South Africa

Today, the good news is that four million HIV-positive people are alive on antiretroviral therapy (ART). The bad news is that MSF teams working to treat HIV/AIDS are witnessing worrying signs of waning international support to combat HIV/AIDS.

The Simelela center was set up to offer medical care, the collection of forensic evidence, counseling and follow-up care for victims of sexual violence in the rape-ravaged township of Khayelitsha.

“We did a lot of work to raise awareness. We went door-to-door, held marches, and put on puppet shows for children at schools and crèches. We told them, ‘Speak up and break the silence about rape’. Married women or girlfriends who had been imprisoned in their own bedrooms told us what happened to them."

Cape Town, July 20, 2009 – Stagnation in HIV/AIDS funding and the high cost of new medicines are putting the lives of thousands of poor patients at risk, the international medical humanitarian organization Doctors Without Borders/Médecins Sans Frontières (MSF) warned today at the 2009 International AIDS Society conference in South Africa . Patients needing new drug regimens will return to AIDS “death row.” While the lack of access to antiretroviral treatment for seven million people remains unaddressed, inadequate financing now further threatens treatment scale-up.

Over three million people living with HIV/AIDS in the developing world receive antiretroviral therapy (ART). However, the medicines and diagnostic tools available are inadequate to respond fully to their needs. In addition, seven million people are in need of treatment and are still waiting for access.

Despite the fact that many Zimbabweans risk their lives to flee Zimbabwe, the South African government has historically characterized them as ‘voluntary economic migrants’ and aggressively deported them. Until recently, approximately 17,000 Zimbabweans were deported each month by South African authorities, according to United Nations and South African Department of Home Affairs figures.

Johannesburg/Brussels/New York, June 2, 2009 – Violence, sexual abuse, harassment, appalling living conditions, and a serious lack of access to essential healthcare define the desperate lives of thousands of Zimbabweans in South Africa today, warned the international medical humanitarian aid organization, Doctors Without Borders/Médecins Sans Frontières (MSF).

Despite the fact that many Zimbabweans risk their lives to flee Zimbabwe, the South African government has historically characterised them as ‘voluntary economic migrants’ and aggressively deported them. Zimbabweans say they had little choice but to leave and thousands continue to cross the border every day, legally and illegally, as a matter of survival.

I live in Khayelitsha, a large township on the outskirts of Cape Town. I grew up in Eastern Cape with my parents and four older brothers.

The levels of sexual violence in South Africa are alarming: it is estimated that a woman is raped every 26 seconds. Khayelitsha, a poor township on the outskirts of Cape Town, has one of the highest incidences of rape in the country. In Khayelitsha, survivors of sexual violence receive care at Simelela, a center offering comprehensive services that go far beyond basic medical needs in a unique partnership between MSF and numerous local partners.

As a result of its worst cholera epidemic in recent memory, Zimbabwe declared a national emergency in early December. Cholera rapidly spread throughout Zimbabwe’s provinces and then into neighboring countries, particularly South Africa. According to the South African Department of Health, there have been more than 900 suspected cases. Recently South African authorities in the northern province of Limpopo declared Vhembe district, which borders Zimbabwe, a disaster area.

When violence aimed at foreign nationals broke out in Johannesburg and Cape Town, MSF provided medical assistance to people who sought refuge in police stations, community halls, and churches.

Brussels/Johannesburg/New York, June 28, 2008 — The international medical humanitarian organization Doctors Without Borders/Médecins Sans Frontières (MSF) today expressed alarm at the deportation of approximately 500 Zimbabweans, including women and children, from a detention center in Musina, South Africa, at the border with Zimbabwe.

One month ago, violence against foreign nationals in South Africa erupted in parts of Gauteng, Western Cape, and Kwa-Zulu Natal Province, leading to the displacement of more than 80,000 people across the country, according to the United Nations High Commissioner for Refugees (UNHCR). Initially, tens of thousands of people fled to police stations, community halls, churches, and mosques to seek shelter and safety. For three weeks, they lived in poor conditions and relied primarily on a patchwork of assistance from private individuals and organizations.

Johannesburg/New York, June 2, 2008 – The international medical humanitarian organization MSF today expressed alarm at the process of relocation imposed on people displaced by recent violence in Johannesburg, South Africa. After living in unacceptable conditions for up to three weeks, the people displaced are now being relocated by the South African government—without proper access to information about their rights and options—to sites that are unprepared and insecure.

In response to recent outbreaks of violence against migrants in Johannesburg, South Africa, MSF is currently providing emergency medical care for wounded people seeking shelter in police stations, community halls, and other locations to which they have fled for safety.

In December 2007, Doctors Without Borders/Médecins Sans Frontières (MSF) began providing essential health services to Zimbabwean migrants in the South African border town of Musina, Limpopo province, and in central Johannesburg. It is estimated that more than one million Zimbabweans live in South Africa.

New York,  November  29, 2006  - AIDS treatment in the developing world will not be sustainable unless international institutions get serious about the high cost of newer medicines, the international medical humanitarian organization Doctors Without Borders/Médecins Sans Frontières (MSF) warned today.

Since May 2001, three HIV/AIDS clinics in the three day-hospitals in Khayelitsha have been offering antiretroviral therapy to people with AIDS who need treatment.

In Khayelitsha township, a poor area near Cape Town, Eric Goemaere, MD, head of MSF in South Africa, works with colleagues and local AIDS advocacy groups to bring antiretroviral (ARV) treatment to those who need it and to push the country's government to do much more.

It took coming to South Africa as an MSF volunteer for me to understand that the horror of apartheid had not disappeared. A new scourge, AIDS, had appeared in its place.