Category: Lifestyle

Uganda tests out rubber band circumcision

With trousers around his ankles, Justin Igalla awaits a tight rubber band for his foreskin, an innovative non-surgical technique rolling out in several African nations to encourage circumcision and cut HIV infection rates.

The simple device – two plastic rings and an elastic band – cuts off blood supply to the foreskin, which then shrivels and is removed with the band after a week.

“I felt nothing, not even a little discomfort,” Igalla said after a procedure taking just minutes, noting there was no blood – unlike traditional circumcision where the foreskin is sliced off by knife – thus reducing the risk of infection.

Igalla, a father of two, said he opted to have his foreskin taken off for “health reasons”.

Scientists have found that male circumcision can significantly reduce the chances of HIV infection because the foreskin has a higher concentration of HIV-receptors than the rest of the penis and is prone to tears during intercourse, providing HIV an entry point.

As well as Uganda, the device is being used in Botswana, Kenya, Mozambique, South Africa, Zambia, Zimbabwe and other sub-Saharan countries. All have been identified by the World Health Organisation (WHO) as “priority” states where the risk of acquiring HIV is high and male circumcision, and access to conventional surgical procedures, is low.

Uganda hopes the device, called PrePex, will convince adult men to be circumcised as part of the battle against Aids, now resurgent in the East African nation after years of decline, with as many as 80 000 people dying of the disease every year.

PrePex, a non-surgical circumcision device. (Pic: AFP)

From a peak of 18% infected in 1992, Uganda’s “ABC” strategy – Abstinence, Be faithful, Condomise – helped slash rates to 6.4% in 2005.

But rates have crept back up, to 7.2% in 2012. As many as 1.8 million people in the country now live with HIV, and a million children have been orphaned after their parents died of Aids.

The makers of PrePex boast that a man “can resume work and almost all daily activities shortly after the procedure,” with the device “designed to be placed, worn, and removed with minimal disruption”, although they should abstain from sex for six weeks afterwards.

Doctor Barbara Nanteza, male circumcision project manager at Uganda’s Aids Control Programme, said that trials had shown that circumcision reduced risk of transmission from a woman to a man by as much as 60 percent.

Although some contest the validity of these studies, WHO and the United Nations Aids programme push circumcision as an additional prevention measure in high-prevalence countries where HIV transmission is predominantly heterosexual.

The WHO says there is “compelling evidence” circumcision reduces risk of heterosexually acquired HIV infection in men. The organisation has “prequalified” PrePex, meaning the device has been assessed and meets international standards for efficacy and safety.

And with health budgets already overstretched, the device offers a cheaper way to tackle the problem, Nanteza said.

“If circumcision can help reduce the cost, that could very good for the country,” she told AFP.

Uganda, long praised for its efforts in the fight against Aids, launched a general circumcision programme in 2010, when some 9 000 had the conventional treatment.

Since then 1.2 million men have been circumcised – or 13% of men over 15, including 800 000 last year alone, the health ministry said.

The introduction of the PrePex device is expected to boost numbers even further – but it’s still not enough, according to Nanteza.

Though the device greatly reduces the pain of traditional circumcision, she conceded the issue remained an awkward one for married men.

“It is difficult for them to explain to their wife that they want to get a circumcision to prevent HIV infection when they are supposed to be faithful to them,” Nanteza said.

Despite massive health awareness campaigns, problems remain.

James Brian, a counsellor with the Walter Reid Project, a US-based medical organisation supporting the programme, said it was essential to emphasise that while circumcision reduces the risk of infection, it does not prevent it.

“After circumcision someone should not think that they are immune against HIV,” Brian said, who works with patients to highlight the continuing need to practise safe sex.

Emmanuel Leroux-Nega for AFP

11 years ago

Malawi’s prized chambo fish faces extinction

In the decade that fisherman Edward Njeleza has been trawling the deep, clear waters of Lake Malawi in Africa’s Great Rift Valley, he has seen his once abundant catch shrink by 90 percent.

Now he spends most days on the shore searching for pods and a special type of grass he uses to make necklaces, key rings and bracelets to supplement his income.

In the past, he and his nine fishing mates would on average catch roughly 300 kilograms (650 pounds) of fish a day, but that haul has dropped to no more than 25 kilograms, he told AFP.

“We go fishing but never come back with much,” said Njeleza, waiting by the lake with a bag full of homemade jewellery slung over his shoulder.

“And we don’t catch big fish.”

Malawian fishermen pulling up fish in their nets on the shores of Lake Malawi. (Pic: AFP)

Lake Malawi, one of the deepest in the world, is estimated to have the largest concentration of freshwater fish species – up to 1 000, according to the UN Scientific and Cultural Organisation (Unesco).

