Scaling up diagnosis and treatment of drug-resistant tuberculosis in Khayelitsha, South Africa

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Table 5: List of services and providers that form the DR-TB programme in Khayelitsha. Service

Diagnosis of DR-TB

Medical management

Service Provision TB staff in primary care clinics (City of Cape Town and Western Cape Province) Green Point laboratory, National Health Laboratory Service Medical officers and TB nurses working in clinics (City of Cape Town, Western Cape Province and MSF) TB nurses and auxiliary staff working in Lizo Nobanda (MSF) Medical staff at BCH and DPM (Western Cape Province)

Counselling

Three dedicated DR-TB counsellors (City of Cape Town, TB/HIV Care and MSF) Two peer educators (MSF)

Social assistance

Dedicated Social Assistant (MSF)

Audiometry service

Dedicated hearing screener (MSF)

Drug supply

All drugs besides moxifloxacin are supplied by the City of Cape Town and Western Cape Province Departments of Health. Moxifloxacin is supplied by MSF. Drug management by the City of Cape Town

Inpatient services

Patients admitted to BCH or DPM (Western Cape Province) Lizo Nobanda TB care centre, Khayelitsha (MSF and City of Cape Town)

Data collection and management

Data manager (MSF), facility-based DR-TB registers completed by TB staff (City of Cape Town)

Programme supervision

Two professional nurses (City of Cape Town and MSF)

Programme management

Medical Officer (MSF) Manager Health Services Khayelitsha (City of Cape Town)

Infection control

Infection control officer (MSF)

Evaluation and operational research

Epidemiologist and two research assistants (MSF) and collaboration with the University of Cape Town and the University of Stellenbosch

Training

Collaboration between MSF and City of Cape Town

Transport of staff to clinics, home visits and for patients admitted to Two drivers (MSF) Lizo Nobanda

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