ÁLVARO YBARRA ZAVALA Photographer

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  • November 2010. Andhra Pradesh/India  Rajamma lies in the arms of her husband as he takes her to be bathed in the final days of her time in the HIV Centre. Ragama is terminally ill with HIV and Tuberculosis and died shortly after this shot was taken.
    November 2010. Andhra Pradesh/India Rajamma lies in the arms of her husband as he takes her to be bathed in the final days of her time in the HIV Centre. Ragama is terminally ill with HIV and Tuberculosis and died shortly after this shot was taken.
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  • february/march 2010. Anantapur/Andhra Pradesh/INDIA A sufferer of HIV and Tuberculosis holds up an X RAY in the Bathalapalli centre
    february/march 2010. Anantapur/Andhra Pradesh/INDIA A sufferer of HIV and Tuberculosis holds up an X RAY in the Bathalapalli centre
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  • December 2010. Andhra Pradesh/ India. Clinging onto life, this HIV and Tuberculosis sufferer comes to realise that there is no chance for him to fight his illness as he awaits death at the CHAI Centre in Hyderabad. Like many other patients, he is unable to afford the medicines that are scarcely available and offered by corrupt sources.
    December 2010. Andhra Pradesh/ India. Clinging onto life, this HIV and Tuberculosis sufferer comes to realise that there is no chance for him to fight his illness as he awaits death at the CHAI Centre in Hyderabad. Like many other patients, he is unable to afford the medicines that are scarcely available and offered by corrupt sources.
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  • November 2010. Andhra Pradesh/India  Rajamma lies in the arms of her husband as he takes her to be bathed in the final days of her time in the HIV Centre. Ragama is terminally ill with HIV and Tuberculosis and died shortly after this shot was taken.
    November 2010. Andhra Pradesh/India Rajamma lies in the arms of her husband as he takes her to be bathed in the final days of her time in the HIV Centre. Ragama is terminally ill with HIV and Tuberculosis and died shortly after this shot was taken.
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  • November 2010. Warangal/Andhra Pradesh/India yacob is HIV positive and suffers from Tuberculosis. These are his last days in the centre as he clings onto the last moments of his life.
    November 2010. Warangal/Andhra Pradesh/India yacob is HIV positive and suffers from Tuberculosis. These are his last days in the centre as he clings onto the last moments of his life.
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  • ebruary/march 2010. Anantapur/Andhra Pradesh/INDIA . A Familiy member helps giving luch to his relative that is terminaly sick of HIV and TB
    ebruary/march 2010. Anantapur/Andhra Pradesh/INDIA . A Familiy member helps giving luch to his relative that is terminaly sick of HIV and TB
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  • November 2010. Warangal/Andhra Pradesh/India Jagan is HIV positive and suffers from Tuberculosis. These are his last days in the centre as he clings onto the last moments of his life.
    November 2010. Warangal/Andhra Pradesh/India Jagan is HIV positive and suffers from Tuberculosis. These are his last days in the centre as he clings onto the last moments of his life.
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  • November 2010. Warangal/Andhra Pradesh/India. A group of HIV patients inside the male yard of the Karunalayan Centre
    November 2010. Warangal/Andhra Pradesh/India. A group of HIV patients inside the male yard of the Karunalayan Centre
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  • february/march 2010. Anantapur/Andhra Pradesh/INDIA . A Familiy member holds the had of his relative that is terminaly sick of HIV and TB
    february/march 2010. Anantapur/Andhra Pradesh/INDIA . A Familiy member holds the had of his relative that is terminaly sick of HIV and TB
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  • November 2010. Warangal/Andhra Pradesh/India An HIV sufferer holds the hand of his mother as he slowly passes away in the final moments of life.
    November 2010. Warangal/Andhra Pradesh/India An HIV sufferer holds the hand of his mother as he slowly passes away in the final moments of life.
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  • November 2010. Andhra Pradesh/India  Rajamma  takes her morning bathin the final days of her time in the HIV Centre. Ragama is terminally ill with HIV and Tuberculosis and died shortly after this shot was taken.
    November 2010. Andhra Pradesh/India Rajamma takes her morning bathin the final days of her time in the HIV Centre. Ragama is terminally ill with HIV and Tuberculosis and died shortly after this shot was taken.
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  • November 2010. Warangal/Andhra Pradesh/India Jagan is HIV positive and suffers from Tuberculosis. These are his last days in the centre as he clings onto the last moments of his life.
    November 2010. Warangal/Andhra Pradesh/India Jagan is HIV positive and suffers from Tuberculosis. These are his last days in the centre as he clings onto the last moments of his life.
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  • November 2010. Warangal/Andhra Pradesh/India. A group of nurses takomg care of a HIV patient inside the Karunalayan HIV center
    November 2010. Warangal/Andhra Pradesh/India. A group of nurses takomg care of a HIV patient inside the Karunalayan HIV center
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  • November 2010. Warangal/Andhra Pradesh/India. A HIV patient taking medecine inside the male yard of the Karunalayan Centre
    November 2010. Warangal/Andhra Pradesh/India. A HIV patient taking medecine inside the male yard of the Karunalayan Centre
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  • November 2010. Warangal/Andhra Pradesh/India. A group of HIV patients inside the male yard of the Karunalayan Centre
    November 2010. Warangal/Andhra Pradesh/India. A group of HIV patients inside the male yard of the Karunalayan Centre
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  • November 2010. Warangal/Andhra Pradesh/India. A  HIV patients inside the female yard of the Karunalayan Centre
    November 2010. Warangal/Andhra Pradesh/India. A HIV patients inside the female yard of the Karunalayan Centre
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  • November 2010. Warangal/Andhra Pradesh/India A father  prays for salvation on the edge of her daughter’s bed in the Karunalayan Centre. Karunalayan lacks resources needed to treat the hundreds of HIV+ patients that come to the centre in desperate need of help
    November 2010. Warangal/Andhra Pradesh/India A father prays for salvation on the edge of her daughter’s bed in the Karunalayan Centre. Karunalayan lacks resources needed to treat the hundreds of HIV+ patients that come to the centre in desperate need of help
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  • November 2010. Warangal/Andhra Pradesh/India. A HIV patients inside the male yard of the Karunalayan Centre
    November 2010. Warangal/Andhra Pradesh/India. A HIV patients inside the male yard of the Karunalayan Centre
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  • Alvaro Ybarra Zavala / Reportage by Getty Images Shoba retracted HIV from her husband, now deceased, and is being treated at the Karunalayan Centre in Andhra Pradesh, a centre which receives no international aid.
    Alvaro Ybarra Zavala / Reportage by Getty Images Shoba retracted HIV from her husband, now deceased, and is being treated at the Karunalayan Centre in Andhra Pradesh, a centre which receives no international aid.
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  • february/march 2010. Anantapur/Andhra Pradesh/INDIA Rajaha sits in his wheelchair, awaiting lunch in the Bathapalli hiv Centre.
    february/march 2010. Anantapur/Andhra Pradesh/INDIA Rajaha sits in his wheelchair, awaiting lunch in the Bathapalli hiv Centre.
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  • November 2010. Warangal/Andhra Pradesh/India venkataiah was presented to staff at the Karunalayan Centre in Warangal, Andhra Pradesh by family members. He is barely conscious. Sadly, venkataiah never awoke.
    November 2010. Warangal/Andhra Pradesh/India venkataiah was presented to staff at the Karunalayan Centre in Warangal, Andhra Pradesh by family members. He is barely conscious. Sadly, venkataiah never awoke.
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  • November 2010. Warangal/Andhra Pradesh/India venkataiah was presented to staff at the Karunalayan Centre in Warangal, Andhra Pradesh by family members. He is barely conscious. Sadly, venkataiah never awoke.
    November 2010. Warangal/Andhra Pradesh/India venkataiah was presented to staff at the Karunalayan Centre in Warangal, Andhra Pradesh by family members. He is barely conscious. Sadly, venkataiah never awoke.
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A Silent Murmur

