Reverend Canon Gideon Byamugisha (born 1959) is an Anglican priest in Uganda with a parish outside of Kampala. In 1992, he became the first religious leader in Africa to publicly announce that he was HIV positive. [1] [2] In 2009, Byamugisha received the 26th annual Niwano Peace Prize "in recognition of his work to uphold the dignity and human rights of people living with HIV/AIDS". [3]
Byamugisha co-founded the African Network of Religious Leaders Living with and Personally Affected HIV and Aids (ANERELA+) in February 2002, [1] and in 2006 started a shelter for orphans whose parents died from AIDS. [4] He lives with his wife and three HIV negative children. [4]
Byamugisha is from Kigezi, near the Ugandan border with Rwanda, the eldest of fourteen children. He was a history and geography teacher, as well as a deputy headmaster, before beginning his theology studies in his twenties. He was most interested in the philosophy of religion.[ citation needed ]
In 1990, Byamugisha's his first wife Kellen gave birth to his daughter, Patience, and both parents had been accepted to study at graduate programs in Britain. These plans changed when Kellen developed chest pains in April 1991, dying a week later. Six months later, Byamugisha learned that his wife had died of AIDS. [4]
Byamugisha does not know where he contracted the virus. He and his wife were not tested before their marriage, and in 1988 he had been in a serious bicycling accident which required injections and a blood transfusion at a time when medical supplies and blood were not routinely screened for HIV. [4]
Although there was a possibility that he would lose his job because of the stigma associated with AIDS, Byamugisha decided to tell the principal of the college he worked at and other staff members about his condition. Although they were supportive of him, they asked him not to tell others. He began telling his students, and then other members of his church. He considers this to have been a risky choice, as community members often worried that this would harm the image of the church. [4]
Byamugisha claims that he never felt guilty about his status. "The only regret I have is that I lacked information. I have all this education—two degrees, one first class—but I failed a HIV test." However, in 1996 he fell ill and lost 40 pounds because he had no access to antiretroviral drugs (ARVs). Told that he would only live 6 months without ARVs, the bishop of Kampala used the church network to find two donors (an American and a Singaporean) who began sending him the drugs in 1997. [4]
As he started to travel and speak about his condition, Byamugisha began encountering other religious leaders who were HIV infected, or personally affected by the death and illness of family members, but were not ready to publicly discuss their conditions. At the time, there was much misinformation about AIDS and HIV in Africa, and because of the promises and edicts from Christian, Muslim and Hindu groups on the continent, to have a religious leader infected or even affected personally was unthinkable. [4]
In 1998, Byamugisha began to feel the need to organise the religious community with personal ties to HIV/AIDS. In 2002, he secured funds to host a meeting of the religious leaders who had come to him privately in the past, and 42 leaders met with him in the Collins Hotel, in Nyanga Hills, some 300 km outside Harare. Eight of the participants were HIV+, and this group later became the African Network of Religious Leaders Living with and Personally Affected HIV and Aids (ANERELA+), [4] and grew to more than 2000 members in 39 countries by the end of 2006. [1]
Byamugisha has become prominent in the international HIV/AIDS community. He has worked as an advisor to World Vision and has travelled internationally to speak about HIV/AIDS, [5] including to a conference at the US White House in December 2002. [4] Byamugisha advocates the view that HIV related issues reveal problems in other areas of society, such as poverty, literacy rates, social inequality, gender relations, trade, and government policy. Fixing these issues, he claims, will have a significant effect on the AIDS epidemic in Africa. [4]
Major issues Byamugisha sees in charity organisations include their insistence on policies that match the domestic agendas of donor agencies rather than accept the realities of society in Africa. While the Catholic Church and other religious communities had softened their stance on condom usage and AIDS education in Africa, organisations such as the President's Emergency Plan for AIDS Relief (PEPFAR), the biggest donor in Uganda, continued to insist on education about abstinence or delay of sexual debut for young people, and on fidelity or partner reduction for most adults, two interventions Byamugisha has been critical of as "stigmatizing" to those who cannot or will not abstain or be faithful to one partner. He also criticised PEPFAR's use of non-generic HIV drugs. In the first year of operation, PEPFAR insisted that only brand-name HIV drugs be used, though they are five times more expensive than the generic brands, and, Byamugisha pointed out, can only be used to treat five times fewer people. Byamugisha blamed the private agendas of the US pharmaceutical industry and the US evangelical Christian lobby for such policies which do not resonate with the realities of Africa. [4]
Byamugisha also collaborated in 2003 with photographer Gideon Mendel [6] [7] on the book A Broken Landscape: HIV & AIDS in Africa. [8]
Byamugisha lives with his HIV positive wife Pamela (who runs a hardware store), with one HIV negative daughter from his previous marriage, Patience, and two HIV negative daughters, Love and Gift, whom he had with Pamela. The couple decided to have Love and Gift after drugs to prevent transmission of the virus from mother to child became available in 2000. [4]
Microbicides for sexually transmitted diseases are pharmacologic agents and chemical substances that are capable of killing or destroying certain microorganisms that commonly cause human infection.
