By SYLVIA MWEETWA –
KANAYAKA, Kali-muliverse (discriminatory words) is one of the phrases used referring to a person living with the HIV virus.
On the other hand stigma attached to those living positively in Zambian prisons have not been spared but the prisons command was not sitting idle in trying to provide education to inmates.
It is for this reason that the Zambia Prisons command has decided to address the issues surrounding stigma with its theme “Zambia at 50 towards zero stigma in prison”.
In the 1990s when HIV/AIDS when was ravaging communities, prison officers and inmates were not spared.
However, it is gratifying to note that Zambian prisons have benefited from many health programmes currently being implemented within and outside prison communities.
Through its open door policy, the service has attracted funding from both government and Non Governmental Organisations (NGOs) which has necessitated the implementation of various programmes that are running within the prison communities and has recorded some positive results.
And a study conducted in 1999 by In But Free, HIV and Aids prevalence rate in prisons was at 27 per cent but currently with the interventions that have been put as a result of the recommendations by its partners statics indicate that it has reduced to 23 per cent according to the data it gathered from the 4014 inmates as of October 2014.
Commissioner of Prisons Percy Chato said the Voluntary Counselling and Testing (VCT) currently stands at 95 per cent for the inmates and 71 per cent if the infected prisoners who are on ART while 21 per cent were being considered for ART.
Mr Chato attributed the reduction to the preventive programmes such as sensitisation with an emphasis on both officers and inmates knowing their status and responding positively to treatment.
“Our goal as Zambia prisons services is to seee to it that by the year 2015 prisons will have reached a level where we can test and treat some of the diseases. But sadly we still face a number of challenges, among them congestion which has continued to haunt us for communicable diseases such as tuberculosis, as well as inadequate for man power,” he said.
The prisons chief said lack of diagnostic equipments effectively combat the HIV virus and that there were few ART centrers to within the prison settings which has compelled them to continue depending on other partners for support among other challenges.
He however, said despite the challenges the prisons has continued to enjoy the good political will from the government and other stakeholders and paid tribute to the Center for Infectious Disease Research in Zambia (CIDRZ) who has come on board to find a way of strengthening health systems in the Zambian prisons through its project Zambia Prisons Health Strengthening system (ZPHSS).
He said this would involve forming of prisons health committees to monitor health situations at every prisons and committees were currently undergoing training to capacitate them.
“I want to categorically stress that prisons services could not have single handily managed to reduce incidences of HIV/AIDS related diseases in prisons. Again without the helping hand of our partners and stakeholders, the Zambian prison could have continued to record escalating numbers of deaths due to the ever increasing threat of the diseases in this day and age,” he said.
He said his command was committed to ensuring stigma among inmates is fought from all angles through its sensitisation programme put in place and that he was confident it would bear fruit.
And Central province Permanent Secretary Edwidge Mutale has hailed the Zambia prisons programmes put in place to fight the deadly disease which has continued to claim lives not only in prisons but the country as a whole.
Ms Mutale said the government continues to attaché great importance to ensuring that measures are put in place to fighting the disease and appealed to other stakeholders to continue partnering with the government in finding a lasting solution.
She said it was gratifying that the prisons service were working hard in ensuring that prisoners are sensitised over the dangers of the disease while at the same time providing ART services those who were positively.
“I am happy that the prisons have put in place several measures in seeing to it that prisoners despite them been incarcerated are sensitised and are also provided with ART services and urged them to continue with such good works,” she said.
She said there was need to continue to educate the public over the stigma attached to those living positively and that it would be the only way many people would come out and declare their status.
But some prisoners talked to living positively explained that it was difficult to be accepted among cell mates after learning that there were HIV positive.
Mr Andrew Mulenga not the real name recalled how he was often times isolated and lost hope of living because he did not see the value of staying alive.
Mr Mulenga said he has since accepted his status after undergoing several conselling sessions introduced by the prisons command and commended them for their action.
“I almost died in prison as a result of stigma because at the time I knew that I was Hiv positive and most people did not want to even shake my hands and talk to me but due to the congestion when it was time to sleep inmates had no choice but to mix with him due to lack of sleeping space,” he said.
Another prisoner narrated that stigma in prison was responsible of premature death of some inmates because most of the felt not accepted but was happy with prison stance to educate the inmates over HIV/AIDS.
Mwape Mwape said he has lived with the virus for over 20 years and that despite the stigma attached to it he has learned to share with his fellow inmates over the diseases and that he was a living testimony that one can still live many years provided their accept and live positively.
It is clear that stigma is a war which need to be fought by all and measures taken by the prison authority to stop the acts should be supported by all.
The kanayaka, kalimuverse phrases should be stopped if the war of HIV is to be won and allow many people to get tested.