India has 2.27million HIV+ individuals, placing in the top three ranking worldwide, along with South Africa and Nigeria. Despite being the world’s fourth largest economy, India only invests 1% of its GDP in healthcare, which is much lower than in many African countries. The Global Fund, based in Geneva, has supplied New Delhi with USD $1.8billion since 2002 to help in the fight against HIV/AIDS, Tuberculosis and Malaria. This is clearly a huge sum, however many of the experts working on the frontline in the fight against HIV/AIDS state that this aid has not reached the patients, due to the massive level of corruption that is rife throughout the system.

This degree of corruption, and the stigma that the victims of the virus suffer, have meant that the reality on the ground has nothing to do with the statistics issued internationally from New Delhi. The figures have been manipulated, no doubt to give donor countries and aid organizations a different perception than the reality of the actual daily lives of the HIV patients in the hundreds of local hospitals that offer them treatment, which operate away from the gaze of the international community and detached from their financial aid.

In a country which is proud to be the world’s fourth biggest economy, it is amazing to witness how little infrastructure and support there actually is for the 2.27million HIV+ sufferers. In general, the most effective medical centres for HIV patients are the ones run by international organizations which receive foreign investment, on top of the government investment. These are sadly only available to a minority of those in need, but are what the government uses to show the international community that they are making advances against HIV and Tuberculosis. Without doubt, the rest of the medical centres not in this category, and their patients, who are out of sight of international observers, are at the mercy of the corrupt system.

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