South African bishops to fight AIDS
silence
By PATRICIA LEFEVERE
Special Report Writer New York
Archbishop Buti Tlhagale laments that he spends so much time going
to funerals. In his archdiocese of Bloemfontein, in the Orange Free State of
South Africa, there are weekly burials that attract up to 2,000 people.
Everyone knows what the person died of, but no one speaks of
it, he said, not even the priest. The specter of AIDS is stalking
Southern Africa, decimating its population across generations, across cultural
and economic classes. Alongside the corpses that it claims is left a surging
population of orphans, many of them infected or at risk from the killer
disease.
Yet at burials throughout the country there is a conspiracy
of silence that will not name the stalker, according to Tlhagale. At
funerals no one wants to embarrass the family of the person who died, he said.
Were paralyzed. People think it is a curse -- you have bad
blood -- if you catch this disease.
The Catholic bishops of Southern Africa are hoping to end the
silence. With the support of U.S.-based funders, the Southern African Catholic
Bishops Conference is embarking on a major push to bring a fuller
awareness of AIDS and to help counter its devastation.
The invisibility of HIV/AIDS is a national phenomenon. Tlhagale
points to South Africas former president and liberator, Nelson Mandela,
whom he remembers mentioning the disease in passing only once in a national
address. He blames the taboos around sex in the nation and in the
church and said that priests and nuns need to get over their own hang ups
about sex.
According to Bishop Kevin Dowling of Rustenberg in Transvaal
province, the nation had been so focused on its liberation from apartheid rule,
and later on building democracy, that it barely noticed the growing infection,
Dowling said. When the rock of apartheid was lifted, underneath it lay
incredible layers of poverty, inequality and injustices -- all of
these the breeding ground for the spread of HIV/AIDS, he said.
Tlhagale and Dowling traveled to New York in February to meet with
the Catholic Medical Mission Board, which has announced the earmarking of 25
percent of its special health care projects budget over the next five years for
the Southern African Bishops Conference. NCR met with the bishops at the
mission boards headquarters in New York.
The board made its unprecedented commitment in conjunction with
Bristol-Myers Squibbs $100 million Secure the Future
foundation, a private-public coalition that is funding sustainable,
community-based solutions to stemming AIDS and ameliorating its suffering,
particularly among women and children. The project will target South Africa and
four of its neighbors: Botswana, Lesotho, Namibia and Swaziland.
Two-thirds of the estimated 34 million people infected with
HIV/AIDS live in sub-Saharan Africa and experts predict that more than 70
percent of all new HIV infections will occur in the region. Women comprise more
than half of the infected adults in the five nations targeted by the health
care project. Currently more than 100,000 children are living with HIV/AIDS in
the five countries and the disease has orphaned 200,000 children.
The mission boards $5 million donation to the bishops
conference will come under the auspices of the Princeton, N.J.-based Bristol
Myers Squibb project and will fund programs approved by the bishops in
accordance with Catholic moral teaching, according to the boards
executive director, Terry Kirch.
The South African bishops, who oversee 29 dioceses with 3.5
million Catholics, 11 percent of the nations 43 million citizens, want to
counteract what Tlhagale calls the current depression and
frustration gripping the region stemming from an experience of
helplessness over AIDS.
Tlhagale said that one action the church can take is to develop a
liturgy for people living with AIDS. The health crisis requires that the church
look at the healing messages of the Old and New Testaments and not just
at the justice passages. If the nation remains focused on truth and
reconciliation and an end to violence, but does not work to eradicate AIDS, it
is only dealing with peripheral issues, Tlhagale said.
Dowling wants a healing liturgy that uses water, oil, prayers of
purification and the laying on of hands. Such symbols are important, he said,
as most South Africans view AIDS as a struggle against an evil force. In a
nation where parents desert children with AIDS and where families are torn
asunder by the disease, it is paramount to have a ritual that proclaims
Gods unconditional love, he said. Dowling hoped that such a service would
break the silence over AIDS and help to build a community of caring and shared
responsibility.
