Transcript PowerPoint File

SOUTH AFRICAN RED CROSS SOCIETY
Always needed, always there.
Background
•
•
•
•
The principles are SARCS sole purpose is to reduce vulnerability to infectious
diseases. SARCS implements HIV and TB programmes since 2002 and MDR
TB programmes since 2005. SARCS is an auxiliary to the Health Ministry and
provides a supporting role towards gaps in the public medical system.
The South African Red Cross (SARCS), has been involved in the Community
Home Based Care Environment . SARCS is providing support and care to
clients affected and suffering from TB and AIDS as a part of community health
activities.
The control of Drug Resistant Tuberculosis through care and treatment
adherence support to most vulnerable patients living with MDR - XDR TB.
Enhance patient support via community outreach
Always needed, always there.
Auxiliary Status: What
is it?
Resolution
2
of
the
International Conference:
30th
“States and National Societies, the
latter as auxiliaries to their public
authorities in the humanitarian field,
enjoy a specific and distinctive
partnership at all levels, entailing
mutual
responsibilities
and
benefits, and based on international
What does that mean?
• National Societies support and supplement the public
authorities in their humanitarian tasks, including through
close coordination, and seriously consider any official
requests by the authorities to carry out humanitarian
activities within their mandate.
• Public authorities ensure that National Societies may
operate autonomously and in compliance with the
Movement’s Fundamental Principles.
Fundamental Principles
• Goals
– Humanity
– Impartiality
• Means
– Neutrality
– Independence
• Methods
– Voluntary Service
– Unity
– Universality
Implementation
Adopt and integrated approach :
Refer Patients to medical facilities for medication.
• Reduce default rate and increase adherence
• Educate communities on HIV,TB, Drug Resistance TB and
adherence to treatment.
• Prevent further spread.
• Support MDR clinic : data collection, filing, pharmacy
support in terms of medication .
• Link clinics/Hospitals with community
• Decentralisation Model
Always needed, always there.
CCG’s
Always needed, always there.
PURPOSE
 To support a treatment adherence. CD 4 Count
 To provide a psychological support.
 To raise Hiv,TB and MDR-TB awareness.
 To improve a nutritional status of HIV,TB and MDR
patients.
 To reduce stigma and discrimination.
• HIV, TB and MDR TB advocacy and mobilisation of
communities
Always needed, always there.
The Project targets
• Identified High Risk areas and Project operates in areas of
high default rate and patient numbers
• Patients classified as defaulters
• People Living with HIV and AIDS
• Drug and alcohol abusers
• Problem patients – bed ridden, single mothers, multi
children families.
• Child Headed Households
• Communities affected.
• Other stakeholders in community. Tribal Authorities
Always needed, always there.
Specific outcomes….
1. Increased awareness and knowledge on MDR - XDR TB
of patients, family members and community members in
targeted areas.
2. Provided care and treatment adherence support to
patients with MDR – XDR TB that are classified as
defaulters or patients at a high risk to interrupt the
treatment.
3. Decreased stigma and discrimination against people
affected with HIV, MDR - XDR TB.
4. Enhanced capacity of staff to provide quality care and
support at branch level.
Networking and Partnership
List of stakeholders in partnership with:










EThekwini municipality.
Department of Health(Local clinics, Ethekwini District Health )
MRC (Medical Research Council).
Operation Sukuma sakhe (war rooms).
Department of agriculture
Department of Social department
Association of the Aged
The Aids and Tuberculosis Association.
IFRC
Eli Lilly/ UWW
Increased awareness and knowledge on
MDR - XDR TB
Ongoing educational awareness
campaigns conducted in all project areas
includes:






Door to door includes tracing of defaulters
Presentations
Medication. Care, storage.
One on one talks
Education and referral HCT
Alcohol abuse
Distributes IEC materials i:e
 Pamphlets,
 Charts
 Flyers
Promotion and distribution of condoms
Always needed, always there.
Cont.…..
Areas targeted includes:








Taxi ranks
Schools
Households
Construction sites
Companies
Faith based Organisations
Informal settlements
Long Distance drivers
Always needed, always there.
Provision of care and treatment
adherence support to patients
• Successful tracing all defaulters
• Provision of client transport fund
• Accompany patients to health
facilities
• Support patients during ARV
literacy classes
• Prepare patients to disclose to
families
• Teach primary care givers
• Distribution of food parcels to
beneficiaries
Always needed, always there.
Cont.….
•
•
•
•
•
•
•
Provision of households chores
Home nursing and DOT support
Psychologist visit to some clients
Ongoing Counselling given to all patients
Referrals for legal documents
Promotion of vegetable gardens to all patients
Some clients received hygiene pack
Always needed, always there.
Key outcomes with Health Centre
Reduction of Stigma and discrimination
against people affected with MDR - XDR
TB.
Embarked on various anti stigma campaigns
covers






Community awareness campaign
Tackling of misconceptions and myths around TB
Tackling of stigma among family Members
Educating traditional healers on TB
Ongoing education on community Leaders
Distribution of pamphlets
Ongoing interventions on Gender based violence
among families encompass:
 Domestic violence
 Women and children rights
 Empowerment of Young women
Always needed, always there.
Enhanced capacity of staff to provide
quality care and support
Community care givers and facilitators received the
following trainings









Home Based care
HIV and AIDs
TB and MDR TB
First Aid level
Direct observed treatment (DOT)
Basic counselling
PSS
Gender based violence
TB/MDR /XDR and HIV and AIDS ( Co infection )
Always needed, always there.
Caring of the carers
Psychosocial support for Community care Givers and
staff includes





Wellness programme
Monthly debriefing sessions with Psychologist
Monthly support meetings with branch manager
Quarterly support meetings with project manager
Support and PSS services to volunteers and staff.
Always needed, always there.
Thank you!!!!!
Always needed, always there.