Ana Maria

Ana Maria

The grim reality of AIDS in the world

Worldwide, AIDS killed 2.1 million people in 2007 Globally, HIV/AIDS reached its highest level in history, an estimated 33.2 million people It remains the leading cause of death worldwide for people between the ages of 15 and 49

The Reality in Sub-Saharan Africa

In Sub-Saharan Africa, 22.5 million people have HIV/AIDS 95% of those with the virus do not know they have it South Africa has the highest number of people with HIV/AIDS (5,500,000) Swaziland has the highest adult prevalence rate in the world, 33%

DREAM: Drug Resource Enhancement against AIDS and Malnutrition

The Community of SantEgidio designed DREAM

It began a pilot project in Mozambique in March 2002

Dreams special focus is to prevent the transmission of HIV/AIDS from a pregnant woman to her new-born child

The method used is highly active antiretroviral therapy (HAART)

DREAM has been creative in inventing means for keeping the adherence-rate of participants high DREAM provides for food distribution to mothers and their families DREAM works in partnership with the host nations and focuses on capacity-building within local communities

The partners

the Community of SantEgidio the Daughters of Charity

SantEgidio provides:
the DREAM model formation evaluation

The Daughters provide:

personnel experience in health care contacts within various countries the assurance that the resources of the program will reach the poorest of the poor directly

At present, SantEgidio and the Daughters are collaborating in Mozambique, Nigeria, Kenya, Cameroon and Congo.

The Daughters dream of establishing DREAM in Vietnam and India

Formation
three-week formation programs in Mozambique, Tanzania, and Malawi teachers aim to communicate, through classes and field work:
up-to-date scientific knowledge the principles underlying the DREAM model

Fall-out from AIDS

a huge number of orphans and vulnerable children the feminization of AIDS loss of a generation

Financing
startup costs in each country - about $800,000 ongoing costs:
laboratory work Formation of personnel provision of food purchase of drugs

the annual per patient cost for drug therapy is only $300

Financing

Seton Institute International Project Services (IPS) Catholic Relief Services

Systemic Change
1. Involves the poor themselves at all stages: planning, implementation, evaluation and revision.

2. Enlists the service of the sick, so that AIDS victims whom DREAM has aided then assist other patients too

3. Aims to provide quality service, applying to Africa the state-of-the-art standards that are used in Western Europe and the United States. Quality is monitored regularly.

Systemic Change
4. Takes a holistic approach, addressing a series of basic human needs: especially health care, nutrition, and education.

5. Forms indigenous people to administer and implement it in an ongoing way.

Systemic Change
6. Builds in the human resources (e.g., leadership) and the economic resources which are needed for sustaining it. 7. Besides its measurable results, builds a sense of belonging, participation, and community "ownership".

8. Involves collaborative partnership among various sectors of society: the needy themselves as the principal agents, local and national governments, the private sector (NGOs, businesses), churches, and interested individuals

Joozinho (Johnny)