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Mary returns to her village during her visit to the Kajo Keji area in South Sudan. UNHCR / P. Buono World AIDS Day: South Sudan addresses concerns of HIV-affected refugees KAJO KEJI, South Sudan, December 1 (UNHCR) – Mary Kiden wants to return to her home in South Sudan more than two decades after fleeing to north-west Uganda, but she's been dismissing the idea because she thought that she would not receive the health care she needs to stay alive and to support her family. Forty-one-year-old Mary is living with HIV and she needs antiretroviral drugs to live a normal life and keep AIDS at bay. At Oliji in the West Nile region of Uganda, she receives the care that she needs, but the infrastructure in South Sudan is in tatters as the region struggles to emerge from years of civil war. To help her make an informed decision about whether or not to return to southern Sudan, UNHCR recently invited Mary to join a "go-and-see" visit to Kajo Keji in Central Equatoria state. But on the long drive to her home region, she started finding reasons why she could not return. She told her fellow refugees that, as the family's only breadwinner, she feared she would not be able to support her mother and children. What worried her most was getting access to antiretrovirals and becoming stigmatized by people in her village, which did not even have a health clinic when she left all those years ago. Precise figures for the number of Sudanese refugees in West Nile living with HIV are not available, but a lot of them share Mary's reluctance to return home until they know more about the health facilities and access to treatment. They fear the worst after more than two decades of war between the Khartoum government and the rebel Sudan People's Liberation Army, and five years of fragile peace. But when Mary finally reached her home region on the "go-and-see" visit, she was pleasantly surprised by what she saw. "It is really so developed," she said, pointing to newly painted buildings and busy restaurants and shops in Kajo Keji. Her mood got even better when the group visited the town's sprawling health centre. And she kept on running into people from her past, including a former refugee leader in Oliji who now headed the neo-natal and family planning clinic, working directly on the prevention of mother-to-child transmission of the AIDS virus. They toured new buildings used for HIV/AIDS testing, education, counselling and drug distribution. "I don't see any reason why refugees shouldn't return home," the hospital administrator, Felix Leju Tip, told Mary. "We need them to come home and help us reconstruct. We need their hearts and their brains." As if reading Mary's mind, Dr Tip and other hospital staff informed her that the World Health Organization and the Ministry of Health have been supplying the hospital with antiretroviral drugs for the past year, and will continue doing so for the foreseeable future. Buoyed by her visit to the hospital, Mary next met members of the "Loving Club Association," including a long-lost cousin. This support group, which has received seed funding for livelihood projects from UNHCR, gathers approximately 230 people who are living with HIV. Profits have been used to buy land that will be worked by the members to provide food for the most vulnerable among them. The Loving Club Association members told Mary about the challenges they faced, while urging her to tell refugees in Uganda that things are slowly improving in Kajo Keji and they should return to help in the development. "It is like building a home," one member told Mary, while trying to reassure her that refugees living with HIV would be warmly welcomed and supported by the association and others. "We do not feel frightened here, and we are able to live openly without stigma," one member claimed. Mary rounded off her visit by spending some time in her village with her cousin, Elia, and his wife, who is also HIV positive. She was delighted when Elia offered her a plot of fertile land if she and her mother returned. On the drive back to Uganda, Mary sounded like a different person from the anxious woman who had fretted so much on the journey out. She felt that her concerns about access to drugs, medical care, support and acceptance had been allayed and that she could return. But while the situation in Kajo Keji has moved forward, such facilities and support systems found in the town remain absent in large parts of South Sudan and continuing help in developing infrastructure is urgently needed. "I am really very happy," said Mary, who now hopes to return to Kajo Keji with her elderly mother and sons in 2012. In the meantime, she and millions of other southerners will be hoping that South Sudan remains peaceful and continues to develop after next month's referendum on its future. By Page Buono in Kajo Keji, Sudan

She is an octogenarian with a snow-white hair. Her name is Esperanza and everyone call her Tia. - Reflections On Getting Old - They say the best way t o grow old is not to be in a hurry about it ... and Lord knows, I've put it off for as long as I could! But growing older is something that happens without any effort on our part. Unfortunately, I've reached the age that I'm old enough to see how "little" I have done in so much time, and how "much" I have to do in so little time. There comes a time in all our lives that we will eventually have to deal with the problem of aging. It's somewhat easier to deal with than weight though, because there's not really much we can do about our age. One of the best ways I know to deal with and accept the marching of our age clock is with humor and a positive attitude. Attitude is the mind's paintbrush. It can color any situation. Remember, we don't stop laughing because we grow old, we grow old because we stop laughing! We should always try to look on the bright side of everything, even aging! Even our wrinkles have a bright side . . . at least they don't hurt. It's also reassuring to know that "God only made wrinkles to show where our smiles have been!" YOU KNOW YOU ARE GETTING OLD WHEN: Everything hurts and what doesn't hurt, doesn't work. You feel like the night before, and you haven't been anywhere. The gleam in your eye is from the sun hitting your bifocals. Your little black book contains only names ending in M.D. You get winded playing chess. Your children begin to look middle-aged. You join a health club and don't go. Your mind makes contracts your body cannot meet. You know all the answers, but nobody asks you the questions. You look forward to a dull evening. You walk with your head held high, trying to get used to your bifocals. Your favorite part of the newspaper is "Twenty-five Years Ago Today." You turn out the lights for economic reasons instead of romantic ones. You sit in a rocking chair and can't get it going. Your knees buckle and your belt won't. You are 17 around the neck, 42 around the waist, and 90 around the golf course. You stop looking forward to your next birthday. Dialing long distance tires you out. You remember today that yesterday was your wedding anniversary. "Happy Hour" is taking a nap. The best part of your day is over when your alarm clock goes off. You burn the midnight oil until after 9:00 p.m. Your back goes out more often than you do. You are cautioned to slow down by your doctor instead of by the police. You have everything you had 20 years ago, only it's all a little bit lower. You get your exercise acting as pallbearer for friends who exercise. When you're sitting in a rocker and you can't get it started. When tying one on means fastening your MedicAlert bracelet. You have too much room in your house and not enough in the medicine cabinet. You sink your teeth into a steak, and they stay there.

Whether she's a new grandmother, newly single, or just looking for inspiration, Hot Granny offers lighthearted yet practical advice for staying fit and fabulous. Author Mel Walsh knows her stuff. She's a syndicated columnist, gerontologist, grandmother of 12, and newlywed. She offers tips on how to stay active, dress well, relate to mates or first dates (in and out of bed), and generally feel great.A section on relationships covers everyone from girlfriends to grandkids, and advice on how to excavate old dreams and pursue new hobbies. Hot Granny is the perfect gift book for any woman who's passed the Big Five Oh.