Yvette Alta Raphael, though youthful in demeanor, faces challenges of brittle bones, achy knees, and severe vertigo, which has led her to halt driving for fear of accidents.
As part of a generation of South Africans living with HIV for decades, Raphael represents those now aging with the virus thanks to groundbreaking medications that transformed HIV from a death sentence to a manageable condition.
As these individuals age, the cost of their care escalates, raising concerns amid a political flux after recent critical elections. With competing ideologies on bolstering the healthcare system already strained by the world’s largest HIV epidemic, millions are left wondering about their future.
Raphael, a 49-year-old entrepreneur owning a vibrant clothing store in Thembisa, recalls her initial HIV diagnosis, anticipating only a few years to live despite treatment. Surpassing expectations, she has lived over 24 years, married, had children, and realized her dream of owning a business.
Her primary apprehension now is navigating the compounded health challenges of aging, lamenting the perceived lack of concern from the government.
The potential financial implications are immense for a country already allocating up to 9% of its GDP to healthcare, with per capita expenses surpassing those of any other sub-Saharan nation.
With the recent electoral shift in South Africa, discussions on healthcare funding intensify. The ANC, now without a parliamentary majority, faces decisions on coalition formations, with differing views on proposals like a state-funded health scheme.
Delaying action on the needs of HIV-positive individuals aging prematurely could exacerbate the financial strain in a country where nearly 13% of the population lives with the virus.
Medical experts emphasize the complexity of addressing HIV and aging, advocating for early intervention to mitigate risks such as cardiovascular disease and cancer.
While South Africa spends significantly on HIV/AIDS treatment annually, experts argue it falls short, with challenges in estimating required funding for comprehensive care.
Infrastructure limitations, compounded by socioeconomic disparities, hinder access to regular treatment, particularly for those with mobility issues.
Gender disparities also play a role, as women disproportionately bear the burden of HIV transmission, leading to challenges in later years.
Currently, South Africa lacks specialized services for older HIV-positive individuals at primary care levels, exacerbating competition for resources.
Efforts to address early aging among HIV-positive individuals could serve as a model for other African nations facing similar challenges.
Raphael, leveraging her experience and activism, advocates for expanded access to preventive measures and anticipates a continued fight for comprehensive care as individuals age with HIV.
In her advocacy, she underscores the importance of ensuring care for those aging with HIV, emphasizing the resilience of the community in overcoming past hurdles.
