Every morning at six a.m. before he goes to school, and every night at six p.m. after he gets home from school, Emmanuel, 11, knows what he must do: take his antiretroviral pills.
Silence is golden, it is said. But not for Constance Nansamba* from Uganda, who paid a dear price for keeping silent about being HIV positive and pregnant at age 18.
Three years ago, Robert Ngwenya* and his father got into a heated argument over medication. Ngwenya, then aged 15, refused to continue swallowing the nausea-provoking pills he had been taking since he was 12 years old, and flushed them down the toilet.