diagnose and treat early those mothers and children who already have been infected by following this link:  report by CHAN

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World AIDS Day: “Where have we gone, where are we going?

HIV and AIDS programme in Darfur for pregnant women and new mothers.  Credit: Mohammed Noureldin/ACT Caritas

HIV and AIDS programme in Darfur for pregnant women and new mothers. Credit: Mohammed Noureldin/ACT Caritas

An update by Rev. Msgr. Robert J. Vitillo, Special Advisor on HIV and AIDS, Caritas Internationalis

HIV: Much progress but still many challenges

World leaders gathered at UN headquarters in June 2011 to assess progress in the global AIDS response. They noted that global HIV incidence was declining, access to combination anti-retroviral treatment was expanding, and a global movement had been mobilized to respect and protect the dignity of all affected by HIV. They affirmed that the HIV response had changed our world by elevating global inequities in health onto the political agenda and placing people at the center of health and development efforts. They cautioned, however, that such accomplishments might be in grave jeopardy due to aid fatigue and an enduring global economic downturn, which were posing threats to future support for essential initiatives.[1]
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World AIDS Day

More than 30 years into the pandemic, UNAIDS estimates that 34.2 million people worldwide are living with HIV. This number includes an estimated 3.4 million children under the age of 15 years.

The number of people living with HIV increases each year because fewer people are dying, thanks to the increasing availability of lifesaving antiretroviral medication.

The number of people receiving medication rose by 20 percent between 2010 and 2011. Meanwhile, the cost of a year’s supply of the medication decreased from more than $10,000 per person in 2000 to less than $100 in 2011.

Despite this progress, HIV still presents a serious global health crisis. In 2011, more than 7,000 people were infested every day.

Catholic Relief Services (a caritas member in the US)  has been on the forefront of the epidemic since launching our first HIV project in Bangkok, Thailand, in 1986. Today, CRS and its partners directly support more than 4.8 million people affected by the epidemic.

Meanwhile, at the end of the general audience on Wednesday, 28 November , Pope Benedict XVI made the following appeal: “On 1 December World AIDS Day, a United Nations initiative intended to draw attention to a disease that has caused millions of deaths and tragic human suffering, particularly in the poorest regions of the world, where there is very limited access to effective medicines. My thoughts turn in particular to the large number of children who contract the virus from their mothers each year, despite the treatments which exist to prevent its transmission. I encourage the many initiatives that, within the scope of the ecclesial mission, have been taken in order to eradicate this scourge.”

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HIV prevention: “Where are the men?”

Catholic Church-inspired organisations discuss lack of involvement among men in the prevention of mother-to-child HIV transmission

Members of a HIV parish support group in the Southern Highlands in Papua New Guinea. The volunteers go into communities to explain the importance of testing and offer counselling to couples. Credit: Patrick Nicholson/Caritas 2012

By Msgr. Robert J. Vitillo, Caritas Internationalis Special Advisor on HIV/AIDS and Francesca Matera, Geneva delegation volunteer

In many countries, pregnant women must seek permission from their husbands before accessing a simple HIV test that could be the determining factor for future health, illness or even death, both for themselves and their babies. Some women do not return for their test results because they fear the negative, or even violent, reactions of their husbands should the test be positive for HIV. And some HIV-positive women refuse to avail themselves of prevention of mother to child transmission (PMTCT) programmes, again out of fear of male reactions and rejection from the extended family.
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Faith Perspectives and AIDS

In Nepal, Caritas provides group housing for women and children living with or affected by HIV and AIDS. At one shelter, women earn money by embroidering saris. Photo by Katie Orlinsky for Caritas


By Monsignor Bob Vitillo

How does our faith anchor and propel the Catholic Church’s response to people living with HIV? In addition to providing the best care, HIV programs implemented by Catholic organizations must also be sources of compassion and strength. Science and technology are vital to health care, but pastoral accompaniment can make a critical difference to people living with or affected by HIV.

This is one crucial message that Caritas will bring to the International AIDS Conference in Washington, D.C. this month. The conference will be attended by overwhelming numbers (some 30,000 are expected!) of scientists, activists, researchers, people living with HIV and health care and social development professionals—everyone on the frontlines of the fight against AIDS.

The IAC has been a rallying point for these different communities to highlight, disseminate and advocate for a wide range of issues that cover scientific and medical breakthroughs, epidemiological trends, programmatic achievements, and partnership models, as well as much-needed compassion and care. Faith-based communities will be strongly represented — a demonstration of their involvement in the AIDS response – at both global and local levels.

