Report Period: 2016 and 2017 Klibur Domin Foundation The Ryder - - PowerPoint PPT Presentation

Report

Period: 2016 and 2017

Klibur Domin Foundation

The Ryder Cheshire Home

In Timor-Leste

“For the relief of suffering”

By Joaquim Soares & Fabiola dos Santos

Klibur Domin’s Programs

 Tuberculosis Program (TB)  Community Based Rehabilitation (CBR)  Inpatients Services  Dental Clinic

Klibur Domin Program Coverage

 Three Districts in Timor-Leste

Liquica



Bazartete, Liquica & Maubara

Ermera



Gleno & Railaco

Bobonaro



Balibo and Atabae & Bobonaro

Inpatients Services Program

Number of Inpatients and out Patients for 2016 and 2017

349 194 2030 2573

Inpatients admited at KD Patients receiving emerency transport services Outpatients receiving medical treatment at KD's clinic Total Patients 2016 and 2017 500 1000 1500 2000 2500 3000

137,, 41 18 4 4 3 14

Tuberculosis Disability Mental Health Dialysis Aged care Malnutrition MDR-TB

20 40 60 80 100 120 140 160

Number and type of patients admitted for 2016 & 2017

Inpatients Services

Dental Clinic Program

 The dental clinic treats patients of Klibur Domin and the

surrounding community and will expand into districts of Ermera and Liquisa in the future

 The Dental Clinic will have trained dental nurses to

provide assessments

 Visiting Australian dentists will provide priority dental

treatment

 Klibur Domin is in consultation for capacity skill sharing

between Australian and Timorese dental professionals at the Klibur Domin Dental facility.

TB Mobile Program

TB Burden in Timor-Leste

 TB Incidence rate is estimated to be 498/100,000

population (estimated 6,000 cases every year)

 Mortality Rate is estimated to be 100/100,000

population(estimated 1,200 died every year).

 In 2016, TL only detected 3,731 TB cases.

Source WHO Global TB Report 2017

49 65 154 172 178 211 221 361 391 498 513

TB Burden in South East Asia Region

• Timor-Leste carries one of the highest TB burdens in

the Asian Region after DPR Korea

Community TB (mobile) program

 Undertake TB suspects identification through Active

case finding and Contact tracing.

 Undertake TB diagnosis by Smear Microscopy and

GeneXpert.

 Provision of accommodation, good nutrition and

medical treatment for suspects and patients in both TB and MDR-TB.

 Provision of TB Health Education to community groups

(Youth groups, Women’s groups, Local Leaders and school children)

 Training and support for Community healthcare

workers and Volunteers to support TB program in their village area.

Major Achievements of the TB Program

 TB Case detection and treatment continue to improve well.  No-one dropped-out of treatment and there were fewer deaths.  The KD proposal was submitted to CCM and MOH for the Global

Fund for 2016 and 2017 was approved( US$300,000).

 Expansion of TB Program to Ermera and Maliana Districts  The KD TB team has established good coordination and

collaboration with Liquisa, Maliana and Ermera districts in TB Program.

 Funding support from the Rotary Club of Balina to purchase a

4WD car, two motor bikes and other equipment to support TB Program

 Global Fund Grants for TB program for 2018-2020 was approved

in December 2017. The agreement signed in Feb 2018.

Community TB (mobile) program

TB Diagnosis using Smear Microscopy and GeneXpert

DISABILITY PROGRAM

2015 Population census

Vision 14,828 Mental 3,313 Physical 7,466 Hearing 12,511 Total Population 1,179,654

People with a disability 3%

Achievement for Disability Program

ACTIVITY Female Male Total Providing Physiotherapy and medical treatment 107 71 178 Providing social assistance including those who were abandoned by their family 34 44 78 Support income generating 2 3 5 Building ramps 6 3 9 PProviding basic water and sanitations 8 14 22 Providing accommodation at St. Damien's Respite Centre and Providing vocational training 15 14 29 Identify new persons with disability 10 10 20 Providing wheelchair for PWD 3 5 8 Support education programs to promote awareness and safety 77 105 182 TOTAL beneficiaries 262 269 531

CBR Program: construction of ramps and rails

CBR program at Klibur Domin

Staff and International Volunteers

 Local staff 45 (Male: 30, female: 15)  Volunteers are mainly from:  Australian Volunteers International (AVI)  Japanese Volunteer (JICA)  Rotary  College/University students from Timor-Leste  Peace Corps

Challenges facing KD

 Supplies of some medications from local government have

been limited and there is some uncertainty and risk with alternative suppliers

 Need for professional capacity building  When new construction is complete there will be additional

staff workload and energy expenditure

 Difficulties with accessing chest x-ray at Dili Hospital  Infrastructure such as roads to remote places makes it

difficult to assess the population in their homes to provide health and social assistance

 Shortage of human resources available in the area of

disabilities (especially mental)

 Government instability with regard to laws on the subject of

disabilities, especially people with mental disability and those who were abandoned by their family

Future Plan of Klibur Domin

 Explore the need for a second CBR team to provide

support to People with Disabilities in district of Maliana.

 Train CBR staff on TB, cataracts, and HIV/AIDS for

detection and referral to relevant departments

 Continue to develop partnership with government and

International NGOs to support The Inpatients Services, Tuberculosis and CBR program.

 Garden and Landscaping, Renovate Director former

house, Repair Internal Roads.

 Continue to arrange Australian volunteer Nurses and

Psychiatrists to provide disability training.

 Information and Technology Review at KD

Obrigado Thank you

Joaquim Soares & Fabiola dos Santos