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29 Ağustos 2016 Pazartesi

Grandmother of African art finds unlikely partner in war on Aids

On the outskirts of a sprawling low compound stands a sun-bleached, hand-painted billboard. It welcomes visitors to the village and proclaims: “Esther is here … First lady to travel over sea.”


Esther Mahlangu is indeed here. She is sitting, legs outstretched, on a reed mat lain across a mud floor, painting careful black lines on a rough piece of paper with her chicken-feather paintbrush, inside an open-sided thatched-roof hut. This is the classroom where she teaches young girls, just as her mother and grandmother taught her “long, long ago”, she says.




This culture must not die. Our young people are vandalising our traditions. This is why I try to motivate them


Esther Mahlangu


At 82 years old, Mahlangu is not only an artist and teacher, but one of the last skilled custodians of the traditions of the Ndebele people. Her painting uses the pigments of her surroundings: the black comes from the mud in the river; the grey from a tree leaf pounded into paste; and there are five colours to be extracted from the African soil nearby. Shop-bought paints also fill giant well-used pots. She is especially fond of an azure, which can be seen in her wild geometric patterns that adorn every cow dung-plastered surface of the surrounding huts, walls and houses.


One of the most famous artists in South Africa, Mahlangu is a living tourist attraction, although visitors are few and far between in this far-flung village, two hours’ drive from the nearest city. And she is indisputably the most honoured gogo – Zulu for grandmother – of the Ndebele who remain in the Mpumalanga homelands.


The tribe’s numbers have dwindled as young people have departed to look for work in the big South African cities. The scourges of poverty, malaria, Aids and TB have also taken their toll. Mahlangu herself, a widow, has outlived all three of her sons and three of her grandchildren. However, she sees the real risk as the extinction of her tribe’s traditions, and it is that which has driven this little old lady to travel the world pushing Ndebele art internationally, in the hope of making the next generation at home also see its worth.


“This culture must not die,” she said. “Our young people don’t wear the clothes or respect their forefathers, the girls have hair extensions and wear western clothes. This does not make me feel comfortable. They are vandalising our traditions. This is why I talk to them, try to motivate them with my travels and teach them too about Aids.”


Along with art, the battle against Aids is Mahlangu’s passion now and the two obsessions have led her into an extraordinary collaboration. As part of a campaign promoted by John Legend, she has just created a classic Ndebele design for a special-edition bottle of Belvedere vodka (Red). Half of the profits will be donated to the Global Fund to be used in tackling HIV/Aids, malaria and TB.


Red’s strategy of partnering with big-name, luxury and designer brands to produce a bespoke product, sales of which generate donations to the fund, has been criticised for being too consumerist. It was set up by Bono’s One charity, but is run separately.


Charles Gibb, president of Belvedere vodka, is happy to acknowledge the PR benefits for his brand, but is also proud of his relationship with the most famous artist of the Ndebele people, whom he calls “a very special woman”.


“For celebrities and artists, it’s as important to do something as much as it is for anyone else,” said Gibb. “And most of them have something they care about. So everyone is tapping into something and at the end of the day it’s people relying on the Global Fund who benefit.”


It’s an unlikely alignment. A little great-grandmother from a yellow-dusted African village and a Polish luxury spirit drunk in some of the world’s more upmarket bars and hedonistic nightclubs. Mahlangu doesn’t drink alcohol and she certainly doesn’t drink vodka.


“I am very proud of her,” says her son, William. “She is our queen, queen of Ndebele, and our happy mascot.”


Mahlangu perches cheerfully on the chair, feet dangling, enjoying the role of dignitary. A tiny woman, her body is from the top of her head to her sandalled feet swamped by strips of beadwork, tapering metal and coloured bands. A heavy wool blanket in bright stripes of primary colours completes her plumage.


In 1986, when she was “discovered” by a passing French art dealer, Aids was still unknown. It is still a taboo subject and Mahlangu will touch only briefly on it but is passionate about educating young people on prevention.



