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HIV/AIDS…Toward a HIV/AIDS…Toward a Better Christian Better Christian
ResponseResponse
WE CAN MAKE A DIFFERENCE
Which words come to Which words come to your mind when you your mind when you hear the word hear the word AIDSAIDS??
““HIV and AIDSHIV and AIDS…Let’s …Let’s Start with ourselves!”Start with ourselves!”
What about my attitude?
FINISHED FILES ARE THE RE-
SULT OF YEARS OF SCIENTIF-
IC STUDY COMBINED WITH
THE EXPERIENCE OF YEARS
Why do you think you Why do you think you missed the missed the letters Fletters F
while they were before while they were before your eyes???your eyes???
The reason we miss them is because we tend to read
only the big words. We tend to skip
over the small, less important words.
It’s exactly the same!It’s exactly the same!
For years people in Africa thought that HIV and
AIDS was not as big as a problem as it was said to
be. But suddenly HIV became a huge problem
which we can’t ignore any longer
Let’s say that there is a very effective drug which could dramatically increase the life span of a person living with HIV , has recently been discovered . This drug is not going to cure the person , but instead of living for 8 – 10 years without medication , this person might live for 30 – 40 years before dying from AIDS
He / She will therefore remain HIV + and could infect people without the necessary precautions
The government has decided to run a pilot research project on this drug ,However the project budget can only fund one person’s treatment . This panel (You and all the participants ) has been approached to make recommendations on who would be the most appropriate person to receive this drug!
Our 3 potential Our 3 potential candidates are candidates are
Marc - a homosexual manAnne – a health care workerJulia – a domestic worker
So who should be So who should be awarded the grant?awarded the grant?
Remember that this treatment could mean
longer life!
Marc- surgeon– infected by patient– long-term
relationship with George, a pharmacist
Anne - 25 years old– infected sexually– works in a night
club after hours to raise income
– has 2 childrenJulia
– tested HIV+ when applied for life insurance for a home loan
– infected during doing a tatto– husband died of TB (AIDS-
related)
NowNowNowNow Marc and George
– Successful careers and wealthy Anne
– no medical aid– cannot get life insurance & her children
will be orphaned– still works at the night club as a
receptionist Julia
– lost her job because HIV+– husband’s policy paid out 50 000 USD – invited to invest money in daughter’s
business
We now can realizeWe now can realize
How quickly we judge How we base our choices on the minimum of information
We all tend to put people in boxes!
We have to admit thatWe have to admit that
For many of us ,HOW a person became HIV + positive is important, Are they “guilty” or “innocent”
We need to ask ourselves WHAT difference does it make how people got infected..
What Would Jesus Do?What Would Jesus Do?
We need to remember that there were “spit circles” by the Pharisees and the highly spiritual people while Jesus was on earth but he over-stepped all these boundaries by making friends with those who were “unacceptable”
To start thinking of serving our brothers
and sisters in the body of Christ who are living with HIV , We need to challenge ourselves
never to ask the question “ How were
you infected”
Now we need to know Now we need to know more than the basicsmore than the basics
Let’s Start our journey!
