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“This should not happen to people”

In honor of International Women’s Day, our Country Director of Indonesia, Jo Ann de Belen reflects on those close to her heart and why she wants to be part of changing the world.
I once knew a leper. He was close to me. Apart from his leprosy, he was just like any one of us. A creation made in the image of God. Without touching me, he taught me music, math, and how to laugh at myself. He contracted this dreaded illness when he was a child, at a time when there was no definite cure for it.

The stigma of the illness was so great, that his own family was ashamed to tell others. And so his parents kept this dark secret to themselves while they can. The teenage boy did not enjoy what others enjoyed. He was kept inside the house, not brought to big family gatherings or to be “displayed” publicly. He wore clothes that would conceal his open lesions.

Even when he was in a crowd, he felt alone. He suffered all this by himself, not understanding what it was. His parents, perhaps not knowing what to do, just pretended to the world that he did not exist. He grew up to be an adult and married and had children and tried to live a normal life. But the world wouldn’t let him. He died a lonely man, alone in a room, visited by only a handful.

As I remember this friend with leprosy and feel his isolation and pain, I remember the people we serve in the highlands of Papua. The ones infected with AIDS. What could they be feeling? Whatever it is, it couldn’t be much different from what the leper felt. Alone, isolated, shunned.

The stigma against AIDS is so strong, the oppression against people with AIDS so overpowering, that I ask…. What can we do? How can we change all this?

This should not happen to people, God’s own creatures made after His image and likeness.

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This is why I feel so strongly about God’s children learning to love those that the world has shunned, ridiculed, thrown away, isolated.

I long to see the church in Papua embrace back those who are afflicted with AIDS, to care for the children orphaned and made vulnerable by AIDS, and to make sure that this disease is wiped out of Papua.

I pray that God makes this happen soon. So that no one will have to suffer, and suffer alone.

Papua: Health on the Margins of Indonesia

By Catherine Patterson, Maternal and Child Health Intern for World Relief Indonesia
Today began as Saturdays usually do in the highlands of Papua, Indonesia: with children calling at the front gate with berries and flowers.

Most are barefoot, wear ill-fitting clothes and come from the surrounding villages. Today, a little girl came with a badly infected lip. We sent her home with a tube of ointment and a few Rupiah in exchange for a bright orange and red bouquet.

Another boy came with juicy raspberries and one foot wrapped in a plastic bag.  After examining his foot, it was clear that jungle rot had started to take over his big toe.  We gave him sandals, provided a few antibiotics, and purchased his berries.

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Indonesia has made great strides in addressing some of its most pressing health problems.  Since 1990, the number of children who die before age 5 has been reduced by half, and Indonesia is on target to meet many of its Millennium Development Goals.

Despite these advances, however, Papua Province continues to experience health standards below those in other areas. About 30% of children under age 5 suffer from malnutrition. While nationally, 17% of people live in poverty, in Papua, it is estimated that at least 30% of residents are poor. HIV is reaching epidemic proportions here with a reported 3% prevalence rate, and the situation is made worse by a lack of testing and treatment facilities.

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The remote nature of this beautiful, mountainous land exacerbates the problems faced by people living with limited access to essential medicines and care. Stigma and fear of HIV/AIDS frustrates efforts to provide prevention and care. All too often, outbreaks of violence and tribal warfare interrupt regularly scheduled programs aimed at improving the health of Papuans.

Since 2008, World Relief has been reaching some of the most vulnerable in Papua’s Tolikara and Jayawijaya districts. Through its Mobilizing for Life:  Protecting Papua program and in partnership with the local church, local staff provide outreach and education to youth, men, and women on HIV/AIDS and teach communities how to protect themselves and stop the spread of the disease.

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But there is still much to be done. Less than half of all births are attended by a skilled health worker, and far too many women die in childbirth each year. Despite substantial investments by foreign donors and the Indonesian government, Papua Province is the only area of Indonesian where the Human Development Index is falling. Our church partners have requested help to reverse this trend, and World Relief is currently exploring how we might reach this area with additional life-saving health messages.

