DPMN Bulletin: Volume X, Number 1, January 2003

The Development of HIV/AIDS Policies in the Education Sector in Africa

M. J. Kelly

The Implicit Policy of Silence and Denial

 

Silence and denial seem to be basic and protective human responses to situations that are excessively stressful. In the words of the English poet T. S. Elliot, “humankind cannot bear too much reality”. Instead it prefers to ignore a situation, to question whether it is as bad as is made out, to find alternative ways of accounting for potential dangers and threats.

 

This reluctance to confront and accept reality has characterised much of the public and private response to HIV/AIDS over the past two decades. It has also made a strong contribution to the spread of the epidemic: “a country in which denial flourishes is a country whose citizens are vulnerable to the silent spread of HIV” (UNAIDS 2000: 38).

 

Until the second half of the 1990s, the public sector in almost all countries, and more specifically the education sector, worked behind a wall of silence that effectively denied the threat and challenge posed by HIV/AIDS. Towards the end of 1993, the International Institute for Educational Planning in Paris held a workshop for educational planners and policy-makers on how HIV/AIDS was likely to impact on the education sector, and subsequently disseminated a comprehensive report on the issue. But almost six years had to pass before education ministries began to take on board the contents of that seminal work (Schaeffer 1994). During those lost years, the AIDS situation in general, and in the education sector in particular, grew steadily worse.

 

In effect, the policy response from the education sector during most of the first two decades of HIV/AIDS was one of silence and denial. It did not really face up to the fact that the epidemic could undermine its operations and prevent its proper functioning. 

The Policy Focus on Responding to HIV/AIDS through the Curriculum

 

When it did start moving on HIV/AIDS, the education sector found that it was dealing with something that was completely beyond its experience. Hence, it responded in very typical fashion by concentrating on teaching, the area with which it was most familiar. By and large, ministries of education see teaching as their core function. The majority of their employees are teachers, a large proportion of their administrative staff are former teachers, and their work focuses on provision of teaching at all levels. In keeping with this orientation, the principal response of education sectors to HIV/AIDS has been a teaching response. Education ministries have sought to confront the epidemic by incorporating HIV/AIDS (and sometimes sexuality) material into the curriculum and have concentrated, for the greater part, on the use of teaching programmes as a means of stemming the spread of the epidemic.

In the course of 2000, the Association for the Development of Education in Africa (ADEA) requested education ministries across the continent to “identify experiences … that show promise and potential in providing clues and inputs for policies, programmes and effective measures aimed at controlling and alleviating the impact and damage that HIV/AIDS has on individuals, families and schools”.

 

A synthesis of country responses was presented at the ADEA biennial meeting held in Arusha in October 2001. In relation to the development of HIV/AIDS policies for the education sector, three features stand out:

 

1.   The fewness of the activities and responses - At the time of the Arusha presentation, a total of thirty-three countries had expressed interest in joining the initiative, but only fourteen of these had progressed beyond the initial stages, while only six had produced draft reports that could be incorporated in the synthesis (Akoulouze, Rugalema and Khanye 2001).

2.   The dominance of the curriculum response - Reported interventions related mostly to educational programmes, and were focused exclusively on learners. At the same time, there was little information on programmes to equip teachers to deliver the new curriculum in which HIV/AIDS education was infused.

3.   The almost total absence of analysis on the systemic implications of the epidemic and its relevance for educational planning - Across the whole of Africa, only one country showed signs of adopting this approach.

 

This tendency for policy to focus on educational programmes, to the neglect of institutional impacts, was given unwitting impetus by the World Education Forum of April 2000. In its Dakar Framework for Action, the Forum agreed to “implement as a matter of urgency education programmes and actions to combat the HIV/AIDS pandemic” (UNESCO 2000: 44), but made no mention of the need for education systems to adopt policies and procedures that would enable them to cope with the impacts of the epidemic, so that they would be strengthened to provide, inter alia, these very anti-AIDS programmes and actions.

 

UNESCO itself sees education resting on four pillars: learning to know, learning to do, learning to live together, and learning to be (UNESCO 1996). Up to very recently, the education sector policy response to HIV/AIDS has focused almost entirely on developing the capacity of the learner in the first three of these areas: better knowledge about the disease, skills that enhance the ability to protect oneself against infection, and approaches that acknowledge the rights and dignities of those infected or affected by the disease. By the same token, it has underplayed the need to develop its own capacity in all four areas. Thus the sector has not dedicated sufficient attention to:

Towards a More Comprehensive Education Sector Policy Response to HIV/AIDS.

