
As Adele from the Global Fund and Karen from (RED)'s London office prepare for their trip to Swaziland next week, we're posting up interviews that Adele and her team conducted when they were in Swaziland last year.
Adele mentioned Thembi Nkambule last year in the (RED) blog:
Rosie and I met a remarkable woman named Thembi Nkambula, who is the national coordinator of the Swazi Network of People Living with HIV and AIDS. Thembi is 32 and HIV-positive. She is on treatment now and doing well, though the day we met her she was having a rest day off work as she wasn’t feeling great. Though Thembi has 3 children and a demanding job, working in very tough circumstances to support other HIV-positive people, she has a confident and serene aura, and is deeply grateful that she can now access antiretroviral treatment for free. Adele's hoping to meet up with Thembi again next week to catch up about her life and her work.
Below we have some words from Thembi herself.
--bn
Interview with Thembi NkambuleGigi’s Place “neighbourhood care point,” Mbabane, 1 November 2006
By Adèle Sulcas and Rosie Vanek (Global Fund)
Photo by Adèle SulcasMy name is Thembi Nkambule and I come from a rural area known as Louivé in the Manzini district. And I am the national coordinator for the Swaziland National Netowork of People Living with HIV in Swaziland. I started working there since its inception in 2004. I started off as a secretary to the working committee that formed SWANNEPHA and then I became the national coordinator when the office started in… when the secretariat for SWANNEPHA started in March 2005. So since then, I have been with SWANNEPHA. I found out that I was HIV positive in 2002, December. In actual fact, I had been sick for the whole year since much of that year and then I was diagnosed with pneumonia and later diagnosed with TB and later developed other diseases that I cannot even remember. But all of them were in me. So in December I decided to go for a test and I tested and at the same time the doctor suggested that I do my CD4 count so that she knows what really to do and I did that. My CD4 count was at 18 at that time. So she immediately made a prescription for me. I was surprised… when I went to buy the medication, I realized that it was 550, so I held on to the prescription up until the following year, which was I think end of January 2003. And I started taking my medication in February 2003. So I think some time later in the year I was told of the program which provided free of charge by… through a private clinic and a support group… through the support of the Global Fund. So I enrolled in that the program and since then, I have been doing great in that program. And I think, recently I did my CD4 count and it was 800 and something, I cannot even remember the figures very much very well. But I think I am doing well, I am fine.
Q: When did you first find out you were HIV positive?A: Because I was very sick, I thought maybe dying would be the best thing to do. I just couldn’t understand why I had to be that sick. I thought it was the end of the world. And really the doctor was there next to me and told it’s not because there has been some medication, that there is hope for people who are leaving with HIV. And really I didn’t know much about the medication. All I knew was that people had to eat well and have a positive living because then there was not much information on treatment.
Q: How did you feel when you found out you were HIV positive?A: I thought it was the end of the world. I was really sick and I thought I was in the last stages because really we knew about all the stages in HIV infection since there wasn’t much information on treatment. The doctor who was next to me gave me information and said there is hope for people living with HIV. There is treatment that will prolong your life for some time and really I got hope from then on and I thought may be I am going to live. Say there is treatment for opportunistic infections because I think she saw some candidiasis in me and there was so much. All those… are treatable, so HIV is also controllable at that time. So I think that gave me hope because I was sick and somebody was there to give me hope immediately.
Q: Once you started taking ARVs, how long did it take you to start to feel better?A: Hmmm, I think it was 6 months because I had developed some lumps around my neck and once they went over, I got better and I got fine.
Q: How do you feel now about your life and your future?A: Well, I think I want to enroll for a MBA. You know I have hope for the future, I think I can do a lot. I feel like I am a renewed person, I am new and I think I also want to see other people with HIV benefiting from all programs there are in the country. That’s really how I feel at the moment but really the studying part of it, I am quite excited. I feel like I have to do it. I need to do that.