Esther Mahlangu


‘I love to travel, but I love most to come home’: Esther Mahlangu Photograph: Jonx Pillemer/(RED)

In Weltevreden clinic, the local health centre, there are signs already of prevention. They have not seen a baby born with HIV since 2008. “It’s very different now, less people are dying,” said Sister Bathabile, who runs the clinic for a population of 9,500, of whom almost one in 10 are HIV positive. “It’s 15km to the hospital and our clinic is very, very small, too small,” she said, indicating the packed waiting room and queue of patients outside on the grass. “The doctor comes once a week, so it’s not ideal, but we never have a shortage of medicines at least. It is very rare for us to not have antiretrovirals.”


But charities stress that the real danger in South Africa is in slipping backwards. While the government and the Global Fund are supporting HIV/Aids work, the epidemic can be controlled, but eradicating it is still a pipe dream. Mahlangu still hopes it will happen in her lifetime. In October she will be in London for the opening of the British Museum’s exhibition of South African art, which will run from 27 October to 26 February. The only thing that fazes Mahlangu about such a long trip is airport security. Not because of the large bag of mealie meal she insists on carrying with her to combat her fear of being stuck with foreign food, but because of the metal detectors.


“They are always trying to make me take off my wedding bands,” she said, showing the rows and rows of brass rings on her wrists and ankles that are carefully tapered to accentuate the limbs. Given to her on her wedding day by her husband, her neck rings came on the same day from her parents.


“I say no, I cannot, these are from my husband. And oh they get very upset. Maybe they want me to sit on the X-ray machine.” She goes off in gales of laughter.


“No, I love to travel, but I love most to come home again. It makes me happy if people like Ndebele art.” And now, by buying it, people can contribute to battling the scourge that has blighted her homeland’s recent history.


The limited edition Red bottle, designed by Esther Mahlangu, is available from September. For every bottle bought, Belvedere will donate 50% of the profits to the Global Fund, the leading financier supporting HIV/Aids prevention in Africa.



Grandmother of African art finds unlikely partner in war on Aids

29 Mayıs 2014 Perşembe

3 Lessons In Speedy Adjust From An Unlikely Supply: Health Care

At the finish of my interview with Chip Heath, co-author of The New York Occasions bestsellers “Made to Stick” and “Decisive,” I asked him what subject he’d like me to cover in the long term.


“I’m impressed by the culture you have designed at Kaiser Permanente in Northern California,” he stated. “You’ve created quarter-to-quarter modify that I believe would have taken three many years elsewhere. I really do not think most organizations know how to do that. That’s the article I’d like to read.”


I’ve been the CEO of The Permanente Health-related Group for the past 15 years. Our medical group’s 8,000 doctors and 34,000 employees care for above three.five million Kaiser Permanente members.


I’ve by no means wanted my weekly Forbes blog to concentrate on Kaiser Permanente. I’ve attempted to highlight the broader set of issues facing the culture and organization of well being care.


But above the previous year, readers and leaders from around the nation have echoed Chip’s request.


I hope the lessons I’ve discovered will support leaders who want to accelerate modify within their organizations, in overall health care or elsewhere.


What Effective Alter Looks Like


Allow me make clear why Chip made his request.


Twenty years in the past, the good quality of care we delivered at Kaiser Permanente in Northern California was great but didn’t rank between the nation’s leading 1 percent.


Today, we rank in the country’s prime ten applications for quality as determined by the Nationwide Committee for High quality Assurance (NCQA) for each business and Medicare members. We’re 1 of just eleven packages in the nation to earn a Five-Star High quality Rating from the Centers for Medicare &amp Medicaid Providers (CMS) every single year given that the ratings launched. And our sufferers rate our service as the best in California, in accordance to J.D. Power and Associates.


External accolades like these do matter.


But here’s what is much more essential: Kaiser Permanente members in Northern California are 30 percent much less most likely to die of a heart assault or stroke than individuals cared for elsewhere in the state. Our individuals are 40 percent less very likely to die from sepsis and 50 percent significantly less probably to die from HIV or AIDS than other individuals across the United States.


These benefits didn’t happen by likelihood.


They’re a product of our organizational strategy and culture. Despite the fact that becoming portion of a totally integrated health care group has its unique positive aspects, we’ve noticed that three distinct approaches have assisted Kaiser Permanente quickly-track improvements in a traditionally sluggish industry. And if they drive success in health care, they should be equally applicable to a broad set of organizations and professionals who strive for optimistic change.


