tb and tb-hiv in the area surrounding st. philips mission mhlathuze lubombo a ministry of the...
TRANSCRIPT
![Page 1: TB and TB-HIV in the Area Surrounding St. Philips Mission Mhlathuze Lubombo A ministry of the Missionary Sisters of the Sacred Heart](https://reader036.vdocuments.us/reader036/viewer/2022062417/551a0be855034619378b4ca8/html5/thumbnails/1.jpg)
TB and TB-HIV in the
Area Surrounding St. Philip’s MissionMhlathuzeLubombo
A ministry of the Missionary Sisters of the Sacred Heart
![Page 2: TB and TB-HIV in the Area Surrounding St. Philips Mission Mhlathuze Lubombo A ministry of the Missionary Sisters of the Sacred Heart](https://reader036.vdocuments.us/reader036/viewer/2022062417/551a0be855034619378b4ca8/html5/thumbnails/2.jpg)
St. Philip’s Mission, Mhlathuze
![Page 3: TB and TB-HIV in the Area Surrounding St. Philips Mission Mhlathuze Lubombo A ministry of the Missionary Sisters of the Sacred Heart](https://reader036.vdocuments.us/reader036/viewer/2022062417/551a0be855034619378b4ca8/html5/thumbnails/3.jpg)
Who is Cabrini Ministries?Catholic Faith Based Organization working in
area surrounding St. Philip’s since 1971
Changing services as needs have changed
Presently seeking to respond to the needs generated by the HIV-TB pandemic surrounding St. Philip’sHealthcare exclusively for HIV/AIDS and TB
patientsChildcare – for orphans and vulnerable children
![Page 4: TB and TB-HIV in the Area Surrounding St. Philips Mission Mhlathuze Lubombo A ministry of the Missionary Sisters of the Sacred Heart](https://reader036.vdocuments.us/reader036/viewer/2022062417/551a0be855034619378b4ca8/html5/thumbnails/4.jpg)
Who is Cabrini Ministries?Active Partner in the Swaziland Stop TB
Partnership
Strong collaborators with the National TB Program
Partner in various other national response co-operations including:HIV/AIDS ConsortiumNCCUPartnerships with other NGOs to provide
comprehensive services
![Page 5: TB and TB-HIV in the Area Surrounding St. Philips Mission Mhlathuze Lubombo A ministry of the Missionary Sisters of the Sacred Heart](https://reader036.vdocuments.us/reader036/viewer/2022062417/551a0be855034619378b4ca8/html5/thumbnails/5.jpg)
Current situation in areaFamilies overburdened Food insecurityExtreme UnemploymentLack of financial meansLack of electricityPoor roadsUnregulated costly transportLack of clean water / Lack of
waterLack of SanitationMajority of clients do not read
or write and have never left the area
![Page 6: TB and TB-HIV in the Area Surrounding St. Philips Mission Mhlathuze Lubombo A ministry of the Missionary Sisters of the Sacred Heart](https://reader036.vdocuments.us/reader036/viewer/2022062417/551a0be855034619378b4ca8/html5/thumbnails/6.jpg)
Health issues in area • HIV and AIDS• TB
![Page 7: TB and TB-HIV in the Area Surrounding St. Philips Mission Mhlathuze Lubombo A ministry of the Missionary Sisters of the Sacred Heart](https://reader036.vdocuments.us/reader036/viewer/2022062417/551a0be855034619378b4ca8/html5/thumbnails/7.jpg)
Health issues in area • Lack of access to
health services• Lack of follow-up• Malnutrition• Strong hold of
traditional healing, fear of other healing, fear of leaving area for treatment.
![Page 8: TB and TB-HIV in the Area Surrounding St. Philips Mission Mhlathuze Lubombo A ministry of the Missionary Sisters of the Sacred Heart](https://reader036.vdocuments.us/reader036/viewer/2022062417/551a0be855034619378b4ca8/html5/thumbnails/8.jpg)
SERVICES PROVIDED TO:Anyone who wants to test
for HIV or TB in the service area
All those who are HIV or TB positive in the service area
HTC, including partial service with referral to local clinics for those outside of Cabrini service area
Presently actively serving over 2,000 HIV, AIDS, TB clients; number served increases by about 1% per month.
![Page 9: TB and TB-HIV in the Area Surrounding St. Philips Mission Mhlathuze Lubombo A ministry of the Missionary Sisters of the Sacred Heart](https://reader036.vdocuments.us/reader036/viewer/2022062417/551a0be855034619378b4ca8/html5/thumbnails/9.jpg)
CM Healthcare
Cabrini commenced as a TB diagnostic centre in 2010
So far we have initiated 121 patients on TB treatment
73% of all TB patients are co-infected with HIV25% of all TB patients are MDR casesProvide a continuum of health care services for
HIV, AIDS, & TB patients at their homesteadsProvide access to healthcare, clinical
management and support services and ongoing community education
![Page 10: TB and TB-HIV in the Area Surrounding St. Philips Mission Mhlathuze Lubombo A ministry of the Missionary Sisters of the Sacred Heart](https://reader036.vdocuments.us/reader036/viewer/2022062417/551a0be855034619378b4ca8/html5/thumbnails/10.jpg)
CM HealthcareHealth Care
Outreach for HIV, AIDS and TB - Access to Care for rural people
At Cabrini Ministries, TB care is fully integrated into HIV care
Case finding – hard, labour intensive, but possible if there is the WILL to do it.
