In Honduras, Fighting HIV/AIDS Through Music And Theater

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    Daily life on the streets of a Garifuna community Jan. 25 in Corozal, Honduras. Various factors have contributed to a high HIV rate among the Garifuna, including poverty and migration.
    David Rochkind/Pulitzer Center
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    Santos Anael Martinez cooks food in his home Jan. 13 in Sambo Creek. Santos,a fisherman, is HIV-positive; his wife is a community health worker who visits people living with HIV.
    David Rochkind/Pulitzer Center
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    A view of a cemetery in Sambo Creek. Before medicines were made widely available in the early 2000s, scores of people in the Garifuna community died from AIDS. According to local NGOs, the death rate has dropped dramatically.
    David Rochkind/Pulitzer Center
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    Women meet during a support group for those who have HIV and their friends and family on Jan. 17 in Triunfo de la Cruz. These kinds of support groups are an important part of making people feel comfortable with their diagnosis and seeking treatment.
    David Rochkind/Pulitzer Center
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    Anatolia Ramirez waits outside the home of one of the HIV-positive women she visits in Sambo Creek. Ramirez is a community health worker who visits people with HIV in order to check up on them, and to offer assistance and support.
    David Rochkind/Pulitzer Center
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    Francisca Guity, who is HIV-postive, sits with her child in her home Jan. 20 in Sambo Creek.
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    Nolvia Cruz waits to be seen at an HIV/AIDS health clinic on Jan. 25 in La Ceiba. Nolvia is open about her diagnosis, but many people are afraid to go to the clinic for fear that someone they know will see them and gossip about their HIV status.
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A community theater group performs at a festival Jan. 25 in Corozal. The theater group uses traditional Garifuna music and culture in its productions to help teach about HIV prevention and stigma. i i

A community theater group performs at a festival Jan. 25 in Corozal. The theater group uses traditional Garifuna music and culture in its productions to help teach about HIV prevention and stigma. David Rochkind/Pulitzer Center hide caption

itoggle caption David Rochkind/Pulitzer Center
A community theater group performs at a festival Jan. 25 in Corozal. The theater group uses traditional Garifuna music and culture in its productions to help teach about HIV prevention and stigma.

A community theater group performs at a festival Jan. 25 in Corozal. The theater group uses traditional Garifuna music and culture in its productions to help teach about HIV prevention and stigma.

David Rochkind/Pulitzer Center
Carmen Suyapa (right) receives a visit from Anatolia Ramirez on Jan. 21 in La Ceiba, Honduras. Carmen felt so rejected by her family after she was diagnosed with HIV that she briefly considered committing suicide. i i

Carmen Suyapa (right) receives a visit from Anatolia Ramirez on Jan. 21 in La Ceiba, Honduras. Carmen felt so rejected by her family after she was diagnosed with HIV that she briefly considered committing suicide. David Rochkind/Pulitzer Center hide caption

itoggle caption David Rochkind/Pulitzer Center
Carmen Suyapa (right) receives a visit from Anatolia Ramirez on Jan. 21 in La Ceiba, Honduras. Carmen felt so rejected by her family after she was diagnosed with HIV that she briefly considered committing suicide.

Carmen Suyapa (right) receives a visit from Anatolia Ramirez on Jan. 21 in La Ceiba, Honduras. Carmen felt so rejected by her family after she was diagnosed with HIV that she briefly considered committing suicide.

David Rochkind/Pulitzer Center

In the village of Corozal in Honduras, men ready boats for fishing excursions and boys play soccer on a beach lined with thatched huts.

On a sandy lot next to the town's main street, two teenage boys begin playing drums while women sing. For centuries, this has been the signature sound of celebration for the Garifuna, an Afro-Caribbean people on the Atlantic coast of Central America. Now this music has an additional purpose: to prevent HIV.

As people arrive to hear the drumming, the musicians become actors in a play. The plot centers on a court case: The Garifuna are putting HIV itself on trial.

"The virus is orphaning children and tearing apart families," Eduardo Marcial Garcia, who plays the prosecutor, says in Spanish.

High HIV Rate

According to the U.S. Centers for Disease Control and Prevention, 4.5 percent of the Honduran Garifuna population has HIV — a proportion that is five times as high as in the country as a whole, according to the government. No nation in the Western Hemisphere has a rate that high.

Local Garifuna woman Carmen Suyapa contracted the virus from the father of her two daughters. He hadn't told her he was HIV-positive. She didn't know medicine existed and thought she was destined to die. Family members stayed away from her because she was sick, and she says she couldn't get a job because she had the virus.

Suyapa, who is now 37, was so distraught, she says she almost killed herself and her baby. Instead she left the father, and luckily her daughters didn't contract HIV. But she waited years to seek medical treatment.

Suyapa hid away, she says, because she couldn't bear other people laughing at her.

'A Major Problem'

Not far away, a state-funded HIV clinic provides access to doctors and anti-AIDS medicine at almost no cost.

Factors contributing to the high HIV rate include a lack of education, widespread poverty and heavy migration, as men tend to find work on cruise ships and fishing boats that frequent ports rife with the virus. Locals also say HIV spreads because it can be culturally acceptable to have sex with multiple partners.

Dr. Mercy Garcia says people deny having the problem because they are afraid of being judged. The key, he says, is to provide education that helps change behavior.

Ana Vilma Silva is a 37-year-old Garifuna woman who participates in theater groups. She and one of her three daughters were both diagnosed with the virus 11 years ago.

"HIV is a major problem because some people don't understand it," she says. "Some young people think HIV doesn't even exist."

She says theater and other community groups help address this because they engage people more than pamphlets or books do. Garcia, the actor portraying the prosecutor, says there's proof of that. He says his performances have inspired more young people to join the theater group, which has 30 members. He says they now lead safer lives.

Looking For Small Victories

About 220 miles away, in the capital of Tegucigalpa, health ministry officials are eager for data on the effectiveness of this approach. They are completing a new study with the CDC on HIV prevalence among the Garifuna. If the rate falls from 4.5 percent, it could indicate that educational programs like theater groups are working. The U.S. Agency for International Development and the Honduran government have both funded theater groups including the one in Corozal.

Kellie Stewart, director of the Honduras health office for USAID, says though she can't speak for the CDC study, she has seen an improvement.

"We have observed a substantial decline in the number of positive HIV tests among beneficiaries of USAID's program in the community," she says.

Back in Corozal, the theater troupe is finishing its play. The prosecutor and defense attorney have given their arguments in the court case against HIV. But narrator Yilian David says the court decides there's no verdict. The reason? HIV is still a major problem, she says. The Garifuna can't declare victory yet.

Jens Erik Gould's reporting from Honduras was supported by a grant from the Pulitzer Center on Crisis Reporting

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