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Time to be seen and heard: Including children's and adolescents' voices in the South African TB response

C Goslett1, K Du Preez2, G Hendricks3

  • 1Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa. cgoslett@sun.ac.za.

South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
|July 23, 2024
PubMed

Insights

Childhood tuberculosis (TB) in South Africa presents unique challenges, particularly regarding child-friendly treatments and support. Including children

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Public Health

Background:

  • Children are highly susceptible to tuberculosis (TB) and severe disseminated forms like TB meningitis.
  • Diagnosis and treatment of childhood TB in South Africa (SA) face significant hurdles, including non-pediatric-friendly adult formulations.
  • The specific needs of children with TB are often overlooked in public health responses.

Purpose of the Study:

  • To highlight the challenges in diagnosing and treating childhood tuberculosis in South Africa.
  • To emphasize the need for child-friendly TB medication, vaccines, and educational support.
  • To advocate for the inclusion of children's voices in TB response strategies.

Main Methods:

  • Qualitative analysis of challenges based on personal accounts and existing literature.
  • Review of current practices in pediatric TB management in South Africa.
  • Identification of gaps in child-specific TB care and support.

Main Results:

  • Existing TB treatments for children in SA involve breaking adult tablets, which are unpalatable and difficult to administer.
  • Delays exist in developing and accessing child-friendly TB medications and vaccine availability.
  • Educational support for hospitalized children under school-going age is lacking.

Conclusions:

  • Including children's perspectives is crucial for an effective TB response in SA.
  • Progress includes a pediatric working group and contributions to research, but further steps are needed.
  • Integrating child TB activists' feedback into policy and monitoring can improve care.

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