features - issue 87

NO SHAME, NO BLAME. JUST DITCH THE BAGGAGE

positive nation

community programmes. We’re now working in 28 countries, but mainly in developing countries where the need is greatest, and we’re very careful to separate ourselves from the business end of the company.

“Our programmes concentrate primarily on strengthening community-based organisations and developing community-led education and advocacy initiatives; especially those working with children and families, and those that address HIV in the workplace and the role of employers in tackling HIV.
“Africa is our main focus at the moment but we’re also doing work in Asia and Latin America. For instance we’re starting a programme next year in China to develop basic skills around advocacy, fundraising and stigma and discrimination. We work with partners who do the research and implementation and our job is to identify where we can have an impact.”
How do you decide who gets money?
“We support organisations not individuals. We concentrate our limited resources on small-scale replicable programmes. We work with the best partners for each programme, such as ICASO (The International Council of Aids Service Organisations) for advocacy campaigns and the European Forum on HIV/Aids Children and Families.”
What is your own background?
“I grew up on a small farm in Shropshire and was desperate to get out of the country and move to a city. I studied medicine in Liverpool and did general practice training. Doing 96-hour weeks as a junior hospital doctor turned me off the NHS!”
How did you get involved with HIV?
“It is more by accident rather than design. I found I was HIV positive in 1995 at the age of 30. I went for a test when I was offered a job in Denmark. I didn’t want any unpleasant surprises and didn’t expect it to come back positive. But it did and I was pretty gobsmacked.”
Did you start treatment?
“I started when I was working in New York because the American doctors were very keen in those days to start early. My viral load was climbing steadily to 110,000 and my CD4 count was about 500. I couldn’t think of any other disease where you waited until you got sick before you started treatment so I went along with it.
“Starting treatment was rough. The defining moment was when the pills sat on my kitchen worktop for a

week. I should have felt grateful that the treatments were available but at the same time I stared at

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