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Practical realities 
of living with 
HIV & AIDS 
2014 
NPO 093-243 
NPO 093 - 243 
Intellectual Property of Cindy Pivacic
Let’s ‘THINK’ 
Do you have The FROG Factor? 
Are YOU a JUMP ahead! 
BUT……YOU DO NEED TO BE RESPONSIBLE ! 
NPO 093 - 243 
AIDS – Action Involves Doing Something
THINK 
NPO 093 - 243 
•T – Are You *Talking 
•H – Are You *Healthy 
•I – Are You *Inquisitive 
•N – Are You *‘Negative’ 
•K – Are You *KRAZY, it helps a bit 
By Default …. 
NPO 093 - 243 
• IEC Facilitator (Information-Education-Communication) on HIV & 
AIDS 
• Speaker 
• Activist 
• Facilitate only known English HIV & AIDS Support Group in KZN 
• Author ‘The Deadly Seducer’ 
• Accredited Training Provider with the Services SETA for HIV Skills 
Programmes. (Provisional)
Living Positively with: 
HIV & AIDS 
• HIV and AIDS since November 2004. 
• HIV & AIDS need not be a death sentence. 
• LIFE is a death sentence 
• ALL going to die 
• Life in-between, THAT matters. 
• Say a thing as it is 
• Provokes just one person into action 
• Accomplished what I set out to do. 
NPO 093 - 243
Share 
NPO 093 - 243 
 Share my journey 
 Proving HIV is manageable 
 Keep healthy & informed 
 Prolong existence 
Experienced the following acquired diseases: 
• Pneumonia 
• Shingles 
• 2 x strokes (2005, 2006) 
• TB Meningitis 
• Short term memory loss 
• Cancer - specifically; Angioimmunoblasticlymphadenopathy 
A rare form of Cancer of the Glands associated with HIV & AIDS
History 
2004 
• Partner 3yrs ill - hospitalised, bowel TB 
• Tested 
• Results 7days later confirming HIV+ 
CD4 count 485 
2005 
• Constantly ill - hospitalised 2 weeks – First Stroke 
• Blackouts 
• Shingles 
CD4 count 320 
NPO 093 - 243
Viral Load and CD4 Counts 
• VL HI virus in system 
• CD4 Fighter cells 
• Women 500 – 1700 
• Men 400 - 1600
History cont…. 
2006 – 2007 
• Hospitalised - 2 weeks, stroke 
• Blackouts 
• Hallucinations 
• Stroke symptoms 
• Diagnosed TB Meningitis 
CD4 COUNT 280 
2008 
• Short of breath, night sweats 
• Tested for “Asthma” 
• Hospitalised - Pneumonia, Biopsy on Glands - Cancer 
• Started ARV’s, Chemo 
• TWO diseases related to HIV; Cancer & TB, 
• Classified, having AIDS 
CD4 COUNT 203 
NPO 093 - 243
2012 - Exposed 
Discovered 2012: 
 Partner knew status 
 Two years prior to infecting me 
Pre Chemotherapy: 
 CD4 203 
 VL 2,888,456 
Presently: 
 CD4 presently 919 VL >40 
Living with the HI Virus with AIDS in remission
Changes 
NPO 093 - 243 
• Thoughts – live - eat – sleep 
• Relate to people 
• Who/where you socialise 
• Personal relationships 
• It is possible to have a ‘normal’ relationship 
with a ‘negative’ person
ADAPT or DIE 
A ATTITUDE 
D DETERMINATION 
A ASK 
P PERSEVERANCE 
T TRUST 
NPO 093 - 243
Develop community-based programs 
• Organise counselling and emotional support 
• Set up organisations that bring people living with HIV & AIDS together to 
fight for change 
• Arrange wellness programmes and medical treatment to help people 
keep their immune systems strong and fight opportunistic infections. 
• Organise grants, food parcels and poverty alleviation projects to help 
families survive 
• Provide home-based care and medical treatment for people who are ill 
• Counselling without nutrition will not keep someone alive 
• Clinic treatment without home-based care will not provide for people 
once they are bed-ridden. 
NPO 093 - 243
Emotional support 
Survivor Support Groups: 
NPO 093 - 243 
• Setup meetings where people with HIV & AIDS can get together 
and discuss their feelings, common problems and ways of coping 
• Teach people how to look after themselves and discuss symptoms, 
illnesses and treatment 
• Organise food and poverty relief to help people survive 
• Arrange social events where people can be open about their 
status and relax with each other 
• Provide talks and presentations from experts 
• Set up an organisation that works for people with HIV & AIDS and 
encourage people to join.
