Welcome to another interesting edition of the informative ACHAP News. In this edition we shall focus on the TB stories from the field as we prepare the World TB Day that is commemorated annually on the 24th of March. We will highlights of the continuing TB burden in Botswana and the importance of addressing this TB infection through testing and treatment.
We wished to thank the patients who were willing to open up about their personal stories in their fight against the disease.
KNOW TB SYMPTOMS FOR EARLY TREATMENT
Section Maligeni never thought he could have TB. When he started coughing in May 2016 “he recalls”, he thought it was just a mild cough or maybe common flu. Without the knowledge of the TB symptoms, he was never on the lookout for it even when he got ill. These factors, and the delay in diagnosis, led to Maligeni’s TB becoming life-threatening.
“When I started coughing I got antibiotics from the doctor for a dry itchy cough. I thought my illness was just a mild one and that the cough would get better. Over the next three months the cough got worse and I began to feel tired, dizzy, sweating and had lost weight so I went back to the clinic where they did a sputum test and I was diagnosed with multi-drug resistant (MDR) TB. I was then hospitalised and put on a 2 year treatment.
As I began to feel better I was sent home and would visit the clinic regularly to get my medication. Maligeni met one of ACHAP’s TB Care project volunteer Ms Dimakatso Dube at Lapologang clinic in Francistown who offered her services. As a volunteer, Dube offers her support services by visiting TB patients at their homes and ensures that they take their medication on time.
While on treatment Maligeni started having hearing challenges which resulted in him losing a sense of hearing, he now hopes to recover the loss of his hearing and he is happy to be completing his treatment this year in August 2018 and feels better than before.
Mr Section Milangeni (Right) with Ms Dimakatso Dube from ACHAP
PARTNER SUPPORT IMPORTANT TO TB TREATMENT
Tymon Setaleng lives in Francistown with his wife Tshepiso Setaleng and their children. Mr Setaleng a retired teacher by profession fell sick at the end of the year 2017.
When Setaleng fell ill he thought his symptoms were just a ‘common illness’, although they were typical of TB: weight loss, loss of appetite, fatigue and night sweats. He knew a little about tuberculosis, but didn’t think he could be at risk.
Setaleng soon became too ill and was continuously coughing. He felt he needed medical attention. When he went to the clinic he met a volunteer from the ACHAP TB Care Project. The volunteer recognised Setaleng’s symptoms and encouraged him to go for voluntary counseling and testing for TB and HIV. Setaleng was diagnosed with TB and tested HIV Negative.
Six months on, Setaleng has completed treatment for TB through directly observed treatment. “I am happy to have completed treatment and I can now say I am healed and feel so much better than before”. “I would also like to thank my wife for supporting me through this journey” said Setaleng
Mr Tymon Setaleng (Center),his wife Mrs Tshepiso Setaleng (Right) and Tlamelo Ngisi, ACHAP TB care givers (Left)
EARLY TB DETECTION CRITICAL
My name is Benson Notice, I am 24 years old and I live in Francistown.
Three months ago, a close friend noticed that I had been coughing for over a week and advised me to go to the hospital to get my sputum checked. When the results came back doctors told me that I had Tuberculosis (TB). I didn’t know much about TB so they explained to me that it is an infectious disease that usually affects the lungs. I told them that my friend is an former-TB patient who has recovered well from TB and they told me that because it is an airborne disease, I might have been infected by my friend or someone with TB.
I was then sent to a clinic near my house where I started a 6 Months TB treatment. While a the clinic I met one of the TB care volunteers from ACHAP, who now helps me to take my pills on time and visits my house often to check follow my progress. I feel lucky because the nurses at the clinic are very good to me and I am happy with the service from TB care programme.
I used to work for a local company here in Francistown but became very difficult for me to continue working when I got ill. The company gave me a sick leave until I got better that that is when I will resume work. Two months into treatment I already feel good.
I recently spoke to my colleagues and friends about my experience and told them that if they have any of the common TB symptoms, they should immediately go to the hospital to get tested for TB.
Mr Benson Notice (Center), with Philane Moeti (Left) and Tlamelo Ngisi, ACHAP’s TB care givers.
EMOTIONAL SUPPORT A KEY TO TB & HIV RECOVERY
Sitting at the corner of her Aunt’s house, Angel, a 17 year teenager can barely walk, her knees are folded and she cannot stretch her legs. She has to crawl to help herself. A journey she says it is not easy.
Her first signs of illness started towards end of the year 2017 during her pregnancy, Angel says, “I was healthy-looking then I started coughing but did not take it seriously, I thought it was due to my pregnancy and did not need to consult the doctor. “My cough got worse with chest pains and breathing difficulties” but I was still reluctant to go to the doctor,” as the pain got worse I went to the clinic. Angel then tested positive for TB that brought problems she never imagined. She then had to undergo a test for HIV since she was pregnant. She tested positive for HIV as well. “My life came crushing on me when I heard those devastating news and I was not prepared to deal with the two diseases especially at the same time”.
Angel went through intensive counseling and began treatment for TB, a course of antibiotics taken daily for six months. However, this had little impact on her health, as the two positive diagnoses had her dealing with discrimination from friends and family. Compounding her problems, her sisters have abandoned her and do not visit her where she is currently staying with her Aunt and cousins.
“Taking medication is not easy but doing it without emotional support is even harder. I long for my sister’s love and I wish I could be staying with them or have them closer to me.” She adds. Angel who is now a school dropout and traumatized by the sudden changes in her life, her health has quickly deteriorated. The once big boned and healthy looking teenager is frail and visibly small.
Angel”s hope is now the support of her aunt and the health care givers. According to one of the ACHAP TB-Care volunteer, Angel is slowly responding to her TB treatment and continues to take Highly Active antiretroviral Therapy (HAART) but without the right support this could be a very difficult case. “Most people do not recover quickly even when taking medication and eating healthy because they lack emotional support and often suffer alone with no one to talk to and share problems so we are doing our part in that front,” said the TB-Care volunteer.
Angel is also on her TB medication which is being administered by the ACHAP TB-Care volunteer who visits her regularly. When asked if she needed any other help, her answer was, “Yes I would like a wheelchair as you can see I cannot walk”.
NB: “Angel” is a pseudonym though her life story is real, the name used to keep the subject anonymus
Angel (3rd Right) with ACHAP care givers who constantly monitor her progress.
Greetings! Welcome to the October 2017 issue of the ACHAP News. This issue highlights the organization’s latest update on the success stories of Voluntary Medical Male... Continue reading
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