St Joseph Clinic, Sibasa, Diocese of Tzaneen
1st July-30th Sept. 2012
Anti-retroviral Treatment is received regularly from Tshilidzini hospital. No problems have been experienced. We are receiving some OI drugs , but the supply is insufficient for our needs. We also require medication that is not used by all PHC and ARV clinics in Limpopo.
Home Monitoring is done regularly. When patients are sick they are visited in their homes or hospital. TB Screening, Adherence Counseling, Support groups and Prayer groups are in place.
During this period we have taken 53 new patients from our area. 47 are already on treatment. 6 are still on treatment preparation. Patients that live outside of our catchment area are referred to their local clinics after VCT. The Home Based Care Givers are monitoring the patients who do not come to the clinic for their medication. Some patients have given incorrect directions to their homes and they are also unreachable on their phones.
The caregivers are doing intensified TB case finding after we had a workshop with the TB tracer team leader from the Department of Health. We follow the TB infection control program of our clinic. One of the staff is in charge of implementing and supervising this program. All the patients who come to the clinic are counseled about TB. If they have symptoms they are screened and sputum samples are collected and sent to Toga laboratories. If the patients are positive we refer them to the Government hospitals and the clinics for treatment but we continue to monitor them.
Regular counseling and home visitation is being done to make the parents aware of the need to bring their children for testing to the site and HBC givers try their best to give community awareness programs to encourage them to do so. The site is made children- friendly. Parents on ART are encouraged and counseled to bring their children for testing. Children on wellness remain with us and those that qualify for treatment are referred to the hospital.
Collaboration with the Health Department is good and we get advice and information from them. Since May last year we have been receiving ARV drugs from Tshilidzini hospital and we are now also receiving test kits.