Cambodian AIDS orphans have good plans for future

By Zhang Ruiling

PHNOM PENH, Nov. 16 (Xinhua) -- They are a hidden population, living with HIV/AIDS at a very young age. What we do know is that they are very vulnerable. It is this state of being hidden that puts AIDS orphans at special risk during their lifetime.

But those living with HIV in Cambodia are lucky. They live in the National Borey for Infants and Children, a state-run orphanage located in the suburb of the capital city Phnom Penh, which is supported by the government and humanitarian agencies.

"The center accommodates more than 100 orphans, among them 27 are living with HIV, and Sei La is one of them," Sani, a teacher at the center, told Xinhua while pointing at the boy who was orphaned at an early age when his parents died of AIDS.

Sei La is a typical Khmer boy with brown skin. He looks happy and healthy. He said he had just returned from school.

"How old are you, Sei La? Do you know China?" we asked.

"I am 15 years old now. I know China, it's a big country with a lot of people," Sei La answered with a shy smile.

"I am happy here. I have friends here and the teachers treat us like mothers. I study in the Khmer language school in the morning, and in the afternoon I go to English school," he continued.

"I have been working here for nearly 25 years. I love these poor children, they are just like my own sons and daughters," said Sani. Her warmth for these children is reciprocated, as Sani's proteges respectfully call her "Mama."

Sani told us that Sei La was a clever boy, and that he worked part-time in a small restaurant in the city every Sunday.

"Just clean dirty dishes, set tables, and serve as an assistant," he said.

"The payment is little, just 3,000 riel (about 0.73 U.S. dollars)," he admitted. "I only want to earn some pocket money, so I can buy some snacks and sometimes repair my bicycle, but first of all, I want to gain some experience for seeking a good job in the future."

When talking about the HIV/AIDS disease, Sei La looked calm while replying that he knew he was infected with HIV.

"I was very scared at first and hated my parents, but after I learned about HIV/AIDS, I know if I keep taking pills and do some exercise, the disease can be controlled," he explained.

We have reason to believe that Sei La has already overcome his fear and public prejudice, and learned how to stand on his own two feet.

On the playground, we saw a group of children playing frisbee and some girls playing on the swirls.

"I like here very much," Nani, a five-year-old girl, said while riding a bike in the yard.

Enjoying the sight of little boys and girls giggling and running around, one can hardly imagine that this is an orphanage and that these lovely children are AIDS orphans. At that moment, we gratefully realized that poverty and illness would never prevail over the purity of a child's mind, and that these children's aspirations for living and learning would rise above these impediments.

Mak Phanna, director of the National Borey for Infants and Children of the Department of Child Welfare in the Ministry of Social Affairs, Veteran and Youth Rehabilitation, told us that the Royal Government of Cambodia always paid great attention to children, especially the disabled and orphans infected with HIV. In effect, the government has adopted a law on HIV and AIDS, which went into effect in 2002.

Cambodia diagnosed the first case of HIV in 1993, and HIV prevalence in the country peaked at 3.7 percent in 1997. Chhim Sareth, director of the AIDS Health Foundation, Cambodia Care Organization, said Cambodia had one of the highest rates of HIV/AIDS in the region, but the good news was that the rate was decreasing every year.

The Joint United Nations Programme on HIV and AIDS (UNAIDS) estimates that 75,000 Cambodians live with HIV, but the prevalence of the virus among the population halved to 0.9 percent between 1998 and 2006. The measures taken by the government include publicity campaigns and education to raise understanding of HIV/AIDS. Also, a condom campaign, offering free HIV tests, has made some progress.

"It is unfortunate for these children to suffer this illness. However, it is very fortunate for them to have received various assistance. Through much support, these children have attended elementary school without paying any tuition, and have received treatment and medicines free of charge," Phanna said.

We also have high hopes for these children and wish them a happy and healthy life.

Killeen couple cares for Cambodian children

Kathy Tucker holds a 7-year-old girl at the New Hope for Cambodian Children village for abandoned HIV-positive children. (Courtesy Photo)

Sunday, Jun. 28 2009
By Jade Ortego
Killeen Daily Herald (Killeen, Texas, USA)

The Tuckers say they feel happy. They're lucky. They're blessed. They have more than 1,000 Cambodian children infected with the human immunodeficiency virus who rely on them for medication, food and sometimes shelter, schooling and companionship.

