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Stigma when there is no other option: “The poor even segregate the patient because there is nothing they can do to help” [Secondary School Pupils, Rural Zambia]. Virginia Bond ZAMBART Project London School of Hygiene & Tropical Medicine The School of Medicine, UTH
Stigma when there is no other option:“The poor even segregate the patient because there is nothing they can do to help” [Secondary School Pupils, Rural Zambia]
London School of Hygiene & Tropical Medicine
The School of Medicine, UTH
HIV/AIDS and Food and Nutrition Security
An International Conference
Durban 14-16 April 2005
“When someone is sick and the family is poor, there are talks over what to eat, small things which need money. This brings problems in the family. Where will the family get the money?” [man living with HIV, rural Zambia]
“People in this area are living under poverty…very few people manage to look after these people [PLWHA] if you look at the current situation. As of now, people are just feeding on unrecommendable food “ka pamela” per day, chiwawa and impwa. They think if they start again looking after those people, they are actually putting themselves in problems”[social worker, urban Zambia]
“A lot of money or wealth will be wasted during that nursing period and, as a result of the illness, you tend to borrow a lot and tell lies”[young men, rural Zambia]
“Some household members say it is a burden and some of them are the people killing their own children very fast. They leave them to die slowly, painfully because they insult them and say bad names, “You alone went making money” and allsorts of words which makes the patient have depression. They stop buying medicine, saying “we can’t manage”. If you [the patient] want a type of food, they say “you have to eat what we have because we have no money. We never costed you but you costed all these, all the problems you have brought into this house”. Others are shunned very much” [nutritionist, urban Zambia]
“This picture is about a girl whose parents died of AIDS. She is sent to the market to buy things and on the way home the money gets lost. After reporting back to her aunt- the aunt just poured hot water on the orphan, but she can’t pour hot water on her own children.” Girl, aged 12, Misisi Out of School Group
‘The orphan is sent to the market to buy vegetables and chicken, while others are eating’
Girl, aged 9, Rural Street Children