I'll start off by talking about our trip to a local HIV clinic yesterday. This followed our class discussion on HIV, which was very enlightening for me. I knew that HIV/AIDS is a very serious problem for much of Africa, but I didn't know much else, so it was interesting to learn about the origins of the initial spread of the disease, the various efforts to reduce the spread, and why they have, for the most part, been ineffective. We've learned that HIV prevention is much more effective when it is approached from a local, community standpoint instead of from outside, Western viewpoints. This is partially due to the fact that Westerners often do not understand the differing social structure in Africa vs. the West, and the ways in which HIV is so rapidly spread are not the same as it was spread in the western world. It is also due to the focus on fundraising for treatment after the onset of HIV, rather than the prevention of the spread of the disease in the first place. It was just an eye opening discussion that I think many of us from the West need to know more about. But school lesson aside, our actual trip to the clinic was also very informative.
We met one of the doctors who works there, and he gave us the background of the clinic and answered whatever questions we had. We learned that this particular clinic does testing and counseling, as well as administering of certain medications to help with symptoms. They just don't administer injections of any sort--that is a job for actual hospitals. The clinic can do an initial diagnosis and then advise the patient of what to do next. It is apparently a very reputable establishment; we were told that some patients come all the way from Dar es Salaam (up to a 12 hour drive) to be treated. The clinic also does not charge for its services. It is funded by an Italian donor of some sort; the doctor didn't have very much information on this.
One of the features of the clinic is that it can provide home-based care to some patients, enabling them to be more comfortable within the boundaries of their own residence while receiving treatment. There was also a biomedical research lab that was a part of the organization, so they are constantly trying to advance treatments for the disease.
The only picture I took that day was of the packed car before leaving the TCDC compound for the clinic, when we were told that there were only two cars available for transport instead of our usual three (even though this ended up not being true and a few of us just had a very roomy car ride):
Today, we went to a secondhand clothing market to see how clothing donations from America and other western countries can impact local African economies. The idea behind this is that "giveaway" programs cause harm to local businesses that need people to buy clothes from them in order to make a living. Many giveaway programs miss the point that the poverty problem for many people does not lie in shoelessness or lack of clothing, it is joblessness. So a lot of clothes donated within the US are sold to middlemen and then to African businessmen for sale in these mitumba markets. They are a huge part of the local economy, and tons of people rely on these markets for much of their clothing. So our assignment for the day was to take 3,000 or 4,000 shillings to the market and buy something with it.
The first thing that caught my eye at the market was none other but a Clemson jacket! This was 1) a kind of exciting moment for me; the last thing I was expecting to see was an emblem from my hometown, and 2) proof that our donated clothing really does travel all around the world! The next thing I spotted was a little backpack with a world map as its design. I decided that this would be my purchase of the day, and went over to the seller to ask how much he wanted for it. His original asking price was 15,000 shillings. After I told him absolutely not, he started lowering the price. I told him that all I had was 4,000 shillings (which really was the truth), and that was all I could pay. It went back and forth between us kind of like this: "15,000." "No." "10,000." "I only have 4,000." "Come on, 7,000. Do 7,000." "I only have 4,000." "6,000, final offer." "Sorry, I really only have 4,000." (At this point I pulled out my money to show him it was all I had) "Okay, 4,000 from you, and your friend adds in 1,000." "I am not making her pay for me!" "Okay, fine." And that was that! I was very proud of myself for sticking it out (not that I had a choice--I REALLY only had 4,000!) and getting what I wanted! I'm finally getting the hang of this bartering thing.
Tomorrow we have an entire free day! Such a novelty, and I think we're all pretty excited to have a whole day to explore and go shopping and whatever else. Then on Sunday, we leave for our weeklong excursion to Dar es Salaam and Zanzibar, which we cannot wait for!!!
Dr. Prichard's picture of us all with our purchases from the market.
Bye for now!





























































