My time at Good Shepherd Hospital. Swaziland Population about 1 million HIV prevalence is 26%...
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Transcript of My time at Good Shepherd Hospital. Swaziland Population about 1 million HIV prevalence is 26%...
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
• 201 bed hospital including general outpatients, medical and surgical inpatients, paediatrics, maternity, ENT, ophthalmology
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
My workService 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
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