Imishanguzo yesandulela ngculazi: Sikuphi manje?

Imishanguzo yesandulela ngculazi: Sikuphi manje?
Ngenyanga ka-April 2004, emva kokucindezela kwesishayamthetho kanye nezinhlangano ezifana neTAC, uhulumeni uthathe izinyathelo zokuqala uhlelo lokunakekela abanesandulela ngculazi nengculazi, kanye nezinhlelo zokwelapha iNingizimu Afrika yonke. Manje sekuyisikhathi esihle sokubuza ukuthi sesihambe kangakanani ekunikezeni iminshanguzo kulabo abayidingayo.

Ngaphambi kokuba sibuke inqubekela phambili eseyenziwe mayelana nokukwishwa kwemishnguzo (ARV?s) kubalulekile ukuba sigcizelele ukuthi imishanguzo inikezwa abantu abanesandulela ngculazi osibalo samasotsha omzimba wabo singaphansi kuka 200, abazimisele ukuba baziwe ngomunye ukuthi banalo igciwane ukuze bathole ukunakekeleka. Ngaphambi kokuqala imishanguzo isiguli kufanele sifundiswe esibhedlela naseklinikhi ukuthi ithathwa kanjani imithi nokubaluleka kokuqikelela ukuthatha imithi ngokuyalelwa udokotela.

Injongo yaloluhlelo oluphelele kwakungukunikeza imishanguzo kubantu abanesandulela ngculazi ababalelwa ku 53000 ngo March 2004. Akufinyelelwanga-ke esibalweni esasiqokiwe. Umnyango wezempilo ube usubuyekeza inhloso yawo wabe usuzibophezela ukunika abantu abangu 53000 ngo March 2005.

ENingizimu Afrika yonkana eziwu 50 kweziwu 53 izifunda zezempilo zinesikhungo okungenani esisodwa esethula imishanguzo. Kodwa ukwengeza kulezizikhungo ezinika imithi, izikhungo zokuhlaziya (laboratories) ziyadingeka ukuhlaziya amasosha omzimba namazinga egciwane. Ezikhungwini zokuhlaziya zezempilo kuzwelonke eziwu 250 ezisemthethweni, ziwu 20 kuphela okwamanje ezikhethiwe ukuba zihlaziye amasosha omzimba kanti ziwu 7 ezihlola izinga legciwane. Nakuba ziyingcosana, lezizikhungo zinakho konke ezikudingayo kanti zisebenza ngendlela egculilisayo.

Noma kunjalo, ngo September 2004, umnyango wathi ziwu 12000 kuphela iziguli ezithola imishanguzo kuzwelonke. Eziningi zaleziziguli, ezibalelwa cishe ku7500 ezase-Gauteng nase Mpumalanga yeKapa. ELimpompo naseMpumalanga kuhlanganisiwe, bangaphansi kuka 300 abantu abathola imishanguzo. KwaZulu Natali izikhungo eziwu 31 zelapha abantu abawu 1556. Kulezizibalo kuyacaca ukuthi ngesikhathi ngesikhathi abantu belashwa kodwa uhulumeni ungemuva ngokwesikahthi esibekiwe, ikakhulu ngoba imishanguzo ikhona ezikhungwini ezimbalwa ezweni lonke.

Izizathu ezinikezwe ngumnyango ngokuthi kuqaleke kancane zifaka lezi:

? Isidingo sokuqinisa izindlela zezempilo ? njengokuthi nje ezinye izikhungo zidinga ukuveselela izakhiwo ukuze zihambisane nemigomo yokwethula imishanguzo; kanti futhi izindlela zokuphathwa nokugcinwa kolwazi kufanele zifakwe kulezizikhungo.
? Isidingo sabasebenzi nokqeqesho ? kunokushoda kakhulu kwabasebenzi bezempilo njengodokotela, abahlengikazi, abezemithi, abezokudla, nabalulekayo kwezempilo yomphakathi. Esinye sezizathu ukuthi abasebenzi bezempilo baye ezinkampanini, kanti abanye sebeye emazweni angaphandle. Umnyango wezempilo umatasatasa wakha uhlelolokugcina nokuqeqesha abasebenzi, okufanele lulunge ngo 2005. Enye yezinto kuloluhlelo ukuthi, njengesibonelo, ukubakhokhela okuthe xaxa abasebenzela ezindaweni zasemakhaya.
? Ukwamukela kwamathenda okukhipha imishanguzo iqale ngo February 2004 kanti awukanikezwa muntu lomsebenzi, ngakhoke izifundazwe kudingeke ukuthi zizifunele zona imithi.