![Page 11: TB and TB-HIV in the Area Surrounding St. Philips Mission Mhlathuze Lubombo A ministry of the Missionary Sisters of the Sacred Heart](https://reader036.vdocuments.us/reader036/viewer/2022062417/551a0be855034619378b4ca8/html5/thumbnails/11.jpg)
Current healthcare services offered
HIV, AIDS, TB Education: prevention, adherence
HIV testing and counsellingTB sputum testing for every HIV+
client with TB symptomsART pre-counselling and adherence
counselling with individuals and groups; on homesteads
ART outreach centre of Sithobela HC
![Page 12: TB and TB-HIV in the Area Surrounding St. Philips Mission Mhlathuze Lubombo A ministry of the Missionary Sisters of the Sacred Heart](https://reader036.vdocuments.us/reader036/viewer/2022062417/551a0be855034619378b4ca8/html5/thumbnails/12.jpg)
Current healthcare services offered
TB teaching and TB adherence teaching in the community; on homesteads
Nutrition support weekly Transport to hospital (including
chemotherapy)Home Visits daily to follow-up the very
sick, dying, defaulters PMTCT with St. Philip’s ClinicDay and overnight care as necessary at
drop-in Center
![Page 13: TB and TB-HIV in the Area Surrounding St. Philips Mission Mhlathuze Lubombo A ministry of the Missionary Sisters of the Sacred Heart](https://reader036.vdocuments.us/reader036/viewer/2022062417/551a0be855034619378b4ca8/html5/thumbnails/13.jpg)
TB outreachTB fully integrated into all HIV servicesTB screening of all HIV tested and HIV positive
peopleOngoing TB screening of HIV patients on
treatment when they come in for refillsTB treatment initiation of all sputum positive
patientsVisit to patients within two weeks of TB
treatment initiation to assess progress and encourage treatment compliance
For all HIV+ TB patients the patient is prepared and initiated on HAART
![Page 14: TB and TB-HIV in the Area Surrounding St. Philips Mission Mhlathuze Lubombo A ministry of the Missionary Sisters of the Sacred Heart](https://reader036.vdocuments.us/reader036/viewer/2022062417/551a0be855034619378b4ca8/html5/thumbnails/14.jpg)
TB outreachFood parcels are given to those in needDefaulters followed up through phone
calls and/or homestead visits.Provide tents where necessary to assist
with isolation of TB patients on homesteads
Transport provided to MDR patients to Moneni
![Page 15: TB and TB-HIV in the Area Surrounding St. Philips Mission Mhlathuze Lubombo A ministry of the Missionary Sisters of the Sacred Heart](https://reader036.vdocuments.us/reader036/viewer/2022062417/551a0be855034619378b4ca8/html5/thumbnails/15.jpg)
Community LinkagesSince February, collaboration with 2
Government clinics (1 day per week each)SiphofaneniSinceni
to assist with HIV & TB treatment defaultersCM doctor present 1 day at each clinic for
initiation of TB and ART medication
![Page 16: TB and TB-HIV in the Area Surrounding St. Philips Mission Mhlathuze Lubombo A ministry of the Missionary Sisters of the Sacred Heart](https://reader036.vdocuments.us/reader036/viewer/2022062417/551a0be855034619378b4ca8/html5/thumbnails/16.jpg)
SuccessesLess than 3% default rate for TB
treatmentAble to integrate TB and HIV
treatment activitiesLess than 1% default rate for HIV+
patients
![Page 17: TB and TB-HIV in the Area Surrounding St. Philips Mission Mhlathuze Lubombo A ministry of the Missionary Sisters of the Sacred Heart](https://reader036.vdocuments.us/reader036/viewer/2022062417/551a0be855034619378b4ca8/html5/thumbnails/17.jpg)
ChallengesPatients coming very late for
treatmentReluctance by clients to start
HAART 2 weeks post TB initiationFood shortages negatively impacting
treatment compliancePill burden
![Page 18: TB and TB-HIV in the Area Surrounding St. Philips Mission Mhlathuze Lubombo A ministry of the Missionary Sisters of the Sacred Heart](https://reader036.vdocuments.us/reader036/viewer/2022062417/551a0be855034619378b4ca8/html5/thumbnails/18.jpg)
SIYABONGA KA KHULU