Emotional support cont….. 
For Families: Support Groups to: 
• Teach people about HIV & AIDS and how to care 
for someone when they get ill 
• Talk about feelings and give families emotional 
support to help them cope 
• Help families to get access to government grants 
and relief 
• Put them in touch with services and projects that 
can help – like home-based care 
NPO 093 - 243
Adult Role 
Ostrich-head-in sand-syndrome 
HIV in…… 
• Culture 
• Race Groups 
• Age 
• Travellers 
• Partners 
All at risk 
• Self Awareness 
• Preservation 
• Working Sector/Nurturers 
• Parenting 
Information - Engage – Dialogue - Boundaries
NPO 093 - 243 STATS 2011 & 2012 
2011 
• 99 000 Pregnancies 
• 77 000 Abortions (Gov Clinics) 
• 28% Girls - 4% Boys ‘Sugar Daddies’ -blamed 
• Age Group 10 – 14 years and mostly HIV+ 
Lifespan once diagnosed 46 years?? 
2012 
• 52.98 Million SA citizens 
• 400k New infections 2012 
• 6.4 Million SA Citizens infected - That we know of!! 
• 1000 New infections daily 
• 20% Worlds ARVs consumed by SA 
Education begins at home
ACTION: 
NPO 093 - 243 
KNOW YOUR STATUS - TEST!! 
• HIV test is a difficult decision 
• Better not to know their status? 
Many advantages of knowing your status 
• Come to terms with being infected 
• Make friends with the virus 
• Support 
• Protection from (STIs) 
• Prevent unwanted pregnancy 
• Condoms protect against strains of HIV 
• Avoid Re-infection or superinfection 
Do NOT assume you are negative until you have tested
Staying healthy – wellness 
programmes 
Medical treatment is not the only way to stay healthy, it is very 
important to keep the immune system as strong as possible. 
• Food, exercise and lifestyle are all important. 
• Educate people with HIV & AIDS and their families about 
healthy eating 
• Start vegetable garden projects to help provide the right food 
types to people who cannot afford them 
• Start food projects that collect food from supermarkets and 
farmers and distribute it to people who need it. 
NPO 093 - 243
Keeping a healthy body 
People living with HIV & AIDS need different foods from healthy 
people 
• Medicines can make you lose a lot of weight 
• Feel cold 
• Cause stomach problems 
• Make HIV+ people weaker/vulnerable to infections 
• Clean and cook food properly 
• Drink ONLY clean water 
NPO 093 - 243
Good food 
• Drink two litres of water a day 
• Drink sour milk, milk or yoghurt 
• Beans, lentils, eggs or meat EVERY DAY! Beans are as good as 
meat, add a tablespoon uncooked sunflower oil 
• For a healthy stomach, eat raw garlic, raw carrots or dried 
pumpkin seeds. 
• Eat a lot of grains and starch – maize, rice, sorghum, brown 
bread 
All vegetables and fruits are very good 
NPO 093 - 243
Bad foods 
• Sugar is very bad for the immune system 
and causes stomach problems 
• Fried foods and cooked oils stop the 
stomach from being able to digest food 
• Spicy food can also cause stomach upsets 
Do not eat too much 
NPO 093 - 243
Do’s & Do Not’s 
Do: 
• Keep yourself occupied and interested in things to avoid 
depression 
• Try to exercise without straining yourself 
• Get enough sleep and rest 
• Find people you can talk to about your feelings 
Do not: 
• Smoke, drink or use addictive drugs 
• Go on diet or lose too much weight 
People who live in poverty will find it very hard to stay healthy. 
Ensure that poor people get access to: 
• Food projects 
• Government grants 
• Poverty alleviation projects 
NPO 093 - 243
Government support & grants 
Social workers are best to assist, if government support is 
required. 
• Disability grant 
• Foster care grant 
• Care dependency grant 
• Child support grant 
• Social relief 
NPO 093 - 243
Medical treatment - clinics & hospitals 
If and when you become ill with AIDS, you may need treatment for 
various issues, requiring additional treatment. 
TB - Important to treat TB since main causes of death for people with AIDS 
•Most clinics and hospitals have got TB treatment programmes 
Infections - People who are getting ill from AIDS should also be given: 
•Broad-spectrum antibiotics. 