Yebo khona akubalulekile kangako ukuthi bangaki abantu abalashwayo, kodwa ukuthi ukuthi balapheka ngendlela yini. Uhlaka lokulandelela nokuhlala lokhu selwakhiwe nguhulumeni ukuze ulandelele ukwethulwa kwaloluhlelo. Izinkomba ezizosebenziswa ukulandelela, zizibheka ukuqhubeka kwesiguli kanye nokwenza kwaso ngokuheka kulokhu, imithi, ukulandelwa kwayo, ukubiza kwayo, ukuqhubeka kokwelapha, ubunjalo bosizo, kanye nokubuyiselwa ohlelweni lwezempilo. Ukunezela kulokhu uhlelo olusha olusebenza nge-computer lokubheka ukugcunwa kwemishanguzo luzokwakhiwa ngokuhamba kwesikhathi, oluzonciphisa ukulahleka kwemithi ngoba imithi izolandeleka ukusuka kulowo oyikhiphayo kuya esigulini esiyitholayo.

Enye yezinto ezibalulekile ohlelweni lwengculazi lweminyaka emihlanu lukahulumeni, yile yokuthi ukuvilela kungumgogodla womgomo wesandulela ngculazi nengculazi. Ukuhlola igciwane ngokuzikhethela (VCT) kukhona ezikhungwini eziwu 3072 eNingizimu Afrika ( zingakafakwa izikhungo ezizimele) kanti ukungena kwabantu ku VCT sekuphindaphindwe kabili kusukela ngonyaka odlule. Okuhamba phambili kwezokuvikela ngo 2004, kwaba ukwethulwa kwamakhondomu amasha ethulwa umkhankaso uKhomonani. Lamakhondomu apakishwe emaphepheni aluhlaza ngokusasibhakabhaka nokuphuzi, ayatholakala ezweni lonke. Ukusakazwa kwamakhondomu abesifazane kunyuke kusuka ezikhungweni eziwu 114 kuya ku 203, kanti umnyango ukholwa ukuthi maningi amakhondomu azokhishwa ngonyaka ozayo.

I-Choice Khondomu
Ukwethulwa kwaloluhlelo kuxhaswe imikhankaso eyahlukene yolwazi, ezokufundisa kanye nezokuxhumana. Izincwajana eziwu 10 000 ezichaza ngemishanguzo kubantu abadala zikhishiwe; eziwu 11 million ezokuvikela, ukunakekela, nokulashwa, zikhishiwe ezweni lonke, ukukhangisa kumabonakude, emsakazweni, kanye nakumaphephandaba kusetshenziswe ukufundisa bonke abaseNingizimu Afrika ngohlelo; ucingo losizo lwesandulela ngculazi lukhona ku (0800 012 322) ngazo zonke izilimi ezisemthethweni kuwo wonke umuntu odinga ukwalulekwa; kanti imizamo yokuhlanganisa isetshenziswe ukuqinisekisa ukuthi abantu abaphila negciwane bayakuthola ukunakekelwa nokulapheka, nokusekelwa emiphakathini abaphila kuyo.

Ukuhlelela ukwethulwa kwemishanguzo kuthathe iminyaka eminingi. Manje sisohambeni ekugcineni kubalulekile ukubheka ukuthi sesihambe kangakanani. Okubaluleke kakhulu ukuthi sibheke phambili ukuthi ingakanani indima esisazoyihamba. Kuzoba nezihibe nezingqinambi. INingizimu Afrika iyabadinga abasebenzi bezempilo ukusekela labo abasebenza kwezempilo yomphakathi, kanti kufanele kutholakale izixazululo zezinkinga ezinjengokushoda kwezinto zokuthutha iziguli ezindaweni ezisemakhaya. Sihamba kancane. Kuzothatha ukuthi bonke ababambe iqhaza ? izikhungo zikahulumeni, umphakathi, izinhlangano ezizimele, abezenkolo- basebenze kanzima ukuze sifike lapho siya khona. Sizibe sesifikile uma imishanguzo itholwa yiwo wonke umuntu mahhala.

Izibalo ezivele kulombhalo zivela:
Emnyangweni wezempilo (2004). Ushicilelo: Ukubuyekeza ukulandelela ? umbiko wenqubekela phambili ekwethulweni kohlelo lwesandulela ngculazi nengculazi lokunakekela, ukuphatha nokwelapha.
?Missing the Mark?, ocashunwe ephephendabeni iMail and Gurdian, 19 October 2004.
Isithombe sizibalo
Ngonyaka odlule iUNAIDS yakhipha umbiko wayo ilinganisela amazinga okutheleleka ngengculazi emhlabeni wonke, ekupheleni kuka 2003. Umnyango wezempilo nawo wathula owawo umbiko ngo 2003, okhombisa izibalo zengculazi ngokwezwe lonke, nangokwezifundazwe. Lesi isithombe sezinye zezibalo zesandulela ngculazi nengculazi izilanganinso ezikulemibiko.

Isithombe sizibalo
Ngonyaka odlule iUNAIDS yakhipha umbiko wayo ilinganisela amazinga okutheleleka ngengculazi emhlabeni wonke, ekupheleni kuka 2003. Umnyango wezempilo nawo wathula owawo umbiko ngo 2003, okhombisa izibalo zengculazi ngokwezwe lonke, nangokwezifundazwe. Lesi isithombe sezinye zezibalo zesandulela ngculazi nengculazi izilanganinso ezikulemibiko.

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