And a local favourite, the Oreochromis lidole or “chambo” as it is known in this landlocked southeast Africa state where it is a vital source of protein for millions of poor, is among the hardest hit.

In its last study on chambo, the International Union for the Conservation of Nature estimated in 2004 that the population had declined 70 percent over the previous 10 years, William Darwall, head of the IUCN’s freshwater biodiversity unit, told AFP.

Overfishing is the main cause, and scientists blame both a lack of government muscle to enforce seasonal fishing bans as well as environmental degradation.

“The primary reasons why the fish stocks, specifically chambo, are going down is overfishing, (and) degradation issues because of factors related to the effects of climate change,” said William Chadza, director of the Centre for Environmental Policy and Advocacy in Blantyre, the country’s finance and commerce hub.

Climate change is said to have affected rainfall patterns and caused a drop in the lake’s water levels, also hit by the effects of deforestation on tributaries feeding the lake.

‘Going towards a disaster’
In Makawa fishing village near Mangochi town in the country’s southeast, Njeleza has no choice but to diversify.

Apart from making jewellery, he hopes to bait the odd tourist visiting the lake into a ride in his blue and white boat, which he has named Wanangachi, meaning “What is the problem with us?”

At night he returns to fishing, but stays much longer than in previous years.

“We used to spend just about two hours out on the lake and come back with a boatload of fish – now we need about 12 hours, and bring back less than before,” Njeleza said.

Some officials fear chambo could face extinction in Lake Malawi.

“It’s a very big issue, and I think if we don’t do something … we could be in a dire state shortly,” Chadza told AFP.

But rangers say the fight to save the fish is a losing battle.

“We are not winning,” said Gervaz Thamala, chief of the Wildlife and Environmental Society of Malawi.

Laws to protect the chambo exist, but “the major problem which we have is governance,” Thamala said.

“It seems we are going towards a disaster, which is quite critical,” he warned. “Extinction is also a possibility because we have not fully developed the aquaculture sector, which could act as a buffer.”

Back at the lake, Dogo Morris leads a team of 10 fishermen pulling in their nets, cast six hours earlier, but their haul is only about 10 kilograms of fingerlings.

“I have nothing to sell today,” he tells more than a dozen would-be customers, who walk away dejectedly clutching their empty bowls.

Fishmonger Raymond Johnson, who supplies hotels and restaurants in Blantyre, Malawi’s largest city, has waited three days to purchase chambo, which he buys in bulk – hundreds of kilograms per trip to the lake.

“My business is not doing well. It has gone down by 40 to 45 percent,” said Johnson.

Back in Blantyre, restaurant owners share his despair, saying diners complain that the fish on their plates are getting smaller all the time.

Susan Njanji for AFP

11 years ago

Africa’s women entrepreneurs take the lead

Madinah Nalukenge recalls the day she set out to sell food on the filthy edges of a bus terminal in the Ugandan capital in 2004. She had just $10 left over from a failed attempt to sell bed sheets.

Now she runs a catering business that makes a monthly profit of up to $3 000, a source of pride for the 34-year-old single mother who spends her days offering plates of mashed plantain and greasy meats to transport operators in downtown Kampala.

“There is a lot of money to be made here,” she said recently, her apron bulging with cash. “I need to stay focused.”

Her competition: More than a dozen other women operating food stalls next to hers.

Madinah Nalukenge serves dishes to customers at her food stall, frequented by transport operators, that she owns on the edge of a bus terminal in Kampala. (Pic: AP Exchange)

Nalukenge, who did not study beyond grade school, is part of a growing trend in Africa where more women are running businesses on a scale that was unthinkable a generation ago. Africa now has the highest growth rate of female-run enterprises across the world, according to the World Bank.

About 63% of women in the non-agricultural labor force are self-employed in the informal sector in Africa, more than twice the worldwide rate, according to World Bank data, which also shows that necessity – not opportunity – is the main driving force behind female entrepreneurship in poor countries. Women often start by running informal retail or service businesses, but those who are more ambitious have created thousands of jobs in projects that break stereotypes about what women can do, physically and socially, in societies that are still largely conservative.

“Traditionally women would sit at home and wait for the man to return home with a bag of groceries, but this has been changing over time as women’s dependence gradually reduces,” said Thomas Bwire, an economist with Uganda’s central bank. In a sign of the times, he said, Ugandan women now even work at road construction sites.

There are more women than men working in the informal sector in all of sub-Saharan Africa, according to the International Labor Organization. The UN agency’s most recent survey, released last year, noted that this is unlike other regions, including South and East Asia, where informal employment for women tends to be concentrated in home-based, domestic work.