•Preventing lung infections. 
•Opportunistic infections, like thrush and gastro 
•Sexually transmitted infections 
Vitamins - Good nutrition is most important way to strengthen the immune system 
•Supplemented with vitamins 
NPO 093 - 243 
Antiretroviral (ARV’s) - ARV’s should be taken if they are available and affordable. 
•Important to understand the side-effects 
•Correct way of taking ARV’s since they can make people feel quite sick. 
•Test regularly when on ARV’s to ensure you are getting the right dosage
Home-based care 
How to set up home-based care: 
Vital that health workers work with communities and families to 
make sure that people who are ill at home get proper care. 
At a community or district level, a hospital or clinic should be co-ordinating 
a program in terms of providing treatment. 
The main role they should play is to provide the following to 
patients: 
• Testing, diagnosis and counselling 
• Treatment and medication 
• Referral to support groups or other projects. 
NPO 093 - 243
Self Care & Support 
NPO 093 - 243 
People with HIV & AIDS can look after themselves while they are able to. 
They should be encouraged to keep themselves as healthy as possible 
and should be targeted for specific programs such as: 
• Wellness programs to keep as healthy as possible and to strengthen 
immune systems 
• Nutrition programs 
• Training in basic hygiene and treatment for common infections like 
skin infections 
• Psychological and emotional support 
• They themselves should be trained in basic health care and where 
possible should be drawn into support and other activity groups.
Social Media and Video/TV links 
NPO 093 - 243 
• Book https://www.facebook.com/TheDeadlySeducer 
• Book website short link http://wp.me/p1hie1-lN 
• Carte Blanche http://www.youtube.com/watch?v=msZSj_lNTME 
• HIVenture Tour de Life https://www.facebook.com/HIVentureTourdeLife 
• FNB #YouCanHelp http://www.youtube.com/watch?v=OLLLl0jG1Sg 
• SABC 1 Stigma & Denial http://www.youtube.com/watch?v=l1Y-kRa-dYo
We need the input of the 
Community as well as the 
Corporate sector to build our 
nation. 
Don’t be like a frog in luke warm 
water who doesn’t notice the 
slowly rising temperature until it 
burns him!! 
TAKE RESPONSIBILITY – TAKE ACTION 
Q & A
CONTACT DETAILS 
• Website: 
www.cindypivacic.co.za 
• Facebook Business Page 
Cindy Pivacic Speaker HIV 
NPO 093 - 243 
• Cell: 073 73 96 044 
• Email: cindy@cindypivacic.co.za 
Create awareness and encourage HIV negative individuals to remain so 
Give support and educate HIV+ individuals to live a healthy productive life 
Intellectual Property of Cindy Pivacic

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Practicalities of living with HIV & AIDS

  • 1. Practical realities of living with HIV & AIDS 2014 NPO 093-243 NPO 093 - 243 Intellectual Property of Cindy Pivacic
  • 2. Let’s ‘THINK’ Do you have The FROG Factor? Are YOU a JUMP ahead! BUT……YOU DO NEED TO BE RESPONSIBLE ! NPO 093 - 243 AIDS – Action Involves Doing Something
  • 3. THINK NPO 093 - 243 •T – Are You *Talking •H – Are You *Healthy •I – Are You *Inquisitive •N – Are You *‘Negative’ •K – Are You *KRAZY, it helps a bit 
  • 4. By Default …. NPO 093 - 243 • IEC Facilitator (Information-Education-Communication) on HIV & AIDS • Speaker • Activist • Facilitate only known English HIV & AIDS Support Group in KZN • Author ‘The Deadly Seducer’ • Accredited Training Provider with the Services SETA for HIV Skills Programmes. (Provisional)
  • 5. Living Positively with: HIV & AIDS • HIV and AIDS since November 2004. • HIV & AIDS need not be a death sentence. • LIFE is a death sentence • ALL going to die • Life in-between, THAT matters. • Say a thing as it is • Provokes just one person into action • Accomplished what I set out to do. NPO 093 - 243
  • 6. Share NPO 093 - 243  Share my journey  Proving HIV is manageable  Keep healthy & informed  Prolong existence Experienced the following acquired diseases: • Pneumonia • Shingles • 2 x strokes (2005, 2006) • TB Meningitis • Short term memory loss • Cancer - specifically; Angioimmunoblasticlymphadenopathy A rare form of Cancer of the Glands associated with HIV & AIDS
  • 7. History 2004 • Partner 3yrs ill - hospitalised, bowel TB • Tested • Results 7days later confirming HIV+ CD4 count 485 2005 • Constantly ill - hospitalised 2 weeks – First Stroke • Blackouts • Shingles CD4 count 320 NPO 093 - 243
