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CABRINI MINISTRIES ST. PHILIP’S MISSION …restoring life

CABRINI MINISTRIES ST. PHILIP’S MISSION …restoring life. TB and TB-HIV in the Area Surrounding St. Philip’s Mission Mhlathuze Lubombo A ministry of the Missionary Sisters of the Sacred Heart. St. Philip’s Mission, Mhlathuze. Who is Cabrini Ministries?.

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CABRINI MINISTRIES ST. PHILIP’S MISSION …restoring life

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  1. CABRINI MINISTRIES ST. PHILIP’S MISSION…restoring life TB and TB-HIV in the Area Surrounding St. Philip’s MissionMhlathuzeLubombo A ministry of the Missionary Sisters of the Sacred Heart

  2. St. Philip’s Mission, Mhlathuze

  3. 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’s • Healthcare exclusively for HIV/AIDS and TB patients • Childcare – for orphans and vulnerable children

  4. 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 Consortium • NCCU • Partnerships with other NGOs to provide comprehensive services

  5. Current situation in area • Families overburdened • Food insecurity • Extreme Unemployment • Lack of financial means • Lack of electricity • Poor roads • Unregulated costly transport • Lack of clean water / Lack of water • Lack of Sanitation • Majority of clients do not read or write and have never left the area

  6. Health issues in area • HIV and AIDS • TB

  7. 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.

  8. 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.

  9. 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 HIV • 25% of all TB patients are MDR cases • Provide a continuum of health care services for HIV, AIDS, & TB patients at their homesteads • Provide access to healthcare, clinical management and support services and ongoing community education

  10. CM Healthcare • Health 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.

  11. Current healthcare services offered • HIV, AIDS, TB Education: prevention, adherence • HIV testing and counselling • TB sputum testing for every HIV+ client with TB symptoms • ART pre-counselling and adherence counselling with individuals and groups; on homesteads • ART outreach centre of Sithobela HC

  12. 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 Clinic • Day and overnight care as necessary at drop-in Center

  13. TB outreach • TB fully integrated into all HIV services • TB screening of all HIV tested and HIV positive people • Ongoing TB screening of HIV patients on treatment when they come in for refills • TB treatment initiation of all sputum positive patients • Visit 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

  14. TB outreach • Food parcels are given to those in need • Defaulters 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

  15. Community Linkages • Since February, collaboration with 2 Government clinics (1 day per week each) • Siphofaneni • Sinceni • to assist with HIV & TB treatment defaulters • CM doctor present 1 day at each clinic for initiation of TB and ART medication

  16. Successes • Less than 3% default rate for TB treatment • Able to integrate TB and HIV treatment activities • Less than 1% default rate for HIV+ patients

  17. Challenges • Patients coming very late for treatment • Reluctance by clients to start HAART 2 weeks post TB initiation • Food shortages negatively impacting treatment compliance • Pill burden

  18. SIYABONGA KA KHULU

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