Tanga aids working group (tawg) using traditional herbal plants to benefit people living with hiv/aids


Download 120 Kb.
Sana10.01.2019
Hajmi120 Kb.


TANGA AIDS WORKING GROUP (TAWG)

  • USING TRADITIONAL HERBAL PLANTS TO BENEFIT PEOPLE LIVING WITH HIV/AIDS

  • PRESENTED AT THE GLOBAL DISTANCE LEARNING CENTRE

  • DAR-ES –SALAAM – TANZANIA

  • MARCH 29TH, 2005

  • AUTHORS: DR.F.J. MBERESERO

  • DR S. MTULLU

  • Tanga Aids working group

  • Tel/Fax +255-27-422-66

  • P.O.Box 1374

  • Tanga – Tanzania

  • Email:tawg@kaributanga,com


Brief History

  • TAWG is a local non profit NGO

  • TAWG is basically a group of professional Health Workers who organized themselves into a team of Voluntary counselors. HIV/AIDS educators and Home Care Providers.

  • In 1997 a Medical Officer in Pangani District observed people coming late to hospital even for treatable condition.

  • He further learned that those people were attending Traditional Healers services.

  • Monthly meeting were organized under umbrella of PHC to exchange knowledge and know who treats what best.



Brief history ….

  • Collaboration was initiated between Health Workers and THs aiming at early referral and recognition of danger signs and symptoms.

  • One TH offered herbal remedies to treat AIDS patients in Hospital

  • Following the treatment it was observed by Bio-medical health personnel that patients tend to gain weight and register general improvements.

  • In association with TH’s, 3 efficacious plant remedies were developed for treatment 01 associated with HIV/AIDS (oral thrush, diarrhea, persistent fivers, skin rashes and Hyper Zoster)

  • There after Home Based Services was developed on voluntary basis



Vision and Mission

  • Tanga Region communities implement HIV/AIDS/STI control measures and care improved for PLWHA

  • To reduce the spread of HIV and other STIs through Community based educational activities and to provide Care and support for PLHA through home-based Care and the provision of Traditional plant remedies, in association with Traditional Healers.



Specific Objectives

  • To provide home Based Care and Support to people living with AIDS and their families.

  • To prevent the spread of HIV through Community Based Educational program targeting vulnerable groups.

  • To collaborate with Traditional Healers in prevention, care and research on Traditional Medicinal plants.

  • To provide guidance and assistance to other NGOs’ working on HIV/AIDS.



Main Activities

  • Care and support

  • Treatment of opportunistic infections associated with HIV/AIDS using traditional remedies as well as modern medicines.

  • Providing Home Based Care Services

  • Voluntary Counseling and Testing Services.

  • Treatment of STIs

  • Training Community Home Based Care Providers.



Prevention

  • Awareness and sensitization campaign aimed at behavior change prevention in collaboration with CTG.

  • IEC material distribution including .condoms.

  • Community outreach programs to schools, colleges, workplaces, villages and special groups.

  • To run HIV/AIDS Information Centers

  • .



Collaboration With Traditional Healers

  • Training THs on Basic HIV/AIDS knowledge, infection control referral criteria and care and support to affected people, community mobilization, record keeping and counseling.

  • Knowledge exchange meetings between THs in an attempt to identify new treatment options.

  • Identifying new herbal plant remedies

  • Conduct research on medicinal plants

  • Involve Traditional Healers on TAWG Care and Treatment.



BENEFICIARIES IN THs PROGRAM

  • 1. Direct

  • People living with HIV/AIDS

  • Traditional Healers who attends training and those who provide their herbs for Care of PLHA

  • Trained Health workers

  • 2. Indirect

  • All communities served by Traditional Healers

  • People living with HIV/AIDS in area served by THs

  • Peers working with Traditional Herbs.



WHY COOPERATE WITH TRADITIONAL HEALERS

  • Traditional healers command respect in the community

  • Insufficient and inadequate Health facilities

  • Traditional Healers are always available to the community. The ratio of healer to the population in Tanzania is 1:350 while that of medical doctor is 1:33,000.

  • Herbal medicines are affordable readily available and culturally appropriate and economical at community level

  • The collaboration provide opportunities for sharing approaches in Health Management



AREAS OF TAWG TRADITIONAL HEALERS COLLABORATION

  • Care and Treatment of PLHA

  • Training program to influence awareness, safe practice and referral

  • Community to community knowledge exchange programs

  • Involve THs in community based education program including distribution of IEC materials and condoms

  • Research



METHODOLOGY IN TAWG HERBAL TREATMENT PROGRAM

  • 75% of patients are referred to TAWG clinics from other hospitals

  • Counseling is provided before initial HIV testing

  • Patients are given options to enroll

  • Clients use Traditional medicines collected by a healer and distributed by TAWG

  • Patients are treated for free – we pay healer to collect.



