The effect of AIDS on Africa

South Africa’s public health sidelined over political power play

During the Nationalist Party, or white government, days in South Africa, the only time the country made it into the international newspapers was when apartheid based atrocities and anti-apartheid campaigns were reported. It used to annoy the government immensely as they felt that the good’ stuff was being overlooked.

President Mbeki, and his apostles, must be feeling the same at this moment. The front page of the Independent in the UK says it all. A President in denial, a nation denied hope’ is the headline. The article is in response to the firing of deputy health minister Nozizwe Madlala-Routledge.

Ms Madlala-Routledge had worked hard to obtain some form of credibility for the government. She had been outspoken about new treatment campaigns to ensure medication was available to infected people and co-authored a five year treatment action plan. She had visited hospitals and pointed out how bad the health services were in some areas such as the Eastern Cape.

Mbeki and his Minister of Health Tshabalala-Msimang have been ridiculed by the world for their denial of the epidemic. Mbeki ascribed to the theory that HIV and AIDS were not linked and Tshabalala-Msimang maintained that eating beetroot and garlic were more useful than anti-retrovirals which she said were harmful to people. This is the country where coffins are made from cardboard because the wooden ones can’t be made quickly enough to fill demand.

The Deputy was fired, according to the South African press, for having attended an AIDS conference in Spain. It was felt that this was wasting tax payers’ money. Besides which this trip had apparently not been authorised. One might remember a Christmas a season ago when the Deputy President used tax payers’ money to use the government jet to take herself and a couple of buddies off to a shopping holiday in Dubai. She certainly didn’t get fired for that unauthorised trip.

Which all points to the fact that the Deputy Minister’s firing had really very little to do with health issues. It has to do with political power. Mbeki has, during his years as president, surrounded himself with people whom he feels comfortable with and who have shown him total loyalty. These select few will remain within his orbit whether they do the job or not. The Deputy Health Minister, by undermining the power base of the Health Minister had to go.

Health Minister Tshabalala-Msimang is one of these apostles.