Stigma, and an unequipped private sector are barriers to fighting South Africa’s top killer disease, tuberculosis – especially in children.
Stigma, and an unequipped private sector are barriers to fighting South Africa’s top killer disease, tuberculosis (TB) – especially in children.
When Angelina Grab was two-years-old she had a fever, started sweating at night and losing weight. Her mother, Johannesburg-based Janet Grab, immediately took her to her paediatrician.
“She didn’t look well so we kept going back to the paediatrician, we’re fortunate to have medical aid. But we kept on looking for an answer. We were sent to a cardiologist and the tests came back clear.
“Our paediatrician sent Angie for a chest x-ray and blood work and it was then we discovered she had TB,” said Janet.
It took about two months for Angelina to be diagnosed with TB – which does not seem long but could have been much faster if South Africa’s private sector was more clued-up about the disease.
But getting diagnosed was only the first hurdle. South Africa’s private sector does not supply anti-TB drugs so Janet had to register her daughter for treatment at the local government clinic.
After a three-hour wait, Janet received Angelina’s first batch of medication – which the toddler needed to take for six months.
Janet said that giving her the foul-tasting medicine was a daily challenge.
“I don’t remember much but I do remember the medicine,” said Angelina, who is now nine. “It wasn’t nice. It was very, very bitter. I always used to ask my mom for a sweet so I could get that taste out of my throat.”
Janet was also unprepared for the reaction she received when she told the principal at the creche Angelina attended that she had TB, even though she had been declared non-infectious by her doctor.
“The principal begged me not to tell any of other parents about the diagnosis because she was scared they would take their children out of the school. I said I am going to tell them and I’m happy for them to call me to explain the situation,” she said.
After experiencing this discrimination, Janet made a point to tell as many people as possible about TB in an effort to “dispel the stigma” surrounding the illness.
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