This article was originally published in a shorter form on ArtWay.eu. All photos are courtesy of the Keiskamma Trust; click to enlarge.
Created by about 130 Xhosa—mainly women—living along the Keiskamma River in South Africa’s Eastern Cape [1], the monumental Keiskamma Altarpiece is a memorial to community members who died of AIDS and an homage to the strength and agency of the women left behind. Consisting of embroidery, beadwork, wire sculpture, and photography, the altarpiece mourns loss, but more important, it prophesies hope and redemption for the village of Hamburg, providing a vision for residents to live into.
The project was spearheaded by Carol Hofmeyr, a medical doctor and fine artist who moved from Johannesburg to Hamburg in 2000. Struck by the area’s high unemployment rate and lack of adequate healthcare, she established the Keiskamma Trust, an organization that sponsors dozens of community-upliftment initiatives. Wanting to improve the quality of life for her new neighbors, many of whom were infected with HIV, Hofmeyr knew that medicine, though imperative, was not all that would be needed; people must also be given a reason to live. That’s why along with running an AIDS hospice and treatment center, the Trust commissions locals to create art. This holistic approach to AIDS treatment honors both the body and the soul. The planning and making of the Keiskamma Altarpiece, for example, was an act of communal therapy; it provided an opportunity for Hamburg’s women to talk openly about AIDS and to work through their grief and confusion over the loss of loved ones or personal diagnoses as well as to ponder the role their faith plays in suffering—all while learning new skills [2], earning an income, and producing a thing of beauty for the world to behold.

South African health-care worker Eunice Mangwane presents the Keiskamma Altarpiece at the Cathedral Church of St. James in Toronto, the first stop on its North American tour in 2006. Mangwane is commemorated in the central panel of the altarpiece’s fully open view, pictured above.
At the height of the AIDS epidemic in Hamburg in late 2004, Hofmeyr conceived the idea of creating an altarpiece modeled on the famous Isenheim Altarpiece by Matthais Grünewald, itself a response to a horrifying epidemic in sixteenth-century France known then as St. Anthony’s Fire (and today as ergotism). This disease caused arterial constriction, sores, and gangrene and killed its victims slowly and agonizingly. Grünewald was commissioned by St. Anthony’s Monastery in Isenheim, France—which functioned as a hospital specializing in treatment of the disease—to create a piece for its chapel’s high altar, an image that would provide hope and comfort to patients. He responded with a complex, multipaneled altarpiece that features biblical and extrabiblical saints known for their fortitude in the face of suffering, most prominent of which is Christ, shown as a victim of St. Anthony’s Fire.

Matthais Grünewald, Isenheim Altarpiece (closed view), 1515. Oil on wood.
The Keiskamma Altarpiece draws on the Isenheim’s imagery of suffering, death, and resurrection but adapts it to the local context of Hamburg and its experience of the modern AIDS epidemic. In making this work the artists sought to draw a parallel between AIDS and other diseases that once seemed hopeless but that are now no longer a threat. Continue reading →