managing patient infected with hiv in a government health clinic six years experience
Download
Skip this Video
Download Presentation
Managing patient infected with HIV in a Government health Clinic – Six years experience

Loading in 2 Seconds...

play fullscreen
1 / 18

Managing patient infected with HIV in a Government health Clinic – Six years experience - PowerPoint PPT Presentation


  • 101 Views
  • Uploaded on

Managing patient infected with HIV in a Government health Clinic – Six years experience. Dr. Norsiah Ali PMC MD(USM),MMed (UM) Family Medicine Specialist, Tampin Health Clinic, Tampin, N. Sembilan,Malaysia @ Fellowship Community Addiction Medicine Department of General Practice

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Managing patient infected with HIV in a Government health Clinic – Six years experience' - trilby


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
managing patient infected with hiv in a government health clinic six years experience

Managing patient infected with HIV in a Government health Clinic – Six years experience

Dr. Norsiah Ali PMC

MD(USM),MMed (UM)

Family Medicine Specialist,

Tampin Health Clinic, Tampin, N. Sembilan,Malaysia

@ Fellowship Community Addiction Medicine

Department of General Practice

Monash University, Victoria

slide2
TAMPIN HEALTH CLINIC

Location, Population coverage, Daily attendances, Staff, Activities…

introduction
Introduction
  • HIV infection has caused a lot of sufferings and thousands has died.
  • In Malaysia, it has spread tremendously to both urban and rural populations since it was first identified and mainly related to drug addiction.
  • The pool for drug addiction in Malaysia is mainly in some pockets in urban areas and villages particularly FELDA areas.
  • Currently the majority of clinics providing treatment to HIV infected patients are located in urban area. Therefore there is a need to provide care accessible to patient.
felda federal land development authority
308 areas

500 families per area

Settlers are mainly from poor socioeconomic and low education status

FELDA (Federal Land Development Authority)
history of hiv service in tampin health clinic
History of HIV servicein Tampin Health Clinic
  • First started in 2001 after FMS attended a course conducted by the AIDS Division Ministry of Health.
  • Integrate with other illnesses
  • 1st case: 52 yrs old man
  • Initial years: Counseling sessions, Symptomatic Rx, prophylaxis against PCP….many died.
  • 2004: 6 patients referred for HAART ( 3 KL Hosp, 3 Seremban Hosp)
  • April 2005 : FMS attached to ID Clinic GHKL for 2 weeks
  • July 2005 : HAART initiated in Tampin Health Clinic
slide10
Collaboration with other agencies….National Drug Agency, Police Dept, Drug Rehab Centre, Community Leaders etc.
sociodemography
Gender:

Male – 109 (92.4%)

Female – 9 (7.6%)

b. Ethnic group

Malay- 98 ( 83 %)

Chinese – 6 ( 5 %)

Indian – 14 (12%)

Sociodemography
difficulties
Difficulties
  • To ensure patient comply to treatment and f/up.
  • Need to regularly keep track with patient’s attendance and serial counseling.
  • Lack of manpower
  • Delay in getting lab result (Hep C, CD 4 )
  • Not many can afford Hep C treatment
  • Relapse to drug addiction – Methadone
  • Involve with police case
conclusion
Conclusion
  • HIV Clinic can be conducted in a primary care clinic
  • Need to have good liaison with ID physician
  • Collaboration with other agencies and community
  • Dedicated and motivated staff
  • Good support services ( laboratory, counseling sessions etc )
  • Careful selection of patients for HAART
ad