{"id":8756,"date":"2023-07-25T09:13:00","date_gmt":"2023-07-25T09:13:00","guid":{"rendered":"https:\/\/www.cordaid.org\/en\/?p=8756"},"modified":"2025-01-02T09:17:00","modified_gmt":"2025-01-02T09:17:00","slug":"meet-the-mothers-who-reduce-the-stigma-of-hiv-in-south-sudan","status":"publish","type":"post","link":"https:\/\/www.cordaid.org\/en\/news\/meet-the-mothers-who-reduce-the-stigma-of-hiv-in-south-sudan\/","title":{"rendered":"Meet the Mothers Who Reduce the Stigma of HIV in South Sudan"},"content":{"rendered":"<div class=\"section section--core \"><div class=\"container\"><div class=\"row\"><div class=\"col-12 col-md-8 offset-md-2 block-wrapper\"><div class=\"entry-content\">\n<p><strong>Many people living with HIV face discrimination. The virus can become even more life-threatening when this discrimination meets other inequalities. NEPWU is a South Sudanese organisation that aims to overcome gender-based inequalities to improve HIV care.<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"299\" src=\"https:\/\/www.cordaid.org\/en\/wp-content\/uploads\/2023\/07\/2023-South-Sudan-health-care-photo-by-Adriana-Parejo-Pagador-8-25601-1024x299.jpg\" alt=\"Mothers living with HIV in South Sudan\" class=\"wp-image-5998\" srcset=\"https:\/\/www.cordaid.org\/en\/wp-content\/uploads\/2023\/07\/2023-South-Sudan-health-care-photo-by-Adriana-Parejo-Pagador-8-25601-1024x299.jpg 1024w, https:\/\/www.cordaid.org\/en\/wp-content\/uploads\/2023\/07\/2023-South-Sudan-health-care-photo-by-Adriana-Parejo-Pagador-8-25601-300x88.jpg 300w, https:\/\/www.cordaid.org\/en\/wp-content\/uploads\/2023\/07\/2023-South-Sudan-health-care-photo-by-Adriana-Parejo-Pagador-8-25601-768x224.jpg 768w, https:\/\/www.cordaid.org\/en\/wp-content\/uploads\/2023\/07\/2023-South-Sudan-health-care-photo-by-Adriana-Parejo-Pagador-8-25601-1536x449.jpg 1536w, https:\/\/www.cordaid.org\/en\/wp-content\/uploads\/2023\/07\/2023-South-Sudan-health-care-photo-by-Adriana-Parejo-Pagador-8-25601-2048x598.jpg 2048w, https:\/\/www.cordaid.org\/en\/wp-content\/uploads\/2023\/07\/2023-South-Sudan-health-care-photo-by-Adriana-Parejo-Pagador-8-25601-151x44.jpg 151w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Evelyn Letio Unzi Boki (left), co-founder of NEPWU and an advocate for women living with HIV. Image: Adriana Parejo Pagador\/Cordaid<\/figcaption><\/figure>\n\n\n\n<p>The stigma around HIV can be strong. And at times, even fatal. Meet Evelyn Letio Unzi Boki and Peninah Moriku Gabu. After their HIV diagnosis, they overcame the stigma attached to their status. Now, Evelyn and Peninah feel they have the duty to empower others.<\/p>\n\n\n\n<p>Together with 28 other members, they co-founded <a href=\"https:\/\/nepwu.org\/\">NEPWU<\/a> (National Empowerment of Positive Women United), a women-led organisation that supports women and mothers living with HIV in South Sudan and their children and families through its programme.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Stigma can be fatal<\/h2>\n\n\n\n<p>\u201cMaking HIV treatment available is not enough. You must ensure that people living with HIV are safe and strong enough to take the treatment\u201d, says Evelyn. \u201cPeople, and especially women, can die because of the HIV stigma.\u201d<\/p>\n\n\n\n<p>Diagnosed at the age of 26 years, Peninah experienced how women living with HIV face discrimination and even violence. \u201cIn South Sudan, because of your HIV status, you can lose your job, you can lose your marriage, you can be beaten, you can even be killed. You are already facing inequalities when you are a woman. If you are HIV positive on top of that, things get even worse.