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Sizwe's Test: A Young Man's Journey Through Africa's AIDS Epidemic, by Jonny Steinberg
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At the age of twenty-nine, Sizwe Magadla is among the most handsome, well-educated, and richest of the men in his poverty-stricken village. Dr. Hermann Reuter, a son of old South West African stock, wants to show the world that if you provide decent treatment, people will come and get it, no matter their circumstances.
Sizwe and Hermann live at the epicenter of the greatest plague of our times, the African AIDS epidemic. In South Africa alone, nearly 6 million people in a population of 46 million are HIV-positive. Already, Sizwe has watched several neighbors grow ill and die, yet he himself has pushed AIDS to the margins of his life and associates it obliquely with other people's envy, with comeuppance, and with misfortune.
When Hermann Reuter establishes an antiretroviral treatment program in Sizwe's district and Sizwe discovers that close family members have the virus, the antagonism between these two figures from very different worlds -- one afraid that people will turn their backs on medical care, the other fearful of the advent of a world in which respect for traditional ways has been lost and privacy has been obliterated -- mirrors a continent-wide battle against an epidemic that has corrupted souls as much as bodies.
A heartbreaking tale of shame and pride, sex and death, and a continent's battle with its demons, Steinberg's searing account is a tour-de-force of literary journalism.
- Sales Rank: #1489950 in Books
- Brand: Brand: Simon Schuster
- Published on: 2008-02-12
- Original language: English
- Number of items: 1
- Dimensions: 9.25" h x 1.25" w x 6.13" l,
- Binding: Hardcover
- 368 pages
- Used Book in Good Condition
From Publishers Weekly
Starred Review. Award-winning South African journalist Steinberg, a gay white man, conceived this book to understand the AIDS crisis in his country and, to a limited degree, in himself: though HIV testing and treatment are readily accessible, he wondered, why did so many abstain? Steinberg journeys to the poor black village of Ithanga, where antiretrovirals (ARVs) are available, but electricity and running water are not. He examines the disease through the pseudonymous Sizwe Magadla, a 30-year-old shopkeeper who has resisted testing. Sizwe becomes Steinberg's interpreter and explains the village's traditional health-care system in which witchcraft thrives and Western medical missionaries challenge healers and herbalists. Steinberg traces Sizwe's growing awareness of the myths and realities of the three letters—one persistent belief, that whites created and deployed HIV as a means to regain power, echoes the legacy of apartheid still overshadowing the country—and his attempts to reconcile cultural beliefs with increasingly unassailable medical facts. Steinberg becomes intertwined with his subject, but balances critical distance and compassion with gleanings from his own psychological barriers to HIV testing that further deepen the concern and understanding he accords to Sizwe's story. (Feb.)
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.
From Booklist
Journalist Steinberg wonders how, in a rapidly evolving socioeconomic situation such as South Africa’s, it is possible to record more than a thousand new HIV infections per day. He notes that, despite the best efforts of government and the international organization Médecins Sans Frontieres (MSF, or Doctors without Borders), one in eight South Africans has AIDS. Where, he asks, is the disconnect? Why aren’t more South Africans taking advantage of the medical resources available to them? Are there, indeed, enough resources to go around? To answer those and further questions, Steinberg embedded himself in a small village in the rural district of Lusikisiki in Eastern Cape Province and shadowed a young man, a shop owner named Sizwe. The resulting profile of him, his family, friends, and the local MSF facility is a real eye-opener. Besides a portrait of what life is like for the people negotiating this transitional period, Steinberg offers a candid glimpse into Sizwe’s private thoughts and fears, which likely mirror those of many of his countrymen. --Donna Chavez
Review
"Development is challenging not only because of poverty and lack of political will, but also because of failures in human understanding. By addressing the AIDS crisis with acute insight, imagination, and extraordinary compassion, Jonny Steinberg and Sizwe Magadla have done us a great service."
-- Helen Epstein , author of The Invisible Cure: Africa, the West, and the Fight Against Aids
"In this trenchant work, Jonny Steinberg brings us an eloquent and compassionate yet tough-minded view of how one young aspiring South African man, in a marginal village setting, confronts the threat of HIV/AIDS. It is a window onto a complex set of realities -- the power of culture, shame, fear, male identity -- that are difficult for most of us to see or understand. Replete with insights and surprises, Sizwe's Test is a major achievement."
