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My time at Good Shepherd Hospital

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

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My time at Good Shepherd Hospital

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  1. My time at Good Shepherd Hospital

  2. Swaziland • Population about 1 million • HIV prevalence is 26% (15-49yrs) • TB incidence about 1200 per 100,000 (with 80% HIV/TB co-infection)

  3. 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

  4. 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

  5. My work Service 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

  6. 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

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