Some of the food vendors in downtown Kampala have remarkably similar accounts of what sparked their entry into private business: Hungry children, unpaid rent and some violent partners. Most of them have long been single or were recently in failed relationships, an important detail because many insist their businesses are succeeding in part because of their independence on the home front. Many of the vendors have also enrolled their children in boarding school to make more time for work.

“They don’t help and they never want to help,” Nalukenge said of her former partners. “Yet even the little you get they want to take away from you. I was alone when I started this business.”

Force for economic growth
Development economists note that if more women are helped to join the labor force, especially through access to credit, they can be a powerful force for global economic growth.

A report released earlier this year by the investment bank Goldman Sachs urged what it called “giving credit where it is due,” noting that women’s “increased bargaining power has the potential to create a virtuous cycle as female spending supports the development of human capital, which in turn will fuel economic growth in the years ahead.”

An estimated $300-billion credit gap exists for female-owned enterprises, according to the International Finance Corp. of the World Bank, which in March launched a $600-million fund to finance women-owned businesses in the developing world. The venture – dubbed the Women Entrepreneurs Opportunity Facility – aims to work with local banks in sharing risks and extending credit to 100 000 women entrepreneurs.

Across sub-Saharan Africa, where poverty remains extreme in many parts, stories of successful women entrepreneurs are accumulating. A Kenyan woman, Mary Okello, is feted for starting, inside a three-bedroom house, what has since become a prestigious group of private schools. In Rwanda, Janet Nkubana has been recognised abroad for running a handicrafts company that employs more than 3 000 women whose baskets can be purchased at Macy’s. The Nigerian Adenike Ogunlesi is famous for her “Ruff ‘n’ Tumble” clothing line for children, a business that she first operated out of a car trunk.

In Uganda, where most of the food is grown locally, many women have been drawn to catering, and their food stalls are ubiquitous at transport terminals and open markets. Unable to get credit from banks, often the women start “cooperative” groups in which they pool savings. Then they take turns getting loans.

“The few who have ventured out have surprised themselves by succeeding,” said Ugandan economist Fred Muhumuza, who has been advising Uganda’s government on development policy. Rampant poverty, he said, is driving women to find ways of taking over “core family responsibilities” from men.

Nalukenge, the food vendor in downtown Kampala, said she has kept her children in school and now owns two small plots of land.

On a recent evening, as she prepared to clean up and pack her saucepans, she pondered her unlikely journey from failed hawker of bed sheets to successful caterer with a long line of loyal clients.

“We spend a lot of energy here,” she said. “There’s no resting. But at the end of the day we get our reward.” – Sapa-AP

11 years ago

Niger’s first slavery conviction: Man jailed for 4 years

A man has been sentenced to four years in jail in Niger’s first conviction for slavery.

Elhadji Djadi Raazikou (63) was convicted of having a “fifth wife” – a practice in which girls, usually of slave descent, are treated as property because local Islamic law permits only four wives.

Known as wahaya in the local Tamasheq language, they are seen as a sign of prestige among wealthy buyers in Niger and northern Nigeria’s Hausa ethnicity. No marriage takes place, depriving the woman of legal rights, and men have several wahaya.

“They are treated solely as property and face a lifetime of regular rape, physical and psychological abuse and forced labour,” said Jakub Sobik of the international pressure group Anti-Slavery International.

Touareg girls, claimed to be slaves, attend a ceremony where their chief, who had promised to release 7 000 slaves, denied slavery exists. Picture taken March 5 2005. (Reuters)

Raazikou allegedly bought the girl for 200 000 CFA francs (£248) and put her to work as a domestic drudge for one of his four other wives. He had been detained in the town of Birnin Konni since the local anti-slavery organisation Timidria alerted authorities in 2010.

“We hope this latest success will be a catalyst for others to start coming forward,” said Abankawel Illitine, a Timidria board member.

It is the first successful such prosecution since a Nigerian woman challenged her former master in the Court of Justice of the West African regional body Ecowas six years ago.

The girls are often born into slavery in a rigid caste system where “noble-borns”, usually lighter-skinned Moors, indirectly or directly own darker-skinned Moors or black Africans. The girls, almost always sold before they turn 15 and frequently as young as nine, sometimes change hands several times.

Up to 130 000 people are trapped in modern slavery in Niger, with women and children bearing the brunt. Some wahaya are forced to wear a heavy brass ankle ring. In neighbouring Mauritania, those old enough to cover their hair are often forced to leave their arms bare – against rural tradition – to enable them to carry heavy burdens.

Much of the abuse comes from the other wives, whose position depends on being able to remain a spouse. “A wahaya can regain their freedom if their first-born is a boy, because the husband will then either divorce another of his wives or he must liberate the mother,” Illitine said. In Raazikou’s case, he tried to divorce one of his other four wives to marry a fifth, the court heard.