In preparation for the International Conference itself, a Catholic Pre-conference on HIV and AIDS will be convened on 21 and 22 July on the campus of the Catholic University of America. Those engaged in Catholic Church-inspired HIV programs will have an opportunity to further ground their work in Catholic values and doctrine, share lessons learned, identify ongoing challenges, and become more acquainted with models and experiences from across the globe. One session will deal with how funding cutbacks are threatening the sustainability of our programs. Interactive workshops will also be held to facilitate experience-sharing. Each session will provide us with further inspiration as we stay faithful to our HIV-related mission during these challenging times.

Co-sponsors of the Catholic Pre-conference include: Caritas Internationalis, including its member organizations – Catholic Charities USA and Catholic Relief Services; Catholic HIV/AIDS Network (CHAN); the Catholic Medical Mission Board; and the Office of African American Affairs of the United States Conference of Catholic Bishops.

All staff or volunteers engaged in Caritas or other Catholic programs, and planning to participate in the 19th International AIDS Conference, are invited to join us at the Catholic Pre-Conference to learn, share, and pray together.

Further details on the plenary sessions and workshops may be obtained from the attached documents; registration may be completed by connecting with the following web link:

http://www.catholiccharitiesusa.org/page.aspx?pid=2563

Catholic Pre-Conference Descriptions

Catholic Pre-Conference Timetable

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Pope meets with UNAIDS chief

Executive Director of UNAIDS Michel Sidibé. Photo: Wiki Commons

Executive Director of UNAIDS Michel Sidibé was in Rome yesterday for meetings with Pope Benedict XVI, Holy See officials and Caritas Internationalis representatives. Sidibé asked Pope Benedict for his support in keeping children free from HIV. He said it’s an achievable goal and one which can be reached by 2015.

“Millions of people around the world living with and affected by HIV are being supported by Catholic health care organisations,” said Mr Sidibé. “The full engagement of the Catholic Church in efforts to achieve zero new HIV infections among children is of paramount importance.”

Listen to Philipp Hitchens interview with Michel Sidibé.

UNAIDS and partners launched last year a Global Plan towards the elimination of new HIV infections among children by 2015 and keeping their mothers alive. The plan outlines a strategy which focuses particularly on the 22 countries that account for more than 90 percent of new HIV infections in children world-wide.

Sidibé also met with Michel Roy, Secretary General of Caritas Internationalis, which serves as one of the civil society organisations represented on the steering committee of the Global Plan to eliminate new HIV infections in children. Continue reading

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Looking back and moving forward on HIV and AIDS

By Rev. Msgr. Robert J. Vitillo, Caritas Internationalis, at the High Level Meeting on AIDS, UN Headquarters

It was not so difficult to wake up early in New York City since the streets there live up to their reputation of “never sleeping” – so I found myself out of my hotel and waiting outside the chain-locked gates of UN headquarters before 7am on 08 June 2011. I wanted to get a “head start” on the cue to register for the UN High Level Meeting on AIDS. Thus I was among the first people processed that day and, with my badge securely fastened around my neck, I proceeded to the section for non-governmental organisation observers, having obtained my ticket for a seat in this section even before 7AM! Then once again, I had to wait for the programme to start at 9AM. As one who enjoys “people watching”, especially in international environments, and well ensconced in my fourth floor balcony seat, I enjoyed observing the arrival of some 3000 delegates to this High Level Meeting, displaying a range of national costumes, business suits, as well as a surprising share of people in casual dress.

UN General  Assembly President called the meeting to order and extended a special welcome to the participants, including  30 Heads of State, He declared, “This High-level Meeting is a unique opportunity to reiterate our collective commitment and to step up our campaign against AIDS,” In fact, the dates of the meeting coincided almost exactly, but some thirty years previously, to the first diagnosis of AIDS among a small group of men in the USA (at that time, we did not yet know that thousands of others, mainly living in Eastern and Central Africa, also were suffering from this disease that destroys the immune systems of those living with it). At the same time, the event was convened to inaugurate the “last stretch” to achieve the pandemic-related Millennium Development Goals by their 2015 target date.

But Mr. Deiss did not limit his encouragement to governments – he also recognized civil society, including non-governmental and faith-based organisations, among the key stakeholders in efforts to eliminate HIV in the future: “I believe that if we are to succeed, it is essential for our actions to be based on a broad partnership in which governments, the private sector and civil society join forces and, together, play a greater governance role in efforts to combat the virus.”

Finally, in keeping with the UN principle of GIPA (Greater Involvement of People Living with AIDS), the UN General Assembly President identified people with firsthand experience of the virus as key stakeholders: “Universal access [to HIV prevention, treatment, care and support] implies social justice and social inclusion. Persons living with the virus must be stakeholders in every aspect of our effort. Their experiences and their stories are essential in developing an effective strategy for combating the epidemic.”

