Unsafe Practices

Can the Masai reconcile tradition with the realities of HIV?
Sara Lomayani, a Masai who moved off the boma and married a Lutheran minister, is the clinic’s main liaison with the Masai. Her task is to meet with Masai women and try to dissuade them from circumcising their daughters, as well as to educate them about using condoms. It is no easy task. Dealing with the female circumcision issue is even more difficult than promoting condom use. The Masai practise a particularly mutilating form of the ritual, removing the clitoris and much of the labial tissue with razors. Lomayani shuddered when she told me about the damage she had seen. Circumcision frequently leads to wounds so deep they never heal, and to lifelong infections. It also renders Masai women even more vulnerable to hiv. The practice is now illegal in Tanzania, and so, according to Lomayani, instead of performing the operation when the girls reach puberty the Masai avoid prosecution by doing it when they are toddlers. “I am crying for the Masai,” she says. “They are all going to die. In five or ten years, we’ll forget they existed.”

Dr. Simon Ngoka, who helps organize home-based care for the sick, helped explain why the Masai in particular are so vulnerable. There is a new highway nearby that runs for hundreds of kilometres south. It was built with Japanese money, to help tourists reach the famous Ngorongoro Crater, the Olduvai Gorge, and the Serengeti. Forced off their cattle-grazing lands by nearly ten years of drought and reluctant to learn other forms of agriculture, many Masai men worked on the road. They picked up hiv from sex trade workers along the highway and took the disease home to what had been, up to that point, closed sexual communities (i.e., Masai almost always had sex only with other Masai). Ngoka said he believes the Masai need a targeted hiv/aids education program if they are to survive. “It will be very difficult to avoid hiv if you are Masai,” he said. “The big phenomenon is coming.”

But how do you reach these intensely private, ritualistic people? By way of reply, Luoga took me on another drive through Masai lands, this time to Selele. The sprawling village is about an hour’s journey by rutted road from Mto wa Mbu, past giraffes blinking lazily by the side of the road and herds of skeletal cattle, and through a landscape so water starved and overgrazed that even weeds fail to sprout. Traditionally, boma are barely tall enough to stand up in and have neither windows nor chimneys. Nonetheless, women cook on wood fires inside the huts, and many develop lung cancer or go blind because of the soot and smoke. (The men leave the boma at first light to be with other men and do not return until dark.) Unable to change Masai behaviour around their sexual practices directly, Luoga came up with an alternative plan involving boma.

He raised a few thousand dollars to renovate approximately 150 Masai huts by installing chimneys and windows in them. At first, there was tremendous resistance by both women and men, but there were converts. Happiness Lemuriet was one. Tall and stately in her white headdress and two sets of earrings, she welcomed me into her mud dwelling. It was immaculate and featured a mattress — something Luoga had never seen before in a Masai hut — a clear indication that she was her husband’s favourite wife. Her renovated hut had three windows, a hearth, and a chimney. Before, she told me, her ceiling was covered in soot, and people inside could not see one another. She no longer has a cough, and because the new chimney was so efficient she was using 70 percent less firewood, which meant less time searching the countryside for the scarce resource. Her children could read and write inside, as there was natural light. Lemuriet is a trailblazer who encouraged others in this village of 2,400 to join the program. Many remained suspicious, but at the time of our visit there were twenty-five huts with chimneys. Today, there are 150.

As we left Selele, Luoga explained that if he could show the Masai they could trust him on chimneys, then they might trust him about hiv/aids. But this is proving difficult, and, on a very sombre note, Luoga said he is bearing witness to a disaster in the making.

After Mto wa Mbu, I travelled to Zanzibar, Tanzania’s island playground, where I stayed for $168 a night in a five-star hotel overlooking a white, sandy beach and the Indian Ocean. The sheets were thick and crisp, and the room had fresh-cut flowers and a basket of tropical fruit. I bathed with scented bubbles to wash away the dust of Mto wa Mbu, put on my white linen, and sat on the balcony watching a parade of dhows on the blue ocean. Then I went downstairs to the bar for a glass of chilled white wine from the Western Cape.

Later, as my husband and I wandered through ancient Stone Town’s beachside park — where the night blackness is lit by scores of barbecued fish stalls — we spotted two Masai men. They were sprawled out on the ground in their red shawls, holding the sticks that ought to have been used for herding cattle and fending off lions on the savannah. They were laughing and limb sloppy, maybe drunk. At their feet were knick-knacks and jewellery, made, no doubt, by Masai women back home on a boma. They gestured to us, urging us to buy, to take home an artifact representing these proud tribespeople.

* * *

Read online correspondent Arno Kopecky’s Notes from Nairobi blog, visit The Walrus Blogs.
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6 comment(s)

CarolMay 06, 2008 13:23 EST

It is good.I appreciate your work. Thank you

Lauren BirksJuly 12, 2008 06:35 EST

Dear Editor,

This article is deeply disturbing to me, a person who has just spent several weeks working and living in the Ngorongoro Conservation Area with the Maasai community living in the area. I will also be returning over the next indefinite period of time to continue with research and to work with a local hospital that primarily treats and cares for the Maasai community.

