My time at Good Shepherd Hospital

Swaziland

• Population about 1 million• HIV prevalence is 26% (15-49yrs)• TB incidence about 1200 per 100,000 (with

80% HIV/TB co-infection)

Good Shepherd Hospital

• Regional hospital for Lubombo – Very rural population– Highest HIV prevalence in Swaziland

• 201 bed hospital including general outpatients, medical and surgical inpatients, paediatrics, maternity, ENT, ophthalmology

Programmes Department/Community Health

• HIV and TB care for the region– Voluntary counselling and testing– Outpatient clinics for initiation on ART, OI’s– Support to community clinics for decentralisation– Home-based care

My workService development• Implementation and

management of PEPFAR and Global Fund grants

• Developing service spec for Home based care

• Developing M&E plans for pre-ART care, HBC

• Annual report• TB renovations• ART renovations• Outbreak/IPC

Operational Research• TB contact tracing• Male circumcision• ‘Buzzing’• NCDs• MDR TB

Other opportunities• Supervising students in

research• Partnership working with

NGOs and Ministry of Health

The ups

• People of Swaziland• ‘Can do’ mentality in

Programmes• Autonomy• Opportunity to be

involved at national level

And the downs…

• Poor infrastructure• ‘No’ mentality of many

in the hospital• Fear of hospital of

looking bad • Heads in the sand• Difficulties with donors