Item(s) for the ‘Islamic Articles’ Category

Mar 24,2008

U of A health researcher’s pilot project shows treatment on par with the best hospitals in east African nation.

Keith Gerein, The Edmonton Journal
Published: Sunday, January 13

When Arif Alibhai went to Uganda two years ago, he knew the job before him required both scholastic ability and a humanitarian touch.

The east African country had made substantial strides in combatting an AIDS epidemic, yet the progress was tragically uneven. Anti-retroviral drugs were available only at major urban hospitals, effectively denying treatment to patients in many rural areas.

The challenge offered to Alibhai, a University of Alberta health researcher, was to devise a system of dispensing medication in these remote districts.

The catch? Not only would any solution have to be low-cost and sustainable over the long term, it would also have to get around a critical shortage of doctors.

After tossing around a few ideas, Alibhai and his team came up with a plan: Instead of using health professionals to deliver drugs, the job could be done by unpaid community volunteers.

So far, the concept appears to be working.

Early results from a rural pilot project show treatment that is on par with the best Ugandan hospitals — a success story that could potentially serve as a model for drug programs in other AIDS-afflicted countries.

“The whole point was to look at the problem of how rural people access treatment,” said Alibhai, the senior project manager. “We asked ourselves, is it possible to move the treatment to where the people are?”

The site chosen for the pilot project was Kabarole, a predominately rural district on the western edge of Uganda where subsistence farming is the main activity.

A poor area, the prevalence of HIV among adults in Kabarole is 10 per cent, significantly higher than Uganda’s national rate of six per cent.

Such a disparity is a major concern, said Tom Rubaale, a member of the district health team. Since the disease kills people in their prime working years, it has a particularly devastating impact on poor families who depend on their strongest adults for income, he said.

That thin line between survival and starvation is one reason why rural AIDS patients in Kabarole often choose not to be treated. With anti-retroviral drugs offered only in the district capital, many people find it’s too far to go, said Joa Okech Ojony, a district health officer.

“It may take two days for people to make the trip, and they can’t afford that because it’s two days away from their livelihood,” he said. “Others are too frail to travel, and even if they weren’t, the costs of travel are prohibitive.”

The project team knew that bringing drugs into rural areas would solve only half the problem. The more critical conundrum was the lack of doctors. Without them, who would hand out the medication? Who would ensure patients took their pills twice a day on schedule? Who would keep watch for adverse effects?

In searching for answers, team members recalled a study done in Haiti on hard-to-reach patients and thought they could adapt the Caribbean program to sub-Saharan Africa.

“Anything we did had to be sustainable in the long term, meaning it had to be minimal cost,” said Alibhai, who joined Ojony and Rubaale in Edmonton recently at a global health conference. “We already knew that volunteerism is a big part of Ugandan culture, so calling on volunteers seemed to make sense.”

Working out of small rural health clinics — upgraded with funding from the Canadian Institutes of Health Research — community members were recruited and trained to take on many duties traditionally performed by health professionals.

The most important of these was to make weekly visits to patients to ensure they were taking their medication, and to check for any negative reactions.

After six months, the project has shown strong results. Ninety per cent of rural patients have had successful treatment outcomes, while the drug adherence rate has hovered near 99 per cent — achievements at least equal to the district hospital. Alibhai believes the program’s success is due, in part, to the personal touch patients receive from friends and neighbours assigned to check in on them. Volunteers can outperform doctors when it comes to offering social support, compassion and encouragement.

And success builds success. As people hear of positive results and see neighbours getting better, more patients sign up for the program. Women in particular are more likely to seek treatment when it is delivered in a community-based setting, said Walter Kipp, the U of A health scientist who supervised the project.

Researchers will continue to study the drug program over a two-year period. During that time, one of the biggest challenges will be to avoid complacency, both in keeping patients taking their drugs and keeping volunteers motivated to perform their duties, Kipp said.