A global view of HIV A global view of HIV infection infection End 2003End 2003
A global view of HIV A global view of HIV infection infection End 2003End 2003
Total: 33.3 million [31.4 million – 35.3 million]
Western & Central Europe
820 000[720 000 – 910 000]
Middle East & North Africa
460 000[400 000 – 530 000]
Sub-Saharan Africa22.5 million
[20.9 million – 24.2 million]
Eastern Europe & Central Asia
1.4 million [1.3 million – 1.6
million]
South & South-East Asia4.1 million
[3.7 million – 4.6 million]
Oceania57 000
[50 000 – 64 000]
North America1.5 million
[1.2 million – 2.0 million]
Central & South America
1.4 million[1.2 million – 1.6
million]
East Asia770 000
[560 000 – 1.0 million]
Adults and children estimated to be living with HIV 2009
Caribbean240 000
[220 000 – 270 000]
Estimated number of adults and children newly infected with HIV 2009
Western & Central Europe
31 00031 000[23 000 – 40 000]
Middle East & North Africa75 00075 000
[61 000 – 92 000]
Sub-Saharan Africa
1.8 million1.8 million[1.6 million – 2.0
million]
Eastern Europe & Central Asia
130 000 130 000 [110 000 – 160 000]
South & South-East Asia270 000270 000
[240 000 – 320 000]
Oceania45004500
[3400 – 6000]
North America70 000
[44 000 – 130 000]
Central &South America
92 00092 000[70 000 – 120 000]
East Asia82 00082 000
[48 000 – 140 000]
Caribbean17 000
[13 000 – 21 000]
Total: 2.6 million [2.3 million – 2.8 million]
Estimated adult and child deaths from AIDS 2009
Western & Central Europe
8500[6800 – 19 000]
Middle East & North Africa24 000
[20 000 – 27 000]
Sub-Saharan Africa1.3 million
[1.1 million – 1.5 million]
Eastern Europe & Central Asia
76 000 [60 000 – 95 000]
South & South-East Asia260 000
[230 000 – 300 000]
Oceania1400
[<1000 – 2400]
North America26 000
[22 000 – 44 000]
Central & South America
58 000[43 000 – 70 000]
East Asia36 000
[25 000 – 50 000]Caribbean
12 000[8500 – 15 000]
Total: 1.8 million [1.6 million – 2.1 million]
Always remember that statistics is about
PEOPLE..Every figure or graph represents the
faces and lives of people..People like you
and me with family, children ,friends and
loved ones..
UMANUMAN
MMUNE MMUNE
DEFICIENCYDEFICIENCY
IRUSIRUS
UMANUMAN
MMUNE MMUNE
DEFICIENCYDEFICIENCY
IRUSIRUS
HIV
HIV
AIDS
AIDS
CQUIREDCQUIRED
MMUNEMMUNE
EFICIENCYEFICIENCY
YNDROMEYNDROME
CQUIREDCQUIRED
MMUNEMMUNE
EFICIENCYEFICIENCY
YNDROMEYNDROME
After a person has been infected, the virus starts breaking down the immune system and after some time the person’s immune system is so weak that they become susceptible to a variety of opportunistic infections .
So a person who is HIV +ve has the virus in their blood and can infect others but doesn’t yet have AIDS . As time passes ,their immune system will deteriorates as the HIV multiplies and destroys the immune system CD4 cells and the person develops AIDS
IF I was HIV +ve and you were to tell the people
at home after this session . “ a person who is HIV+ve gave us a talk today “ ,what will they think ? What they think
I look like?
So its imp to remember So its imp to remember thatthat
A person living with HIV looks like anyone else . It is only in the very final stages of AIDS
(which could be after 10 years of infection) the
person will start to have these symptoms we have in
mind
How does HIV How does HIV attack the attack the
immune system?immune system?
How does HIV How does HIV attack the attack the
immune system?immune system?
How does it work?How does it work?How does it work?How does it work?
Your body is protected by the immune
system made up of White Blood Cells
(WBC).
Your body is protectedYour body is protectedYour body is protectedYour body is protected
White Blood Cells fight
diseases and viruses for your body.
White Blood Cells fight
diseases and viruses for your body.
the Struggle the Struggle the Struggle the Struggle
Strong diseases make you sick, but
the white blood cells
usually win in the end.
Now….HIV attacks!Now….HIV attacks!Now….HIV attacks!Now….HIV attacks!
The problem here is that
HIV is a virus attacks the white blood
cells themselves.