 

Recent years have seen increased awareness of the threat that HIV/AIDS poses to education systems. Widespread manifestation of concern led to the holding of several conferences, seminars and workshops in Africa and elsewhere, focusing on the education sector’s response to HIV/AIDS (Badcock-Walters 2001). These gatherings have led to several major outcomes:

1.     Increasing recognition by education ministries that HIV/AIDS is a systemic problem that leaves no part of the education sector unaffected;

2.     Growth in awareness that the response must extend beyond the curriculum and penetrate into the policies, plans and procedures that govern every part of the system;

3.     The identification of strategic lines of action to guide a broad-based response by the education sector to HIV/AIDS;

4.     The recognition that HIV/AIDS is making an already bad sectoral situation worse, and that in addition to its own impacts, it increases the scale of existing problems of supply, quality, and output.

 

This growing concern for the effective functioning of education systems, especially in countries where the HIV prevalence rates are high, has resulted in a number of concrete developments. Some education ministries have established dedicated HIV/AIDS units to coordinate, plan for and manage the national educational response to the epidemic, while a number of them are working on the development of strategic plans for a comprehensive education sector response to HIV/AIDS. Almost all are giving attention to building their own capacity to respond to the needs for information and to promote understanding of feasible actions. Some countries, particularly in Southern Africa, have conducted impact assessments. Stimulated by the Association of African Universities, the Association of Commonwealth Universities, and the South African University Vice-Chancellors’ Association, the university sector is beginning to build HIV/AIDS into its policy framework, with some universities already including HIV/AIDS in their programmes and establishing HIV/AIDS units or networks.

 

It would appear, therefore, that education policy makers are finally coming to recognise the need for comprehensive, policy-based action if they are to prevent HIV/AIDS from destroying their systems, weakening demand and access, reducing their potential to supply educational services, eroding quality, increasing costs, and destroying the human resource base needed for the very functioning of the system. What is needed now is for the sector to take further steps in this direction, buttressing itself with a conducive policy, planning and management framework that will strengthen its ability to protect its core functions, get to grips with HIV/AIDS as a systemic issue, and creatively manage its impacts so that it continues to offer high quality educational services to all its clients. 

Opportunity in Crisis: Towards a Radical Re-evaluation of Educational Policy

 

But beyond all this, the AIDS epidemic is challenging the education sector to take one further step, to seize the opportunity presented by the HIV/AIDS crisis to work towards more relevant educational provision. There is universal agreement on the need for more education, better education and more relevant education. Existing paradigms find it difficult to ensure this. But the crisis with which HIV/AIDS confronts the sector is also a challenge to break out of the box, to consider radically new approaches in the provision of educational services. What is needed is a complete re-examination of education and its role in fostering a deep and harmonious form of human development, with a view to developing suggestions and recommendations that would serve as an agenda for policy-makers and practitioners. With AIDS, it cannot be business as usual. Education in a world with AIDS cannot be the same as education in an AIDS-free world. There is still need for educational policy to come to terms with this.

 

References

 

Akouluze, R., G. Rugalema, V. Khanye. 2001. Taking stock of promising approaches in HIV/AIDS and education in Sub-Saharan Africa: What works, why and how. A synthesis of country case studies. Paper presented at an ADEA Biennial Meeting, Arusha, Tanzania, 7–11 October 2001.

 

Badcock-Walters, P. 2001. HIV/AIDS impact on education in Africa. An analysis of conferences, workshops, seminars, meetings and summits focusing on HIV/AIDS impact on education in Africa, December 1999 to June 2001.       Paper presented at an ADEA Biennial Meeting, Arusha, Tanzania, 7–11 October 2001.

 

Schaeffer, S. 1994. The impact of HIV/AIDS on education: A review of the literature and experience.  Background paper presented at an IIEP Seminar, Paris, 8–10 December 1993. Paris: International Institute for Educational Planning (IIEP).

 

UNAIDS. 2000. Report on the Global HIV/AIDS epidemic, June 2000. Geneva: UNAIDS.

 

UNESCO. 1996. Learning: The treasure within. Report to UNESCO of the International Commission on Education for the Twenty-First Century (The Delors Report). Paris: UNESCO.

 

UNESCO. 2000. World Education Forum. Final Report. Paris: UNESCO.