Help Doctors Without Borders (MSF SnA) raise R250,000 for for those living with HIV & TB in Eshowe, KZN.
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Help Doctors Without Borders (MSF SnA) raise R250,000 for for those living with HIV & TB in Eshowe, KZN.
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Eshowe, South Africa - ‘Bending the Curve’ project Project outline MSF’s approach focuses both on treatment and prevention. The project’s community-oriented approach aims to increase integrated HIV testing and TB screening as well as access and adherence to HIV treatment. In South Africa, “Test & Treat” is the national protocol since 2016, and so all HIV+ clients are eligible for ART starting the same day. In partnership with the KZN Department of Health (DoH), MSF runs an HIV/TB project called “Bending the Curve” in uMlalazi Municipality, uThungulu District. MSF supports nine clinics and three hospitals in an area with a population of 213 601 and aims to be the first site in South Africa to meet the ambitious UNAIDS 90-90-90 targets. Prevention includes Medical Male Circumcision and condom distribution. MSF’s mobilization of youth mostly in local schools, creating a relationship with school principals, teachers, students, and parents. Mobile Outreach Testing units (tents or a van) provide information & education, HIV Counselling & Testing, TB & Sexual Transmitted Infections (STI) Screening, pregnancy testing, condom distribution, and health promotion. MSF set up hubs called Luyanda Sites, these are small, decentralized rooms for HIV and TB services, situated in gaps between clinics, giving patients with chronic conditions easier access to the services they need. During the COVID-19 period patients with chronic conditions have been able to pick up their medication at these sites, saving a time-consuming and potentially risky clinic trip. Our teams also run a Schools program in Eshowe and Mbongolwane to educate learners on HIV &TB to help fight stigma in their communities because twe believe; if they educate a learner, they would have educated a community. MSF and the Dept of Health run several activities for vulnerable sub-groups of patients that are at risk of being lost from care or defaulting on treatment. In 2017, MSF in partnership with the KwaZulu-Natal Department of Health and uMlalazi Municipality opened the Philandoda Male Wellness Programme. A unique males-only health services facility located in the main taxi rank. Philandoda aims to raise the percentage of males that test for HIV and access treatment and prevention options. In 2019, “Bending the Curve” achieved the UNAIDS targets of 90-90-90 one year ahead of the 2020 deadline, with results of 90-94-95: 90% of people living with HIV know their status, 94% of those were on antiretroviral treatment and 95% of those had a suppressed viral load. The results support MSF’s view that interventions at the community level can successfully reach and directly support more people living with HIV who do not access conventional health services, which is key to getting ahead of the HIV epidemic.
