CHIVA / KZN Support & Mentoring Initiative
The CHIVA/KZN Support & Mentoring Initiative is a collaboration between CHIVA, the KwaZulu Natal Department of Health and the University of KwaZulu Natal in support of the National Antiretroviral Roll-Out Programme begun in 2004 to provide universal access to treatment for all HIV positive South Africans. The Initiative aims to share clinical knowledge and experience with colleagues in KwaZulu Natal to help them facilitate antiretroviral treatment of children with HIV across the KwaZulu Natal Province.
To date, 47 of the 55 accredited Provincial Hospital ARV sites have been visited. 71 CHIVA members comprising of doctors, clinical nurse specialists, dieticians, pharmacists and psychologists have made 178 visits to KwaZulu Natal, amounting to 191 working weeks. 452 formal protected teaching sessions have reached approximately 4000 attendees and over 3000 children have been seen with KZN colleagues.
The CHIVA/ KZN Support & Mentoring Initiative was the recipient of the Mail and Guardian Investing in Life Award for Independent foundations and Not-for-Profit Organisations in 2005.
We wish to once again thank the extraordinary generosity and vision of
all the individuals supporting the Prince Nelisuzulu Benedict Gift, (an
umbrella fund for donations from a number of large KZN charitable trusts),
administered by the Union of Jewish Women. In particular we wish to thank
Mary Kluk for being such an indomitable source of support to CHIVA members
making the journey to the province.
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CHIVA/KZN ARV Mentoring and Support Initiative Comprehensive Programme Review: 2004-2006
OVERVIEW
The Children’s HIV Association of the UK and Ireland (CHIVA): An umbrella organisation of health care professionals experienced in the treatment of children with antiretroviral medication, and committed to providing holistic long-term management of children infected with HIV.
The CHIVA/KZN Support & Mentoring Initiative: Begun in September 2004, the Initiative is a collaborative project between CHIVA, the University of KwaZulu Natal and the Department of Health of KwaZulu Natal in support of the National Antiretroviral (ARV) Roll-Out Programme begun in 2004 to provide universal access to treatment with antiretroviral therapy for all HIV positive South Africans.
Initiative Aim: The Initiative aims to share knowledge and experience in the treatment of children with HIV and their long-term management by providing practical support and mentorship to help facilitate antiretroviral treatment (ART) of children with HIV across the KwaZulu Natal province.
Initiative
Activity: The Initiative coordinates the visits and activities
of multi-disciplinary
comprising doctors, nurses, dieticians, pharmacists and psychologists
from the UK and
Work schedules include workshops, seminars, ward rounds and clinic visits,
informal small
sessions and one-on-one teaching. A Durban-based co-ordinator assesses
the sites and
individual work schedules for each CHIVA volunteer based on local needs
and requests.
Initiative
Funding: Funding for the Initiative is generously provided by
The Prince Nelesizulu
Benedict Gift, administered by the Union of Jewish Women and funded by
the JAKAMaR Trust and Victor Daitz Foundation. Additional Sponsorship
and Assistance is provided by:
- Southern Sun Hotel and Protea Hotel Group: preferential room rates.
- Heinemann publishing: donation of 70 sets of the Red Ribbon book series for use as educational tools in paediatric ARV clinics.
- Clothing donations from multiple donors: distributed by CHIVA volunteers.
CHIVA Personnel
London Based
Programme
Director:
Dr.
Karyn Moshal karynmoshal@gmail.com
Administrator:
Eve
Carson chiva.kzn@gmail.com
Durban Based
Programme
Co-Ordinator:
Lisa
Cronin cronin@ukzn.ac.za
Logistics
Co-Ordinator:
Mary
Kluk klukfam@telkomsa.co.za
ACHIEVEMENTS SEPTEMBER 2004 TO DATE:
- CHIVA volunteers: 85, comprising doctors (26), clinical nurse specialists (24), dieticians (20), pharmacists (13) and psychologists (2) from the UK and Ireland.
- CHIVA team trips to KZN : 221 trips comprising 245 working weeks.
- Sites visited: 47 of the 55 accredited Provincial Hospital ARV sites in KZN. In addition, 57 associated clinics have been visited, as well as 27 other sites including NGOs, community care centres, orphanages and schools. 75% of hospital sites have had at least one repeat visit.
- Clinical Sessions: 410 ward rounds seeing and discussing inpatients with local KZN staff. Outpatient clinics reviewing and advising on practical management of approximately 3,500 patients have also taken place with local KZN staff. CHIVA volunteers participate in an advisory capacity only. Discussions around individual patients are particularly valuable learning experiences providing guidance for particular children that can be widely applied.
- CHIVA Seminar Sessions: These total 511 to date with approximately 4800 attendees comprising doctors and nurses (49%), allied health care professionals (25%) and administrators and managers (15%). Seminar topics include the basics of ARVs (including drug preparations, dosing in children, and sessions for staff to taste paediatric preparations), ARV side effects, HIV in children, when to start treatment (reinforcement of the South African Paediatric ARV guidelines), adherence to medication, talking to children about their diagnosis (disclosure), nutrition, interpretation of laboratory tests (CD4 counts and viral loads).
- Additional
programmes in association with the DoH:
- Seminar for medical doctors: February and July 2006
- Seminar for Dieticians: September 2005 and October 2006
- VCT Training for counsellors: developing training packages, April 2006
- Mentorship Scheme for counsellors: April 2006
- MDT Workshop for uThukela District: November 2006
- Additional
programmes in association with the UKZN Nelson Mandela Medical School
- UKZN HIV diploma course for doctors and nurses:
- Regular participation of CHIVA volunteers in teaching sessions in
the paediatric
modules of the course.
FOR MORE INFORMATION, CONTACT:
CHIVA/KZN Support & Mentoring Initiative,
Studio One,
Utopia
London
United Kingdom.
NW1 8LH
Phone number : 020 7586 1860Karyn Moshal: karynmoshal@gmail.com
Lisa Cronin: cronin@ukzn.ac.za
Mary Kluk: klukfam@telkomsa.co.za
Eve Carson: chiva.kzn@gmail.com