Amakhumbuza Community and Development Health Care was established in 1990. Amazkhumbuza offers health services such as tests, screenings, and clinic referrals for TB and HIV/AIDS. They also provided health education in the Matshana community.
Amakhumbuza Community Development and Healthcare Centre is situated at Matshana reserve under Madlebe tribal authority, seven (7) kilometers from Empangeni town. It is a non-profit organization that serves the population of about 50 000 people.
The purpose of their grant is for the provision of technical assistance to the TB Program in
South Africa by providing early diagnosis and treatment, prevention, clinical care, monitoring, training of home based workers in the rural community of Matshana in the town of Empangeni, South Africa.
Their technical strategy is focused on:
- Preventing the spread of TB through health education to the community about the disease, its signs and symptoms.
- Screening for TB.
- Supporting patients diagnosed with TB by creating community based support systems
- Effectively managing their treatment program in terms of medication, hygiene and diet. Supervision of treatment through D.O.T.S.
- Strongly championing a program to prevent drug resistance by following up on defaulters and minimizing defaulting by proper control of treatment regime.
- Proper referral to social services for those who are in need.
- Rehabilitating all our patients in such a manner that they may be independent citizens though involvement in our projects and engaging them to start other projects that will earn them a living.
- Follow-up testing (2 months sputum for smear conversion).
- Follow-up testing (5 months sputum for treatment outcomes).
- Door to door visits to identify babies delivered at home and further referring them to Ngwelezane for (BCG) Bacillus Carlmette Guerian.
Their Goals and Objectives are:
- Creation of a TB program in their community by identifying all suspected clients through health education system that will make the community aware of signs and symptoms of this disease.
- To promote social justice and enhance equality by bridging the gap between those who have access to health services and those who do not have access to appropriate levels of TB care.
- Empowering their community with knowledge so that they are more confident to take wise decisions about their health.
- To undertake TB surveillance and appropriate research in TB, to measure extent of the problem, to monitor progress, evaluate the program and identify areas of high risk and explore new models of intervention.
- To support government strategy of reaching the poor communities through provision of health care for all and political commitment for the provision of necessary resources to the community.
- To build a healthier generation by ensuring that disease control and prevention of spread is championed in practical ways.
- To network with other health organizations and structures in ways that will benefit their communities.
- To build a sustainable program that will attract interested parties to contribute positively to development of our community.
- To create a resource that will benefit our youth through information sharing and research for study purposes.
- To create job opportunities for those who are unemployed that benefit from earning a living by participating in community projects.
Key Activities will include:
- Record keeping of all clients that come to the health centre and all those that are seen at their homes.
- Health education regarding TB and HIV/Aids prevention. Peer education especially the youth.
- TB screening. Taking sputum specimens and sending them to the Laboratory.
- HIV Counseling and Screening
- CD4 count and baseline blood taking. Sending specimens to the Laboratory.
- Adherence training. Discussing all factors that may affect clients ability to comply with medication.
- Health Education on Nutrition. Advising poor people with practical alternatives.
- Vital signs monitoring and reporting all abnormalities to professional nurse who will take action
- Home Visits: Identifying clients at risk. Giving health education. Helping those who cannot help themselves with activities of daily living. Teaching and supporting family members with caring for their sick members. Explaining about prevention of spread. DOT for those started on treatment. Referring appropriately to doctors and social services.
- School visits to see clients and vulnerable children. Discussing their progress at school. Educating the children about accepting their fellow students if they are sick and supporting each other. Health education on hygiene and prevention of spread of TB.
- Training of staff. The sister in charge of nursing services drives the process of training. She designs a training program that will cover all necessary training to empower the staff. Staff learning needs will be identified but specific training on TB, HIV/Aids, Quality Assurance, Infection control, Nutrition, remains a priority in the training program. Weekly in-service education at centre is of such benefit to the organization.
- Monitoring and Evaluation. Writing daily reports for the home visits, monthly reports from each section. Interpretation of data and presentation of statistics done by Project Manager and the professional nurses.