A Hopeful Future

HIV was first reported in Malawi in 1985. Since then, the spread of HIV has reached 10.8% of the adult population. “Malawi has a generalized HIV epidemic. HIV prevalence among persons aged 15 to 49 years has been declining steadily from 16.4% in 1999 to 11.8% in 2004 and then 10.6% in 2010.” Not only does the disease affect the adult population, but about 170,000 children also live with HIV (Malawi AIDS Response Progress Report 2015).

Photo: AVERT
An HIV prevention poster in Mzimba, Malawi.

Counsellor explaining about HIV testing and treatment on World AIDS Day, Malawi - See more at: http://www.avert.org/hiv-aids-malawi.htm#sthash.qndVapSH.dpuf

Counsellor explaining about HIV testing and treatment on World AIDS Day, Malawi - See more at: http://www.avert.org/hiv-aids-malawi.htm#sthash.qndVapSH.dpuf

Counsellor explaining about HIV testing and treatment on World AIDS Day, Malawi - See more at: http://www.avert.org/hiv-aids-malawi.htm#sthash.qndVapSH.dpuf

Increased prevention work and education over the past decade attributed to the decline in new cases. Although, Malawi’s infrastructure and economic standing make it difficult to truly erase it from epidemic status. Recent years indicate positive steps in the right direction, but prior decades of poor governance and constrictive bureaucracy left behind a lot of work to be done.

HIV prevention and access to antiretroviral drugs are the focuses to curbing the spread of the disease. Initiatives currently implemented include: expanding voluntary HIV testing and counseling (HCT/ VCT), prevention of mother-to-child transmission services, condom promotion and distribution, voluntary medical male circumcision (VMMC), blood safety measures, mass media campaigns, and life skills education (LSE) for young people (AVERT).

Many non-governmental organizations (NGOs) collect high volumes of data in their hands-on work to identify the most common causes of transmission and the most affected demographics. Organizations such as the World Bank, the Global Fund, the World Health Organization, the President's Emergency Plan for AIDS Relief (PEPFAR), and the Joint United Nations Programme on HIV and AIDS (UNAIDS) have all taken an active role in funding and planning to decrease incidence and increase awareness in Malawi (AVERT).

Photo: AVERT
Counselor explaining HIV testing and treatment on World AIDS Day, Malawi.

UNAIDS, specifically, leads the way in analyzing target goals to catalyze initiative to eliminate HIV/AIDS. Their plan for 2015 has been very successful. The target goal for 2015, as set out in the Millennium Development Goal 6 of 2000, has been surpassed. This year, UNAIDS “celebrates the milestone achievement of 15 million people on antiretroviral treatment—an accomplishment deemed impossible when the MDGs were established 15 years ago… [Worldwide,] new HIV infections have fallen by 35% and AIDS-related deaths by 41%” (UNAIDS).

Malawi’s steadily improving situation reflects the larger global picture, but meeting goals requires working within localized communities. Greater awareness and education will lead to a better perspective on HIV prevention in Malawi. For example, many adults do not get tested, but simply assume they are living with HIV because of its prevalence. Unsafe sex is justified by choosing partners based on their societal status or perceived cleanliness. Even if precautions are taken, condom use and safe sex practices are rarely being implemented on a consistent basis. Education, access to testing sites, and decreased stigmatization of testing will be key factors in the next five years in continuing to improve the state of Malawi’s HIV epidemic.

Looking to the future, UNAIDS’s highlights its target goals for 2020, “90% of people living with HIV will know their HIV status, 90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy, and 90% of all people receiving antiretroviral therapy will have viral suppression” (UNAIDS 90-90-90).

By World Camp Intern Rachael Thorn

Loving the Warm Heart of Africa

By World Camp Intern Zoey Ponder

It is my eleventh day here in Malawi and I am growing to love “ The Warm Heart of Africa” more and more. In just 11 days, I have experienced two trips to Camp Hope as well as adventures to Dedza and around Lilongwe. Lilongwe is the capital of Malawi and home to the World Camp house, which has quickly come to feel like home to me. Each time we return, I am always excited to get back to our evenings of dinner and chatting and days full of trips to various markets and other spots around the city.

Everywhere you go, there are vendors along the side of the road with all sorts of goods from sugar cane to woven furniture and everything in between. On the trip home from Camp the other day we even saw members of the Gule Wamkulu, a secret cult that performs dances at ceremonies, walking along the roadside.

One of my favorite parts of coming “home” is the men who work around the house. John is the House Manager and one of my favorite people to chat with. Each morning when I wake up John can usually be found in the kitchen and makes my mornings a delight (which for me is no easy task) his big smiles and mannerisms can cheer up anyone’s day; not to mention that he makes one mean shepherd’s pie! Ngoni is the Grounds Manager and he is always bringing in beautiful eggplant and tomatoes that he grows in the yard and greeting us at the gate with the enthusiasm of seeing a much missed friend. He makes coming home feel like a celebration regardless of how long I’ve been gone.

During our trip to Dedza and Camp you get to drive past some beautiful scenery, mountains which stick up out of the ground so sharply it is as if someone dropped them down from the sky. Baobab trees that stand broad and tall against the backdrop of villages with tall grass fences and roofs. Kids drive cattle carts alongside the road and roving bands of goats stress Emily out by always lingering too close to, if not in, the road.

