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A healthy market place<br />

The life of a Market Trader is tough. This is especially true in Swaziland where a few<br />

hundred women, aged mostly between 15-60, travel from all areas of the country to<br />

form an informal market two days a week. <strong>Australian</strong> Volunteer Business Development<br />

and Marketing Officer, Mike Merritt, writes about an initiative of local organisations<br />

SWABCHA and the Ekululameni Rehabilitation and Training Centre that is working with<br />

Market Traders to address issues of nutrition, health and wellbeing.<br />

» Arriving in Manzini, based 37<br />

kilometres south of the capital of<br />

Mbabane, the women camp both Tuesday<br />

and Wednesday nights. The temporary<br />

home is usually an open bus shelter, where<br />

they live and sleep on concrete floors<br />

throughout all four seasons of the year to<br />

ensure their livelihoods.<br />

To compound the misery, many are seriously<br />

ill. Swaziland has the highest HIV-AIDS<br />

prevalence in the world with 26 percent of<br />

adults being positive. The prevalence rate of<br />

women aged 25 to 29 further increases to<br />

49 percent. This is three times higher than<br />

men and experienced in a social<br />

environment which does not encourage<br />

women to be proactive, equal partners,<br />

married or not.<br />

Individuals with HIV also have increased<br />

incidences of tuberculosis (TB) and their<br />

nutrition and general health is poor. In the<br />

advent of the HIV-AIDS / TB pandemic and<br />

the subsequent loss of life, women are often<br />

faced with the double burden of being the<br />

sole money earner for the family, and acting<br />

as a caregiver due to related illnesses.<br />

With socio-economic development being<br />

severely hampered, and to help sustain<br />

livelihoods, <strong>Australian</strong> <strong>Volunteers</strong> with their<br />

colleagues from two local organisations,<br />

SWABCHA and Ekululameni Rehabilitation<br />

and Training Centre, got together and<br />

developed the Manzini Market Women<br />

Health Project. The initiative is working to<br />

increase awareness on health issues and to<br />

provide practical help through the delivery of<br />

health services to the Market Traders.<br />

Research indicates the average earning of a<br />

trader at about E800 (AU$111) per month. It<br />

is feasible to assume that each trader has at<br />

least one dependent and that this meagre<br />

income deters the beneficiaries from<br />

accessing healthcare services, especially<br />

screening and testing services, due to the<br />

cost of transport and the impact on work<br />

time. This initiative aims to go some way<br />

towards alleviating hardship while providing<br />

a degree of awareness and sustainability.<br />

Activities of the project include visiting the<br />

market over an eight week period to<br />

conduct awareness sessions about<br />

HIV-AIDS, TB and HIV testing, allowing for<br />

the identification of the common myths and<br />

the dangers of Multiple Concurrent<br />

Partnerships (MCPs) and access to eye<br />

testing services.<br />

During the delivery of the project 30 people<br />

on average a day are accessing HIV and TB<br />

testing. So far the project has conducted<br />

177 eye tests and supplied 140 pairs of<br />

glasses and given away 59 free eye drop<br />

bottles.<br />

Future sessions and a community open day<br />

with a range of local service providers<br />

including Swaziland Breast Cancer Network,<br />

Population Services <strong>International</strong>, Family<br />

Life Association Swaziland, University<br />

Research Council, Swaziland Malaria<br />

Control Program and the Elizabeth Glaser<br />

Paediatric AIDS Foundation, will cover<br />

additional health issues including TB, heart<br />

disease, diabetes, breast cancer, malaria<br />

and eyesight problems.<br />

Sustainable Livelihoods<br />

Above > Attending a market-based mobile clinic in Swaziland. Photo > Courtesy SWABCHA<br />

A Mobile Wellness Clinic will also be a part<br />

of these activities, providing on-the-spot<br />

diagnostic services such as HIV testing and<br />

counselling, palliative and rehabilitative<br />

advice, TB screening, and blood-glucose<br />

and cholesterol testing. Eye testing will also<br />

be offered with glasses provided free or at<br />

cost to those in need. <<br />

Mike Merritt is Business Development<br />

and Marketing Officer with Ekululameni<br />

Rehabilitation and Training Centre and<br />

Michelle Drabarek is the Marketing and<br />

Branding Officer with SWABCHA. As part of<br />

their assignments with AVI, they have<br />

collaborated to deliver the Manzini Market<br />

Women Health Project.<br />

For more information on the project visit<br />

www.swabcha.org.sz<br />

This is a position of the <strong>Australian</strong> <strong>Volunteers</strong><br />

for <strong>International</strong> Development program<br />

(AVID). AVI is working in partnership with<br />

AusAID to deliver AVID.<br />

A healthy market place > Mike Merritt<br />

07

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