Funding is another issue. More money is needed not only to keep the program going in Kabarole — where an estimated 16,000 people will need treatment in the next five years — but also to expand the project to other areas of Uganda and other countries afflicted with AIDS, Alibhai said.

“When you start working in global health,” he said, “you have to make a commitment to stay in it for the long term because the need is great.”


Mar 24,2008

Victoria, British Columbia—February 1, 2008 – This evening, at the Victoria Conference Centre, the Honourable Beverley J. Oda, Minister of International Cooperation joined Aga Khan Foundation Canada’s Chief Executive Officer Khalil Z. Shariff along with local dignitaries and other guests to officially launch Bridges that Unite, a new, interactive exhibition showcasing our national ability to bridge the developed and the developing world.

The traveling exhibition invites visitors to consider Canada’s role in the world through the lens of a remarkable 25-year partnership with the Aga Khan Development Network (AKDN) in some of the world’s most isolated and impoverished regions.

“Bridges that Unite is an opportunity to explore what we’ve learned, to build on our experience and to chart a way forward for Canada and the world,” said Khalil Z. Shariff, CEO of Aga Khan Foundation Canada, which is presenting the exhibition. “Canada at its best has had a real impact in a way that is sensitive, thoughtful and sustained,” he said. “The exhibition draws on our rich experience in the developing world to spark a conversation about what Canada and Canadians can contribute to ensure a more peaceful, prosperous and pluralist world.”

“Over the years, as Canada has contributed to the work of the Foundation, we have seen the solid results achieved by the Foundation, often in extremely challenging environments,” said Minister Oda. “In many diverse ways, the partnership between Aga Khan Foundation Canada and the Government of Canada has been a long and successful one.”

Twenty-five years ago, Canada invested in an innovative partnership with the AKDN in northern Pakistan – one of the world’s poorest, most isolated and volatile regions. Since then, this partnership has grown in scope and depth and created a wealth of knowledge and practical experience that has had a ripple effect across Asia and Africa. Visitors to the exhibition will discover that, from Afghanistan to Zanzibar, a ring of chairs, in which people meet to discuss and find solutions to their problems, has become a symbol of lasting, positive change.

Embarking on a national tour following a two-week stop in Victoria, Bridges that Unite offers a vibrant, interactive space in which to explore some of the most pressing questions of the 21st century. Thought-provoking stories of initiatives spanning several continents are told through powerful images, evocative soundscapes and interactive, multimedia components.

This stimulating environment will also provide a compelling backdrop for lectures, workshops, and cultural events. Online discussions and exhibit highlights at will allow visitors to continue the conversation as Bridges that Unite travels across Canada.

For more information on the Bridges that Unite exhibition including venues, dates and program details, please consult our website at


Aga Khan Foundation Canada (AKFC) is a Canadian international development organization, and an agency of the Aga Khan Development Network, founded in 1980. Working primarily in Asia and Africa, AKFC works to address the root causes of poverty.

The Aga Khan Development Network (AKDN) is a group of non-denominational development agencies founded by His Highness the Aga Khan, with wide-ranging mandates covering social, economic and cultural development.


Jennifer Morrow,
Aga Khan Foundation Canada


Mar 24,2008

Imamat, His Highness the Aga Khan, AKDN, Sir Sultan Mahomed Shah, Ismaili, Jamat, Golden Jubilee, Aga Khan University.

One of the central elements of the Islamic faith is the inseparable nature of faith and world. The two are so deeply intertwined that one cannot imagine their separation. They constitute a ‘Way of Life’. The role and responsibility of an Imam, therefore, is both to interpret the faith to the community and, also, to do all within his means to improve the quality and security of their daily lives.” His Highness the Aga Khan. 1

In a single sentence, His Highness the Aga Khan IV captures both the role and mandate of the institution of Imamat, historically validated and particularly evidenced in the last 50 years. The exemplary life of Prophet Muhammad has enabled Muslims in every age to understand the links between matters worldly and spiritual. In Shi’a Islam, it is the mandate of the Imam to ensure a social context that maintains a harmonious balance between din and dunya. During the last half century, His Highness has responded, with foresight and determination, to a world where his followers have lived in extremely varying conditions and in which there has been accelerating change. Central to his leadership, work and long-term vision is the untiring pursuit of a better quality of life for current and future generations.

