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Cao Bang is a mountainous province in the northeast of Vietnam – about 300km away from my city, Hanoi. It doesn’t sound far but on this day, it takes us eight hours to drive there, partly due to the muddy mountain pass after such heavy rain.

We arrive in one of the poorest villages in Tra Linh district. ChildFund only recently started working in this area, where many children suffer from malnutrition. There are also significant challenges around safe water, sanitation and healthcare.

We have come to visit Nham and her husband, Ham, who are living with their two little boys and their grandmother in an old wooden house. Sitting in the house, we can see the dark gloomy sky outside through the gaps in the wooden boards, and we can feel the cold winter winds blowing through. From underneath, we can smell the defecation of the family’s buffalo, chicken and piglets that are running around in search of their mother.

We continue on to Bac Kan province, around 120km away, where ChildFund has been working since 1999. Back then, children and families were in a seriously poor state. People didn’t have enough to eat. Farmers could only grow one crop per year due to the shortage of water. Children were often ill due to poor hygiene and didn’t have proper access to education as their parents could not afford to feed them, let alone pay the tuition expenses.

In the decade or so that ChildFund has been working in this area, huge changes have occurred. When we visit, we find well-constructed and properly maintained gravity-fed water systems, which bring clean water to hundreds of households. Now mothers don’t have to go to the stream to collect water for their daily use and can spend that time and effort in taking care of their family and children. Farmers can grow up to four crops in a year, thanks to the water that is fed into their fields through an irrigation canal built with the support of ChildFund.

It is amazing to me to see the difference between Cao Bang, an area where ChildFund has just started working, and Bac Kan, where we have been working for over a decade. To think, in just 10 or 12 years, such dramatic changes can occur, bringing huge improvements in the health, wellbeing and opportunities for children and families who live there.

Certainly things are on the up for the communities we support in Cao Bang. Already for Nham and her family, their two little boys are being taken care of through a malnutrition prevention project supported by ChildFund New Zealand, and the whole family can access the newly built health clinic supported by AusAID through ChildFund Australia.

Having seen what has been achieved in Bac Kan, I feel hopeful that the next 10 years will bring positive life-changing outcomes for the children and families here, too.

The first World AIDS Day was held in 1988, and a great number of medical and social advances have been made in the 24 years since then. Nevertheless, much remains to be done. Today, we turn our focus to ChildFund’s work in India and Africa.

Rajashri is a supervisor for the Link Workers Scheme, a ChildFund-supported program in India that helps children orphaned due to AIDS and some who are HIV-positive. She provides medication for hundreds of children infected with the disease in 19 districts of Andhra Pradesh, a central Indian province with a population of about 76 million. ChildFund India has identified more than 7,400 children in Andhra Pradesh who have been orphaned or left otherwise vulnerable by HIV and AIDS.

Although African nations often receive the most attention when the topic of AIDS arises, India has approximately 2.4 million people living with HIV, the third-highest population in the world, based on a 2009 estimate by UNAIDS. According to the Indian government, the state of Andhra Pradesh reported the second-highest HIV rate in the nation. More than 11,600 HIV-positive children and adults have been reached so far through the Link Workers Scheme, which targets high-risk groups with prevention and risk-reduction information.

 width=Lucy, a nine-year-old who is HIV-positive, lives in Lamu, an island off the coast of Kenya. She, her grandmother, her aunt and four cousins share a one-room thatched home.

When Lucy was a baby, her mother died from AIDS complications. Their village had few resources to deal with the disease, but now, with ChildFund’s support, Lucy goes to a district hospital to receive antiretroviral treatment. She is healthy and thriving at school.

At age 8, Lucy started attending a support group for children living with HIV. “I know my status, and that is why I take my medicine, so that I can remain strong to be able to go to school and also play like the other children,” Lucy says. “My teacher and some neighbours know my status, too, and I know they love and support me.”

A side benefit of ChildFund’s and others’ work in Kenya has been a greater acceptance of those affected by HIV, lessening the stigma of the disease.

“When I was requested to enrol her in a support group, I hesitated, but today Lucy shares information about the support group discussions with all of us here,” her grandmother says. “Through her, we have learned a lot about HIV/AIDS.”

World AIDS Day is celebrated each year on 1 December. The international theme this year is ‘Getting to zero: Zero new HIV infections. Zero discrimination. Zero AIDS-related deaths’. Click here for more information. Learn more about ChildFund Australia’s HIV and AIDS programs here.