  • 8. Viral Load and CD4 Counts • VL HI virus in system • CD4 Fighter cells • Women 500 – 1700 • Men 400 - 1600
  • 9. History cont…. 2006 – 2007 • Hospitalised - 2 weeks, stroke • Blackouts • Hallucinations • Stroke symptoms • Diagnosed TB Meningitis CD4 COUNT 280 2008 • Short of breath, night sweats • Tested for “Asthma” • Hospitalised - Pneumonia, Biopsy on Glands - Cancer • Started ARV’s, Chemo • TWO diseases related to HIV; Cancer & TB, • Classified, having AIDS CD4 COUNT 203 NPO 093 - 243
  • 10. 2012 - Exposed Discovered 2012:  Partner knew status  Two years prior to infecting me Pre Chemotherapy:  CD4 203  VL 2,888,456 Presently:  CD4 presently 919 VL >40 Living with the HI Virus with AIDS in remission
  • 11. Changes NPO 093 - 243 • Thoughts – live - eat – sleep • Relate to people • Who/where you socialise • Personal relationships • It is possible to have a ‘normal’ relationship with a ‘negative’ person
  • 12. ADAPT or DIE A ATTITUDE D DETERMINATION A ASK P PERSEVERANCE T TRUST NPO 093 - 243
  • 13. Develop community-based programs • Organise counselling and emotional support • Set up organisations that bring people living with HIV & AIDS together to fight for change • Arrange wellness programmes and medical treatment to help people keep their immune systems strong and fight opportunistic infections. • Organise grants, food parcels and poverty alleviation projects to help families survive • Provide home-based care and medical treatment for people who are ill • Counselling without nutrition will not keep someone alive • Clinic treatment without home-based care will not provide for people once they are bed-ridden. NPO 093 - 243
  • 14. Emotional support Survivor Support Groups: NPO 093 - 243 • Setup meetings where people with HIV & AIDS can get together and discuss their feelings, common problems and ways of coping • Teach people how to look after themselves and discuss symptoms, illnesses and treatment • Organise food and poverty relief to help people survive • Arrange social events where people can be open about their status and relax with each other • Provide talks and presentations from experts • Set up an organisation that works for people with HIV & AIDS and encourage people to join.
  • 15. Emotional support cont….. For Families: Support Groups to: • Teach people about HIV & AIDS and how to care for someone when they get ill • Talk about feelings and give families emotional support to help them cope • Help families to get access to government grants and relief • Put them in touch with services and projects that can help – like home-based care NPO 093 - 243
  • 16. Adult Role Ostrich-head-in sand-syndrome HIV in…… • Culture • Race Groups • Age • Travellers • Partners All at risk • Self Awareness • Preservation • Working Sector/Nurturers • Parenting Information - Engage – Dialogue - Boundaries
  • 17. NPO 093 - 243 STATS 2011 & 2012 2011 • 99 000 Pregnancies • 77 000 Abortions (Gov Clinics) • 28% Girls - 4% Boys ‘Sugar Daddies’ -blamed • Age Group 10 – 14 years and mostly HIV+ Lifespan once diagnosed 46 years?? 2012 • 52.98 Million SA citizens • 400k New infections 2012 • 6.4 Million SA Citizens infected - That we know of!! • 1000 New infections daily • 20% Worlds ARVs consumed by SA Education begins at home
  • 18. ACTION: NPO 093 - 243 KNOW YOUR STATUS - TEST!! • HIV test is a difficult decision • Better not to know their status? Many advantages of knowing your status • Come to terms with being infected • Make friends with the virus • Support • Protection from (STIs) • Prevent unwanted pregnancy • Condoms protect against strains of HIV • Avoid Re-infection or superinfection Do NOT assume you are negative until you have tested
  • 19. Staying healthy – wellness programmes Medical treatment is not the only way to stay healthy, it is very important to keep the immune system as strong as possible. • Food, exercise and lifestyle are all important. • Educate people with HIV & AIDS and their families about healthy eating • Start vegetable garden projects to help provide the right food types to people who cannot afford them • Start food projects that collect food from supermarkets and farmers and distribute it to people who need it. NPO 093 - 243
  • 20. Keeping a healthy body People living with HIV & AIDS need different foods from healthy people • Medicines can make you lose a lot of weight • Feel cold • Cause stomach problems • Make HIV+ people weaker/vulnerable to infections • Clean and cook food properly • Drink ONLY clean water NPO 093 - 243
