Speranta Terrei

Speranta Terrei is a grassroots, community organization in Balti, in northern Moldova. It raises awareness of tuberculosis, gives treatment adherence support to tuberculosis patients, and promotes their rights and duties. Speranta Terrei cooperates with health officials while advocating for greater patient support and shared responsibility for treatment adherence in line with international standards.
Jun 12, 2013

Report 10: Support 150 TB Patients in Moldova

Iulia and Petru
Iulia and Petru

Speranta Terrei is in the thick of a multi-drug resistant tuberculosis (MDR-TB) calamity in Moldova. Among 90 patients receiving treatment support under our Global Giving project, 20 have MDR-TB.

Petru Moroz, who lives in Dancu village in Hincesti district, came to Speranta Terrei’s attention through the Hincesti TB community center. Petru had been treated for TB in 2008 and again in 2011, but each time he stopped taking anti-TB drugs before the 6-month regimen was completed. Poverty and alcoholism were the principal reasons that Petru interrupted TB treatment. In early 2012, he was diagnosed with pulmonary TB with extensive bilateral destruction. This time, the strain was identified as MDR and he was hospitalized for MDR-TB treatment from February to November 2012.

After being discharged from hospital, Petru was back to being homeless and at risk of discontinuing the 24-month MDR drug regimen until Iulia Iurciuc intervened. Iulia is Speranta Terrei’s first moderator in Dancu and she made it her duty to help Petru become cured of TB this time around. Petru wants to finish treatment, expected in January 2014, and says, “it is easier to be ill when there is a person near you who awaits your recovery as if it is a holiday, a day of celebration.”

Iulia has a profound understanding of the disease because she had childhood tuberculosis in the early 1960s. At age 4 years, Iulia spent a year in hospital for TB treatment; at age 7 years she had a relapse case and underwent her first lung surgery to resect an entire lobe. There followed six pleural punctures to remove fluid from the pleura and two more lung surgeries. Today, only Iulia’s left lung remains.

There are 50 years between Iulia’s protracted TB treatment and Petru’s recurring disease. Iulia’s memory of TB and how a patient feels is vivid and she says, “people affected by the same disease can understand and support each other in adversity.” The attached photo shows Petru taking anti-TB drugs from Iulia.

National Public Radio in the U.S. broadcast a series in June on MDR-TB in Moldova: http://www.npr.org/search/index.php?searchinput=TB+Moldova&dateId=365&programId=0

In one of the stories, Speranta Terrei’s moderator, Galina Zaporojan, can be heard persuading an older, inebriated patient to take anti-TB drugs. At Speranta Terrei, we are dedicated to giving treatment support so that patients do not abandon treatment, no matter the other impediments in their lives. We thank our donors for making this possible.

 

Mar 18, 2013

Report 9: Support 150 TB Patients in Moldova

Handful of Pills
Handful of Pills

Cristina R., a 24-year old student at Balti Medical College, had multi-drug resistant tuberculosis (MDR-TB), but was misdiagnosed with drug-susceptible tuberculosis. She was diagnosed with a form of extra-pulmonary TB called tuberculous pleurisy in September 2011 and started treatment for drug-susceptible TB in October 2011. After 3 months of treatment, her symptoms did not improve. 

Because the tuberculosis was in the pleura, there were few bacilli visible in sputum microscopy and culture and repeated test results were negative. It was her astute TB doctor, Dr. Vera Dubceac, and the diagnostic prowess of the new machine Gene XPert which revealed the correct diagnosis of MDR-TB. The Gene XPert test was conducted at the Balti TB Reference Laboratory in January 2012 and detected active pulmonary TB with a strain of MDR-TB. Although Cristina was terribly frightened to know she had MDR-TB, she could finally begin the correct drug regimen in February 2012. Speranta Terrei’s last Global Giving report featured the Gene XPert and Cristina’s story underlines its importance in Moldova, where MDR-TB strains are being transmitted from person to person.

Along came another Vera to aid Cristina in the battle with TB, this time Vera Rusnac, a moderator with Speranta Terrei since 2009. Vera Rusnac is a medical assistant and Cristina is studying to become a medical assistant and the two felt an immediate kinship. Vera takes a handful of anti-TB drugs (in the attached photo) to Cristina five times per week. Cristina is one of 17 TB patients, 5 with MDR-TB, to whom Vera has given treatment support. Vera’s and Cristina’s classmates’ comforting presence are helping Cristina to withstand the adverse effects of the arduous 24-month treatment for MDR-TB.

TB sapped Cristina’s strength and slowed down her studies, but it taught her to be patient. She says, “In the nature of humans, there are golden qualities, one of them is patience. Tuberculosis has taught me patience and hope of a new life, a life without drugs, and where there will always be sunshine.” For a young woman who was first diagnosed with TB 18 months ago, Cristina has, indeed, had to learn patience! 

World Tuberculosis Day is March 24. It marks the day in 1882 when Dr. Robert Koch announced his discovery that tuberculosis was caused by Mycobacterium tuberculosis. Speranta Terrei’s volunteers will conduct a public awareness campaign in the center of Balti during March 22-24; distribute TB information on the Chisinau-Moscow train on March 22; and distribute food and clothes to children in families with TB on March 25. Our own Dr. Feodora Rodiucova will give a presentation on TB at a canteen for indigent TB patients in Balti on March 26. We thank our donors for remembering TB patients on World TB Day and on every day of their long treatment.


Dec 17, 2012

Report 8: Support 150 TB Patients in Moldova

Nadejda Scan
Nadejda Scan

Speranta Terrei’s moderators come from many walks of life, among them head of the Regional TB Reference Laboratory in Balti. Nadejda Priscu, or Nadin as her friends affectionately call her, is an expert on the Gene XPert, a machine revolutionizing diagnosis of multi-drug resistant tuberculosis (MDR-TB). Moldova has high rates of MDR-TB and this technology is giving doctors the means to pinpoint resistance and start appropriate drug therapy quickly. 

Since March 2012, Nadejda has tested 1000 specimens on the machine she adores unabashedly. “It is absolutely super!” declares Nadejda, “within 2-3 hours, we have results. It eases patients‘ anxiety because the diagnosis is immediate and doctors have confirmatory results to start treatment.” Nadejda praises the Gene XPert for “enabling us to detect more cases and to treat them earlier, before the disease progresses another month.”

In the first photo, Nadine is at her favorite apparatus, scanning a specimen. In the second photo, a patient is giving a sputum sample for testing.

On her voluntary role of moderator, Nadejda says the laboratory skills are handy, but mainly “it is daily life skills, giving moral and psychological support in addition to medicine.” She continues, “I have seen much suffering from TB and Speranta Terrei gives me the possibility to help reduce it.” At Speranta Terrei, we are fortunate to have offered 11 tuberculosis patients treatment support from such a capable and caring moderator as Nadejda.

We would like to thank new and continuing donors for extending your hand to TB patients in Balti. All of us at Speranta Terrei wish you and your family much good health. In English, we say Happy New Year! In Romanian, we say, Un An Nou Fericit!


Patient Sample
Patient Sample
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