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 3000 2500 2573 2000 2030 1500 1000 500 349 194 0 Inpatients Patients Outpatients Total Patients admited at KD receiving receiving 2016 and 2017 emerency medical transport treatment at services KD's clinic
Number and type of patients admitted for 2016 & 2017 14 MDR-TB 3 Malnutrition 4 Aged care 4 Dialysis Mental 18 Health 41 Disability 137,, Tuberculosis 0 20 40 60 80 100 120 140 160
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.
TB Burden in South East Asia Region • Timor-Leste carries one of the highest TB burdens in the Asian Region after DPR Korea 513 498 391 361 221 211 178 172 154 65 49 Source WHO Global TB Report 2017
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 People with a disability 3% Hearing Physical 12,511 7,466 Mental 3,313 Vision 14,828 Total Population 1,179,654
Achievement for Disability Program ACTIVITY Female Male Total Providing Physiotherapy and medical treatment 107 71 178 Providing social assistance including those who were 34 44 78 abandoned by their family 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 15 14 29 Centre and Providing vocational training Identify new persons with disability 10 10 20 Providing wheelchair for PWD 3 5 8 Support education programs to promote awareness 77 105 182 and safety 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
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