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Coverage of TB Stories in Zimbabwe NATIONAL TUBERCULOSIS CONTROL PROGRAM

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Coverage of TB Stories in Zimbabwe NATIONAL TUBERCULOSIS CONTROL PROGRAM Strengthening coverage of TB stories in Zimbabwe NATIONAL TUBERCULOSIS CONTROL PROGRAM Media Mentorship 1st Edition 2016 INSIDE TB headache in apostolic sects Country in historic TB caucus birth Winning TB battle against all odds Bikers go full throttle to speed up TB cure in Zimbabwe and many more... Acknowledgements The Ministry of Health and Child Care through the National Tuberculosis Control Program (NTP) would like to extend its sincere appreciation to the following health journalists who took part in this maiden media mentorship: Mirirai Nsingo, Thulani Munyandi, Sharon Kavhu, Thandeka Moyo, Hazvinei Mwanaka, Lynette Manzini, Mary Taruvinga, Sophia Mapuranga and Vivian Mugarisi. You worked tirelessly to put TB back on the national agenda through your reportage of the program. A special mention goes to the mentors who provided their media expertise to the mentees which resulted in increased coverage of well-crafted and in-depth TB stories; Tatenda Chipungudzanye, Lawson Mabhena, Anna Miti, Roselyne Sachiti, Clemence Manyukwe, Joseph Munda and Phillip Chidavaenzi. Stephen Tsorotsi from Financial Gazette you helped lift the TB program flag high across the region. To the communications technical team comprising Andrew Nyambo and Paidamoyo Magaya who championed this program and made it a reality, thank you for your persistence and hard work. To The Union Country Director Dr Zishiri, all the various technical officers, health care workers and partners who were approached to share updates and answer questions, your contributions cannot go unmentioned. The TB program will be incomplete if we do not acknowledge the community. The community played a critical role in this mentorship program through sharing their experiences and championing the TB program. We are indebted to you all. Lastly, appreciation goes to USAID Challenge TB for supporting the program through provision of resources for the field work for the journalists. We hope this is the beginning of greater coverage of the TB program beyond mentorship, as we strive to put TB on the national agenda. Thank you Dr C. Sandy Deputy Director, AIDS and TB Unit st Strengthening coverage of TB stories in Zimbabwe Media Mentorship 1 Edition Page 1 Table of Contents TB headache in apostolic sects - Mirirai Nsingo 3 Disability, poverty, TB and HIV: where do you turn? - Hazvinei Mwanaka 6 Country in historic TB caucus birth - Mirirai Nsingo 8 Zimbabwe: Diabetics At High Risk of Contracting TB - Sharon Kavhu 11 Great strides made in TB/HIV treatment: As authorities implement patient-centred 13 approach - Thandeka Moyo Winning TB battle against all odds - Mary Taruvinga 16 Bikers go full throttle to speed up TB cure in Zimbabwe - Stephen Tsoroti 18 Twin evils of malnutrition, TB ravage children in rural communities - Sophia Mapuranga 22 Childhood TB still a problem - Vivian M. Mugarisi 26 *** Some of the contents of the stories have been edited for correct information dissemination st Strengthening coverage of TB stories in Zimbabwe Media Mentorship 1 Edition Page 2 TB headache in apostolic sects By Mirirai Nsingo Members of the Vapostori worshiping at a shrine in Harare (Credit: Moses Chibaya) PEBBLES and holy water were the only orthodox “I felt really sick but all I could use were muteuro treatment she could take, at least according to the nematombo. My sister then invited me over to her Johane Marange doctrine. house in Marondera and after spending the night at her place and seeing how sick I was, she took me to Seeking health care would be taboo as 'shewe' (her the clinic the next day. husband) and the church elders would have none of it. “I was tested for TB among other tests. I was found to be TB positive and started on treatment and for Even after enduring a three-month persistent two months I stayed with my sister as she cough, she could not take cough syrup or anything monitored my progress,” chronicles the 50-year- for the pain. old mother of five. Shupikai (not her real name) had been in Masvingo When it was time to go back home, she says her where she had gone to nurse her daughter who had headache was how she would be able to keep her tested TB positive. medication without shewe noticing. When she returned home in Macheke after the “By the time I went back home I was feeling much four-month stay, she wouldn't stop coughing, lost a better and was determined to continue with bit of weight and had night sweats even on a cold treatment against all odds. Before leaving, I had night. been educated about the dangers of defaulting first line TB drugs so I