\u201d<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>&#8220;We recruit mothers who are free from stigma and are successful with their treatment. Mothers who are willing to help others to become free from fear.\u201d<\/p>\n<\/blockquote>\n\n\n\n<p>In South Sudan, <a href=\"https:\/\/www.unaids.org\/sites\/default\/files\/country\/documents\/SSD_2020_countryreport.pdf\">2.5% of adults<\/a> are living with HIV. Most new HIV cases come <a href=\"https:\/\/jphe.amegroups.org\/article\/view\/4923\/html\">from mothers transmitting to their newborn children<\/a>, often during delivery, breastfeeding and pregnancy.<\/p>\n\n\n\n<p>Mother-to-child transmission can be avoided when treatment is taken early enough in the pregnancy. Early detection is the key to ensuring mothers can give birth to HIV-negative children. That is why working with mothers-to-be is essential.<\/p>\n\n\n\n<p>\u201cI am a woman living with HIV,\u201d explains Evelyn. \u201cMy dream is to inspire other women. Despite my status, I gave birth to HIV-negative children. I was able to provide for my children. I was able to overcome the burden of HIV and move forward in life.\u201d<\/p>\n\n\n\n<p>Stigma can dissuade women from getting a diagnosis. The stigma can mean that young mothers are rejected by their families, pushing them and their newborns into precarious conditions. This is where NEPWU has a programme that makes a difference for mothers-to-be.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Mentor mothers<\/h2>\n\n\n\n<p>Peninah was one of the first mentor mothers of the programme. Today, after more than 15 years of experience, she trains the next generation of mothers.<\/p>\n\n\n\n<p>\u201cThey are mothers living with HIV who can share their experiences in overcoming burdens. We recruit mothers who are free from stigma and are successful with their treatment. Mothers who can disclose their status anywhere, at any time. Mothers who are willing to help others to become free from fear.\u201d<\/p>\n\n\n\n<p>NEPWU trains and supports mentor mothers and fathers whose role it is to provide health education on HIV, among other diseases, to refer people within their communities to health services, and to support people living with HIV who face stigma and gender-based violence.<\/p>\n\n\n\n<p>Peninah: \u201cThe mentors are present at the health facility. One of their roles is to accompany mothers-to-be to get tested. They help them cope with the shock of being diagnosed with HIV. When they have difficulties accepting their diagnosis, causing delays in their treatments, they go and talk with them. They draw follow-up plans and visit their homes to see how they are doing. Over time, mothers begin to cope with the process.\u201d\u00a0\u00a0<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.cordaid.org\/en\/wp-content\/uploads\/2023\/07\/2023-South-Sudan-health-care-photo-by-Adriana-Parejo-Pagador-27-1024x683.jpg\" alt=\"Woman living with HIV in South Sudan\" class=\"wp-image-5999\" srcset=\"https:\/\/www.cordaid.org\/en\/wp-content\/uploads\/2023\/07\/2023-South-Sudan-health-care-photo-by-Adriana-Parejo-Pagador-27-1024x683.jpg 1024w, https:\/\/www.cordaid.org\/en\/wp-content\/uploads\/2023\/07\/2023-South-Sudan-health-care-photo-by-Adriana-Parejo-Pagador-27-300x200.jpg 300w, https:\/\/www.cordaid.org\/en\/wp-content\/uploads\/2023\/07\/2023-South-Sudan-health-care-photo-by-Adriana-Parejo-Pagador-27-768x512.jpg 768w, https:\/\/www.cordaid.org\/en\/wp-content\/uploads\/2023\/07\/2023-South-Sudan-health-care-photo-by-Adriana-Parejo-Pagador-27-1536x1024.jpg 1536w, https:\/\/www.cordaid.org\/en\/wp-content\/uploads\/2023\/07\/2023-South-Sudan-health-care-photo-by-Adriana-Parejo-Pagador-27-546x363.jpg 