Rheumatic heart disease can be prevented by effective management of streptococcal sore throat, however treatment at this early stage is often not achieved. Families may not have the time or money to access a healthcare facility, or may not seek care due to low awareness of the potential risk of untreated ‘strep throat’. Healthcare workers may also not have the necessary knowledge to appropriately diagnose and manage a ‘strep throat’. If left untreated, rheumatic fever may then ensue.