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As I think about the realities of Papua, my heart is hopeful. Her people are strong, proud, and resilient. They are eager to learn so they may take control of their health and strengthen their communities.

I think of the flower children, with their big eyes and bigger smiles. It is easy to be discouraged that at times, all we can offer is some ointment or antibiotics. But I am filled with hope and the knowledge that God offers much more through the love and grace of Jesus Christ. It has been my honor to stand with World Relief in Papua, Indonesia, as they seek to empower the local church to reach out to those who need health and healing in the highlands.

As World Health Day approaches on April 7, take a moment to stand with me for the health of people living in Papua and pray that God will bring healing and strength to all who need it in the mountains of Indonesia.

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Photos from David Peth and Kirsten Pless

Catherine Patterson serve with World Relief as a volunteer. To learn more about World Relief Indonesia and the work happening there, click here.

World AIDS Day 2011

Kandal Province, Cambodia: A sea of matching white hats filled the tent in Kohtaom District early this morning. More than 200 secondary school students dominated the crowd, and were joined by government officials, religious leaders, police, medical personnel and NGO representatives. They had gathered together to demonstrate the same message printed clearly on their red-ribbon t-shirts: “We are united to protect ourselves from AIDS.”
Similar ceremonies are taking place across the globe this World AIDS Day. And there is much to celebrate. The combined response in the past decade by governments, donors, local organizations, international NGOs, and countless volunteers has resulted in new HIV infections falling, AIDS-related deaths decreasing, and treatment being made accessible to millions more individuals, particularly those in low- and middle-income countries.

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Here in Cambodia, participants reflected on the country’s astounding accomplishments in addressing the epidemic. Thanks to prevention efforts over the last nine years, adult HIV prevalence rate has been reduced from 1.2% to 0.5%. Cambodia is also one of the few countries in the world that provides antiretroviral therapy to more than 80 percent of those eligible for it.

The presence at today’s event of more than 100 HIV-positive individuals, however, was a stark reminder that the fight is not over and that resources and responses cannot waver. There are more than 75,000 people living with HIV in Cambodia, and they remain vulnerable. A recent national report found that HIV-affected households experienced lower income and increased medical expenses, which negatively impacted their financial stability, food security and psychosocial wellbeing, as well as the status of women and education of children.

More than 30 million people have died worldwide from AIDS-related causes since the epidemic began. And this does not begin to account for the untold toll on families, communities, and countries as a whole.

Yet despite so much unnecessary loss in the world, or perhaps to honor it, the overarching theme of today’s event was hope.

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The students, aged 15-18 years, sat attentively as World Relief staff presented a drama on the pressures of teenage life. The skit’s message was simple—to value life and make healthy choices about sex—but the issues it raised are relevant to these teens and complex to address: poverty, drug use, migration, “sugar daddies,” unplanned pregnancies and suicide.

World Relief meets with more than 7,000 youth throughout Cambodia on a weekly basis to discuss these issues. In Kohtaom District alone, World Relief works in 42 villages. Youth are provided a safe space to ask questions as they build life skills and learn about disease prevention, nutrition, and trafficking prevention. Evaluations have found that the program helps youth to increase their knowledge about AIDS, promote HIV testing, share health messages with friends, improve school attendance, avoid drug and alcohol abuse, and mentor orphans in their community.

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At the AIDS Day event students were randomly chosen and asked questions by the district officer to test their AIDS knowledge. Despite giggles from their friends when selected, each would walk confidently to the front and respond correctly to questions like, “What should people living with AIDS do to take care of themselves?”, “Can people who look healthy be infected by HIV?”, and “What should you do if your relative or friend finds out they are HIV positive?”

This is a generation for whom AIDS is a reality. They have never known the world without it. But they are informed, they are supported, and they are capable of making choices that protect their future. AIDS may be the currently reality, but with continued investments in the response, this generation can be the one to lead the charge on making it a thing of the past.

Imagine what an AIDS Day celebration we will then have.

Joanna Mayhew, World Relief Asia HIV/AIDS Programs Advisor

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