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* To
ensure the success of any HIV/AIDS communication strategy, it must be
based on an in-depth understanding of the target society’s traditional
system of belief. SCARLETT EPSTEIN writes *
TRULY, as the Bible says, a man is not a prophet in his own land and, I
must say, that goes for women too!
Much as I have raged and pleaded across the years for culture to be
given its rightful focus in the battle against HIV/AIDS, it has been a
voice that has been all but drowned out, lost in the hurricane of other
opinion, consigned to the waste paper basket, or thrown out the window.
But, with some delight, I can tell you readers of The National that the
vital role and consideration of culture has finally been recognised and
been given its place in the sun; it’s been studied and embraced in the
global spotlight of the 17th International AIDS Conference that’s just
been held in Mexico City, a forum that has gripped the attention of some
24,000 people who gathered there, as well as the eyes and the ears of
the world beyond.
It was agreed that “different languages means different concepts and
understandings; disease, illness and death have very different
explanations and meaning in different cultures; the concept of
“prevention” has a full range of meanings; and hundreds of other
examples and (that) we are all to some extent captured by our own
culture - the norms; behaviours, expectations and beliefs that we
ascribe to such key HIV/AIDS strategy concepts as fidelity, abstinence,
safety, relationships, negotiation, authority, family, friendships,
care, trust, etc will all be informed and shaped by each of our cultures
-and the sub-cultures within those cultures.
Until now, it simply hasn’t been realised that to ensure the success of
any HIV/AIDS communication strategy it must based on an in depth
understanding of the target society’s traditional system of belief and
their mind frame. Many traditional belief systems do not have the notion
that accidents, diseases etc can be prevented. Instead, they’re put
under the umbrella of witchcraft or sorcerer’ spells.
As I have managed to explain through others attending the Mexico
conference ,the traditional beliefs in witchcraft and sorcery as
exampled in PNG are accompanied by a traditional culture of promiscuity.
These two traditional cultural features are reflected now not only in an
increasing AIDS death rate but also in increasing numbers of elderly men
and women being found brutally murdered because they were blamed for
having caused these AIDS death. These “witches” and “sorcerers” are
usually tortured until they ‘confess’ and are then brutally murdered.
Just about everyone in Papua New Guinea seems determined to blame a
witch or a sorcerer for any misfortune that befalls them, or their
family and friends.
This is in spite of the fact that 97 per cent of the population PNG
citizens are devout Christians, who over many years have been subjected
to all sorts of HIV/AIDS awareness-raising communications.
But where these strategies have failed is that they didn’t take into
account that many of the traditional PNG cultures didn’t include the
possibility of using protective measures to prevent the occurrence of
accidents, disease or death. It’s like wanting to compete as a canoeist
in the Olympics but not realising or accepting that you need a canoe!
Essentially, it is the importance of basing communication strategies on
a sound understanding of the relevant aspects of the target population’s
traditional culture that will determine the success or failure of the
message.
Now that PEGS, my own non-government organisation is registered as a PNG
NGO, I hope that together with our PNG members we shall have a chance to
conduct the Action research that will provide a sound basis for the
design of a communication strategy that will succeed in bringing about
the behavioural chances necessary to stem the AIDS tide in PNG.
I’m no longer a voice crying in the wilderness. The world has nodded its
head too and that must now be taken into account. |