HIV/AIDS in Rwanda

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Slide 1: 

HIV/AIDS IN RWANDA BY: APRIL GAHANZA

Rwanda Facts : 

Rwanda Facts Rwanda is the most densely populated in Africa, with one of the highest levels of poverty. 60% of the population lives below the poverty line. Rwanda’s population is young. Out of the 9 million that live there, more than half are under 18 years old. In the genocide in 1994, there was over 900,000 people dead and another 4 million displaced.

Slide 3: 

Rwanda is among ten countries in Africa most affected by the HIV epidemic. (http://www.timetodrawtheline.org/blogs/ca/524.htm)

HIV/AIDS STATISTICS IN RWANDA : 

HIV/AIDS STATISTICS IN RWANDA POPULATION, 2008: 9.9 million PEOPLE LIVING WITH HIV/AIDS, 2007: 150,000 WOMEN (AGED 15+) WITH HIV/AIDS, 2007: 78,000 CHILDREN WITH HIV/AIDS, 2007: 19,000 ADULT HIV PREVALENCE (%), 2007: 2.8 AIDS DEATHS, 2007: 7,800 8.9% of the adult population is HIV-positive The epidemic of HIV/AIDS is expected to reduce Rwandan life expectancy to 32 years by 2010.

TRANSMISSION OF HIV/AIDS : 

IN URBAN AREAS, MOST HETEROSEXUALLY TRANSMITTED HIV INFECTIONS OCCUR WITHIN MARITAL OR COHABITING RELATIONSHIPS. THIS IS THE PREDOMINATE MODE OF TRANSMISSION MOTHER-TO –CHILD TRANSMISSION INJECTION DRUG USE WITH SHARED NEEDLES, NON-STERILE MEDICAL INJECTIONS, UNSCREENED BLOOD TRANSFUSIONS TRANSMISSION OF HIV/AIDS

MOTHERS AND THEIR INFANTS : 

MOTHERS AND THEIR INFANTS In Rwanda, HIV/AIDS is one of the primary causes of death among infants and mothers. Estimates of more than 160,000 orphans as a result of HIV/AIDS which results in 1/5 of all orphans. (http://www.soschildrensvillages.org.uk/aids-africa/projects-by-country/aids-rwands-africa)

Rwanda and its CHILDREN : 

Rwanda and its CHILDREN In Rwanda, over 800,000 children have lost at least one parent and 160,000children have been orphaned due to HIV/AIDS. Rwanda does not an adoption agency to facilitate adoption of children internationally. Only six Rwandan children were adopted in the U.S. in the last five years. There are over 4,000 children living on the streets in Kigali, the capital of Rwanda. Rwanda has one of the world’s worst child mortality rates – one in five children die before their fifth birthday. (Malaria being the leading cause of infant and child mortality – 29%) More than 400,000 children are out of school. There is an estimated 101,000 children heading up to 42,000 households. One of the greatest populations of child-headed households in the world.

Slide 8: 

HIV AND ITS EFFECT ON RWANDA CHILDREN Of the 150,000 people infected with HIV/AIDS, there is estimates that 19,000 of that number is children who are fighting this disease.

RWANDA’S GENOCIDE : 

RWANDA’S GENOCIDE SEVENTY PERCENT OF WOMEN RAPED DURING THE RWANDAN GENOCIDE IN 1994 CONTRACTED HIV/AIDS. THE VICTIMS OF THE RWANDAN GENOCIDE DID NOT ALL DIE DURING THE 100 DAYS IN WHICH MOST OF THE KILLINGS TOOK PLACE. BUT, THE GENOCIDE STILL CONTINUES TO TAKE LIVES. SLOWLY, PAINFULLY, AND YET ALMOST INVISIBLY, THOUSANDS OF RWANDAN WOMEN ARE SUCCUMBING TO HIV/AIDS ACQUIRED THROUGH RAPE. GENOCIDE, RAPE, AND HIV INFECTION HAVE CONDEMNED THESE WOMEN TO CERTAIN DEATH. ARE THEY SURVIVORS OF THE GENOCIDE, OR WAS THEIR DEATH SIMPLY DELAYED?

My Connection to Rwanda : 

My Connection to Rwanda If you look closely at this picture, you do see me here with my FAMILY. My husband’s nationality was from Burundi; however him and his siblings childhood years were in Rwanda. They are all survivors of the 1994 Genocide.

Interview with Tanti Melanie Ntahorutaba : 

Interview with Tanti Melanie Ntahorutaba Pediatrician Luxembourg Through the Esther Project she done research in Rwanda in 2003-2004. For our interviews in this class, I was able to sit down with Tanti Melanie and discuss with her the situations there in Rwanda in which she experienced during her research. Treatment there in Rwanda is expensive. Many mothers has never been diagnosed with HIV/AIDS In the culture, people who may be sick sometimes may believe they have been poisoned or use traditional medicines before going to a doctor. Needles used there in the hospitals are not sterile due to lack of money. The ESTHER program has been very successful in Rwanda She is also a member of the International Association for AIDS.

Slide 12: 

WHAT IS ESTHER? “ESTHER supports partnerships that enable to structure care around the hospital and social networks on a long term basis, in order to enhance the capacities of developing countries to treat the HIV-positive.” It aims at improving conditions of care by enhancing technical platforms and the supply of hospital equipment, support national care strategies for people living with HIV/AIDS by encouraging national mechanisms, promotes and support the implementation of a continuous care strategy, and takes part in developing joint actions with international and European organizations to help provide coherent interventions and increase long-term access to care and treatment. http://www.esther.fr/articles.php?id=14&lang=en Since 2000, Luxembourg is among five countries that devote more than 0.7% of their gross national income to official development aid, focusing on the fight against poverty. Rwanda was one of the first countries to benefit from bilateral cooperation of Luxembourg, starting in the 1980’s. A cooperation agreement was signed and finalized in 2002.

Slide 13: 

In Rwanda, where there is one doctor for every 20,000 people, nurses are undergoing training to acquire the skills to prescribe anti-retroviral medications There are about 30 hospitals, including a referral hospital and 2-3 smaller hospitals in each prefecture. There are also approximately 30 health centers providing primary health care for many individuals. HEALTH CARE IN RWANDA

Slide 14: 

RWANDA AND ITS FUTURE Rwanda is at a key point in its AIDS response and preventing new infections remains the most sustainable means of curbing the epidemic. There is a need for a comprehensive approach to providing care and treatment to all those individuals living there with HIV. Sites for voluntary counseling and testing have increased. The number of individuals receiving antiretroviral therapy rose from 8,700 in 2004 to more than 19,000 by December 2005. As international funding for AIDS increases, the need to ensure money is spent effectively, focusing on the most at risk to HIV as well as people living with and affected by AIDS is a continued challenge.

Slide 15: 

The ABC’s of HIV/AIDS A stands for ABSTINENCE B stands for BE FAITHFUL C stands for CONDOMISE HOWEVER, AS POINTED OUT IN AN ARTICLE ON-LINE WRITTEN BY VICTOR MUGARURA, IN ORDER FOR THE ABC’S TO BE EFFECTIVE AN EXTRA “D” NEEDS TO BE ADDED….DIALOGUE

Slide 16: 

“No war on the face of the earth is more destructive than the AIDS pandemic.” --- Colin Powell

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