African Fertility Clinics for AIDS Patients

For decades, AIDS has spread across the globe, leaving devastation and death in its path. However, no continent has been harder hit than Africa. Of the roughly 33 million people living with HIV/AIDS today, approximately two-thirds of those reside in Africa. Glancing over the statistics, especially those dealing with children who are infected with the virus, is eye-opening and saddening. In South Africa alone, over 250,000 children are suffering from the virus; close to 2 million children live with HIV in all of Africa. It is enough to make the heart break. Now, there is a tiny glimmer of hope in Cape Town, South Africa. A fertility clinic located in this region has recently begun offering the chance for couples who are infected with HIV/AIDS to have healthy children.

This clinic, the Cape Fertility Clinic, is the first of its kind of Africa. It allows would-be parents who are infected with HIV (either both parents or just one) to use measures like in-vitro fertilization to have the opportunity to give birth to children who are free from the disease. Klaus Wiswedel, a director at the clinic, states, “HIV is no longer seen as a death sentence but a chronic disease. And people with chronic diseases are entitled to have fertility treatment. We can safely deliver an HIV negative child and, with the right treatment, the parent can live a long life." While the clinic caters to those couples who can actually afford these procedures, they still have at least five couples coming in and paying for the procedures each month. Some critics would argue that this is small beans in comparison to the number of children born each month with the disease, but many who support the clinic see it as a reflection of the strides Africa is making in protecting both adults and children from HIV.

Consider the fact that only five years ago, 100,000 people in Africa were on AIDS drug treatments. Today, that number has grown dramatically to roughly two million people. In addition, due to increased funding and donations, infected pregnant women receiving AIDS treatments to help shield their unborn children from the disease has grown by leaps and bounds. In 2003, only five percent of infected pregnant women in Malawi were receiving treatment and that number has grown to 32 percent only 4 years later. Other success stories can be seen in Mozambique (three percent to 46 percent), South Africa (fifteen percent to 67 percent) and Zambia (eighteen percent to 47 percent) over the same timeframe. The executive director on UNAIDS, Peter Piot, states, “The prevention of mother-to-child transmission of HIV is not only effective, but also a human right. We are seeing good progress in many countries, especially in parts of Africa, but we need to significantly scale up HIV testing and treatment for pregnant women."

The new fertility clinic feels that anybody who wants children should have the opportunity to have a healthy child and should not be denied that right. The clinic utilizes artificial insemination when the mother-to-be is HIV-positive; if the father-to-be is HIV-positive then the sperm is cleansed of the virus. Once the couple has conceived they are monitored by a specialist and then deliver by C-section so that the infant is less likely to have the virus transmitted to them. Wiswedel states, "We jumped into the deep end of the pool because more and more patients want to receive treatment. We saw a huge need for this."