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5.4 Volunteers at HOPE Cape Town A big Thank your goes to the following volunteers: Dillenburg, Anne Falkowska, Silvia Fiebig, Laura Hirschberg, Jutta Kraus, Kathrin Price, Stuart Schnetkamp, Ulla Scholten, Moritz Walker, China Wendt, Vaneska Silvia und Vaneska Laura Kathrin Moritz 6. Report HOPE Cape Town Doctor Dr Sandra Picken took over from Dr Sadeeka Williams in December 2011, when Sadeeka moved on to work full time in Paediatrics at Red Cross Hospital. It has been the greatest pleasure to join an organisation that not only focuses on the medical needs of patients but provides the holistic support that communities really need. The team at HOPE Cape Town really strives to achieve the very best for the patients and communities in which they serve and it has been a privilege to become a part of this. At the time of writing this report I am on maternity leave but am looking forward to getting back to work at HOPE Cape Town. 6.1 Delft clinic HOPE Cape Town continues to be very involved with the running of the Paediatric ARV Clinic at Delft Community Health Centre. The clinic is still held each Friday where 20 – 35 patients are seen. There are approximately 125 children receiving ARV treatment from Delft ARV clinic. This number fluctuates as new children are being initiated on treatment and patients frequently transfer in and out of the clinic, most often between the Western and Eastern Cape. The clinic and doctors work closely with the Tygerberg Infectious Diseases Department and this proves very beneficial as there is continuity of care between the ward and the clinic when children 21
are admitted and discharged. When it comes to complicated medical cases, it is also very valuable to have the expert opinions of experienced consultants who work at Tygerberg Hospital. The main challenges that we face at clinic level tend to be social problems rather than medical complications. However, these tend to be closely interlinked as these social problems inevitably negatively impact on the medical aspect of care. Many of our patients and their families battle with problems relating to poverty – poor living standards; food and clothing shortages; transport and education problems. In addition, sadly many of our children come from broken homes, that are often a result of parental substance abuse and many have subsequently been placed in foster care. Together with the social workers, it remains a constant challenge for the doctors and Community Health Workers to try to improve these situations and empower the parents to help themselves as much as possible. Conversely, it remains incredibly rewarding, to see how well the children do on their ARVs and how committed many of their parents are to their treatment regimens. The HOPE Cape Town Community Health Workers play an integral part in facilitating the transfer of knowledge and motivation in order to achieve this. Delft Clinic 6.2 CD4 Count Study In November 2011, HOPE Cape Town embarked on a research project that looks at the impact of using the routine Paediatric HIV visits to the clinic/hospital as an opportunity to intervene early in maternal health care. It involved using a new ‘point-of-care’ prototype finger prick CD4 count machine that yields results within twenty minutes of performing the test. This machine was on loan from Alere and is not yet widely available. Together with standard laboratory sample processing, these results were used to ascertain whether the mothers of these children were eligible for ARVs and how many of these mothers had ‘missed’ their routine screening at clinic level. Up until the end of February 2012, the research protocol had been submitted and ethics approval obtained and the enrolment of patients into the study from Tygerberg hospital was well underway. The preliminary sub-analysis of the patients enrolled to date, showed that using the paediatric visit as an early intervention for HIV positive mothers could make a vast impact on maternal health, as, up to almost a third of mothers enrolled in the study were eligible for ARVS and should have been on treatment but were not. The study meant that these mothers were referred back to their respective clinics with their results and a referral letter to streamline their access to ARV treatment. This emphasizes the positive impact that this study alone has already made to date. 22
Page 1 and 2: Annual Report 1 March 2011 - 29 Feb
Page 3 and 4: 6.3 Resistance Testing ............
Page 5 and 6: 2. Address by Dr Therese Fish/Deput
Page 7 and 8: is related to poverty, the financia
Page 9 and 10: 4. Report Chairperson Dr Monika Ess
Page 11 and 12: Ball of HOPE Cape Town 4.2.3 World
Page 13 and 14: emains difficult to provide continu
Page 15 and 16: More recent projects include nutrit
Page 17 and 18: 5. Tygerberg Hospital/Ithemba ward
Page 19 and 20: information and guidance, teaching
Page 21: 5.3.1 Visitors at the Ithemba Ward
Page 25 and 26: All applications are processed by t
Page 27 and 28: Nutrition project 7.4 E-Learning HO
Page 29 and 30: X-mas party Delft 8.4 Vegetable Gar
Page 31 and 32: 8.12 Gardening A vegetable garden i
Page 33 and 34: List of donors in alphabetical orde
Page 35 and 36: Your Africa Travel Agency Ziehl Pau

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