March - May 2009 Issue

Letter from the editor

The past two months were marked by two important HIV and AIDS events that hardly received any coverage in the media, which signifies that HIV and AIDS has become part of our daily lives and that many journalists are fatigued with HIV and AIDS news.  Sunday, May 17 2009 was International Candlelight Memorial Day, a day to commemorate the lives of those who died of AIDS, but it is also a day to mobilize communities to deal with HIV and AIDS.

Another important event for those involved in the HIV and AIDS field is the Southern African National AIDS conference.

This year’s conference held from the 31st of March until the 3rd of May in Durban, was one of the biggest AIDS conferences held in South Africa. The conference was testimony that despite aids fatigue and political controversy, there is a massive ground swell of activists, civil society leaders and organisations, health care and social workers, academics and scientists. They are not only feeling the burden of the estimated 5.7 million HIV positive South Africans and the nearly 400 000 annual AIDS related deaths, but they are all still very much fighting the battle against HIV and AIDS.

In this edition we look at one of the initiatives that were launched during the SA AIDS conference. The B the Future cellbook uses cutting-edge technology to reach the estimated 44 million mobile phone subscribers in South Africa in a unique and innovative way. Alfred Thutloa, a communications consultant at Metropolitan, describes this exciting initiative in HIV and AIDS education. Alfred has a background in magazine journalism and the NGO sector and is currently studying Intercultural Communication; he is well placed to provide us with his views on the use of the cellbook in HIV and AIDS education. 

The Winter of Discontent scenario on which we focus on in our Fact File provides us with a very bleak picture of South Africa in 2025. It is shocking to recognize so many of the factors in the South Africa of today that will drive this scenario going forward. Family Day in April reminded us again of the importance of a family in the well-being of a society and nation. We provide you with an extract from Live the Future on the actions that a family can take to steer towards the Summer for All People.

Let’s work towards a Summer for All, the Metropolitan best case scenario for a South Africa in 2025.


Nathea

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B The Future:  A Business to Community HIV/AIDS initiative

By: Alfred Mautsane Thutloa

“Imagine the Possibility of an HIV-Free Generation: It Begins with YOU!” This is the mantra of mainstream messaging geared towards individual action against HIV and AIDS. In a drive towards mobilising individuals to take responsibility for their HIV status, Metropolitan introduced the largest social initiative thus far

called B the Future – a comprehensive HIV and AIDS information booklet downloaded as a cellbook* to mobile phones.


With the advent of communication and information technology (ICT), mobile technology has emerged as an effective tool to disseminate information to small target groups or across a wide spectrum of communities. B the Future leverages on this conducive environment where more and more people make use of their mobile phones for work and in their personal capacity. Figures show that about 80% of South Africans have access to mobile phones and only 12% have access to the internet. B the Future is projected to reach an astounding 44 million mobile phone users.

Launched at the Fourth Southern African AIDS Conference that took place on 31 March – 3 April 2009 in Durban, B the Future contains information that aims to inform, educate and ultimately assist in the prevention of HIV and AIDS, as well as encourage South Africans to take action and responsibility for managing their health. The Conference provided the perfect incubator to introduce the initiative to various stakeholders in the HIV and AIDS sector, before it was rolled out to millions of South Africans.

The Conference led under the theme of Scaling Up for Success “recognises that there is an urgency to take stock of best practices in treatment and prevention and to scale these up sufficiently to begin to roll back the onslaught in numbers and impact that the epidemic is currently waging in Southern Africa,” says Professor Linda-Gail Bekker, Conference Chairperson. B the Future is an initiative with the potential for broach reach and impact, and it certainly deserved an audience at the Conference.

You can B the Future

How? B the Future is a resource with basic information on HIV and AIDS that will allow you or your employees to access HIV and AIDS information on your phone, easily and privately. The service is manned by Cellbook, a dynamic company that provides book publishers with the solutions to effortlessly reach billions of mobile users. It is supported by a call centre (076 245 9459 or support@cellbook.co.za) and only requires mobile phone users to simply SMS the word HIV to 32907. With this R1 SMS, users receive an HIV and AIDS cellbook with information on:

  • HIV prevention and testing

  • Counselling and support

  • How to live positively with HIV

  • Support services (where can I get help?)

  • Frequently Asked Questions

All of this information is written in simple English and difficult terms are explained in brackets. Once downloaded onto a mobile phone, B the Future is always available with or without a signal (mobile phone reception), and there is no airtime or WAP or GPRS access (internet access) required once it has been downloaded. To curtail any problems that can arise because of the amount of data on the cellbook, the information has been compressed to below 300kb for quick and easy access on a mobile phone. “At only R1 per sms, it is affordable and takes less time than it would to download a ringtone. Just sms the word HIV to 32907 and you’ll get back everything you need to know about HIV and Aids,” says Bertus Preller, marketing executive for Cellbook.

B the Future is available to anyone who is interested in finding out more about HIV and AIDS for their own information or in order to support and counsel a friend or a colleague. B the Future is also the ideal information tool for peer educators who need basic information about HIV and AIDS in an easily accessible form. For further information about the content of the cellbook, you can contact: livethefuture@metropolitan.co.za

Terms and Conditions
Vodacom, MTN Cell C & Virgin Mobile: Cellbook R1 once-off
WAP & GPRS to be enabled for downloading
Cellbook requires colour phone with GPRS/3G


* A cellbook is an information booklet that has been configured into digital format for mobile phone utilisation to distribute data


Alfred Mautsane Thutloa is a marketing and communication consultant for Metropolitan. His background is rooted in magazine journalism, where he worked for the popular lifestyle magazine Top Billing, and a subsidiary of Men’s Health, Best Life magazine. Before joining the Metropolitan AIDS Risk Consulting unit, he worked for a multinational NGO focused on HIV/AIDS and PMTCT. Alfred holds a B.A. degree in International Studies, and a postgraduate BPhil degree in Cultures. He is currently completing an MPhil in Intercultural Communication.

