In Honduras, Fighting HIV/AIDS Through Music And Theater The Afro-Caribbean people known as the Garifuna have a rich tradition of music, dance and storytelling much like their forebears. They also have another parallel to Africa: a severe HIV and AIDS epidemic. The Garifuna are using their culture as a weapon to fight the spread of the virus.
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In Honduras, Fighting HIV/AIDS Through Music And Theater

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In Honduras, Fighting HIV/AIDS Through Music And Theater

In Honduras, Fighting HIV/AIDS Through Music And Theater

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It's MORNING EDITION from NPR News. Good morning. I'm David Greene.


And I'm Renee Montagne. We're going to hear, now, about an unusual approach to combating an epidemic of HIV/AIDS. It involves a culture of storytelling in Honduras, a long tradition one group there is using to fight the spread of the virus. From the coast of Honduras, reporter Jens Erik Gould has more.


JENS ERIK GOULD, BYLINE: In the village of Corozal, men ready boats for fishing excursions and boys play soccer on a beach lined with thatched huts.


GOULD: 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.


UNIDENTIFIED MAN #1: (Spanish spoken)

UNIDENTIFED GROUP: (Spanish spoken)

GOULD: As people arrive to hear the drumming, the musicians become actors in a play.


GOULD: The plot centers around a court case. The Garifuna are putting HIV itself on trial. Eduardo Marcial Garcia plays the prosecutor.


EDUARDO MARCIAL GARCIA: (As prosecutor) (Spanish spoken)

GOULD: He says the virus is orphaning children and tearing apart families. According to the U.S. Centers for Disease Control and Prevention, 4.5 percent of the Honduran Garifuna population has HIV. To put it in perspective, that's five times as high as the country of Honduras, according to the government. No nation in the Western Hemisphere has a rate that high.

CARMEN SUYAPA: (Spanish spoken)

GOULD: That's local Garifuna woman Carmen Suyapa , 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 said she couldn't get a job because she had the virus.

SUYAPA: (Spanish spoken)

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

SUYAPA: (Spanish spoken)

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

DOCTOR MERCY GARCIA: (Spanish spoken)

GOULD: Dr. Mercy Garcia, who works at the clinic, says people deny having the problem because they're afraid of others judging them. The key, the doctor says, is to provide education that helps change behavior.

ANA VILMA SILVA: (Spanish spoken)

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

SILVA: (Spanish spoken)

GOULD: Silva says HIV is a major problem, because some people don't understand it or don't even believe it exists. She says theatre and other community groups help address this, because they engage people more than pamphlets or books. Eduardo the actor says there's proof of that.

GARCIA: (Spanish spoken)

GOULD: 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.


GOULD: Two hundred-twenty miles away, in the capital of Tegucigalpa, health ministry officials are eager for data on the effectiveness of this approach. They're completing a new study with the CDC on HIV prevalence among the Garifuna. If the rate falls from 4.5 percent, that could indicate educational programs like theatre groups are working.

Kellie Stewart is director of the Honduras health office for USAID. The U.S. government agency and the Honduran government have both funded theatre groups, including the one in Corozal. While she can't speak for the CDC study, she's seen an improvement.

KELLIE STEWART: We have observed a substantial decline in the number of positive HIV tests among beneficiaries of USAID's program in the community.


UNIDENTIFIED MAN #2: (Spanish spoken)

UNIDENTIFIED WOMAN: (Spanish spoken)

GOULD: Back in Corozal, the theatre troupe is finishing its play. The prosecutor and defense attorney have given their arguments in the court case against HIV.


YILIAN DAVID: (Spanish spoken)

GOULD: 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. For NPR News, Jens Erik Gould.

MONTAGNE: And this reporting from Honduras was supported by a grant from the Pulitzer Center on Crisis Reporting.

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