The United States President's Emergency Plan For AIDS Relief (PEPFAR) is a United States governmental initiative to address the global HIV/AIDS epidemic and help save the lives of those suffering from the disease. Launched by U.S. President George W. Bush in 2003, as of May 2020, PEPFAR has provided about $90 billion in cumulative funding for HIV/AIDS treatment, prevention, and research since its inception, making it the largest global health program focused on a single disease in history until the COVID-19 pandemic. PEPFAR is implemented by a combination of U.S. government agencies in over 50 countries and overseen by the Global AIDS Coordinator at the United States Department of State. As of 2023, PEPFAR has saved over 25 million lives, primarily in Sub-Saharan Africa.
The Niwano Peace Prize is given to honor and encourage those devoting themselves to interreligious co-operation in the cause of peace and to make their achievements known. Its foundation hopes that the prize will further promote interreligious co-operation for peace and lead to the emergence of more people devoting themselves to this cause.
Philly Bongoley Lutaaya was a Ugandan musician who was the first prominent Ugandan to give a human face to HIV/AIDS. He became a national hero because he was the first Ugandan to declare that he was HIV – positive. That was in 1988, when HIV still carried a lot of stigma. Before dying of AIDS, Lutaaya spent his remaining time writing songs about his battle with AIDS, releasing his last album Alone and Frightened, including his famous song "Alone", influenced by Swedish duo Roxette's hit song It Must Have Been Loveas well as touring churches and schools throughout Uganda to spread a message of prevention and hope. Lutaaya was popular in Uganda in the 1960s, and in the 1970s he toured the Democratic Republic of the Congo, Kenya, and Japan. In the mid-1980s, he settled in Stockholm, Sweden. There he recorded his hit album Born in Africa, which is still popular in Uganda. Philly could play the guitar, piano (keyboards), and drums.
Keep a Child Alive (KCA) is a nonprofit organization that provides healthcare, housing, and other support services to HIV/AIDS-affected communities in Africa and India. Co-founded by Leigh Blake and Alicia Keys, the organization aims to "realize the end of AIDS for children and families, by combating the physical, social and economic impacts of HIV." Keep a Child Alive organizes the annual fundraiser gala The Black Ball, established in 2004, where celebrities and philanthropists gather to support and raise awareness for the cause. Since the first Black Ball, the organization has raised over $28.7 million for HIV/AIDS treatment.
28 Stories of AIDS in Africa is a 2007 non-fiction book by Canadian journalist and author Stephanie Nolen. It tells 28 stories of people who have worked tackling HIV/AIDS in healthcare, as advocates, and people who have been diagnosed as HIV positive and their family members.
The very high rate of HIV infection experienced in Uganda during the 1980s and early 1990s created an urgent need for people to know their HIV status. The only option available to them was offered by the National Blood Transfusion Service, which carries out routine HIV tests on all the blood that is donated for transfusion purposes. The great need for testing and counseling resulted in a group of local non-governmental organizations such as The AIDS Support Organisation (TASO), Uganda Red Cross, Nsambya Home Care, the National Blood Bank, the Uganda Virus Research Institute together with the Ministry of Health establishing the AIDS Information Centre in 1990. This organization worked to provide HIV testing and counseling services with the knowledge and consent of the client involved.
UNAIDS has said that HIV/AIDS in Indonesia is one of Asia's fastest growing epidemics. In 2010, it is expected that 5 million Indonesians will have HIV/AIDS. In 2007, Indonesia was ranked 99th in the world by prevalence rate, but because of low understanding of the symptoms of the disease and high social stigma attached to it, only 5-10% of HIV/AIDS sufferers actually get diagnosed and treated. According to the a census conducted in 2019, it is counted that 640,443 people in the country are living with HIV. The adult prevalence for HIV/ AIDS in the country is 0.4%. Indonesia is the country is Southeast Asia to have the most number of recorded people living with HIV while Thailand has the highest adult prevalence.
Cipla Quality Chemical Industries Limited (CiplaQCIL) is a pharmaceutical manufacturing company in Uganda. According to a 2007 published report, it was the only company in Africa that manufactured triple-combination antiretroviral (ARV) drugs. CiplaQCIL also manufactures the antimalarial drug Lumartem, containing artemisinin and lumefantrine, and the Hepatitis B generic medicines Texavir and Zentair.
