Algerian women with HIV battle disease, stigma

Friday 04/12/2015
An Algerian woman getting tested for HIV by health workers at a mobile centre in the capital Algiers during an operation for the prevention of AIDS organised by the UN Programme on HIV/AIDS (UNAIDS) offices in Algiers.

Algiers - Like many women in Alge­ria infected by their hus­bands with HIV, 30-year-old Sihem is a victim twice over, living with her dis­ease and suffering as a social out­cast.
Infected at age 20, Sihem has spent a decade living with the stig­ma.
“I divorced and went off with HIV. My husband told everybody I had AIDS,” she said, misty-eyed and her voice choking.
In the eyes of Algerian society, she must have been to blame for the marital breakdown, while her ex-husband remains “above sus­picion”, said Sihem, using a false name to tell her story.
Like in many other conservative Muslim countries, in Algeria a wom­an with HIV — human immunode­ficiency virus, which causes AIDS — is considered to have brought shame and dishonour on her fam­ily, regardless of her circumstances. Relatives cover up AIDS-related deaths, giving other causes, and those with HIV are shunned if their infections become public.
In 2014, Algeria recorded 845 cases of HIV infection, 410 of them women, with a total of 9,100 offi­cially registered cases in the coun­try as of the end of the year. Most women caught the disease from their husbands, according to UN­AIDS, the UN programme on HIV/ AIDS.
Hayet, a 41-year-old seamstress, said she has two battles on her hands: against the disease and against prejudice. She learned of her infection 20 years ago on the birth of her daughter, who died with HIV three months later. The baby’s father also died within a year.
Hayet’s in-laws knew that their son, a former drug addict, had HIV but had kept silent. On his death, they thought “it was unfair for their son to have died and not me”, said Hayet, who became a widow at 22 and was denied any inheritance.
Aisha divorced in 2005 at the age of 19, a few months after her ar­ranged marriage to a man who has never admitted to infecting her. “If it weren’t for the support of my par­ents, I would have gone mad,” she said, holding back tears.
The women were interviewed anonymously by Agence France- Presse (AFP) but otherwise they re­main silent, fully aware that Algeri­an society judges them as guilty. For infected women, “AIDS is a symbol of dishonour, giving rise to feelings of rejection and stigmatism,” said Adel Zeddam, who heads UNAIDS in Algeria.
He said some women steer clear of treatment centres near their homes for fear of being recognised and are left without proper care. Such women face “double punish­ment, infected by their spouse and stigmatised by society”, said Nawel Lahoual, president of Hayet, a sup­port group for HIV/AIDS patients.
A doctor at El Kettar Hospital in Algiers said he knew of an academ­ic in his 50s who had married four times despite knowing he was in­fected with HIV. Left without treat­ment, all four women died.
In a rare positive story, Safia, a 42-year-old who lost her husband to AIDS in 1996, remarried 15 years later to a man who knew of her con­dition.
“He married me out of love and hid the facts from his parents,” she said.
Advised before their marriage by a doctor on what precautions to take, the couple have lived together for four years without him getting infected.
(Agence France Presse)