1 / 18

Managing patient infected with HIV in a Government health Clinic – Six years experience

Managing patient infected with HIV in a Government health Clinic – Six years experience. Dr. Norsiah Ali PMC MD(USM),MMed (UM) Family Medicine Specialist, Tampin Health Clinic, Tampin, N. Sembilan,Malaysia @ Fellowship Community Addiction Medicine Department of General Practice

trilby
Download Presentation

Managing patient infected with HIV in a Government health Clinic – Six years experience

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Managing patient infected with HIV in a Government health Clinic – Six years experience Dr. Norsiah Ali PMC MD(USM),MMed (UM) Family Medicine Specialist, Tampin Health Clinic, Tampin, N. Sembilan,Malaysia @ Fellowship Community Addiction Medicine Department of General Practice Monash University, Victoria

  2. TAMPIN HEALTH CLINIC Location, Population coverage, Daily attendances, Staff, Activities…

  3. Introduction • HIV infection has caused a lot of sufferings and thousands has died. • In Malaysia, it has spread tremendously to both urban and rural populations since it was first identified and mainly related to drug addiction. • The pool for drug addiction in Malaysia is mainly in some pockets in urban areas and villages particularly FELDA areas. • Currently the majority of clinics providing treatment to HIV infected patients are located in urban area. Therefore there is a need to provide care accessible to patient.

  4. 308 areas 500 families per area Settlers are mainly from poor socioeconomic and low education status FELDA (Federal Land Development Authority)

  5. History of HIV servicein Tampin Health Clinic • First started in 2001 after FMS attended a course conducted by the AIDS Division Ministry of Health. • Integrate with other illnesses • 1st case: 52 yrs old man • Initial years: Counseling sessions, Symptomatic Rx, prophylaxis against PCP….many died. • 2004: 6 patients referred for HAART ( 3 KL Hosp, 3 Seremban Hosp) • April 2005 : FMS attached to ID Clinic GHKL for 2 weeks • July 2005 : HAART initiated in Tampin Health Clinic

  6. Clinic session

  7. Registed patients

  8. How patients are captured ( N=118 )

  9. Health Forum in FELDA area

  10. Collaboration with other agencies….National Drug Agency, Police Dept, Drug Rehab Centre, Community Leaders etc.

  11. Gender: Male – 109 (92.4%) Female – 9 (7.6%) b. Ethnic group Malay- 98 ( 83 %) Chinese – 6 ( 5 %) Indian – 14 (12%) Sociodemography

  12. Age distribution

  13. Risk factors & Stage when first came to clinic

  14. Co-infections & ADI (N=118)

  15. Outcome after 6/12 on ARV (N=32)

  16. an interactive session with infected patients

  17. Difficulties • To ensure patient comply to treatment and f/up. • Need to regularly keep track with patient’s attendance and serial counseling. • Lack of manpower • Delay in getting lab result (Hep C, CD 4 ) • Not many can afford Hep C treatment • Relapse to drug addiction – Methadone • Involve with police case

  18. Conclusion • HIV Clinic can be conducted in a primary care clinic • Need to have good liaison with ID physician • Collaboration with other agencies and community • Dedicated and motivated staff • Good support services ( laboratory, counseling sessions etc ) • Careful selection of patients for HAART

More Related