The Secretary General of the United Nations, Mr. Ban Ki-moon outlined a future road map for the global response to AIDS: to lower costs and deliver better programmes; commit to accountability; ensure that HIV responses promote the health, human rights, security and dignity of women and girls; and trigger a “prevention revolution,” harnessing the power of youth and new communications technology to reach the entire world. He maintained, “If we take these five steps, we can stop AIDS. We can end the fear. We can stop the suffering and death it brings. We can get to an AIDS-free world.”

Mr. Michel Sidibé, Executive Director of UNAIDS, began his address by reminding the assembled delegates about the fear and stigmatizing behaviour that was prevalent during the early days of AIDS but that persists to this day in many countries: “People were afraid of each other and there was no hope.  “This image should not disappear.  It is part of our history.”

He reviewed the progress achieved over the years: 6.6 million HIV-infected people have attained access to life-saving and life-extending anti-retroviral medicines; new infection rates have been reduced significantly in 56 countries, including 36 in Africa.

He expressed deep regret, however, that AIDS has become  a “metaphor for inequality,” and noted that 1.8 million people living in developing countries die from AIDS-related illnesses each year; 9 million people are still waiting for treatment; and that, in high-income, a new HIV-free generation is emerging, while, in low-income countries,  millions of babies still are acquiring the virus from their HIV-infected mothers.

In conclusion, he stated emphatically, “We are at a defining moment. It is time to agree on a transformational agenda to end this epidemic,” he said.  That agenda must achieve zero HIV infections, zero discrimination and zero AIDS-related deaths and it must become a reality.”

In additional to myself, other Caritas-related delegates to the UN High Level Session on AIDS include Mr. Joseph C. Donnelly, Head of CI Delegation in New York; as well as Ms. Finola Finnan and Ms. Anne-Marie Coonan, of Trócaire.

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I HAART children

by Francesca Merico, delegation of Caritas Internationalis for the United Nationas in Geneva

Read this story in French or Spanish

Poe was born with HIV. She is 18. When I met her in Thailand in 2006 she looked healthy and charming. Poe has benefited from effective antiretroviral therapy, for many years now.

When I met Mai, she was 5 years old, but she looked tiny and little; her skin was completely dry and peeling off all over her body. At the centre where she lived, the nurse was having hard time to find the right dosage for the mix of anti-retrovirals (ARVs) that Mai needed. The nurse had to cut several adult pills in parts, on a trial-and-error approach with the recurring consequence of under- or over-dosing.
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It is not enough just to talk about love

Twenty years of AIDS care by Caritas Romana
By Rev. Robert J. Vitillo
Caritas Internationalis’ Special Advisor on HIV and AIDS

I read with great surprise the news that Caritas Romana  is observing the twentieth anniversary of establishing its HIV and AIDS Services on 5th December. This is an occasion when the words, “It seemed like only yesterday …” at least for my memories of the work of Caritas Romana in this field.

In the late 1980s, I was working at the General Secretariat of Caritas Internationalis in Rome and, very early into my assignment, received the blessing of meeting Don Luigi Di Liegro, the Director of Caritas Romana. Before coming to Rome, I too had served as the Director of a diocesan Caritas organization in the United States, so I identified with the role and challenges faced by Don Luigi.

I quickly perceived, however, that this was no ordinary Caritas director. Every word that he spoke and every action that he took revealed the true meaning of the word “caritas” as it was exemplified by Jesus Himself.  Don Luigi was truly a man of “complete and unselfish love”. He treated every person he met, from the highest political or ecclesiastical leader to the homeless person on the street with respect for the God-given dignity they had received as children of God.

Thus it was no surprise that Don Luigi reacted swiftly and with determination to improve the plight of people living with AIDS in Rome  during the late 1980s. Many such persons were kept in hospital far beyond the necessary periods of time – mainly because they had no place to stay and no one to care for them.

Many had been abandoned by their families long before they knew that they had contracted this serious illness. Don Luigi decided that Caritas Romana should develop group home situations for such people – two homes for men and one home for mothers and children – all living with AIDS and with little hope of survival (since this occurred during a time when we had no knowledge that combination anti-retroviral treatment could prolong life expectancy and improve quality of life for persons living with HIV and AIDS).

Don Luigi was intensely focused on offering a welcoming, non-judgemental and compassionate environment to the residents of the Caritas Romana residences. He made that clear, in no uncertain terms, to those recruited to staff these residents. He greatly honoured me by requesting my assistance in planning the residences and in developing policies and procedures for their programmes.

