If We Knew More…
December 2nd, 2007 by Anindita Sengupta
When is a good time to start educating children about certain things? This is an ongoing debate in many parenting circles. The more conservative a society is in their attitudes towards ‘morality’, the more likely it is that children will reach adulthood without receiving any coherent information on important topics such as substance abuse or sexuality. Here is an interesting commercial telling people to talk to their children early about things like alcohol abuse. What do you think?
This, of course, brings me to the other big one. World AIDS Day just passed by and there was lots of talk in the print and television media about it. (Unlike a lot of other problems, HIV/AIDS does get its share of public attention and funding.) We had a lot of newspaper coverage on this in India as well but — and this is the part that flummoxes me — there is still no proper sex education offered in schools here. So basically, children can access information on HIV and sex and sexuality from the media, but not formally from the educational system in a structured way. As if doing this would somehow amount to giving them ‘permission’ for things they would otherwise stay away from.
It’s quite clear that educational institutions should include HIV and human rights / non-discrimination issues wherever they can and link it to the more formal subjects that they are relevant to. It’s astounding that some governments around the world still fail to observe this basic measure. For those who think their kids should know more and are looking to take things into their own hands, there’s lots of material available on the Internet. UNAIDS and WHO has a detailed cartoon strip that might help. This is an extract but you can go here for the full thing.
Shifting track slightly, this report by Human Rights Watch caught my attention the other day. It seems that Thailand’s success in dealing with HIV is getting a serious shot in the foot because of discrimination against its highest population of HIV positive people — drug users. Now, it’s obvious that there are severe legal implications here and these are getting entangled with the larger issue of providing treatment and creating a mighty mess. The report says:
In 2004, Thailand rescinded a national policy that explicitly permitted the exclusion of injection drug users from antiretroviral treatment programs.
But drug users still face serious obstacles in accessing needed health care. Many health care providers do not know or do not follow HIV/AIDS treatment guidelines, and continue to deny antiretroviral treatment to drug users, even those in methadone treatment programs.
When drug users do receive treatment, it is under complicated circumstances and often surreptitiously because they are worried about being turned in to the police.
Out of fear of reprisal, drug users who do receive antiretroviral treatment are unlikely to tell their physicians about their drug use, or to seek information about drug dependence treatment from their antiretroviral treatment provider. This fear is not unfounded: the report confirms that many public hospitals and clinics share information about drug use with law enforcement, both as a matter of policy and practice. Some clinicians operated a “don’t ask, don’t tell” policy toward drug users, refusing to inquire about patients’ drug use or drug treatment history, in some cases despite knowledge or suspicion of current drug use or methadone treatment.
The government’s failure to ensure conditions in which safe exchange of information is possible compromises drug users’ access to adequate HIV and other health care services. As a result, drug users face harmful drug interactions without health care workers to consult about the dangerous potential consequences for their health and, ultimately, their lives.
The International Guidelines on HIV/AIDS and Human Rights (PDF), a 120-page document published jointly by the Office of the United Nations High Commissioner for Human Rights and the Joint United Nations Programme on HIV/AIDS, points to the connection between protection of human rights and effective HIV programmes. The incidence or spread of HIV is disproportionately high among some populations because these groups, being vulnerable in any case, find it harder to access treatment or fight discrimination. Typically, these groups include women, children, those living in poverty, minorities, indigenous people, migrants, refugees and internally displaced persons, people with disabilities, prisoners, sex workers, men having sex with men and injecting drug users. Legally and socially, such groups need to be addressed and included in the battle against HIV. And while this may be easier said than done, it’s important to see that an ‘us’ versus ‘them’ attitude is going to hurt everyone in the end.
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