546w, https:\/\/www.cordaid.org\/en\/wp-content\/uploads\/2023\/07\/2023-South-Sudan-health-care-photo-by-Adriana-Parejo-Pagador-27-373x248.jpg 373w, https:\/\/www.cordaid.org\/en\/wp-content\/uploads\/2023\/07\/2023-South-Sudan-health-care-photo-by-Adriana-Parejo-Pagador-27-280x186.jpg 280w, https:\/\/www.cordaid.org\/en\/wp-content\/uploads\/2023\/07\/2023-South-Sudan-health-care-photo-by-Adriana-Parejo-Pagador-27-150x100.jpg 150w, https:\/\/www.cordaid.org\/en\/wp-content\/uploads\/2023\/07\/2023-South-Sudan-health-care-photo-by-Adriana-Parejo-Pagador-27-66x44.jpg 66w, https:\/\/www.cordaid.org\/en\/wp-content\/uploads\/2023\/07\/2023-South-Sudan-health-care-photo-by-Adriana-Parejo-Pagador-27.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Peninah Moriku Gabu, co-founder of NEPWU and an advocate for women living with HIV. Image: Adriana Parejo Pagador\/Cordaid<\/figcaption><\/figure>\n\n\n\n<p>What makes Peninah&#8217;s story particularly effective is her ability to draw from personal experiences. &#8220;After being diagnosed, I had three more children, and all of them are negative. So, when I share my experience, they see I look healthy and working hard, and the mothers become hopeful and convinced. We can see them lining up voluntarily for HIV testing. That is what empowerment means. And the women we empower will go around and empower other women.\u201d<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>&#8220;I know this works. I know this can save the lives of women and children.\u201d<\/p>\n<\/blockquote>\n\n\n\n<h2 class=\"wp-block-heading\">The need for societal change<\/h2>\n\n\n\n<p>While their support for women living with HIV bears fruit, stigma and discrimination remain huge hurdles. \u201cIt&#8217;s still difficult\u201d, says Peninah. &#8220;The violence, the abuse, the killing, the finger-pointing. If you cannot disclose your status for fear of violence, you will hide and live in the margins. You will take your treatment in secret and sometimes not at all.\u201d<\/p>\n\n\n\n<p>NEPWU&#8217;s mentors raise awareness in communities on HIV, sexually transmitted infections, tuberculosis and gender-based violence. They give testimonies on their HIV status and their lives to reduce societal stigma.<\/p>\n\n\n\n<p>Peninah: \u201cWe are working voluntarily. We will need more funds for our awareness-raising activities. The societal stigma is still very high. Sometimes, I say God gave me this infection for a purpose: to change the lives of others. I have mentored many women. I know this works. I know this can save the lives of women and children.\u201d<\/p>\n\n\n\n<p>Cordaid\u2019s HIV and TB programme in South Sudan is made possible thanks to the Global Fund. We support 136 health facilities across six out of ten states. Among other activities aimed at strengthening health care for HIV and tuberculosis, Cordaid pays incentives to NEPWU&#8217;s mentors and, in doing so, contributes to adherence to treatment, awareness raising and reducing stigma.<\/p>\n\n\n\n<p><em><em>Written by Adriana Parejo Pagador, Communication Officer for Global Health Global Access at Cordaid<\/em><\/em>.<\/p>\n\n\n\n<p><\/p>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>NEPWU is a South Sudanese organisation that aims to overcome gender-based inequalities to improve HIV care.<\/p>\n","protected":false},"author":3,"featured_media":5998,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"topic_tax":[9],"country_tax":[18],"class_list":["post-8756","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","topic_tax-health-care","country_tax-south-sudan"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - 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