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Zinny.mov
Duration:
10 minutes and 44 seconds
Country:
United States
Language:
English
Genre:
Documentary
Producer:
Beth Cohen,The Pop!Tech Institute
Director:
Beth Cohen, The Pop!Tech Institute
Views:
164
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Posted by:
beth on Feb 15, 2008
Together with Dr. Krista Dong, Zinhle Thabethe is combatting an epidemic in her South African province of KwaZulu-Natal, where 40 percent of adults are HIV positive and 200 HIV-positive babies are born each da
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- Pop Tech!
- Brings Together
- The World's Leading Thinkers
- To Share Inspiration and Ideas
- Igniting Change and Unlocking Human Potential
- This is part of their ongoing conversation
- Pop! Tech
- Pop! Cast
- Kwa-Zulu Natal South Africa
- August 2007
- Kwa-Zulu Natal is one of the 9 provinces in South Africa.
- As much as it is beautiful--
- the culture and the people are still having to deal with a lot of challenges inherited from the apartheid regime
- poverty, crime, rape
- [on billboard] Midlands Funeral Home
- HIV and TB
- [on billboard] Umthuthuzeli I am a woman and a comforter. My Funeral Plan has given me strength in times of sorrow
- -- Niginavo amandia--Inspired, Motivated, Involved
- that are challenging our province and our people.
- [Dr. Bruce Walker] What Zinny does, day in and day out, is, she works as an ARV counselor
- and she does it in the area with the highest prevalence of HIV infection--
- [On screen] Dr. Bruce Walker, Director Partner AIDS Research Center
- --and it's in one of the areas with the least resources available.
- So--talk about taking on a challenge--Zinny has taken on a challenge.
- I met Zinny at a hospice in Durbin.
- And I was going there, bringing some food--
- [On screen] Dr. Krista Dong TEACH Program Director
- --to a hospice support group, and when I arrived, the whole group was--
- --some of them in wheelchairs, some of them in stretchers, others were sitting on chairs--
- --and there was this ver-r-ry thin woman in the back seat, singing like an angel
- [singing]
- [Zinny] When she met me, I was straight from being in hospital
- with meningitis, which is a headache that usually gets to trouble people with end-stage AIDS
- I had already started helping other patients in the clinic that I was receiving my antiretroviral in-
- working in ARV clinics, in support groups, visiting patients, singing for patients
- just spending time with them.
- So what would be helpful for you?
- Zinny and I started as--we started as trainers--and I would give English and Zinny would give the Zulu translation..
- So Zinny was my translator.
- It didn't take long for me to figure out that Zinny had much more important things to say--
- and valuable things to say--to patients than I did.
- [Dr. Walker narrates] What Zinny and Krista decided was that, in order to have a real impact
- on this epidemic in South Africa
- They had to be able to have an impact within the Department of Health--
- And so they specifically chose one of the least-resourced hospitals in one of the worst-affected provinces in the world.
- It was a very strategic decision--"Let's go where it's the worst, to see if we can make it the best there."
- "Then we will have an easier time other places."
- [Krista narrates] In Kwa Zulu Natal--every other person--you look down the road--was positive--negative--
- positive--negative
- Every other adult walking down the street is HIV infected.
- The clinic here--pregnant women coming for antenatal services--60% of them are infected
- And of those, up to 30%--without any intervention--are going to deliver positive babies.
- We have 1500 nurses trained that join the workforce here in the public health sector every year.
- One thousand, five hundred.
- 2000 nurses die from AIDS every year.
- [Zinny narrates] We have a huge shortage of human resources.
- There are not enough doctors.
- There are not enough nurses.
- There are not enough resources for basic care.
- You can imagine how impossible or difficult it is to roll out an ARV program
- to a system that is not ready for basic things.
- [Dr. Walker] The good news is that, medications are now available to treat HIV infections in the public sector in South Africa.
- The problem is that--there still is not sufficient access to those medicines.
