Dumelang
It has been some time since I have written anything on the blog; sorry to those of you that has been trying to keep up with our lives here in Botswana. For one, can you believe that we have been gone for 6 months already, where has the time gone? Its funny because the days seem very long at times but weeks and then months go by faster than the spiders around our house.
In any case, things are good. Work has been slower than I originally thought because I have been mainly in the office trying to understand everything that takes place at the district level. Now that I understand the ropes and some of the challenges that go along with working on HIV/AIDS in Botswana, I am starting to meander out to some of the nearby clinics in hopes of gaining a further understanding to clinic level successes and complexities. I have gained the trust with some people, which is quite a challenge in itself, but now I am hoping to combine the office knowledge gained with on the ground clinical issues and try and implement some things in the community. All too often, many activities are planned and talked about regularly but are simply not implemented for a number of reasons. My main goal for now is to get people to start talking opening about the disease (which includes talking about the very taboo subject of SEX) and recognize the importance of prevention.

The vast majority of aid money that has come pouring into Botswana has been allocated for treatment alone, which is great because people are living much longer. On a side note, I could not imagine working in a country that still does not provide ARVs to their citizen, mostly due to American pharmaceutical patent laws. It would be truly devastating to see people die on a daily basis, knowing that there is a medicine out there to help people survive longer. Working in Botswana would almost be unbearable if their where no ARVs. In the 90s weekends were filled with funerals and it is truly unbelievable there still countries out there that have to just accept this fate. In fact, Botswana supplies anyone positive with a CD4 count less than 250 free ARV’s, the first country in the world to do so. This is possible because of the limited number of Batswana (population 1.7 million). Moreover, in focusing all efforts on treatment, prevention measures have been forgotten until now. The government has new priorities and has established prevention as the key to success.

More to come on specific projects as they develop but things are slowly getting into the pipeline and hopefully we can make a difference with a select few. Changing one’s behavior in any country takes ample time, and in a country with rich cultural traditions like Botswana, it will take a whole generation.

Speaking of generations, there is a whole sub-set of the population, children, growing up with no parents because of the impact HIV/AIDS has had on Botswana. Most of these children end up with one relative or another and generally, because they are orphaned, are not treated equally amongst the family. The government does offer some assistance with food baskets (they are lucky if they get the food) but overall, these 10 year olds are not loved and care for themselves and their younger siblings if they have any. Imagine collecting water, hand-washing clothes, cooking if you have food, and caring for yourself at 10 years old. There is no time to play make believe house, like so many of us enjoyed as children. Furthermore, many have no clothes or shoes; therefore can’t go to school, which compounds the problem. It really hit home a few weeks ago when our neighbor invited us over to see her house. Here’s the reality and her story.

Her name is Ellen, a stocky 10 year old, with a shaved head and a beautiful voice. She always comes by the house collecting water and we have gotten quite close with her. At first she was shy and just curious about us, saying dumela and asking for the occasional sweet or lemon growing on the tree. As she became more comfortable we started asking more and more questions to figure out her story because some days she would go to school, some days not. We would see her one-day then she would be gone for weeks at a time. Basically a sweet, innocent little girl but you could tell she was strong beyond her years and there was something more to her short life. It is evident if you could see her biceps and thighs from collecting water a few times a day. Three five-gallon jugs at a time in a wheelbarrow, truly amazing.

She lives on a family compound directly next to us. We still do not know who’s compound it is as she says her mom is gone at the lands and hasn’t returned since august and her dad is apparently in Gaborone. I think it is a cousin’s compound, fit with one house and one roundavol (traditional thatched round house). She doesn’t stay inside the house with everyone, she stays in the roundie by herself. It consists on a foam mattress and a few boxes. The people that stay in the house rarely give her food so she scrapes what she can get and hopefully goes to school to get a meal there. I asked her how she eats and all she can say is “ they spend the money on alcohol!”

One day last week she came by while I was watering my garden, damn it’s tough to have a hose out while this little girl carts water back home, but there is fortunately water on our compound. She came by like she does everyday but this time something was obviously wrong, no smile, no singing at the top her lungs and no Dumela. She had a fat lip because someone on the compound beat her for who knows what.

You probably get the story but in any case, this circumstance is all too familiar in Botswana. Many of the children are being helped but too many are not or the efforts fall short. We are trying to get her assistance from the government and have found a used pair of shoes from Laura’s school that are a bit too big but hopefully it will allow her to go to school freely where she can continue to learn and grow and simply eat. She was so delighted today when I gave her the shoes; hopefully this will allow her to go to school everyday and not care for the counsin’s new born while she is out at the local shabeen (compounds that sell traditional beer).

Ellen is resilient, like many children in Botswana and Africa as a whole. Most days she has a wide smile and can sing with the best of them. You always know when she is around because she belts local songs out as loud as the radio next door. While many Botswana lack compassion for the destitutes, they are perhaps the one’s that can change Botswana once and for all. A country free of HIV, a generation with the knowledge and skills to eliminate such a disease means the next generation, their kids, will have someone to put food on the table and someone to tuck them in at night.