Since acceding to the Imamat in 1957, he has developed a global network of institutions. Ismaili community (Jamati) organisations at local, national and international levels serve the Imam’s murids, while other Imamat institutions, most of them operating under the Aga Khan Development Network (AKDN), work to improve living conditions and opportunities for people, regardless of their faith. Under the Imamat’s guidance, professional staff and selfless volunteers in large numbers, work to transform lives through these institutions.

Putting a modern complexion on the historic guiding and leading role of Imamat, ordained well over a millennium ago, the Imamat has, in recent history, established religious, social, economic and cultural institutions to respond to the changing circumstances of the Jamat. Sir Sultan Mahomed Shah founded organisations that addressed the conditions of the first half of the 20th century, when many of the Ismailis lived under colonialism. This institutional structure has evolved and expanded remarkably under the present Imam. He has formalised, consolidated and reoriented existing organisations and has established many new ones. The last half of the century has witnessed significant global changes including decolonisation, Ismaili migration to the West, strengthening of contacts with Ismaili communities in Central Asian, economic and social upheavals, wars, rapid technological advancements, and globalisation. Against this backdrop, the institutions of the Ismaili Imamat have spread over a space more extensive than at any other time in history.

On 13th December 1986, His Highness the Aga Khan promulgated The Constitution of the Shi’a Imami Ismaili Muslims, bringing the transnational community’s governance under one institutional structure. Ordaining the Constitution, His Highness said, “It is my belief that the Ismaili Constitution will provide a strong institutional and organisational framework through which my Jamat (community) will be able to contribute to the harmonious development of the Ummah and of the societies in which the Jamat lives.” This framework, organising the community’s dini (spiritual) and dunyavi (material) matters, has proved to be an effective and sustainable civil society model.

Ismaili Councils are responsible for social governance at the local, regional and national levels. The Ismaili community institutions also include Ismaili Tariqah and Religious Education Boards, Grants and Review Boards, and Conciliation and Arbitration Boards. Other boards operate in the areas of economic wellbeing, education, health, housing, social welfare, and youth and sports. His Highness determines the roles, responsibilities, composition, powers and jurisdiction of these bodies. He has also established the Leaders’ International Forum (LIF) to whom he refers specific matters affecting the Ismaili community. The Institute of Ismaili Studies is a key academic and educational resource for the community. It addresses, amongst other aspects of its mandate, the Ismaili community’s religious education needs by conducting research on its intellectual, spiritual and literary heritage and provides materials for religious formation.

AKDN agencies deal with the development needs of people regardless of their faiths. The Network is an endeavour of the Ismaili Imamat to realise the social conscience of Islam. It brings together organisations and programmes that seek to relieve society of ignorance, disease and deprivation. In societies where there is a significant presence of Muslims, it also seeks to revitalise and broaden the understanding of Islam’s pluralist cultural heritage. AKDN’s mandate derives from the ethics of Islam which aim for a balance between the material and the spiritual. Islam’s ethical ideal is to enable each person to live up to the exalted status of the being in whom Allah has breathed His spirit. Allah made all that is in the heavens and the earth an object of trust for human beings. Therefore, worship is incomplete without an active social conscience. By grounding societal values in the principles of moral responsibility, Islam lifts the social order to a spiritual level. In the words of His Highness the Aga Khan:

To the Imamat the meaning of ‘quality of life’ extends to the entire ethical and social context in which people live, and not only to their material well-being measured over generation after generation. Consequently, the Imamat’s is a holistic vision of development, as is prescribed by the faith of Islam. It is about investing in people, in their pluralism, in their intellectual pursuit, and search for new and useful knowledge, just as much as in material resources. But it is also about investing with a social conscience inspired by the ethics of Islam. It is work that benefits all, regardless of gender, ethnicity, religion, nationality or background. Does the Holy Qur’an not say in one of the most inspiring references to mankind, that Allah has created all from one soul?2

The Imamat’s vast institutional network addresses the needs of the poor, particularly in Asia and Africa. AKDN organisations are structured broadly under three categories: Economic Development, Social Development and Culture. The Network’s long experience in engaging with social and economic development has drawn governments to it for policy advice and partnership. The Ismaili Imamat and AKDN have formalised frameworks for their development initiatives by entering into internationally recognised Protocols, Agreements of Cooperation, Memoranda of Understanding or Letters of Intent with many national governments and international organisations. These serve to strengthen and formalise the Imamat’s and AKDN’s international partnerships, relationships and long-term commitments in the countries and regions within which they work.

AKDN adopts a comprehensive strategy to help people move out of poverty and enable them to participate in the social and economic mainstream. It is guided by a philosophy of human dignity and self-reliance. For development to be sustainable over the long term, local people are engaged in planning and development. This requires projects to be inclusive and respectful of the pluralism of societies. Additionally, encouraging the recognition of merit promotes excellence and continual improvement in standards.

The provision of quality education is the cornerstone of AKDN’s approach to uplifting the human condition. This view emerges from the teachings of Prophet Muhammad and Hazrat ‘Ali that inspired Imam al-Muiz’s establishment of Al-Azhar University, one of the oldest in the world.

The global network of AKDN’s educational institutions, including pre-schools, Aga Khan Academies, Aga Khan University and University of Central Asia, is a testament to His Highness’s conviction that knowledge is vital to the fulfilment of individuals and betterment of society.

Addressing AKDN’s social development mandate, Aga Khan Foundation’s programmes incorporate education, healthcare and environmental safeguards, revitalisation of cultural assets, and the development of appropriate infrastructure, rural support and income generation opportunities. Aga Khan Agency for Microfinance’s not-for-profit programmes, which provide small loans to the less fortunate, constitute a critical building block for an equitable civil society.

The Aga Khan Fund for Economic Development is the only for-profit agency of the Network. Its innovative agenda, based on the AKDN’s strong ethical framework, promotes public and private sector partnership in which investment decisions are primarily based on prospects for improving lives. Taking bold but considered steps to invest in fragile and complex economies, it has assisted in rehabilitation efforts after war or internal turmoil in places as varied as Afghanistan, Bangladesh, Mozambique, Tajikistan and Uganda.

To complete the picture, architecture, urban revitalisation and traditional music are the responsibility of the Aga Khan Trust for Culture. It focuses on culture as a means of enhancing the physical, social and economic regeneration of Muslim communities. It runs the Aga Khan Music Initiative in Central Asia, the Historic Cities Programme, and various education and culture programmes including the Aga Khan Program for Islamic Architecture at Harvard University and Massachusetts Institute of Technology.

The Imamat’s plans for the coming years include new poverty alleviation initiatives as well as the establishment of additional Aga Khan Academies, AKU’s Faculty of Arts and Sciences, Global Centre for Pluralism, Aga Khan Museum, Delegations of the Ismaili Imamat, and Ismaili Centres and Jamatkhanas in Dubai, Dushanbe, Houston, Khorog and Toronto. The Golden Jubilee will witness various new initiatives, which will undoubtedly come to be seen by future generations as part of His Highness the Aga Khan’s unique legacy.


1 Excerpt of an address by His Highness the Aga Khan to the Tutzing Evangelical Academy, Tutzing, Germany, 20th May 2006

2 Excerpt of a speech made by His Highness the Aga Khan at the opening of the Alltex EPZ Limited plant, Athi River, Kenya, 19th December 2003
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