METHODOLOGY IN TAWG HERBAL TREATMENT PROGRAM……

  • Patients can also be treated directly by a healer,

  • Medicine given to patients in powder form to make tea, or mix with coconut oil/water for topical application

  • On request, we distribute medicines throughout Tanzania

  • Clients are monitored by Physicians and Nurses every two weeks at the clinics

  • Serious patients are followed up at their homes by our Home Care Providers

  • The standard treatment is 3 plants medicines.

  • Major side effect is increased appetite.



WHAT DO THE HERBS HELP

  • Increase appetite

  • Gain weight

  • Stop diarrhea

  • Reduce fever

  • Clean up oral thrush

  • Resolve skin rashes and fungus

  • Cure herpes Zoster

  • Heal ulcers



PATIENT RESULTS

  • Patient begin seeing results/improvements between one week and 4 weeks after entering treatment.

  • Many patients are treated with modern and traditional medicines before visiting TAWG.

  • Patient appreciates the yielded result

  • Patient who survive for 6 months generally live for 2-5 years. Some patients have 11 years now

  • Medicines have not proved very helpful in advanced stage of HIV/AIDS.

  • Some patients go on and off treatment.

  • Patients uses the herbs treatment and for prevention of opportunistic infection



PATIENTS RESULTS……

  • Patients on treatment throughout remain health though the immune status may be down. This type of patients normally dies of a short illness and there is no bed ridden for them.

  • Patients who leaves treatment after recovery won’t benefit from the same herbs in the second session opportunistic infection.

  • Our goal is effective treatment, We provide any treatment, traditional or conventional, that contributes to patients well-being ( patients improvements has priority over research).



ACHIEVEMENTS

  • TAWG have cumulatively treated 4,500 AIDS patients with opportunistic infections with herbal medicines

  • Presently we treat 1,300 patients free of charge at six sites and Home Care Services.

  • Built capacity of healers to assess patients progress, by training 329 healers so far.

  • We effectively link modern and traditional medicines

  • The quality of life of PLHA using TAWG herbs have been improved.



ACHIEVEMENTS ..

  • Successful conducted community to community exchange with support of the World Bank IK program

  • THs are now powerful Community educators and strong partners in IEC materials distribution including condoms.

  • Conducted 48 Knowledge exchange meetings during which 8 potential herbal medicines were disclosed by healers.

  • Conducted one observational clinical study.

  • We are pioneers in developing innovative collaboration programs with healers.



AWARDS

  • TAWG was awarded a Merit award by the President of the United Republic of Tanzania in August,2004 for its innovative collaboration in providing low cost treatment to PLHA



OUTCOME OF TAWG TREATMENT PROGRAM

  • Through this program we have helped the Government in respective districts to reduce:

  • The patients load for hospital

  • The cost of patients management

  • The resources spent in Care

  • Keeping more people alive have automatically maintained the workforce hence reducing the newly orphaned children



LESSONS LEARNED

  • Patients enjoy the mix of traditional and western medicines.

  • Individual herbalists/healers are easy to work with group are not

  • Generally most healers are eager to collaborate.

  • Most healers fear of stealing their knowledge and herbs.

  • Need to make more traditional medicines available for more people



CHALLANGES

  • Increasing number of clients seeking services from TAWG – leading to strain on the available inadequate resources.

  • Fear of cooperation from the Traditional Healers

  • Environmental destruction

  • Lack of strong cooperation between Traditional Health system and Modern Health system.

  • Lack of Laboratory facilities to monitor patients progress and in conducting clinical observational studies



FUTURE PLANS (WAY FOWARD

  • Scaling UP Traditional Healers program to be more community based.

  • Establishing a clinical Laboratory

  • Conducting more observational clinical studies for the promising herbs.

  • Conducting community exchange aiming at improving services



FUTURE PLANS (WAY FOWARD

  • Develop and promote partnership between the Traditional Health system and the modern health system,

  • Produce more easily potable tablets to reduce stigma.

  • Develop botanical gardens, grow and produce selected plants.



CONCLUSION

  • Traditional Healers are influential, respected and culturally accepted HIV/AIDS symptomatic treatment providers in developing World,

  • Through systemic research Traditional medicines have yielded clinically useful drugs such as ant -malarial quinine and artemisinin, collaboration with them will improve treatment, research, referral of patients and information exchange on HIV/AIDS.



  • AHSANTE SANA

  • THANK YOU




Download 120 Kb.

Do'stlaringiz bilan baham:




Ma'lumotlar bazasi mualliflik huquqi bilan himoyalangan ©fayllar.org 2020
ma'muriyatiga murojaat qiling