John and Kathy Tucker of Killeen went to Cambodia in the January 2000 as Catholic lay missionaries. They became involved with a hospice program for Cambodians infected with HIV, Seedlings of Hope. Cambodia has one of highest rates of HIV in Asia.

It soon became clear that there were no programs to help children in Cambodia infected with HIV. Because of widespread ignorance about the nature of the virus, those children were frequently cast off, left to die in the street. None of the 200 orphanages in Cambodia at the time would accept any HIV-positive child.

"Assume your sister died of AIDS and you take her children, and find out one of the kids has AIDS. You're afraid that child may infect your biological children … even though it's almost impossible to transmit from child to child," John said. "People don't know that and they want to protect their own children so out of ignorance they abandon these other children," he said.

Their own clinic

In 2006, the Tuckers began New Hope for Cambodian Children (NHCC), a nonprofit, nongovernmental organization, which includes an outreach program, a transitional home for intensive care for infants and the very ill, a day care, and most recently, a village for abandoned children infected with the virus.

Neither John nor Kathy has any medical background.

"There was no (antiretroviral) medicine. The choice was to learn about the medicine or let the kids die," John said.

The Tuckers got a manual about HIV and learned about the medicine and found out it was available in Thailand. They bought it, imported it and hired local doctors to help them start their own clinic.

The NHCC outreach program now covers five provinces and attends to the medical needs of 850 children still living with family members. NHCC provides antiretroviral medication, medical transportation expenses and food for these children.

Antiretroviral medication suppresses the virus enough so that the immune system can reconstitute itself. After taking the medication, some children can be tested and come back with a negative result. The children will become sick again if they miss dosages, however, and can develop resistance to the drugs.

The Clinton Foundation donates money for the medicine for all of these children involved with NHCC, and has gotten the cost down to $12 a month for one child. The same medicine is about $1,000 a month in the United States.

NHCC now includes a village, an almost-sustainable commune of abandoned children on 20 acres about 45 minutes from capital city Phnom Penh.

Building a community

New children arrive every week, kicked out of orphanages or abandoned at hospitals, but the current number is 180.

The kids, age 2 to 19, live in a family and community. NHCC pays a married man and woman $50 a month each to live with and raise eight children in the village. These households are in groups of three, and they eat together; these groups of homes are part of a close-knit larger community.

The Tuckers are working to make the village sustainable. They use only three and half hours of electricity a day, and make their own bio-diesel out of waste vegetable oil from local restaurants. They make methane gas from pig waste, and use solar panels to power water pumps. The village has 250 pigs and 2,200 chickens.

Many orphanages in Cambodia have children make postcards or other crafts to pay for the cost of running it. The NHCC village is funded entirely by private donations, many from the Killeen area, especially St. Paul Chong Hasang Catholic Church in Harker Heights.

"These are children and they're going to be children and they're going to go to school, they're not going to work in the afternoon," John said.

No splitting families

The orphans all attend the local provincial school. Their studies are supplemented by tutoring in every class, largely to make up for a lack of education before their entrance into the program. The village also has art, music and dance classes, and a computer class and basketball court that non-infected children from the provincial schools are allowed to sometimes use.

This year, a 19-year-old is graduating out of the village and will move to Phnom Penh to go attend a university there. The boy isn't infected with the virus; he is one of the 27 non-infected siblings of a child with HIV who lives on the village. "We don't split up families," Kathy said.

Next year, the first HIV-positive child will graduate, and the year after, 12 will. The Tuckers want to rent a house in Phnom Penh for graduates to live in while they attend college or vocational school, where they can still receive care and medication, and remain a part of their family.

NHCC is a secular organization, and doesn't proselytize to the children. "Our kids are Buddhist and they stay Buddhist," John said. "But they do all wear rosaries because they glow in the dark," Kathy said.

Kathy also started a daycare program for HIV positive children that provides their widowed mothers with local, living-wage jobs making quilts, which got media coverage by the BBC and the New York Times. Those quilts, which look like baby blankets decorated with elephants and other animals, can be purchased at St. Paul's.

People can volunteer to work at the village or donate to NHCC online at newhopeforcambodianchildren.com.

"We get to take care of sick kids and get them healthy. We found something at the end of our lives that gives us real meaning. We love what we're doing," John said. "We sleep very well," Kathy said.

Contact Jade Ortego at jortego@kdhnews.com or (254) 501-7553.