Contents of the report:

Foreword
The Situation in 2003: “Everybody knows somebody”
The “Write Up“– Planners on the run
Introduction of the players I: The Have Nots
Introduction of the players II: The Do-Gooders
Introduction of the players III: The Elites
The Obstacles – Vested Interests of the players
The Tanzanian Government’s duty
The Implementation – Searchers in the field
The team – no success without the Patient
Treatment as Preventive Meassure
Medical Treatment before the lock-out
The Treatment and Care Situation after the Lock-out
Special Treatment Situations
Children and Pregnant Women
The Media and the Poor: The Flow of Information
The Role of the Internet
Technology: CD4 Counters - a business opportunity for Elites?
Theft and Systemic Corruption: The International Alliance
Incidences of Human Rights Violations: Lock-Out
HIV/AIDS Treatment as a matter of course in a Self Determined Health System
A Bright Future: Have Nots on the road to Accountability, Responsibility and Self-Reliance
Dependable Partners: PIUMA
Epilogue: The Unknown Health Worker
Expenses
No more money needed for the Have Nots


Foreword

In the spirit of responsibility and transparency, writing a report is essential for anyone who invests resources in the resolution of a particular problem. However, it is a challenge for a foreign mission to write a report about work on a problem which usually would be tackled by the responsible experts and state agencies in the “focus country”.
Due to the vast burden of HIV/AIDS in Makete District, the Evangelical Association for World Mission in Austria (EAWM) was invited by the Evangelical Lutheran Church of Tanzania (ELCT), in particular by South Central Diocese (SCD) of Makete District, to implement a program originally called “A Comprehensive Approach to Treat HIV/AIDS due to the Invention of Modified DOT-HAART (Directly Observed Therapy with Highly Active Antiretroviral Therapy)”.
EAWM insists that it strictly followed all agreements with the local church partners and it made every attempt possible to obey the laws and the constitution of Tanzania. Due to a violent (and still officially unexplained) unlawful attack of elements of the Lutheran Church of Tanzania SCD/ELCT on patients and EAWM staff, the successful program was forced into a new direction, focusing on Human Rights and advocacy rather than rapidly scaling up HIV-AIDS treatment and further improving quality of care. Due to a consequent lack of data, EAWM is not in a position or willing to write a comprehensive report or a success story, but is rather giving a blunt account of its views based on the facts available.
During the course of the project, EAWM has learned that there remains a great deal of emancipation and liberation needed in order to save the lives of people who need decent health care in this world! There is need for liberation from worldwide, unfairly protected business interests but equally so, liberation from segregation and oppression within societies. There are huge gaps between Elites, Do-gooders and the neglected and uniformed Have Nots.
EAWM has learned that an informed and enlightened society promoting Human and Constitutional Rights, implementing ethical standards, obeying local laws and keeping agreements is the basis for a decent health care system! EAWM believes that treatment and care is a universal right for EVERYBODY who needs a nurse, a doctor, a healthcare worker, a relative or a fellow patient in order to be guided, served, kept safe, and eventually to die with dignity.
If, in some respects, the view of EAWM does not match with the view of a brother or sister anywhere in the world, we openly invite her/him to challenge us and engage with us in a fruitful dialogue. We have learned about the admirable tradition in many African villages of valuing discussion and divergent opinions. It is our hope, that this very African gift to the world will be used to open wise new directions in order to foster positive development.

Austria, April 2007, Dr. Rainer Brandl, MD
EAWM Consultant