told myself I would finish With all these symptoms, she still could not access a treatment against all odds before being referred to health facility because the church wouldn't allow the nearest clinic in my area. her to. st Strengthening coverage of TB stories in Zimbabwe Media Mentorship 1 Edition Page 3 TB headache in apostolic sects “Back home, shewe even acknowledged that I was Shupikai's life mirrors that of several other members looking much better from what I was when I left. I of ultra-conservative apostolic sects where seeking told nurses at the local clinic about my predicament healthcare is taboo. and how I shouldn't be seen collecting the medication or else the church would deal with me. While she was brave enough to go against the church doctrine and sought treatment, deputy director of “They really understood and we made an TB Control in the Ministry of Health and Child Care, arrangement that I would pick them at night until I Dr Charles Sandy said there could be several missed finished my course. At home I also made sure that I cases of TB among this community. kept them away from shewe or else I would face the full wrath of his law,” she says. He argues that while they are not immune to being infected by TB, they are a very hostile community “It was not easy but because I had told my daughter when it comes to issues to do with healthcare and about the situation, she would sometimes remind this posed a challenge in the country's management me to take my medication.” of TB. She acknowledges that while the church denies “There are very high chances that there may be members to seek healthcare, medication was the missed TB cases in such communities due to obvious best remedy for any disease management rather reasons. Since they do not practice modern medicine than 'holy water and pebbles'. and they do not go to clinics or hospitals so there is no diagnosis being done to those who are ill so even if it's Reminiscing on the cholera days back in 2008, TB no one would know. Shupikai says she had lost a 15-year-old daughter as the head of the house would not allow her to seek “They usually are secretive when it comes to illness in treatment for the child. their communities so it is usually not made public that a family member is not well. “I watched her die and I still curse myself. Then shewe had cholera that same week our daughter “In most cases such communities are hostile to died and now he was begging me to take him to the people who are not members of their religion so clinic, I refused and vowed that he would rather die there is then no way an outsider would then know just like how we lost my child. that there is any one suffering from TB in such communities,” says Dr Sandy. “Fortunately or unfortunately health workers started a door-to-door campaign after they heard “Epidemiologically they are also not immune to being that there had been a cholera death in the area and infected by TB as they are humans like any other that is how he got treated. You see, I wish we could people. So considering all the above they are very do away with some of these rules in the church. I high chances that TB cases could be missed in these could have also died from TB if I had not accessed communities and the magnitude of the missed case is treatment. not known.” “I don't mean to be rebellious but it is mothers and Dr Sandy says the country mainly relied on children who suffer the most. Even when these men engagement at all levels hence the programme fall sick, they Nicodemously seek medical attention. makes all efforts to ensure that all communities are So who are we cheating?” she argues. informed about TB through various means of communication, thus most communities take decisions from informed view point. st Strengthening coverage of TB stories in Zimbabwe Media Mentorship 1 Edition Page 4 TB headache in apostolic sects Members of the Vapostori worshiping at a shrine “The most available resource is to engage the In support of this goal to end the TB epidemic, husband and the church leaders so they International Union Against Tuberculosis and Lung understand the implications of that patient not Disease (The Union) through Challenge TB in taking treatment on the family, the husband Zimbabwe seeks to have TB put on the health agenda included, as well as the congregation at large,” Dr strategy and to also strengthen national level Sandy said, in relation to Shupikai's case. management capacity. TB remains the world's most deadly infectious The Union director in Zimbabwe, Dr Christopher disease after HIV and although prevalence is Zishiri says under Challenge TB in partnership with the reportedly coming down, TB burden is still at crisis National TB Programme, contact tracing, early level in the country.
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