The Struggle – HIV the winner The Struggle – HIV the winner
The Struggle – HIV the winner The Struggle – HIV the winner
After a very
long struggle lasting years, HIV kills most of your white blood cells, leaving your
body unprotected
After some years with No After some years with No
protectionprotectionAfter some years with No After some years with No
protectionprotection
Many other diseases attack and kill the bodyWhen this starts happening we say that the person who has been HIV +ve now has AIDS
•Test
Smaller recurrent illnesses.
•AIDS defining illness
Window period
Infection
• progressive deterioration
• death
•Asymptomatic
0- 12 weeks 1 – 2 yr8 -10yr
Tests -
Progression of InfectionProgression of InfectionProgression of InfectionProgression of InfectionH
ealt
h/im
mu
ne s
tatu
s
0 -
10 -
100 -
1 000 -
10 000 -
100 000-
1 000 000-
Vir
al lo
ad
- 0
- 250
- 500
- 750
- 1000
CD
4 C
ou
nt
0- 12 Weeks
8-10Years
2- 3Years
Viral loadViral load
CD4 CountCD4 Count
Anti-bodiesAnti-bodies
High HIV Concentration(Evidence of transmission)
Body FluidsBody FluidsBody FluidsBody Fluids
Low or No HIV Concentrati
on(No evidence
of transmissio
n)
BloodSemen
Vaginal fluidsBreast milk
SalivaTearsSweatUrine
Conditions for Conditions for transmissiontransmission of HIV of HIV
Body temperature
Moist environment
No contact with atmosphere
Essential: HIV+ person
Essential: HIV+ person
Ways of transmitting Ways of transmitting HIVHIV
Ways of transmitting Ways of transmitting HIVHIV
Sexual activity
Mother to baby
Blood
Sexual activity
Mother to baby
Blood
Blood and blood Blood and blood products products 2%2%
Blood and blood Blood and blood products products 2%2%
TransfusionTransfusion Needle pricksNeedle pricks Intravenous drug use
Intravenous drug use
Mother to babyMother to baby(1 in 3) (1 in 3) 10%
Mother to babyMother to baby(1 in 3) (1 in 3) 10%
PregnancyPregnancy
Breast-feedingBreast-feeding
BirthBirth
Sexual activity Sexual activity 87%87%Sexual activity Sexual activity 87%87%
Hetero-Hetero-
Homo Less than 1%-Homo Less than 1%-
Bi-Bi-
TreatmentTreatmentWhat do we mean by
“treatment”? Antiretroviral therapy
(ART) Building the immune
system Treat the symptoms of
opportunistic infections
1- Compelled by the 1- Compelled by the love of Christlove of Christ
Our Motivation 2 Corinthians 5:14
2- To accept as 2- To accept as Christ acceptsChrist accepts
Our Attitude Towards People
Romans 15:7
3- To serve God in 3- To serve God in practical acts of practical acts of
Love and Love and compassioncompassion
Our ServiceJames 1:27
5- To break the 5- To break the silence by speaking silence by speaking
the truth in lovethe truth in love
Our ResponsibilityEphesians 4:15
"Only by confronting stigma and discrimination,
will the fight against HIV/AIDS be won".
United Nations Programme on HIV/AIDS
Remember that the way Remember that the way won’t be easy all the won’t be easy all the
time!time!Emotional needs and pastoral care
at the 4 phases which the person pass through
Condoms??? ( Lawful/Unlawful Sex Vs. Safe/Unsafe Sex)
Between cultural and religious practices
Is AIDS God’s punishment for immortality?
What steps would be What steps would be necessary to move necessary to move
from vision to from vision to action ?action ?
