23 July 2009

End in sight to Aids drug treks?

A week after giving birth to her sixth child, Christine Achan walked 60 km (37 miles) from her village in northern Uganda to get life-saving anti-retroviral drugs to stop her and her baby becoming sick with Aids.

Doctors say it is villagers like her that the results of Africa's largest and longest running clinical test, the Dart trial, should help.

The research suggests that more HIV/Aids patients in Africa could be treated if funds were switched from expensive laboratory testing to local care in villages.

As she waited to see the doctor in the clinic at Patongo, Christine Achan said: "It takes me two days to get here and two days to get back.

"It is very difficult. But I do this because I want to stay healthy so that I can look after my children."
Ms Achan left her eldest child, who is 12, in charge of the others. Her husband died of Aids three months ago, too weak to make the journey.

She called her baby Odongo, which means "child born after the loss of his father".

This was a preventable death. Anti-retroviral drugs are very effective in keeping the HIV virus suppressed and preventing the onset of Aids.

But to get the drugs villagers have to go to Patongo. Part of the reason for this is that the normal monitoring of treatment also requires patients to do routine blood tests to check for side effects and to make sure that the medicines are working.

Technicians come to the Patongo clinic once a fortnight to take blood.

11 July 2009


Good morning. It is an honor for me to be in Accra, and to speak to the representatives of the people of Ghana. I am deeply grateful for the welcome that I’ve received, as are Michelle, Malia, and Sasha Obama. Ghana’s history is rich, the ties between our two countries are strong, and I am proud that this is my first visit to sub-Saharan Africa as President of the United States.

I am speaking to you at the end of a long trip. I began in Russia, for a Summit between two great powers. I traveled to Italy, for a meeting of the world’s leading economies. And I have come here, to Ghana, for a simple reason: the 21st century will be shaped by what happens not just in Rome or Moscow or Washington, but by what happens in Accra as well.

This is the simple truth of a time when the boundaries between people are overwhelmed by our connections. Your prosperity can expand America’s. Your health and security can contribute to the world’s. And the strength of your democracy can help advance human rights for people everywhere.

So I do not see the countries and peoples of Africa as a world apart; I see Africa as a fundamental part of our interconnected world – as partners with America on behalf of the future that we want for all our children. That partnership must be grounded in mutual responsibility, and that is what I want to speak with you about today.

We must start from the simple premise that Africa’s future is up to Africans.

I say this knowing full well the tragic past that has sometimes haunted this part of the world. I have the blood of Africa within me, and my family’s own story encompasses both the tragedies and triumphs of the larger African story.

My grandfather was a cook for the British in Kenya, and though he was a respected elder in his village, his employers called him “boy” for much of his life. He was on the periphery of Kenya’s liberation struggles, but he was still imprisoned briefly during repressive times. In his life, colonialism wasn’t simply the creation of unnatural borders or unfair terms of trade – it was something experienced personally, day after day, year after year.

My father grew up herding goats in a tiny village, an impossible distance away from the American universities where he would come to get an education. He came of age at an extraordinary moment of promise for Africa. The struggles of his own father’s generation were giving birth to new nations, beginning right here in Ghana. Africans were educating and asserting themselves in new ways. History was on the move.

But despite the progress that has been made – and there has been considerable progress in parts of Africa – we also know that much of that promise has yet to be fulfilled. Countries like Kenya, which had a per capita economy larger than South Korea’s when I was born, have been badly outpaced. Disease and conflict have ravaged parts of the African continent. In many places, the hope of my father’s generation gave way to cynicism, even despair.

It is easy to point fingers, and to pin the blame for these problems on others. Yes, a colonial map that made little sense bred conflict, and the West has often approached Africa as a patron, rather than a partner. But the West is not responsible for the destruction of the Zimbabwean economy over the last decade, or wars in which children are enlisted as combatants. In my father’s life, it was partly tribalism and patronage in an independent Kenya that for a long stretch derailed his career, and we know that this kind of corruption is a daily fact of life for far too many.

