Padang Terap Team Reporting....

hi! everyone,
Sorry for late update of daily report of my group. It is due to some technical problem that cannot be avoided.

Day 3 report:

As normal we arrived at the health office at 8am awaiting for some field work. As scheduled, today we had be given briefing by Tuan Haji Yaakob regarding HIV/AIDS cases and tuberculosis cases managed.

He started his briefing with some statistic about the HIV/AIDS cases. There is 3 identified HIV -positive case in Padang Terap this year. And he is not able to reveal the total cases that already identified and being treated in Padang Terap District.

His briefing mainly focused on:

1. screening
2. diagnosis
3. what is the role of district health office when HIV/AIDS patient passed away.

Screening
-before marriage, it is compulsory for the Islam couples to get their HIV/AIDS screening done before they proceed with their marriage
-voluntary with details, whereby such person gives their full consent to get their blood tested for HIV/AIDS
-voluntary without name, gives full consent for report but there will be only identification number and the person just can call the office to know their result.

Diagnosis
According to Tn Haji Yaakob, the diagnosis of HIV/AIDS only confirmed after the person who is positive of screening test undergone two ELISA test and both shows positive.

After the confirmation of the diagnosis, the details of patient is will be inserted into CDCIS or E-NOTICE which will act as database for Health Ministry to monitor the cases with the help of DHO.

when the HIV/AIDS patient passed away..Close monitoring by the CDC unit
The patient will be wrapped into few layers of clothes and plastics before given to the their family. The patient will be cleaned with hypochloride solution then a layer of white cloth will be used followed by the plastic cover. Then will be wrapped again with the cloth. This procedure is mainly done in hospitals.

In case where the patient passed away in house and he/she not brought to hospital, the DHO will be providing the family with necessary things such as apron, mask and clothes.

Tuberculosis
Tuan Haji Yaakob explained very briefly about the procedures and the forms that used in process of treating tuberulosis and eradicating the contacts

There is 12 forms that used in case of Tubeculosis.

Form 10A1- case monitoring
Form 10A2- confirmation
form 10A3- investigation (hospital and field)
Form 10A4- record purpose

Form 10B1- hospital record
Form 10B2-hospital record summary

Form 10C1 and Form 10C2 - Contact form

Form 10E - defaulters

Form 10F - contuination of treatment

Form 10G- MDRT

Form 10J- Tuberculosis patient dies (*used only when the patient is still under medication)

He explained the procedures that to be followed when filling up the forms and also investigating the case.

In addition, he talled to us about DOTT (direct observation of tuberculosis treatment). It is normally done in chest clinic in hospital and the patient will be required to come there everyday to take anti-tuberculosis drugs under the observation of the nurses. It is normally done for at least 2 months and more for those who frequently defaulting the treatment course.

-------------------------------------------------------------------------------------------------
Then Tuan Haji Yaakob brought us to Pondok Inabah 1 which located approximately 7km from district health office. Pondok Inabah 1 is the private centre to treat the drug abusers and it is recognised by the Anti-Dadah Kebangsaan (ADH).

There we briefed by the Tok Guru about the drug-free method to treat the drug abusers. It is mainly through holistic methods whereby the principle that they're using is follows Quran.

It was new experience to us whereby until now we thought that only government centers are providing such services.

more info to come as special report.

___________________________________________________________________

In afternoon we had pleasant visit by Dr.Sawrirajan.We explained to him the activities had been done so far and he gave some suggestions and instructions that should be done before the end of this posting.

We would like to thank him for his suggestions.

Then we had short discussion with Distric Health Officer, Dr.Latifah. She talked to us about the services that available in Health Clinics in this distric and also states more about the organization chart of the Padang Terap Distric Health Office.

We also would like to thank you her for the guidance and advise given