Fidelis Temba reviews the case of Stephano Daudi with nurses Josephine Masesa and Rebecca Maasai

 

The value of the Sit-In Approach (SIA) is most apparent with complicated cases.

One morning, Fidelis Temba, a clinical program officer from AGPAHI, examined Stephano Daudi, a four-year-old boy who had been on HIV treatment for two years. Josephine Masesa, an HIV nurse at Ushetu Health Centre, observed closely. Temba questioned Stephano’s mother and discovered that the child is three months late for a blood test to monitor the effectiveness of his treatment. Temba noted the boy’s pale complexion and off-and-on fever. His distended belly suggested a case of parasitic worms, since his quarterly deworming treatment was also three months late. Thus far, it was a run-of-the-mill case.

However, Temba then explored the family’s medical history and grew anxious. Stephano’s father, also living with HIV and on treatment, had been diagnosed and given treatment for TB, and it’s not clear if he had fully recovered. Stephano’s mother, also living with HIV, had not yet started treatment, which could have meant trouble for Stephano should she become ill and unable to care for him.

  

Author: Alio Hussein Juma

Co – authors: Dafrosa Chale2 , Richard Mutakyawa3

1Program Officer TBHIV, AGPAHI,
2Regional Program Coordinator, AGPAHI
3Program Officer, Clinical Services AGPAHI

Background

For the past five years, AGPAHI has been working to support TBHIV services in Shinyanga and Simiyu regions. With coverage of about 83 Care and Treatment facilities, only 35 facilities (42%) had TB diagnostic services before year 2015. The infrastructure that was available at the existing facilities was not able to support availability of laboratory services. This resulted in poor follow up of presumptive TB clients towards investigations to detect TB patients. 

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Author: Richard Kambarangwe1
Co – authors: Gastor Njau2, Dafrosa Chale3


1Program Officer Community Linkages, AGPAHI
2Regional Program Coordinator, AGPAHI
3Regional Program Coordinator, AGPAHI

Background

Health facility delivery has continually been a challenge as most pregnant women especially in the rural areas in Tanzania deliver at home by support of traditional birth attendants or other close experienced family member. In Shinyanga District Council, facilit delivery is 51% compared to 80% (2013) of the national target. Low health facility delivery in Shinyanga District Council is contributed by prolonged labor (among other things) where most pregnant women want to get to the health facility when its time to deliver which end up being late.

 

 

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Author: Emilian Ng’wandu1

Co – authors: Obed Manase2, Kunda Mtui3, Prof. Andy Barraclough4


1 Program Coordinator, Pharmaceutical Management and Supply Chains, AGPAHI
2 Senior IT Officer, AGPAHI
3 Software Developer and Programmer - Masoko Tanzania LTD
4 Director of Training and Capacity Development, Empower School of Health

BACKGROUND

The Tanzania health system is organized into four main levels, which are: district, regional, zonal and national levels. These levels
have a network of hospitals, health centers and dispensaries. The country has over 8,215 healthcare facilities, 79% of which are
owned by the government, 13% faith-based and voluntary, and 8% privately owned.

 

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Author: Faustine Kilicha Kichah1

Co – author: Sarah Matemu2

1District AIDS Control Coordinator, Itilima District Council
2Clinical Service Manager, AGPAHI

Background

Inadequate retention of PLHIV into HIV and AIDS care and treatment program has been commonly reported by district councils from Simiyu Region. Retention mechanism is a big challenge to most of councils including Itilima District Council. For the period of January – March 2015 the retention of PLHIV was reported to be 62% with contributing gaps being few Care and Treatment Centre (CTC) sites, distance to CTC, late opening working hours, lack of money to travel for care and treatment services, inadequate ART adherence counseling by service providers, etc. Itilima District Council recognizes the importance of Community ART adherence group at Chinamili Dispensary (Pilot) as retention approach to halt consequences of an increasing number of Lost To Follow Up (LTFU) clients that is threatening the Care and Treatment program and eventually the lives of PLHIV. 

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What We Do

  • TB in the Mining Sector Programme +

    TB in mining sector (TIMS) project is funded by Global fund through Development Aid from People to People (ADPP - Mozambique). AGPAHI is a sub-recipient of ADPP Mozambique.The project target is to screen TB to approximately 30,000 mine workers and their families.

  • CIFF Reprogramming +

    Project Goal is to improve health services to prevent HIV transmission, increase identification of adolescents with HIV infection, and improve HIV care and treatment and retention for ALHIV in Tanzania.

  • Provision of Comprehensive HIV Care +

    The purpose of** Boresha Project** is to support comprehensive facility-based HIV testing, care, treatment and support service provision in 9 scale-up and 25 sustained districts in the five lake zone regions of Geita, Mara, Mwanza, Simiyu and Shinyanga. .

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