I share with everyone in the country. Everyone that I talk to… I share with everyone just to tell them that I have a fulfilled life but I also make it a point to tell people that it is not easy living with HIV because even when you are happy, no matter how happy you are, sometimes at eight o’clock everyday, whether it is in the morning or in the evening, I have to remember to take my medication. So sometimes it does interfere with my life but most of the time it doesn’t. And I also tell them that really it’s… it’s quite not easy because even when you go around, people sometimes do look at you and say there is the woman living with HIV in the country. Yet that is not my identity, my identity still remains… So those are the parts I always tell people about because sometimes I think I feel that… that there is that kind of message that is saying that living with HIV is quite fine. It’s fine if you already have it, but if you do not have it, we still need to give those messages that are saying don’t get it because it’s not easy. It’s not easy, sometimes, you know I am not a person who’d go to the doctor’s now and again, but now I have to be. I have to do that, you know I have never been sick in my life, I also share about my sickness how hard it was. I share it with everyone, not within SWANNEPHA only.
Q: Do you think that the rest of the world outside of Swaziland are disturbed about HIV as much as Swaziland? And what would you like to be (…)?A: I don’t think people know what really is happening with HIV in the country, especially in a small population like ours and with such a high prevalence where basically one way or the other you are connected to the next person even if the person is still HIV negative, they do have families afraid that a family…a relative, a friend who is sick. So one way or the other you are all affected by the whole HIV pandemic. So, really as I stand here, you know I really think of the people that have left home because one of the people, one person that I know… who is a friend to me, yesterday could not even get a full cocktail of the medication that she had to take which is for TB… TB treatment. It was quite bad because she had been diagnosed with MDR. So, I thought, if we do not have all the drugs for MDR, what if XDR which has been found to be just next door in South Africa, what if it comes to the country we would not be ready for if we do not have MDR drugs yet… all of them anyway because they say one drug is useless. And hmm, maybe to the rest of the world I would age people out there to continue to support, to support Swaziland to know that the high prevalence means… the high prevalence also means that there are people struggling.. suffering out there. There are people who are sick, there are people who need assistance because possibly the whole program… as you can see behind here, there are so many children who are vulnerable… maybe if … if a person who pledged to support Swaziland maybe on a daily or monthly basis or even annually, that will make a difference to these children because really parents would not be dying because really I think… I look at myself and I think that I have three children. If I can live up until all of them finish, you know, high school that will be very nice because at least I would know by then, they would be going to university and they will be able to take care of themselves.
Q: Tell us about your children?A: The eldest is 15 and the youngest is 10… My oldest child is 15 and he is doing form 3, the other one is 13 and she is doing form 2 and the last one is 10 and she is doing grade 5.
Q: Do they know about your HIV status?A: They know because I have to take medications everyday so you have to explain as to why you do have to… why do they have to remind you to take medication at a certain time. And usually I see them just bringing in the medication for me even when I am not really aware. So really it’s quite… it’s quite… I think I will also urge people to also disclose to their families. I know sometimes, it’s very hard but it’s easier when they know because they know that, for us to have a mother, this is what we have to provide for our mom.
Q: And what are your hopes for your children?A: I wish to see my children grow and attend tertiary education. And I want to see each one of them on their first day at work. And really that will mean to me that they are independent, that they are able to cope in life. Then I will know that I have done my part.
Q: Is there any other message you have for the rest of the world, to the Global Fund?A: For the rest of the world and especially the Global Fund, it will be to say so many people have been put into treatment in Swaziland through their assistance. So I just wish they will continue because really there are people who do not have money, who cannot even buy one single medication, who cannot buy medication that cost 2 Malangeni. So really it would make a difference if people would continue to support this kind of treatment and… because of my work I meet these people. I meet people who say, I would rather die, you know… if ARVs would not be given to me I would steal them. So, for me, if people will stop, if we stopped, if the world would stop giving Swaziland this kind of assistance, really it would be like they are saying, let's scrap off Swaziland of the rest of the world. So thank you.
Labels: (PRODUCT), (RED), Adele Sulcas, Africa, AIDS, HIV, PRODUCT, RED, Swaziland, Thembi Nkambule