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Everybody Breathes: Treating TB in Eshowe, South Africa

South Africa

In South Africa, we respond to disease epidemics, non-communicable diseases, and assist migrants with access to healthcare.

In October 2023, in partnership with the Eastern Cape Department of Health, we launched a project to improve the identification and management of non-communicable diseases (NCDs) in the Amathole District, which is MSF's first NCD project in South Africa.  We aim to apply lessons from two decades of working on HIV and tuberculosis (TB) in South Africa to enhance NCD care in rural settings.

We also work with undocumented people and migrants in Tshwane, where we run a project that provides access to vaccines for these underserved communities.

Having achieved the UNAIDS 90-90-90 target in 2018 in Eshowe, KwaZulu-Natal, we redirected our approach to tackle the TB epidemic and reduce the number of cases in the area.

After 22 years of activities and campaigning, we closed our HIV and TB project in Khayelitsha, Western Cape in 2020.

Our activities in 2023 in South Africa

Data and information from the International Activity Report 2023.

MSF in South Africa in 2023 In South Africa, Médecins Sans Frontières launched a project to improve care for patients with non-communicable diseases (NCDs). We also supported the Department of Health’s response to a cholera outbreak.
South Africa IAR map 2023

The new project in Butterworth, Eastern Cape province, focuses on improving screening, diagnosis, treatment and prevention of NCDs, such as diabetes and hypertension, through advocacy, research, health promotion, training and mentorship of community healthcare workers (CHWs). In collaboration with the Department of Health, we trained CHWs, nurses and community-based organisations, and ran awareness campaigns that reached over 1,500 people in the region.

We also identified medication pick-up points and kickstarted the registration process in consultation with patients, the Department of Health and community-based organisations. Pick-up points are run by private providers who dispense NCD drugs to patients on behalf of the government.

In May, in Hamanskraal, Tshwane city, we supported a cholera intervention by establishing a cholera treatment unit in the community. We also provided technical support to the unit’s infection prevention and control department. In addition, we donated hygiene kits comprising oral rehydration tablets, soap, aqua tabs, buckets and jerry cans, and partnered with other international organisations to train Department of Health staff in all nine provinces of South Africa on cholera readiness.

At the end of 2023, we handed over our Tshwane migrant project to the local authorities and a community-based organisation, after training staff on how to work with undocumented people. Our team had provided access to medical care for migrants and other marginalised groups, and worked to ensure this would continue after our departure.

After 12 years of operations, we closed our HIV and tuberculosis (TB) project in Eshowe, KwaZulu-Natal province. The project’s community-oriented approach helped to increase integrated treatment of HIV, TB, diabetes and hypertension through nine community-based sites, which were successfully handed over to the Department of Health. Many achievements have been made in introducing TB health promotion activities in schools, and we have also shared valuable guidance on integrating drug-resistant TB services into general healthcare services.

 

in 2023
 
XDR-TB can be cured. The story of Phumeza Tisile.
Tuberculosis

Linezolid Fact Sheet

Report 1 Jul 2014
 
Siyabulela Qwaka, XDR TB Survivor
Tuberculosis

More MSF patients with DR-TB gain access to dramatically cheaper version of life-saving drug

Press Release 1 Jul 2014
 
Journal article

Clinical Mentorship of Nurse Initiated Antiretroviral Therapy in Khayelitsha, South Africa: A Quality of Care Assessment

2 Jun 2014
Journal article
 
Siyabulela Qwaka, XDR TB Survivor
South Africa

"This disease is for heroes. If you can fight this, you can stand anything in this world"

Voices from the Field 24 Apr 2014
 
HIV and DR-TB treatment in Swazialnd, October 2013 (MSB3196 )
Tuberculosis

The old devil in new clothes

Voices from the Field 19 Mar 2014
 
Journal article

Outcomes in Adolescents Undergoing Treatment for Drug-Resistant Tuberculosis in Cape Town, South Africa, 2008-2013

6 Mar 2014
Journal article
 
Nelisiwe Ziqugu, Community Health Agent, doing door to door HIV testing. KwaZulu Natal, South Africa.
HIV/AIDS

Two new studies point to impact of HIV treatment on transmission in high-HIV-burden African contexts

Press Release 6 Mar 2014
 
Journal article

Reflections on a decade of delivering PMTCT in Khayelitsha, South Africa

26 Feb 2014
Journal article
 
Journal article

Clinical Access to Bedaquiline Programme for the treatment of drug-resistant tuberculosis

6 Feb 2014
Journal article

Contact us

Bending the Curves - Eshowe HIV
MSF South Africa

7th Floor, Zurich House
70 Fox Street, Marshalltown
Johannesburg
South Africa