Friday, April 30, 2021

Mary Chiwenga Illness: Why the nation needs answers

 By Rawlings Magede

Early this week, Mary Mubaiwa, former wife to Zimbabwe’s Vice President, Constantine Chiwenga appeared in court facing several charges ranging from attempting to kill VP Chiwenga when he was battling for his life at a South African in hospital. She has been on routine  remand for 15 months now with the court failing to put her on trial.Everytime,she has appeared in court, images of her swollen legs and hands have gone viral with many netizens expressing shock as to what could be eating up the former wife of one of Zimbabwe’s powerful politicians. To this end, very little information is known about the cause of the disease that is eating her up.

The lack of such information has made discussion around the health of public officials futile. During the tenure of former President Robert Mugabe, there were rumours to the effect that the he had prostate cancer. Even in his death, the cause of death remains secretive. That information is only known by a selective few in foreign countries where he frequented for medical reviews and checkups. These medical professionals are up to this day still bound by the non-disclosure and confidentiality clause. Secrecy over ill health allows public figures to avoid the stigma associated with certain ailments and maintain their image as heroic and invincible. Unfortunately, it also reinforces a culture of hiding illnesses and perpetuating the stigma, guilt, disdain, and shame often associated with poor health. In the interest of the public, disclosure of an ailment allows for research, awareness and addresses issues of stigma.

A useful example if that of former American President, Ronald Reagan who was diagnosed with colon cancer in 1985.In that instance, Reagan’s diagnosis and treatment was formally disclosed in detail  to the public ,generating widespread media coverage and dispassionate public discussions. Later in the years, researchers later found that the disclosure birthed a public discourse on dietary habits and an increase in awareness around the importance of health monitoring. In the years that followed after the disclosure there was a sharp drop in advanced colon cancer cases likely due to early detection  and public disclosure.

In the past, even VP Chiwenga was down with an undisclosed ailment that saw him even seeking medical attention in China where he was kept for several months while recuperating. While even rumours of his imagined death made the rounds during his stay in hospital, the details of the cause of the ailment still remained top secret. In 2019, President Emmerson Mnangagwa while giving an update to the nation on the condition of the VP, only highlighted that his “condition remained remarkably stable”. Sadly years later, after a messy divorce, Mary Chiwenga cannot have the privilege of seeking medical attention abroad. In a turn of events, unlike his want-away husband whose sickness was secretive, she has had live with the “shame and embarrassment” of coming face to face with the media during routine remand. People who have interacted with her recent pictures have expressed shock and disdain over her deteriorating condition. Attempts by her lawyers to remove her off routine remand have all been struck down by the courts. Given the sensitivities around her dilemma, all the public can do for now is to shed sympathy and tears and watch from a distance as a mysterious ailment eats her away. What a sorry sight! In a normal country where issues of public health are prioritised, her sickness is not supposed to be a top guarded secret. The general public must be given a sneak preview of the ailment that to some is still mysterious. Revealing one’s condition can open up opportunities for even the general public or other health practititioners to lend a helping hand. Watching her come for routine remand is disturbing. At one point she was brought to court by an ambulance. All this proves her deteriorating condition and the stigma attached.

Recent researches around COVID 19 have revealed the high predominance of illness-related stigmatization and discrimination in Africa. Guilt and shame is more common when conditions are infectious, terminal or are deemed to have some moral or spiritual connotations. In such circumstances, patients often report to health facilities only when their symptoms are too advanced for meaningful intervention. This often leads to poorer treatment outcomes, higher care burdens and higher mortality rates, which further perpetuates fears and contributes to a general lack of knowledge about many illnesses. The resulting stigma can become so entrenched that it tarnishes the image of the deceased and their family.

In the final analysis, the Mary Chiwenga must come out of her shell and speak openly about her ailment. She has lost all there is in this world and is only left with her life to preserve. Going public about issues around her ailment will help the public to learn more about the disease  and in some cases even proffer solutions that can assist her.

Rawlings Magede is a Development Practitioner who writes here in his personal capacity. Feedback on vamagede@gmail.com

 

 

 

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