Aster Gemede lost her husband to tuberculosis (TB) meningitis early in 2012. Struck with grief, Gemede did not notice her own deteriorating health in the months after his death. Cough, fever, chest pain, and loss of appetite became part of her everyday life. She hardly noticed she was losing weight. When Gemede got to the point where she was unable to look after her two children, she was forced to walk eight hours from her home in rural Borena zone, Oromia, Ethiopia, to the nearest health facility.