Then came the difficult times. Local residents in the Villa Glori (Parioli) area of Rome were incensed that Don Luigi would bring people with AIDS to live in their upper-end area of the city. They protested and even introduced court action to block his plans. Don Luigi remained firm in his commitment to people living with the virus and presented a strong defence in court. Eventually, he, and those who would benefit from the Caritas Romana residences, won the case.

Once the houses opened, Don Luigi learned the painful stories of the residents and never seemed rushed or impatient as they recounted the many challenges encountered in their lives. Instead, he smiled broadly as they told him about the warmth and welcome they experienced in their new homes sponsored by Caritas Romana.

Perhaps most vividly I recall the day when the actress, Elizabeth Taylor visited the Villa Glori residence. She was accompanied by the fashion designer Valentino; he stayed only a few minutes, but she made it clear that she had come to visit and remained for almost two hours. As soon as Ms. Taylor started to speak English, Don Luigi realized that he had not provided for translation – he shouted across the room to me, “Bob, lo fai tu! (Bob, you do the translation!)”.

I am certain that the love and spirit of Don Luigi’s concern for people living with AIDS remains in the Caritas Romana residence. I know that his inspiration continues to strengthen my own commitment to advocate with and for those living with or affected by HIV.

I display prominently in my office a photo of Don Luigi and I can hear him say the words inscribed on this photo which, loosely translated into English, remind me: “It is not enough to talk about love; we must be willing, as Jesus did, to dirty our hands and put love (Caritas) into action with all whom we serve.”

Happy Anniversary to Caritas Romana and may Don Luigi continue to guide, from his new and heavenly home,  the active love that is promoted by Caritas all over the world!

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World AIDS Day – 1st December 2008

By Francesca Merico, CI International Delegate in Geneva

According to the United Nations Development Programme (UNDP), HIV has inflicted the “single greatest reversal in human development” in modern history. In 28 years, HIV and AIDS has become a global emergency, responsible for the deaths of some 25 million people. In sub-Saharan Africa, the region most affected by the epidemic, approximately 60 percent of adults living with HIV are women. 

The pandemic continues to cause untold physical, emotional, and spiritual pain, exacerbates human rights abuses, and disrupts family integrity and harmony. In the countries most heavily affected, HIV has reduced life expectancy by more than 20 years, causing dangerous consequences for the transfer of knowledge and values from one generation to the next. It has slowed economic growth, and deepened household poverty.

Today, despite the fact that 33 million people are living with HIV, many more do not know whether or not they have the virus and others do not know the difference between HIV infection and AIDS – the stage where a person’s immune system is seriously damaged and they may be unable to fend off serious infections, cancers, and other illnesses. Although special medicines to treat HIV have been developed, 70 percent of adults and 85 percent of children living with HIV lack access to much needed treatment.

Even though the transmission of HIV from an HIV-positive mother to her child can be avoided, 90 percent of the children living with HIV contracted the virus from their mothers.

World AIDS Day is an occasion to reflect on all these challenges as well as to reflect on the significance of HIV and AIDS for each and every one of us and especially for the Caritas Confederation which is called upon to serve the most vulnerable and marginalised members of our human community, including those living with or affected by HIV and AIDS.

For me, HIV and AIDS means the little hands and faces of the children I have met, hugged and spent time with. AIDS is their smiles, but also their suffering. It is the sadness and despair of the mothers queuing at the Lea Toto center in Kariobanghi or at the Korogocho clinic in Kenya hoping for some help for their babies; it is the distress of young men who have no more energy left to work and support their loved ones. It is all the grandmothers taking care of their grandchildren orphaned due to AIDS.

The theme for World AIDS Day this year is “leadership”. Leadership highlights the discrepancy between the commitments made to halt the spread of HIV and the actions taken to implement such promises.

This theme makes me think of the many people working for Caritas and other Catholic organisations, who are leading the AIDS response: Ann, Jane and Montserrat from CAFOD, Fr. Anthony and Fr. John from Caritas Vietnam, Klemens from MMI, Hernan, Rebecca and Juan Bosco in Mexico, Bob with CI, Nina at Misereor, Maria and Encarna in Kenya, Deirdre, Caroline and Finola at Trocaire, Ana Isabel from Caritas El Salvador, Vincent from Uganda, Rabia from CMMB, Burchard from Missio, Claudia from Kindermissionswerk, Fr. Michael Czerny from Africa Jesuit AIDS Network, Sr. Donata from the Health Commission of the Unions of Superiors General, and Greg from CRS.

Today, I am grateful to all of them for their engagement, commitment and passion for fighting HIV and AIDS.

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