I am a PhD student with the University of Calgary that is working on developing community-based prevention and education programs that address mother-to-child HIV transmission in the Maasai population. Alanna Mitchell clearly did not educate herself properly about the Maasai community in Northern Tanzania prior to visiting. She not only has spelled their name wrong (with only one "A"), but she has also failed to survey the Maasai communities in the surrounding areas regarding HIV/AIDS statistics, testing and care and treatment. She has made the fatal mistake of relying on the knowledge on only a few people in one community, where the Maasai do not even reside. Rather than accurately and effectively seeking out information from local hospitals that work with Maasai communities on a regular basis, such as Endulen Hospital in the Ngorongoro Conservation Area, she has simply shown up in one area where there is a relatively low population of Maasai residing and has not even attempted to learn about the culture beyond tourism and HIV.

I fear that such an uninformed article will only serve to exacerbate stigma about HIV/AIDS in the area, as well as to create an ill-informed group of potential visitors that will view the Maasai community in Northern Tanzania as an HIV-ridden society that does nothing but engage in female circumcision and sexual rituals. This view does not accurately portray the Maasai culture at all. They are an intelligent group of people that have fought very hard to maintain their cultural traditions and pastoralist lifestyle in spite of government efforts to move them out of their native habitat. They are a kind people, that need assistance with food security, health care and HIV/AIDS prevention, testing and treatment. If Alanna Mitchell had not generalized an unconfirmed/unverified statistic that HIV prevalence among the Maasai in Tanzania is at 14%, she would have discovered that actually the prevalence is closer to an approximate 2.5% currently.

While I am an avid reader of the Walrus, I cannot support such a politicized and incorrect piece of writing and I am disappointed with the education and research that this author clearly did NOT do. In addition, the nice final paragraph about her $170/night hotel room in Zanibar did nothing except to serve as a reminder of the all too common view that the "Western" person is able to fly in and out of a place and assess a situation accurately without taking into account disparities of wealth, inequalities, gender issues, accessibility issues, geographical issues, etc. I would hope that most readers will be able to see this article as a discriminatory and judgmental piece that falsely portrays the Maasai people of Tanzania.

Sincerely,

Lauren Birks

erick ezekielJuly 21, 2008 09:05 EST


i think a good writter has got to be well informed before writting any topic.

the maasai peopple and their values should be respected like any other people in the world.

i think no manipulation or violation of peoples culture and values is accepted antwhere in the world.

AnonymousJuly 31, 2008 21:35 EST

I whole-heartedly agree with Lauren Birks that the author should have been more informed before writing this piece.

I am a Canadian citizen and I am married to a Tanzanian man I met while living in Tanzania 2 years ago. Even 2 years after being married I still consider myself to be far from an expert on Tanzanian culture and society. I think that there are a lot of assumptions built into this article, which perpetuate stereotypes. From what I know about Tanzania there are a number of mistruths in the article.

I am not at all surprised. In my experience western people often see what they wan to see when they are in Africa and come home first hand accounts of how their stereotypes were confirmed.

While there are maasai people who dress traditionally, I find her account of being met by maasai women in maasai jewellery selling their crafts, humorous. I have often seen “maasai people” dressed in traditional outfits having diner with delighted tourists only to see them at the bar later or walking down the street on their day off in a pair of jeans and a t-shirt.

I am greatly discouraged by the fact that people continue to view peoples of other countries as primitive and feel the need to pose with them to have photos taken as if they are some kind of cultural artefact rather than real human beings.

otropogoApril 04, 2009 16:21 EST

Having read Ms. Mitchell's article twice now, I find the previous comments both petty and unreasonable.

"Masai" is the commonly used English name for this tribe, as a quick search of the WEB can readily determine. Its use no more indicates ignorance or faulty research than saying "Peking Duck".

As for Ms. Birks' more substantial criticisms of faulty statistics and sampling - these should be directed not at the writer, but rather at her informants, Dr. A.S. Swai, "the former medical health officer for the Monduli district", Charles Luoga of the Institute of Cultural Affairs, and Sara Lomayani of the Mto wa Mbu health centre, all of whom, if we're to believe Ms Birks' comments, are fools or liars, or both.

I choose to accept Ms Mitchell's account as credible, informative, and well worth reading. And I hope she will not be dissuaded from future reporting by these nit-picking naysayers.

My only complaint is that the details of the hut renovations and their acceptance in the community are somewhat murky.

We're told that eventually 150 huts were renovated in Selele, a "village of 2,400", but not how many Masai huts there were in this village.

I'm also curious as to how any mud hut with (presumably) an earthen floor and barely enough household water for consumption could ever be "immaculate", as the writer describes the home of Happiness Lemuriet, the matress-rich matriach.

Protect ChildrenNovember 06, 2009 11:27 EST

The article states:

"Many Masai girls become sexually active when they are just seven or eight years old, so it’s possible some will become infected and die before they can bear their own children."

Please do not refer to this as "becoming sexually active". This is called "the rape of children". There is NO excuse for this. Evil!!!

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