CEO and Dr. Robert Pearl advises organizations to invest in technology now or pay later. (Photo credit: Kaiser Permanente)

CEO and Dr. Robert Pearl advises organizations to invest in engineering now or pay later on. (Photo credit score: Kaiser Permanente)



Tip 1: Start With The Heart



3 Lessons In Speedy Adjust From An Unlikely Supply: Health Care

25 Mayıs 2014 Pazar

Obamacare Sticker Shock Unlikely For Most In 2015

As wellness strategies get started subsequent month to submit their 2015 price increases for Americans acquiring private coverage beneath the Reasonably priced Care Act, it is unlikely most of these people will have sticker shock, many reports and statements from health insurance coverage executives indicate.


The Urban Institute, which has been closely monitoring the rollout of the wellness law, just final week threw cold water on the prospect of “skyrocketing premiums.”


The Institute’s report, linked here, mentioned “surprisingly low” premiums this 12 months would proceed, particularly in regions where there has been far more competition. Meanwhile, there have been several companies like UnitedHealth Group (UNH) and a host of Blue Cross and Blue Shield strategies say they are seeking at expanding to new markets, which could produce even much more competition. No key carriers have mentioned they would pull out of any markets.


“Fears of skyrocketing premiums in 2015 may possibly be unfounded as marketplace enrollment continues to develop and insurance coverage businesses vie to stay aggressive,” John Holahan of the Robert Wood Johnson Basis-funded Urban Institute wrote in a report linked here, mentioned. “While there might be reasons to think that premiums will enhance considerably, particularly in significantly less competitive markets, there are even stronger motives to believe that premium increases will be moderate, and in line with underlying cost development.”


Questioning how Obamacare will affect your medical professional? The Forbes eBook Within Obamacare: The Correct For America’s Ailing Health Care Technique answers that query and far more. Accessible now at Amazon and Apple.


Even though some analysts and even health plan executives feel there could be many double-digit percentage increases in premiums exactly where some health plans underpriced for this year’s initial year of enrollment to get customers, there have been examples in which insurers are contemplating introducing even reduced premiums than what they supplied this year or new merchandise with decrease rates. A Bloomberg Information report last week, for illustration, cited Molina Healthcare (MOH) in Washington State as supplying a 2015 fee that is an typical “6.eight percent reduction” from this year’s charge.


Well being insurance firms are beginning to submit their costs men and women will spend for 2015. Although some states are beginning to accept submissions, insurers say they are submitting the bulk of their submissions by the end of June.


Meanwhile, at least one particular well being insurance firm executive said prices could be single-digit percentage increases but would vary dependent on markets.


Last month, Aetna (AET) CEO Mark Bertolini told analysts on the company’s 1st quarter earnings phone last month that they have 132 rating regions across 17 states that all have to be individually accepted so it’s difficult to paint any prices or rate increases with a broad brush.


“I would say the selection of our costs are really lower single digits to some that will be in excess of double digits, and in large part that depends on quantity 1, the volume of membership we have in the market place,” Bertolini explained on the 1st quarter earnings get in touch with. “Number two, the demographics of that membership, but almost certainly even more importantly the lack of clarity about what type of encounter we have.”


But one more report out this week indicated health insurance firms are below pressure to hold the costs reduced notably offered the most well-known option of folks acquiring coverage on exchanges was the so-referred to as silver plans, which normally cover 70 percent of health care care fees. They could come much more, even so, depending on the federal subsidy to the personal and that is based mostly on cash flow.


“Securing enrollment in silver programs is essential for carriers establishing exchange market place share,” mentioned Elizabeth Carpenter, director at Avalere Overall health a analysis and advisory providers firm on wellness policy issues tracking the Cost-effective Care Act that issued a report final week that looked in portion at person preferences in their acquire of health strategies on government exchanges underneath the wellness law.


“Looking ahead to 2015, we expect silver strategies to remain the most well-known given the link amongst the silver degree and federal financial help, including tax credits and cost-sharing reductions.”



Obamacare Sticker Shock Unlikely For Most In 2015