In our trip to see the ancient rock paintings near Dedza we got to hike up one of the mountains to a cave with 2,000 year old paintings of animals and people on the ceiling. There is a chameleon, a duck, a person, a lion, a bull as well as other animals painted in black and white and still very visible after all this time. On the way back down the mountain to view even older rock art, we even saw some monkeys hanging out in nearby trees.

Closer to the village, there is rock art done by Pygmies that is 10,000 years old. The Pygmy rock art is red and reaches impressively high up, the Pygmies used ladders or stood on each other’s shoulders to paint all sorts of scenery including a nearly 20ft tall giraffe which was my personal favorite.

The longer I stay in Malawi, the more I see how beautiful this place is. Whether it is the beauty in the culture of kindness or the incredibly cute kids at Camp and everywhere else or in the breathtaking sunsets every evening, I cannot stop marveling at Malawi. In the next few weeks, I have no doubts I will continue being amazed as we travel to the Lake and as we start work on our different programs that will kick off in September and October. 

Greetings from Camp Hope!

After years of writing about Camp Hope and working to make it possible each summer, I had my first chance to visit yesterday. The experience was as moving and fun as I could have ever imagined. The campers, like all groups of Malawian children I’ve gotten to hang out with, were sweet, excited to meet a new person, and super energetic. I was invited to eat at a different table for every meal, but I barely sat down before the kids were eagerly asking, “What’s your name?”

Camp Hope is a camp that serves specifically youth living with HIV. These children, so considerate and adorable, are all facing a tremendous life-long challenge. Camp offers our newly-disclosed to youth a chance to come to terms with their diagnosis, learn more about their disease, and bond with other children facing similar difficulties. It’s jam-packed with fun activities, but also designed to provide campers with knowledge and skills they will need to care for themselves throughout their lives.
One of the absolute highlights of my visit was meal time. Campers are clustered into Color Groups that sit together at meals and participate in activities together. During meals campers chant songs, break out into dance and celebrate each other’s achievements from the day. Two campers from each Color Group are recognized at every meal, sung to the front by the whole Camp – enthusiastic hands pounding out a rhythm on the tables. Mentors (think Camp Counselors) recognize the success of these campers: Describing their positive contribution, Labeling the attributes this speaks to, and Praising the camper for this behavior.

I was so happy to find that my visit fell on Day 5 of Camp which features Stage Night in the evening. Stage Night is a talent show that really lays clear what a supportive, nurturing environment Camp is. Each Color Group spent much of the day preparing a presentation to share with the rest of Camp. The presentations showcased the campers’ talents while also emphasizing the importance of Camp Hope to our youth. My favorite moments were when campers recited poems they had written about Camp, or the importance of adhering to your HIV drug regimen.

Both World Camp Intern, Zoey Ponder, and I will be visiting Camp again next week. We can’t wait. We’ll be back with more updates for sure!

Risky Business: Malawi's Youth and Tobacco

In the past decade, Malawi has become one of the worlds five largest tobacco producers. (Aljazeera) As a result of Malawi’s high-nicotine, low-cost tobacco, many major cigarette brands are including Malawian tobacco in their blend. More than 90% of Malawi’s tobacco is bought by U.S.-based leaf buyers Universal Corporation and Alliance One International. These companies resell to tobacco firms, amongst these firms are such big names as Phillip Morris (Marlboro) and British American Tobacco (Lucky Strike) (The Guardian). Malawian tobacco can be found in the blend of nearly every cigarette smoked in the west. 

At first glance the industry may seem good for Malawi, being that it is one of the least developed nations in the world, ranking 153 of 169 countries in the human development index. (Aljazeera) Unfortunately, however, the tobacco industry has done little to improve the situation for Malawians and much to improve the payout for the large western companies that purchase the incredibly cheap “green gold”. The price of this tobacco is kept low for big business in a multitude of ways. There are low tariffs on unmanufactured tobacco imports and a low labor cost. The labor cost is often kept so low by employing child laborers.  

Photo: The Guardian

Though the minimum age to work in Malawi is officially 14, it is common to see children as young as five picking tobacco alongside their parents. It is estimated that 20% of children aged 5-14 in Malawi are working. (Bureau of International Labor Affairs) Many of these children drop out of school to work in tobacco farms and other industry and are unable to return to school or only able to attend school sporadically. Child laborers are especially susceptible to work-related injury and illness. When working with tobacco, large amounts of nicotine can be absorbed through the skin causing nicotine poisoning, an incredibly common ailment amongst child tobacco workers. Large tobacco industries claim not to support farms that employ child laborers, but often do little to actually prevent child labor. In addition, the legal framework to prevent child labor in Malawi is weak. 

The most effective method thus far for preventing child labor is pressure on the companies that purchase the tobacco, in turn putting pressure on the government as well as farms. Other groups suggest improving the school system to attract children and families to enroll and stay in school. This is problematic, however, since many families need the children to work in order to support the family. An improved education, though valuable, would not immediately help support the family. The main groups making headway within the farming system and the government are small NGO’s and other grassroots programs that support both the children and the family. Still, with tobacco sales comprising 70% of Malawi’s income and Malawi being one of the most child labor-intensive economies in the world, it is unlikely much will change as long as companies can keep the tobacco cheap.

This blog was written by Zoey Ponder