 

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Disclaimer

Copyright subsists in all materials in this publication. You may use the information and print or reproduce materials from this publication only for your own non-commercial personal use.

The views expressed in this publication do not necessarily reflect those of Metropolitan. As always we encourage responses on any of these issues covered.

Metropolitan takes every possible care and effort to ensure that the information supplied is as accurate and current as possible. However, Metropolitan does not assume any liability and will not in any way whatsoever be held responsible for any liability arising from the use of any information, calculators and advice supplied in this eNewsletter.

In this issue

  1. B the Future: A business to community HIV/AIDS initiative




Live the Future fact file


What does the future look like in the “Winter of Discontent” scenario?

In winter the world seems bleak and hopeless, nothing grows, and life retreats. So too, in this scenario. The economy is stagnant, and social circumstances are depressed. 

Key characteristics

  • Weak self-serving leadership

  • Few partnerships 

  • Focus on blame, stigma and conspiracy 

  • No behaviour change: drugs, sexual violence, gender inequality 

  • Contradictory beliefs about HIV and AIDS
  • High crime
  • AIDS response: fake cures, corrupt systems

Under a Winter of Discontent South Africans are focusing on apportioning blame for the unabated effects of the HIV and AIDS epidemic on South Africa. Stigma, denialism and conspiracy theories are the order of the day in the absence of a strong integrated response to HIV and AIDS.

Business response is limited under this low growth scenario and labour is regarded as dispensable. 

Awareness of HIV is low with only one in five of South Africans knowing their HIV status by 2010. A high level of gender inequality and sexual violence still exist and criminal activity exploits these weaknesses in society.

The Winter scenario society experiences negative economic growth and low social collaboration. The large proportion of unskilled labour increases unemployment and skilled labour remains in short supply. The market shrinks with most expenditure focused on basic goods and security.

The estimated HIV prevalence rate amongst the ages 20 to 64 will remain high at 18%. A total of 786 000 South Africans will be in the final stages of the disease and in need of antiretroviral treatment. AIDS deaths per annum will be a high 445 000.

Extract from: Metropolitan Holdings Ltd (June 2006). Live the Future – A Model to Respond to the Challenges of HIV and Aids in South Africa on www.livethefuture.co.za



What family level action does the Live the Future project suggest to prevent HIV infection?

Action for All

Family members to provide guidance to one another to help them

  • Make sound decisions about relationships and sexual intercourse,
  • Deal with pressure for unwanted sex, drug or alcohol use,
  • Recognize a situation that might turn risky or violent,
  • To ask for help and support if they have had unprotected sex or have been sexually assaulted so that they can access prophylaxis medication,
  • Know how to negotiate protected sex when ready for sexual relationships,
  • Know how to negotiate sexually coercive situations and avoid circumstances such as transactional sexual relationships,
  • Know how to negotiate safe cultural norms and practices such as circumcision.
  • Educate one another by sharing information about
    • How to prevent mother-to-child HIV transmission (PMTCT),
    • HIV testing,
    • Where to access male or female condoms,
    • Where to access other contraceptives,
    • Adhering to universal precautions in the home,
    • Vaccine and microbicide research taking place in the community.

Challenge

In some cultures, discussion around sex and sexuality are taboo and are seen to encourage sexual behaviour.

Some parents or family members may not feel equipped to provide the support and information that their children may need.

Some children may not want to talk to their parents about these matters, as they are embarrassed.

Parents may deny that their children may be involved in sexual relationships and therefore do not believe that they have to discuss issues of HIV and AIDS.

In some instances, there could be domestic abuse, including sexual abuse, within families in the community.

Survivors of sexual abuse may not report abuse, for fear of revenge by the perpetrator and his/her family.

Survivors of sexual abuse may not know what channels to follow in laying a formal complaint.

Alcohol and drug abuse within families may create many problems including,

  • Domestic abuse
  • Poor care of dependants
  • Few resources to pay for necessities
  • Creating risk of HIV infection if abuser is having unprotected sex
  • Creating risk of HIV infection if abuser is sharing needles.

Extract from: Metropolitan Holdings Ltd (June 2006). Live the Future – A Model to Respond to the Challenges of HIV and Aids in South Africa on www.livethefuture.co.za






HIV and AIDS Vital Statistics for South Africa in 2009

AIDS deaths per day 1000
New HIV infections per day1400
People living with HIV 5,7 million
Total AIDS deaths380 000
Total new HIV infections501 000
Total AIDS sick676 000*
Adults with AIDS, not on ART 470 000
Children with AIDS, not on ART26 000
Adults on ART 583 000
Children on ART 69 000

*Note: This includes people who have not started ART and those who have started ART, but have since discontinued treatment.
 
Source: Metropolitan AIDS Risk Consulting from ASSA 2003 (Full) AIDS and Demographic model



Contact info:

Published by
Metropolitan Holdings

Editorial Board

Tersia Mdunge
(021) 940 6121
tmdunge@metropolitan.co.za

Nathea Nicolay
(021) 917 3090
nnicolay@metropolitan.co.za

Nosipiwo Ngxabazi
(021) 940 5150
nngxabazi@metropolitan.co.za



Alfred Thutloa

(021) 917 3294 athutloa@metropolitan.co.za

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