-- J. Stephen Morison , Executive Director, HIV/AIDS Task Force, Center for Strategic and International Studies
"In this vivid account of a journey to the frontline in the battle against AIDS, Jonny Steinberg portrays with acute perception the impact of the epidemic on village life in a small rural community in South Africa."
-- Martin Meredith , author of The Fate of Africa
"Medical specialists and well-meaning bureaucrats working on HIV and AIDS seldom understand the inner struggles of those they seek to help. Jonny Steinberg's account of Sizwe Magadla's story begins to unravel the mix of feelings of shame, pride, and stubborn hope that responses to the AIDS epidemic will have to take into account to be successful."
-- Alan Brody, the former UNICEF Representative in Swaziland, pioneered new approaches to education on HIV and AIDS through the arts.
"Steinberg's narrative...builds a disturbing picture of a society caught in a tragic situation with no clear solutions."
-- Kirkus Reviews
"Award-winning South African journalist Steinberg...balances critical distance and compassion with gleanings from his own psychological barriers to HIV testing that further deepen the concern and understanding he accords to Sizwe's story."
-- Publishers Weekly (starred)
"[T]his forceful narrative...[with] sharp insights and value...has to do with the immense power of stigma, the ways in which we mirror the real or imagined condemnation of others by internalizing it, and of how easily stigma becomes entwined with sexuality."
-- New York Times Book Review (Editor's Choice mention)
"A real eye-opener."
-- Booklist
"Not since Abraham Vergese's haunting 1994 book about eastern Tennessee, My Own Country, has the AIDS epidemic been described so deeply and humanly, and from so many angles. Steinberg...is keenly attuned to the many way a community encounters illness...[and] has ended up with a big, brave, poignant look into the heart of his country."
-- Time Out New York
Most helpful customer reviews
3 of 3 people found the following review helpful.
Outstanding writing, critical insights
By QuiuboMona
This book is a must read for anyone interested in HIV in Africa or South African politics more generally. In following Sizwe through his decision of whether or not to get tested for HIV, it eloquently weaves together the main character's personal life and decision with the cultural, social, and political context that shapes his decision. For many people, it is utterly inconceivable why this disease has so devastated South Africa, and in particular, why a person might choose not to get tested, even now that effective treatment exists. This book goes a long way towards explaining that. It also provides an excellent, very readable narrative about rural life in South Africa--a story that is often overlooked--and about politics all the way from the President down to the local health clinician. Steinberg mixes the self-awareness of the modern ethnographer with the prose of a top-notch journalist.
I really disagree with the reviewer who says that the book is moralistic and pro-apartheid. First of all, re: the title--this is not the original title of the book, it's the unfortunate choice of the American publisher. The original title (for the South African edition) is "Three Letter Plague," which indeed has a less moralistic connotation. I did not perceive the author to be judging the main character at all--in fact, quite the opposite. Regarding Steinberg's portrayal of post-apartheid majority rule in South Africa, yes, the author accurately depicts Mbeki's (as well as Mandela's) total failure to understand HIV and develop an adequate policy on it. In Mandela's case, he is sympathetic--new, unexpected challenge, amongst many many things needing reform. He is not so generous with Mbeki--but then, neither were most South Africans, including blacks (hence why the ANC soundly rejected his bid for presidency of the party in 2007). The most prominent HIV+ activists in the country, most of whom are not white, were incredibly frustrated with Mbeki's response to the crisis. South Africa is a country whose democracy was born out of protest movements, and the very same people who organized against apartheid are now activists on the new struggles, the biggest of which is HIV/AIDS. That Steinberg depicts this does not make him pro-apartheid.
4 of 4 people found the following review helpful.
Brilliant
By Crunch Solutions
The fundamental question that Mr Steinberg wrestles with is why people may choose not to take drugs that may preempt death. His honesty, sensitivity and tenacity enable him to explore the dynamics of a rural South African community in a way that I've not encountered. And yes, the man can write.
4 of 5 people found the following review helpful.
so much more
By Moten Swing
So much more than a book about AIDS. This is a nuanced, personal, revealing account of one man (Sizwe), his interlocutor (Jonny) and a doctor who figures out how best to deliver services to HIV+ people in the countryside. It examines personalities and policies with equal depth and wisdom. There are no cartoon-character bad guys, just complicated situations, ignorance, bureaucracy, and a great deal of stigma. It is gracefully and thoughtfully written, never trite, seldom judgmental, and sharp as a new blade. I, however, will be trite: "If you read only one book on AIDS in sub-saharan Africa, this is a great choice."
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