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Anchoring Awareness in the Community - Handicap International

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Through house-to-house awareness<br />

development, as it was done on this project,<br />

<strong>the</strong> number of persons contacted could seem<br />

ra<strong>the</strong>r low. However, after three years of <strong>the</strong><br />

awareness program, change <strong>in</strong> <strong>the</strong> community<br />

was palpable: stigmatization and denial of <strong>the</strong><br />

disease had strongly decreased, knowledge<br />

of <strong>the</strong> disease had become generalized and<br />

PLWHIV had rega<strong>in</strong>ed a social status.<br />

The daily activity of <strong>the</strong> animators allowed<br />

contact<strong>in</strong>g a large number of persons <strong>in</strong> an<br />

efficient way, thanks to <strong>the</strong> know-how <strong>the</strong>y<br />

had developed throughout <strong>the</strong> project.<br />

In addition, <strong>the</strong> effectiveness of <strong>the</strong>ir work<br />

was <strong>in</strong>creased as <strong>the</strong>y were followed and<br />

supported by <strong>the</strong> association of PLWHIV , a<br />

local partner of <strong>Handicap</strong> <strong>International</strong>, as well<br />

as <strong>the</strong> project advisory committee of <strong>the</strong><br />

village where <strong>the</strong>y <strong>in</strong>tervened.<br />

This double implication also had <strong>the</strong> great<br />

advantage of rais<strong>in</strong>g <strong>the</strong> awareness of and<br />

implicat<strong>in</strong>g community resource persons,<br />

<strong>the</strong>reby creat<strong>in</strong>g long-last<strong>in</strong>g change for<br />

<strong>the</strong>se persons concern<strong>in</strong>g <strong>the</strong> disease and its<br />

portrayal.<br />

© Julie de Lamarzelle pour <strong>Handicap</strong> <strong>International</strong><br />

ACCEPTANCE OF THE ANIMATORS<br />

In a context of disease denial, mak<strong>in</strong>g multiple<br />

visits to each home to speak of HIV/AIDS was<br />

not easy, particularly <strong>in</strong> Ethiopia, where <strong>the</strong><br />

animators were <strong>the</strong>mselves HIV +. Thus, one<br />

of <strong>the</strong> biggest difficulties encountered by <strong>the</strong><br />

animators was to succeed <strong>in</strong> be<strong>in</strong>g accepted<br />

<strong>in</strong>side <strong>the</strong> homes.<br />

Be patient<br />

Project acceptation was not easy. Very often,<br />

<strong>in</strong>habitants did not want to talk about <strong>the</strong><br />

subject; some of <strong>the</strong>m refused to even get<br />

close to or talk to <strong>the</strong> HIV + animators. In many<br />

homes, <strong>the</strong> animators were obliged to return<br />

patiently a number of times before be<strong>in</strong>g<br />

able to start a discussion.<br />

“At <strong>the</strong> start of <strong>the</strong> awareness program <strong>in</strong> <strong>the</strong><br />

village, it was hard, but we stayed with it. Little<br />

by little, we were accepted. No one chases us<br />

away any more, and <strong>the</strong>y accept open<strong>in</strong>g <strong>the</strong>ir<br />

doors to us and listen<strong>in</strong>g to us.” 11<br />

Do not become discouraged<br />

about contact<strong>in</strong>g people<br />

To establish contact with a home, it was<br />

sometimes necessary to be very persever<strong>in</strong>g,<br />

because people were not necessarily available<br />

at <strong>the</strong> proper time.<br />

“If we set up an appo<strong>in</strong>tment, <strong>the</strong>y didn’t keep<br />

it because we weren’t a priority for <strong>the</strong>m. So,<br />

we went by from time to time unannounced<br />

and didn’t become discouraged if <strong>the</strong>y were<br />

absent or busy. We went as often as we had to<br />

until we were able to contact <strong>the</strong>m.” 12<br />

Discourage criticism by stay<strong>in</strong>g calm<br />

At <strong>the</strong> start, animators were accused of<br />

participat<strong>in</strong>g <strong>in</strong> <strong>the</strong> program for <strong>the</strong> money<br />

only, but <strong>the</strong>y chose to ignore <strong>the</strong>se dismissive<br />

remarks. They cont<strong>in</strong>ued to carry out <strong>the</strong><br />

program for <strong>the</strong>se persons as if <strong>the</strong>y had made<br />

no comments. By stay<strong>in</strong>g calm and strongly<br />

committ<strong>in</strong>g to <strong>the</strong> program, <strong>the</strong>y managed to<br />

11. Bezuye Shiferaw, animator at Sh<strong>in</strong>ile<br />

12. Aynalem Bekele, animator at Togochale<br />

23

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