- The number of people now needing therapy compared to the number of people that have been placed on therapy--
- through all these various efforts--that gap is actually widening.
- HIV is not a social problem. It is not a Department of Health problem. It is not a welfare -- Department of Welfare problem--
- It's everybody's. The community. Parents. Children.
- It's the people in South Africa that--needs to be also engaged in the fight against HIV.
- singing, clapping, drumming, dancing
- [Dr. Krista Dong] Izlate is the name of an old African tree--it's an old name for a tree where they took branches
- before the time of having matchsticks [sound of rubbing hands together] and they rubbed them together and with the friction start fires.
- You know, Izlate--to make fire in the community--so if we can rub the sticks and make a fire in the community to support patients.
- [gentle instrumental music] Orphan Feeding Program
- He says he likes coming here because he can get something to eat here--
- whereas at home he can't get food because he lives with his granny-- and his granny and his grandfather--
- --his mother passed away and his dad lives in Durbin. So that part -- that he doesn't have a mother--makes him not happy.
- [speaks in Zulu] Little boy says "Fix that. Yeah." Zinny says "I'll fix it. Your button was unbuttoned."
- [singing and dancing] We do talk a lot about HIV prevention because we want them to participate.
- It's everybody's responsibility to talk about it--the more they know about it--the more they know what to do
- when they are faced with circumstances where they have to make a decision.
- If you can prevent the children from getting HIV, then you won't be having another generation that we need to be treating.
- [Dr. Walker] What we're challenged with right now, is educating people to make them understand that this is a treatable illness--
- --that there are things that can be done, and getting people into care, getting people tested-
- and helping people become motivated to really do something--that I think gets people around stigma.
- ARV Adherence Training Program
- We call it adherence here, because we are trying to empower patients to feel so much the part of taking medications
- versus compliance, which is the responsibility of a healthcaregiver.
- In our setting, the healthcaregivers do not have a huge role to play, but the patients do.
- So we empower them to take care of their lives and have control,
- and we, as healthcaregivers stand in as a support system.
- Home Visit Program
- What we are trying to bring to people is hope.
- And hope is not a medication.
- It's the human ability to uplift someone else.
- [Boniwe "Mam-T" Thabethe Treatment Warrior in Zulu]
- I've got a feeling for the patient.
- I want to help the patient.
- . . .what HIV is.
- Because I am on ARVs too.
- It gives them hope.
- Some of them when you look at them they are so miserable;
- and you tell them "No, don't worry, I'm also taking some."
- They change.
- All of a suden you'll see that the person becomes happy.
- You could see on their face, "Oh, she's fine."
- They look relieved . . .when you talk to them.
- If they don't start the treatment early,
- they are to wait in a long queue then for the doctors, for about a month or two.
- Some of them . . . they die . . .
- before theyt even see the doctor for the first time to initiate the drugs.
- [speaking in Zulu]
- Mrs. Thabethe helped me . . .[breathlessly]
- because I was taking so long . . .
- I think they said we were waiting three weeks
- or one month to come to see the doctor.
- We felt there wasn't enough time
- because her CD4 count was going down
- and she was ill. She had TB. . .
- and she had some PCP
- which is an AIDS-defining illness
- which forces us to give them ARVs as soon as possible.
- So how do you feel about Mam-T?
- She looks in at me.
- Every time she phones me
- I like her so much . . .
- [chuckling] Okay, okay. [in Zulu]
- This patient, Zodwa Zondi, passed away nine days after this visit.
- chorus singing
- We live the challenges. We know the challenges of the systems we are working in.
- We need some sort of intervention--some sort of innovative intervention that can allow us to spread our wings.
- chorus singing South African National Anthem
- The preceeding video is licensed under the Creative Commons Not Commerce Share Alliance 25 License.
- For details please visit: http://creativecommons.org
- Pop!Tech For more Pod!Casts, information on Pop!Tech or to learn how to participate, visit www.poptech.org


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