Over the years the treatment of infection with HIV has improved considerably and what was once a death sentence is now just another treatable chronic disease. This has created challenges as there is considerable fatigue and complacency around HIV. However, we are continuing our efforts, particularly as tuberculosis (TB) is closely associated with the HIV infection and is a major problem in south Africa. HIV must be correctly managed if TB is to be beaten.
Takalani Children Home acknowledges the seriousness of the HIV/AIDS epidemic, particularly in south Africa. As well as supporting national efforts to reduce the spread of infection and minimise the impact of the disease, we are concerned about the impact of the epidemic on the health and wellbeing of our children and staff members.
Confidentiality
Children who are HIV+ have the right to confidentiality and privacy. Access to personal information of this type are strictly bound by confidentiality provisions (e.g., managers and health personnel can sign confidentiality pledges to show their commitment to this principle). Violating confidentiality will erode trust, self-esteem and confidence to children infected.
Gender equality
The gender dimensions of HIV/AIDS are recognized. Girls are more likely to become infected and more often adversely affected by HIV/AIDS than boys, for biological, sociocultural, and economic reasons. HIV/AIDS programs must therefore respond to the circumstances and needs of boys and girls separately, as well as together. Prevention, testing, and other support decrease the impact of the epidemic.
Non-discrimination
TCH does not discriminate or tolerate discrimination against children on any grounds, including HIV status. HIV/AIDS is treated like any other serious illness/condition in the organisation. If infected children fear the possibility of discrimination, they are more likely to go counselling.
Stigma and education
Stigma continues to limit open discussions regarding HIV and is a significant deterrent to the early registration of HIV positive people with available treatment programs. TCH commits to trying to eradicate the stigmatisation of anybody living with HIV in the organisation, and awareness and education programmes
on HIV, AIDS and TB will be made available to all children and staff members.
Prevention
HIV infection is preventable. Prevention of all means of transmission can be achieved through a combination of strategies: informational materials, participatory education classes (including personal risk assessment and life skills), practical support for behavioural change (such as condom distribution and encouraging family living situations among employees), and treatment.
Counselling
Access to appropriate support and counselling services will be made available to all children and staff members affected by HIV.