STEP 1Situational
analysis
STEP 1Situational
analysisSTEP 2
Identifying
issues
STEP 2Identifyi
ng issues
STEP 3Making
strategic choices
STEP 4Developing objectives
and activities
STEP 4Developing objectives
and activities
STEP 5Monitoring
and evaluation
STEP 5Monitoring
and evaluation
HIV/AIDS HIV/AIDS TeamTeam
HIV/AIDS HIV/AIDS TeamTeam
More than the BasicsMore than the Basics
Sharing up-to-date Statistics
Providing in-depth info on the transmission of HIV , treatment and self-protection
Living with HIV and Living with HIV and AIDSAIDS
Discovering the phases and needs of people living with HIV , moving from diagnosis to acceptance
Living positively with HIV and AIDS
Advanced info on Antiretroviral treatment
HIV and AIDS- Christian HIV and AIDS- Christian ResponseResponse
Exploring Christian guiding principles
Stigma and discriminationExplaining the counseling and
pastoral needs of HIV infected /affected people in each phase of the infection
HIV and AIDS – HIV and AIDS – Community Response Community Response
In order for a church to respond ,they need to go around
, know what is happening in their communities and those
who are already involved in care projects and share their needs
HIV and AIDS – HIV and AIDS – Mobilizing a church to Mobilizing a church to be a channel of hope”be a channel of hope”
Motivating a church to respond to HIV and AIDS
Mobilization and planning toward becoming “a Channel of Hope”
Our lives begin to Our lives begin to end the day we end the day we become silent become silent
about things that about things that matter“ matter“
Martin Luther King Martin Luther King Jr.Jr.
If you believe and I take heedIf you believe and I take heedUnited against AIDSUnited against AIDS
With love and care we’ll conquer With love and care we’ll conquer allall South Africa South Africa will be saved will be saved
(x3)(x3)With love and care we’ll conquer With love and care we’ll conquer
all South Africa will be savedall South Africa will be saved
If you believe and I take heedIf you believe and I take heedUnited against AIDSUnited against AIDS
With love and care we’ll conquer With love and care we’ll conquer allall South Africa South Africa will be saved will be saved
(x3)(x3)With love and care we’ll conquer With love and care we’ll conquer
all South Africa will be savedall South Africa will be saved
Song against AIDSSong against AIDSPE Tech Peer educators 2001PE Tech Peer educators 2001
Song against AIDSSong against AIDSPE Tech Peer educators 2001PE Tech Peer educators 2001
If you believe and I take heedIf you believe and I take heedUnited against AIDSUnited against AIDS
We’ll fight our fears with truth and We’ll fight our fears with truth and lovelove
all Africa all Africa will be saved (x3)will be saved (x3)With love and care we’ll conquer allWith love and care we’ll conquer all
and Africa will be savedand Africa will be saved
If you believe and I take heedIf you believe and I take heedUnited against AIDSUnited against AIDS
We’ll fight our fears with truth and We’ll fight our fears with truth and lovelove
all Africa all Africa will be saved (x3)will be saved (x3)With love and care we’ll conquer allWith love and care we’ll conquer all
and Africa will be savedand Africa will be saved
Today believe, today take heedToday believe, today take heedUnite with us we prayUnite with us we pray
With hearts inspired, we’ll heed the With hearts inspired, we’ll heed the callcall
For God will lead the way (x3)For God will lead the way (x3)With hearts inspired, we’ll heed the With hearts inspired, we’ll heed the
callcallThe whole world The whole world will be savedwill be saved
Today believe, today take heedToday believe, today take heedUnite with us we prayUnite with us we pray
With hearts inspired, we’ll heed the With hearts inspired, we’ll heed the callcall
For God will lead the way (x3)For God will lead the way (x3)With hearts inspired, we’ll heed the With hearts inspired, we’ll heed the
callcallThe whole world The whole world will be savedwill be saved
““We are the body of We are the body of Christ…”Christ…”
The body of Christ has AIDS!
““If one member If one member suffers, we all suffer”suffers, we all suffer”
““If one member If one member suffers, we all suffer”suffers, we all suffer”
We pray that God will help We pray that God will help us to…us to…
Accept as Christ acceptedLive as the body of ChristBe compelled by the love of ChristSpeak the truth in loveFind wisdom from heavenBe ambassadors of ChristAnd start practically to help people