Chitika

Showing posts with label HIV stigma. Show all posts
Showing posts with label HIV stigma. Show all posts

Thursday, 24 April 2014

Ugandan nurse accused of spreading HIV

Kampala - Goaded by journalists who wanted a clear view of her face, the Ugandan nurse looked dazed and on the verge of tears.


The Ugandan press had dubbed her “the killer nurse”, after the HIV-infected medical worker was accused of deliberately injecting her blood into a two-year-old patient.

The 64-year-old nurse, Rosemary Namubiru, was charged with attempted murder, denied bail and sent to jail in an unusual case that many here saw as a horrifying example of the lax hospital standards believed to be prevalent in the East African country.

But in the course of her trial - on the revised charge of criminal negligence - the nurse is attracting sympathy and emerging as the apparent victim of rampant stigma in a country that until recently was being praised as a global leader in fighting Aids and promoting an open attitude toward the disease.

The nurse, while attempting to give an injection to a distraught child on January 7, accidentally pricked her finger with a needle, according to Aids-Free World, an international advocacy group that has been monitoring the ongoing trial.

After bandaging her finger she returned to administer the injection, apparently using the contaminated needle. Uncertain about whether the same needle was used, the child's mother “became concerned about the possibility that her child had been exposed to HIV”, the group said.

After a test showed the nurse was HIV-positive, she was arrested and prosecutors argued against giving her bail on the grounds that she posed a grave danger to the public.If convicted, the nurse faces seven years in jail and would be the first Ugandan medical worker to be sentenced under a colonial-era law against negligent acts likely to lead to the spread of an infectious disease.

The child who may have been exposed to HIV was given post-exposure treatment and will be tested again for HIV in the coming days, according to lawyers and activists familiar with the case.

Namubiru's trial has consequences for the rights of people with HIV and Aids, say Aids activists in Uganda and abroad.


Uganda, which achieved global attention in the 1990s for its efforts to stem the spread of the disease, has about 1.5 million people living with HIV out of a total population of 36 million. Activists note that it's virtually impossible to find a Ugandan family that hasn't been affected by the disease since it was first reported here in the 1980s. Yet stigma toward people suffering from Aids persists, shocking activists.

The nurse's case illustrates “the failure of both the media and the prosecutor's office to act responsibly” and could set “a dangerous precedent and could have grave consequences for the fundamental rights of people living with HIV and Aids in Uganda and beyond”, said Aids-Free World in a statement.Namubiru shouldn't be on trial and her case should simply have been referred to the Uganda Nurses and Midwives Council,a statutory body charged with protecting the public from unsafe nursing practices, said Dorah Kiconco, a Ugandan lawyer who runs a watchdog group called the Uganda Network on Law, Ethics and HIV and Aids.

“She was working and she got into a bad accident and it should have been treated as such,” Kiconco said. “She's on trial because of her HIV status.”Jane Kajuga,a spokeswoman for Uganda's public prosecutor, defended the decision to press charges, saying there's evidence a crime was committed.

The Global Commission on HIV and the Law said the nurse's “life has been ruined”.“No matter the outcome of the trial, the panorama of ferociously intemperate accusation will haunt her and her family forever.”

Uganda's HIV rate has been rising in recent times, confounding officials who succeeded in reducing the prevalence from 18 percent in 1992 to 6.4 percent in 2005. Now the rate stands at 7.3 percent, according to the most recent survey by Uganda's Ministry of Health.

Ugandan health officials say more married couples are getting infected, in part because of what campaigners have dubbed a “sexualnetwork” in which married people keep secret lovers. Billboards in Kampala, the Ugandan capital, urge couples to “put your love to the test” by testing for HIV.

Ugandan President Yoweri Museveni last year publicly tested for HIV in a bid to spark similar action among reluctant Ugandans.

Although being HIV-positive no longer spells a death sentence, even for poor Ugandans, public knowledge of one's HIV-positive status can destroy a life. A Ugandan man who worked in the presidential palace as a gardener recently accused his bosses of firing him after they discovered that he was infected with HIV.

Ugandan Major Rubaramira Ruranga, one of few officials who have publicly revealed they have HIV in a bid to discourage stigma, said the case against the nurse proves that “stigma still rages on” in Uganda.

“If I were her I would be very angry, I would feel isolated and I would feel dejected,” he said. “She was brutalised.” - Sapa-AP

Source: http://www.iol.co.za/news/africa/ugandan-nurse-accused-of-spreading-hiv-1.1675713

Wednesday, 26 February 2014

Leading HIV Provider Organizations Express Concern about HIV Stigma and Human Rights for a Nurse Imprisoned in Uganda

We, as organizations made up of health care professionals caring for people living with HIV, recognize that human rights are universal and are a key contributing factor to quality health outcomes and health equity for individuals and populations.  We are deeply concerned about the serious human rights violations of an HIV positive nurse in Uganda and the subsequent outcome that this event is having not only on her life, but may have on the global fight against HIV/AIDS. We support our colleague Rosemary Namubiru, 64, a nurse with 35 years of experience, charged in Uganda with a series of criminal offenses as a result of a workplace needlestick accident.


On January 7, 2014, while working at the Victoria Medical Centre in Kampala, Uganda, Ms. Namubiru was attempting to give an injection to an ill 2-year-old patient. With the child struggling, the needle accidentally pricked the nurse’s finger; she stopped what she was doing, washed and bandaged her pricked finger, and returned to the child and administered the injection.  Investigation into the incident revealed that Namubiru is HIV positive and on anti-HIV medications. She was subsequently arrested in front of assembled media , thrown in jail and charged with attempted murder. The child has been tested, and is not HIV positive1. Charges were later downgraded, but Namubiru remains in prison .  In addition to the unwarranted charges, her rights to appropriate representation, confidentiality and the presumption of innocence have been violated in a very public and damaging way.  A firestorm of inflammatory and sensational news media has vilified Ms. Namubiru and by extension, any HIV positive healthcare worker and all people living with HIV. 


Needlestick accidents occur on a regular basis in clinical settings; the World Health Organization estimates that at least 2 million occur annually around the world2.  According to the Centers for Disease Control and Prevention (CDC), 99.7% of needlestick exposures to HIV-contaminated blood do not lead to infection3 and the rate may be even better when the HIV-infected person is on HIV medication. Approximately 2 people among 25 in Uganda are living with HIV4, including health care workers such as nurses and physicians.  While procedures and equipment must be improved to better prevent needlestick accidents, singling out and unfairly punishing individual nurses or other clinicians does not constitute an improvement and does not advance patient safety or the public health at large.  Arresting and imprisoning Ms. Namubiru for an accident that unfortunately regularly occurs in clinical settings actually enhances stigma and represents a significant setback in the fight for universal human rights and against HIV/AIDS.


Our concerns are for Rosemary Namubiru as an individual and a colleague, and we stand in solidarity with her. We also fear that this case could set a dangerous precedent, in terms of both the criminalization of HIV exposure and the treatment of people living with HIV and AIDS. Human rights violations and abuses directed toward HIV positive people and subsequent stigma and discrimination are fueling the epidemic and are some of the principal barriers to achieving an AIDS free world. Separate laws or workplace policies for people living with HIV are unjust and unwarranted. Fear of disclosure and recriminations will keep people from getting tested for HIV and, subsequently, from accessing the effective treatments that will save their lives and prevent them from transmitting to others.