  • 21. Good food • Drink two litres of water a day • Drink sour milk, milk or yoghurt • Beans, lentils, eggs or meat EVERY DAY! Beans are as good as meat, add a tablespoon uncooked sunflower oil • For a healthy stomach, eat raw garlic, raw carrots or dried pumpkin seeds. • Eat a lot of grains and starch – maize, rice, sorghum, brown bread All vegetables and fruits are very good NPO 093 - 243
  • 22. Bad foods • Sugar is very bad for the immune system and causes stomach problems • Fried foods and cooked oils stop the stomach from being able to digest food • Spicy food can also cause stomach upsets Do not eat too much NPO 093 - 243
  • 23. Do’s & Do Not’s Do: • Keep yourself occupied and interested in things to avoid depression • Try to exercise without straining yourself • Get enough sleep and rest • Find people you can talk to about your feelings Do not: • Smoke, drink or use addictive drugs • Go on diet or lose too much weight People who live in poverty will find it very hard to stay healthy. Ensure that poor people get access to: • Food projects • Government grants • Poverty alleviation projects NPO 093 - 243
  • 24. Government support & grants Social workers are best to assist, if government support is required. • Disability grant • Foster care grant • Care dependency grant • Child support grant • Social relief NPO 093 - 243
  • 25. Medical treatment - clinics & hospitals If and when you become ill with AIDS, you may need treatment for various issues, requiring additional treatment. TB - Important to treat TB since main causes of death for people with AIDS •Most clinics and hospitals have got TB treatment programmes Infections - People who are getting ill from AIDS should also be given: •Broad-spectrum antibiotics. •Preventing lung infections. •Opportunistic infections, like thrush and gastro •Sexually transmitted infections Vitamins - Good nutrition is most important way to strengthen the immune system •Supplemented with vitamins NPO 093 - 243 Antiretroviral (ARV’s) - ARV’s should be taken if they are available and affordable. •Important to understand the side-effects •Correct way of taking ARV’s since they can make people feel quite sick. •Test regularly when on ARV’s to ensure you are getting the right dosage
  • 26. Home-based care How to set up home-based care: Vital that health workers work with communities and families to make sure that people who are ill at home get proper care. At a community or district level, a hospital or clinic should be co-ordinating a program in terms of providing treatment. The main role they should play is to provide the following to patients: • Testing, diagnosis and counselling • Treatment and medication • Referral to support groups or other projects. NPO 093 - 243
  • 27. Self Care & Support NPO 093 - 243 People with HIV & AIDS can look after themselves while they are able to. They should be encouraged to keep themselves as healthy as possible and should be targeted for specific programs such as: • Wellness programs to keep as healthy as possible and to strengthen immune systems • Nutrition programs • Training in basic hygiene and treatment for common infections like skin infections • Psychological and emotional support • They themselves should be trained in basic health care and where possible should be drawn into support and other activity groups.
  • 28. Social Media and Video/TV links NPO 093 - 243 • Book https://www.facebook.com/TheDeadlySeducer • Book website short link http://wp.me/p1hie1-lN • Carte Blanche http://www.youtube.com/watch?v=msZSj_lNTME • HIVenture Tour de Life https://www.facebook.com/HIVentureTourdeLife • FNB #YouCanHelp http://www.youtube.com/watch?v=OLLLl0jG1Sg • SABC 1 Stigma & Denial http://www.youtube.com/watch?v=l1Y-kRa-dYo
  • 29. We need the input of the Community as well as the Corporate sector to build our nation. Don’t be like a frog in luke warm water who doesn’t notice the slowly rising temperature until it burns him!! TAKE RESPONSIBILITY – TAKE ACTION Q & A
  • 30. CONTACT DETAILS • Website: www.cindypivacic.co.za • Facebook Business Page Cindy Pivacic Speaker HIV NPO 093 - 243 • Cell: 073 73 96 044 • Email: cindy@cindypivacic.co.za Create awareness and encourage HIV negative individuals to remain so Give support and educate HIV+ individuals to live a healthy productive life Intellectual Property of Cindy Pivacic