Photo: Samuel Hauenstein Swan www.sambronx-photo.com
Malawi’s HIV epidemic remains generalised and feminised. Although the country has recorded a significant reduction in new HIV infections and AIDS-related deaths; adolescent girls, young women and other key populations, particularly in urban areas, continue to bear the highest burden of the epidemic.
The HIV pandemic is worthing the poverty experienced by elderly. Orphans witnessing the death of one or both of their parents may be exhausted emotionally have no choice than turn to their grandmother and fathers for protection and upkeep. Not only does this increase the cost of running the households also the elderly grandparents must compensate for the loss labour on the frames for to the foreseeable future. The old have watched and grieved with dignity and dismay as one after another of their children died, leaving them without a traditional family support. ADIS left some families with only the old and the very young.
Malawi is a nation living in grief. Malawi’s communities are upholding human dignity and respect in circumstances that would daunt the most stout-hearted. Or as this woman told me the pandemic make everyone realises that strength lays in mutual community support and solidarity.
In 2016, Malawi had 36 000 (31 000 – 45 000) new HIV infections and 24 000 (20 000 – 31 000) AIDS-related deaths. There were 1 000 000 (970 000 – 1 100 000) people living with HIV in 2016, among whom 66% (62% – 70%) were accessing antiretroviral therapy. (UNAIDS 2017)