In other rights-based work, it is well recognized that people often face unique self-issues, including intense self-stigma. Self-issues are a set of concerns that positively or negatively impact self-acceptance, self-perception, self-efficacy, self-esteem and self-confidence. Self-stigma often results when self-issues interact with external causes (such as discrimination or violence in family, school, social or work settings), resulting in depression, low self-esteem, anger and self-harm, even suicidal intent.
Self-stigma contributes to 'bridging behaviours' -- such as substance abuse - that can jeopardize health-seeking behaviour. Quality counselling especially the support provided by cured TB patients for example, helps in addressing self-stigma and also, dispels myths and misconceptions. Healthcare providers should spend more quality time on patient education and also engage networks of people who have experienced TB in their lives. "We need to encourage each other to love themselves, go to health services, and seek timely support," said Rahul.
If we are to end TB, we have to drive TB out of the shadows, end all forms of TB-related stigma and discrimination, and reach out to every person who needs TB services, support and care.
Bobby Ramakant, CNS
(Bobby Ramakant is the Health Editor and Director (Policy and Communications) at CNS. He received the WHO Director General's WNTD Award in 2008. Follow him on Twitter @bobbyramakant or visit www.citizen-news.org)
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