Aiducation 20-10 Taking Control of Tb & Aids
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About this ebook
Dr. Edwin Mavunika Mapara
Dr Edwin Mavunika Mapara is an AIDucator who has been in the field of HIV infections, AIDS and TB since 1983 in Zambia. He was one of the medical students that saw the “first” officially declared person living with AIDS in Zambia, under The Yellow Firm Unit, University Teaching Hospital (UTH) Lusaka. It has been over two decades of Pictures in AIDucation; Setting up voluntary counselling and testing centres; Teaching on TB and AIDS; Advising on several local, national and international organisations. Some of his documented “best practices” include programmes at Livingstone General Hospital (Zambia); Athlone Hospital, Lobatse, (Botswana), Botswana Antiretroviral (ARV) Therapy Programme and Community Health Action Trust (CHAT), London, England. AIDucation is part of university modules on HIV/AIDS for medical doctors and nurses studying Tropical Medicine in London. Dr Mapara has released four books on his experiences that he calls simply “Sex - AIDucation related” in the AIDUCATION 20-10 Project.
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Aiducation 20-10 Taking Control of Tb & Aids - Dr. Edwin Mavunika Mapara
Copyright © 2010 by Dr. Edwin Mavunika Mapara.
Cover Photography: Agatha M. Mapara
ISBN: Softcover 978-1-4535-7779-0
ISBN: Ebook 978-1-4535-7780-6
All rights reserved. No part of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the copyright owner.
This book was printed in the United States of America.
To order additional copies of this book, contact:
Xlibris Corporation
0-800-644-6988
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300913
CONTENTS
Preface
Acknowledgements
Part 1: Introduction
Part 2: HIV Infection ~ Virology and Transmission (Africa)
Part 3: HIV Infection ~ Parent to Child Transmission of HIV
Part 4: London A-Z Of Tuberculosis (Tb)
Part 5: Isle of Wight (IOW) Social Intercourse
Conclusion
References
Dedicated to the AIDucators that I have mingled with during
our social intercourses in AIDucation while in Zambia, Botswana,
South Africa and the United Kingdom who whole-heartedly
believe in AIDUCATION 20-10
Seeing is very different from being told.
Preface
This book is not a scientific or medical textbook meant for medical students or nurses. It is a book meant for everybody. It is a book meant for everyone who is sexually active and also for those who are not sexually active and are contemplating in engaging in sexual intercourse.
It is simply a true African experience or story on the use of pictures or images in HIV infection, AIDS education (AIDucation) and awareness raising in the communities of London, in Britain. Seeing is very different from being told,
is an African saying that drives AIDucation 20-10. The English say, in almost the same light that, Seeing is believing!
The meaning is literally the same. We are talking visuals, pictures or colour images. A picture is worth a thousand words
and we remember more of what we see than what we hear.
The idea of the books came about as the result of Professor David Morley’s encouragement and a few others that I shared my experiences with. Prof Morley said, "write it down" after sharing with him and the Teaching aids At Low Cost (TALC) staff at St Albans, Hertfordshire, United Kingdom on how I abused
the TALC resources while in Africa. May his soul rest in peace.
This book is a smaller version of AIDUCATION 20-10 Taking Control of AIDS and AIDUCATION 20-10 Taking Control of TB that summarises AIDucation 20-10’s cutting edge in picturing sexually transmitted infections, including HIV infections and AIDS. I am very grateful to have been given permission to use the pictures that were put together by two great doctors, Dr Cathy Vaughan and Wendy Holmes, Centre for International Health, Macfarlane Burnet, Institute for Medical Research and Public Health, Melbourne, Victoria, Australia. I was introduced to the two great doctors by the late Professor David Morley. The resources are distributed by Teaching aids At Low Cost (TALC), St Albans, Hertfordshire, United Kingdom.
AIDucation 20-10 would not have been alive if it was not for these pictures that address the many picturate communities in our global village where, Seeing is very different from being told.
As usual there are more pictures and fewer words in this book than its predecessors.
I hope that this small book will urge you to own the other two books so that you can get more involved in driving and supporting AIDucation 20-10 that aims to Taking Control of AIDS and Taking Control of TB, before AIDS and TB Take Control of your local communities.
Dr Edwin Mavunika Mapara
Acknowledgements
One should not forget those people that one meets on working on this project that started almost twenty three years ago in Africa. The project is now in Europe and is called ‘AIDucation 20-10’ in the year conveniently of 2010 that has been dedicated to Taking Control of AIDS and Taking Control of TB.
I will forever be grateful to Dr Cathy Vaughan and Dr Wendy Holmes of The Centre for International Health, Macfarlane Burnet, Institute for Medical Research and Public Health, Melbourne, Victoria, Australia for these fantastic pictures and for the permission to use them to picture a point to the ‘picturate’ communities in Britain, where the local black and minority ethnic groups are not taught through colour pictures. Seven years in London (Britain) has shown me that London, like its predecessors Livingstone (Zambia) and Lobatse (Botswana), has an urgent need for AIDucation 20-10 resources.
Thank you to TALC for being TALC. The birth of TALC and the life of TALC have been a blessing to the many developing countries, especially those on the African continent. If it was not for TALC, I would not have touched the thousands of lives that I have touched in preventing AIDS and TB and in caring for those living with AIDS and TB. The resources are distributed by Teaching aids At Low Cost (TALC), St Albans, United Kingdom.
Posthumously, I thank Professor David Morley, the President and Founder of TALC, for the vision that became reality, for the reality that became Public Health, for the Public Health that gave birth to AIDucation 20-10. Many people from the developing world will never forget the great man. May his soul rest in eternal peace as we continue in our own small ways what he initiated in 1965, to provide health resources to the disadvantaged and the under resourced in the developing countries.
In London I cannot forget the many community AIDucators that I met on my AIDucation adventures during the weekend AIDucation 20-10 sessions across London or in some cases during the evening week day AIDucation 20-10 sessions.
These include AIDucators from various organisations representing people from Angola, Botswana, the Caribbean Islands, Democratic Republic of Congo (DRC), Ivory Coast, Ghana, Kenya, Lesotho, Malawi, Namibia, Nigeria, Sierra Leone, South Africa, Somalia, Sudan, Togo, Uganda, Zambia and Zimbabwe.
Some of the many AIDucators were Christian ministers and Imams from the Moslem Community that took AIDucation 20-10 to their Churches or Mosques.
To all those who have helped to take AIDucation 20-10 to their local communities to address TB,AIDS and TB & HIV co-infection I say, Yebo!
Thank you!
Dr Edwin Mavunika Mapara
Part 1
INTRODUCTION
Livingstone AIDS Awareness Programme, Zambia
Athlone Hospital AIDS Awareness Project, Botswana
Map of Botswana-Athlone National Tour of Hope
Athlone Hospital Health Resource Centre
Community Health Action Trust (CHAT), Britain
London School of Hygiene and Tropical Medicine (LSHTM)
Pictures in Sex AIDucation
Picturing AIDS and TB
1
Introduction
The ruin of a nation begins in the homes of its people.
African Proverb
Livingstone AIDS Awareness Project, Zambia
AIDucation started in July 1989, the year I was transferred from the University Teaching Hospital (UTH) in Lusaka to Livingstone General Hospital in the southern part of Zambia to go and serve my one year district posting. After the one year district posting in Livingstone, I would be living for the United Kingdom in 1990 for my postgraduate studies in Public Health.
I began work in the hospital and soon realised the amount of problems that we had in patients living with HIV infections and