Slavery has existed across the Sahel and Sahara since Arabic-speaking Moors raided African villages and launched the trans-Saharan slave trade centuries ago. Some proponents justify its continuation through Quranic texts that permitted the enslavement of women captured in jihad (holy war), although it is practised even in countries that never experience jihad.

Talak inherited her slave status from her parents, who were captured in a raid by Tuaregs against their village. “My work load was awful, unimaginable … [My master] considered me to have no soul. He would use me for pleasure while hate burned in my heart,” she told rights activists after running away.

Mauritania was the world’s last country to abolish slavery, in 1981, but campaigners say it is difficult to overturn a deeply engrained custom among rural communities across the several Saharan nations.

“Wahaya goes on with the consent of traditional chiefs, who are in fact the ones who own the most women,” said a local chief in the northern Nigerian state of Sokoto, which borders Niger.

The chief, who asked not to be named, said nomadic Tuaregs frequently crossed the Sahara to reach the former Islamic caliphate, where the custom of buying girls was well established. “There are villages where 80% of girls came to Nigeria so young they don’t know anything about where they come from, or anything about their birth families,” he said.

11 years ago

Book review: Nigerians in Space

Wale had already decided what he would do when he landed on the moon.

“He wouldn’t hit golf balls like the American astronauts” did. Instead, he would play the talking drum, “squeezing out” its rhythms “into the blackness between the stars”.

“He would bind the stars with the drums. There would be dancing.”

Wale’s dream of heading a Nigerian lunar program is the heart of Deji Olukotun’s debut novel Nigerians in Space (2014, Unnamed Press). Wale is a brilliant lunar geologist. For some reason, his rise through Nasa’s bureaucratic hierarchy is stuck at a mid-level research position. This bureaucratic injustice has left him a jaded and bitter man.

But here is Mr Nurudeen Bello – the mysterious mastermind of the Nigerian lunar mission called Project Brain Gain – offering him the chance to walk on the moon.

He has never met Bello in person. He knows Bello only through hushed conversations on pay phones. Bello was a man who existed only in the sound of his voice and the strange power of his words to charm his listeners.

Despite his strong misgivings about the whole enterprise, Wale steals a piece of moon rock from his lab in Nasa, as instructed by Bello, and skips town, taking his wife Tinuke and their little son, Dayo. The plan is that he will meet Bello in Washington DC and officially begin the heroic odyssey to space.

What Wale cannot foresee, however, is that he is about to feature in a classic noir fiction. He will not meet Bello and what follows will be a sky-high pile up of disasters taking place at break-neck speed.

Nigerians in Space is so much a novel of our time that it helps us track how far we’ve come from mid-century African novels. We’ve come a long way from novels like Things Fall Apart, novels that presents life as it takes place in a single locality.

Olukotun’s novel is set in Houston, Stockholm, Basel, Paris Abuja, Bulawayo, Lagos, Cape Town and Johannesburg. These days, African novels are built on the life of the global African nomad.

From Teju Cole’s Julius to Chris Abani’s Sunil, contemporary African fiction is defined by characters for whom mobility is life. They traverse global spaces and force us to think of Lagos and Abuja in the context of Basel and Bulawayo.

Some novels hand the reader one unbroken spool of narrative thread to unravel. The thread may twist and turn as the plot requires, but it is never broken. Nigerians in Space holds the reader’s attention, somewhat counterintuitively, through the stupefying incoherence of the plot.

When Wale’s meeting with Bello fails, his increasing paranoia and desperate attempt to unravel the mystery around Bello and the botched space mission take him through a dizzying array of spaces – from Houston to Stockholm, to Basel, to Cape Town. The first chapter ends, and the reader, who is as confused and breathless as Wale is, turns the page hoping to take comfort in some explanation or a plot movement that takes the story forward.

Instead the reader is transported 21 years to the present day with a sentence that reads: “Thursday Malaysius had worked at Abalone Silver for two years.” No explanation of how Thursday is tied to Wale, Bello, or Project Brain Gain. But then no sooner you fall in love with Thursday, you’re introduced to Melissa, and Mrs. Niyangabo and so on.

These sharp, unpredictable turns in a plot moving at lightning speed is exhilarating and will leave you delightfully lightheaded. I let myself freefall down this zigzagging tunnel of stories. I suggest you do the same. It’s a literary trip of sheer delight. The fragmented portraits and incidents do come together in a stunning collage.

Brittle Paper is an African literary blog featuring book reviews, news, interviews, original work, and in-depth coverage of the African literary scene. It is curated by Ainehi Edoro and was recently named a ‘go-to book blog’ by Publisher’s Weekly.