Of course, we also know that is not the whole story. Here in Ghana, you show us a face of Africa that is too often overlooked by a world that sees only tragedy or the need for charity. The people of Ghana have worked hard to put democracy on a firmer footing, with peaceful transfers of power even in the wake of closely contested elections. And with improved governance and an emerging civil society, Ghana’s economy has shown impressive rates of growth.

This progress may lack the drama of the 20th century’s liberation struggles, but make no mistake: it will ultimately be more significant. For just as it is important to emerge from the control of another nation, it is even more important to build one’s own.

So I believe that this moment is just as promising for Ghana – and for Africa – as the moment when my father came of age and new nations were being born. This is a new moment of promise. Only this time, we have learned that it will not be giants like Nkrumah and Kenyatta who will determine Africa’s future. Instead, it will be you – the men and women in Ghana’s Parliament, and the people you represent. Above all, it will be the young people – brimming with talent and energy and hope – who can claim the future that so many in my father’s generation never found.

To realize that promise, we must first recognize a fundamental truth that you have given life to in Ghana: development depends upon good governance. That is the ingredient which has been missing in far too many places, for far too long. That is the change that can unlock Africa’s potential. And that is a responsibility that can only be met by Africans.

As for America and the West, our commitment must be measured by more than just the dollars we spend. I have pledged substantial increases in our foreign assistance, which is in Africa’s interest and America’s. But the true sign of success is not whether we are a source of aid that helps people scrape by – it is whether we are partners in building the capacity for transformational change.

This mutual responsibility must be the foundation of our partnership. And today, I will focus on four areas that are critical to the future of Africa and the entire developing world: democracy; opportunity; health; and the peaceful resolution of conflict.

First, we must support strong and sustainable democratic governments.

As I said in Cairo, each nation gives life to democracy in its own way, and in line with its own traditions. But history offers a clear verdict: governments that respect the will of their own people are more prosperous, more stable, and more successful than governments that do not.

This is about more than holding elections – it’s also about what happens between them. Repression takes many forms, and too many nations are plagued by problems that condemn their people to poverty. No country is going to create wealth if its leaders exploit the economy to enrich themselves, or police can be bought off by drug traffickers. No business wants to invest in a place where the government skims 20 percent off the top, or the head of the Port Authority is corrupt. No person wants to live in a society where the rule of law gives way to the rule of brutality and bribery. That is not democracy, that is tyranny, and now is the time for it to end.

In the 21st century, capable, reliable and transparent institutions are the key to success – strong parliaments and honest police forces; independent judges and journalists; a vibrant private sector and civil society. Those are the things that give life to democracy, because that is what matters in peoples’ lives.

7 July 2009

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1 July 2009

Religion and Technology Divide

Faith-based groups (meaning the full range of formal and informal religious communities) are among the most active social sector organizations in many parts of the world. If religious orgs are serious about building and enhancing community, why are they so behind in leveraging the latest and greatest technology tools to do so? And if nonprofit and do-gooder techies are serious about social change, why aren't they tapping into some of the largest and most effective community-based organizations out there – which are faith-based? It's a missed opportunity IMHO [Note: social media jargon for In My Humble Opinion].

Fortunately there are some murmurings. A couple of weeks ago, Time magazine ran a story on U.S. churches using Twitter during their regular services. And the online virtual world of Second Life is fertile ground for a whole range of active faith based communities from across the religious spectrum. You may want to check out this Guided Tour of Spirituality in Second Life.

There are a few great postings on Church 2.0 offering an overview of some of the most cutting edge and technology-relevant happenings that involve faith-based communities in the United States. But they are an exception to the rule. Many traditional religious institutions are experiencing a decline in membership among youth - perhaps in part because they don't fully understand how to communicate in a changed world? Take a look at the official website of the Catholic Church, representing one of the largest religions in the world, and you'll know what I mean.

I sense a lot of fear among traditional religious institutions around embracing and leveraging technology change. And the silence is deafening from the technology community on how new tools and technologies can be leveraged to support the rich and important spiritual practices of people all over the world – not to mention to support the incredible social action work of religious communities on the ground.

So in an attempt to walk the talk I am launching a "Technology & Spiritual Practice" program, designed to help faith-based communities make the leap into the brave new world of technology and social media, and to start a dialogue between spiritual leaders and technologists. But we need your help…