A liturgy around AIDS has yet to be formulated. The bishops
conference has spent the last six years establishing a Catholic AIDS Office and
coordinating the efforts of the Catholic Institute of Education to teach about
HIV/AIDS in all schools. In a few months the bishops plan to publish a pastoral
letter on the crisis.
I hope that the bishops can sit down and apply their minds
to the concrete situation that cries to high heaven, instead of just invoking a
teaching, said Tlhagale, who served as general secretary of the
bishops conference from 1995 to 1999. The archbishop said he hoped that
the letter would take up the issues of pre-marital and extra-marital sex as
well as the rights and responsibilities of spouses.
The church has been criticized for opposing the use of condoms
when most people say, Condoms are there to prevent death, Tlhagale
said. The condom question is far from settled, he said, noting that there could
be individual cases where their use might be justified, but that the bishops
must address the whole church community and not individual cases.
The level of tension in families with AIDS is far greater than the
clergy know, the two prelates acknowledged. Tlhagale praised the courage of
women, noting that some face death with their eyes open, while
others who say no when their husbands ask for sex risk being thrown out with no
place to go and no help for their children. It is very difficult for a
woman to deny sexual relations when a man demands it, he noted.
Church-sponsored home caregivers and AIDS counselors have also to
struggle against advice given to men by many traditional healers. Frequently
AIDS-infected men are told to sleep with virgins in order to rid themselves of
the virus. A distraught woman in Dowlings diocese approached a church
worker when her infected husband was told by a traditional healer to have sex
with the couples 6-year-old daughter.
Tlhagale said that healers need to be brought on board
in a nationwide dialogue over AIDS. He sees their role as similar to that of
the priest, namely to provide psychological and spiritual counseling to help
the sufferer accept and cope with the disease -- not to teach that taking
some herb will end it.
Both bishops are encouraged that the government is eager to have
the churchs help in tackling AIDS and is prepared to fund some of the
churchs educational efforts. The government is clearly
desperate, Tlhagale said. The government needs to call on civic, labor,
religious, educational and nongovernmental organizations if it wants to avoid
losing 20 percent of its population to the AIDS pandemic, he said.
Dowling said that none of South Africas large mining houses
has mounted an aggressive campaign against the disease, even as AIDS attacks
men aged 30 to 55, the ages of most miners. In his own town of Rustenburg,
where platinum mining is the key industry, Dowling said that on any given day
400 men with AIDS are patients in the local, mine-sponsored hospital.
The bishop also faults the government for its huge outlay of funds
to develop South Africas own anti-AIDS vaccine, a task which Dowling
thinks could take decades -- time in which millions could die without benefit
of drugs that already exist, but which the government has refused to
import.
Statistics indicate that 25 percent of South Africas
pregnant women are HIV/AIDS-infected and that the drug AZT, when given during
the final month of pregnancy, has been shown to prevent the transmission of the
virus to the baby. But the government has refused to import the drug, noting
its high cost.
When AZT manufacturer, GlaxoWellcome, offered to sell the drug at
a 70 percent discounted price in South Africa, Pretoria refused again, Dowling
said. This makes no economic sense. Now the government will have to
provide for AIDS-infected babies and orphans, the bishop said.
Tlhagale said the church must lobby the government with the facts
-- medical, economic and demographic. He hopes that overseas assistance in the
form of teachers and AIDS prevention personnel can help to educate workers in
the field in South Africa. Despite its horror, AIDS has given the Catholic
church and other ecumenical and interfaith groups a beautiful opportunity
to cooperate with the government and each other -- if we can rise to the
occasion, Tlhagale said.
South Africa HIV/AIDS
Statistics |
Currently: 3.5 million people are
HIV positive In the next five years: 5.6 million will become
HIV-infected 2.1 million people will have died 18% of the workforce will
become infected. |
National Catholic Reporter, March 3,
2000
|