Global Health Initiatives (GHIs) are humanitarian initiatives that raise and disburse additional funds for infectious diseases – such as AIDS, tuberculosis, and malaria – for immunizations and for strengthening health systems in developing countries. GHIs classify a type of global initiative, which is defined as an organized effort integrating the involvement of organizations, individuals, and stakeholders around the world to address a global issue.
Gideon Mendel is a photographer. His work engages with contemporary social issues of global concern. His intimate style of committed image making, and long-term commitment to projects has earned him acclaim.
Peter Ndimbirwe Mugyenyi, MBChB, DCH, FRCPI, FRCPE, ScD is a Ugandan physician, HIV/AIDS researcher, medical administrator and author. He is executive director and co-founder of the Joint Clinical Research Centre, and a leading authority on treatment of HIV/AIDS in Africa.
The AIDS Support Organization (TASO) is an indigenous HIV and AIDS service initiative, registered in Uganda as a non-governmental organisation. It is a pioneer non-public actor in the HIV and AIDS response in Uganda. TASO is a membership organisation with over 4,000 subscriber members.
Francis Xavier Kitaka was a Ugandan biochemist, veterinarian, entrepreneur and industrialist. He is the former Chairman of Cipla Quality Chemical Industries Limited (CIPLAQCIL), located in Luzira, a suburb of Kampala, Uganda's capital and largest city. CIPLAQCIL is the only company in Sub-Saharan Africa, that is authorized to manufacture triple therapy antiretroviral drugs.
Uganda is one of the few Sub-Saharan African countries that has adopted abstinence-only sex education as an approach of sexual education that emphasizes abstinence from sexual intercourse until marriage as the only option. Abstinence-only sex education does not include joint curriculum covering other options including safe sex practices, family planning, and is espoused as the only sure way to avoid pregnancy and sexually transmitted infections. Uganda is commonly recognized as an exemplary case of lowering the rate of HIV prevalence. Prevalence figures may have also been distorted by the lack of treatment, meaning that the percentage of infected is decreased by disproportionately early deaths. Abstinence-only sex education has been implemented and supported for this cause to a large degree in Uganda, to some controversy. Critics have questioned its effectiveness in lowering HIV/AIDS transmission. They have also highlighted discrimination, gender inequality and social stigma as the outcomes of the program in Uganda.
Treatment as prevention (TasP) is a concept in public health that promotes treatment as a way to prevent and reduce the likelihood of HIV illness, death and transmission from an infected individual to others. Expanding access to earlier HIV diagnosis and treatment as a means to address the global epidemic by preventing illness, death and transmission was first proposed in 2000 by Garnett et al. The term is often used to talk about treating people that are currently living with human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) to prevent illness, death and transmission. Although some experts narrow this to only include preventing infections, treatment prevents illnesses such as tuberculosis and has been shown to prevent death. The dual impact on well-being and its 100% effectiveness in reducing transmission makes TasP the most important element in the HIV prevention toolkit. In relation to HIV, antiretroviral therapy (ART) is a three or more drug combination therapy that is used to decrease the viral load, or the measured amount of virus, in an infected individual. Such medications are used as a preventative for infected individuals to not only spread the HIV virus to their negative partners but also improve their current health to increase their lifespans. Other names for ART include highly active antiretroviral therapy (HAART), combination antiretroviral therapy (cART), triple therapy and triple drug cocktail. When taken correctly, ART is able to diminish the presence of the HIV virus in the bodily fluids of an infected person to a level of undetectability. Undetectability ensures that infection does not necessarily have an effect on a person's general health, and that there is no longer a risk of passing along HIV to others. Consistent adherence to an ARV regimen, monitoring, and testing are essential for continued confirmed viral suppression. Treatment as prevention rose to great prominence in 2011, as part of the HPTN 052 study, which shed light on the benefits of early treatment for HIV positive individuals.
The Joint Clinical Research Centre (JCRC) is a medical research institution in Uganda, specializing in HIV/AIDS treatment and management.
Cissy Kityo Mutuluuza, is a Ugandan physician, epidemiologist and medical researcher. She is the Executive Director of the Joint Clinical Research Centre, a government-owned medical research institution in Uganda, specializing in HIV/AIDS treatment and management.
Nsofwa Petronella Sampa is a Zambian HIV activist and clinical psychological counselor. Sampa's work focuses on working with people living with HIV and disabilities. She is a recipient of a Mandela Washington Fellowship, YALI participant and a PEPFAR beneficiary. After discovering her health status as being HIV positive, Sampa began to advocate for persons living with HIV/AIDS.
Roy D. Mugerwa was a Ugandan physician, cardiologist and researcher. His contribution to the world of academics include being a Professor Emeritus at Makerere University College of Health Sciences in Kampala, cardiology in Uganda, researching HIV/AIDS and tuberculosis, and his efforts to find an effective HIV vaccine.