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.
Sep 3, 2014

Report 15: Support 150 TB Patients in Moldova

A Big Smile
A Big Smile

A year ago, we featured one of our young patients, Gabriela, as she swallowed pills to treat multi-drug resistant tuberculosis (MDR-TB). Gabriela is now 5 years old and has completed two years of grueling treatment. She is cured!

MDR-TB is widespread in Moldova, accounting for about one-quarter of new, and two-thirds of previously treated, TB cases diagnosed every year in Moldova. MDR-TB is not only harder to treat, it is deadlier than drug-susceptible tuberculosis. Gabriela’s parents are relieved and overjoyed to see their oldest child healthy and vibrant. Every occasion is noteworthy for them, even Gabriela losing her baby teeth, as you see in the attached photo. 

Gabriela’s father has finished TB treatment and has found construction work in their village, Chipriceni. He was a migrant worker and had interrupted treatment more than once. This is a common occurrence in Orhey district in central Moldova, where Chipriceni is located. The director of the Orhey TB Community Center, Natalia, says, “Speranta Terrei is a valued partner for us. Moderators are from our community and we can select the neediest patients: the isolated, the poor, and migrant workers.” For Speranta Terrei and TB Community Centers, the relationship is mutually beneficial in our common cause to reduce treatment default. Staff at these centers know which patients need home-based treatment support and which moderators are suitable for a patient. They are close enough to monitor a patient’s adherence to treatment and adverse effects of drugs. Speranta Terrei trains moderators and pays them an allowance for home visits and thus stretches the reach to vulnerable patients.  

In the case of little Gabriela, her mother, Cristina, was her moderator. Cristina brought home TB drugs from the dispensary and provided Directly Observed Therapy to Gabriela while caring for Gabriela’s baby sister. Gabriela shows her appreciation of her moderator in the attached photo. Thankfully, her baby sister was not infected with TB. Cristina is ready to use her experience with Gabriela to give treatment support to an older woman who lives in Chipriceni.

Gabriela and Speranta Terrei send our thanks for your donations. Gabriela says, “I don’t have to take pills anymore. I can play again with my friends.” 

 

A Kiss for Mama
A Kiss for Mama
Jun 2, 2014

Report 14: Support 150 TB Patients in Moldova

Alexandr & Galina
Alexandr & Galina

In 2012, we reported on Alexandr, who was undergoing treatment for drug-susceptible tuberculosis under the gaze of our intrepid moderator, Galina. Since then, Alexandr has finished treatment and is now cured of tuberculosis. He is relieved to have overcome TB, but he wishes he could overcome the weakness in his legs. During a period of excessive drinking of alcohol a few years ago, Alexandr experienced tremors and lost the use of his legs. His legs remain weak and he cannot walk unaided.

At the age of 27, Alexandr is homebound. His favorite spot at his parents’ apartment is by the window, where he sits for hours at a time, watching people go to and fro and listening to children jumping noisily in the playground. He spots young mothers strolling with their children. He would like to join the hubbub instead of languishing in a chair. Before alcohol claimed his legs, he had attended technical college and had a circle of friends. He tells Galina, “I long to walk again and to have a family with many children.” 

Alexandr reads books, especially books on Moldovan history. He misses Galina’s visits and her stern talks, which saw him through TB treatment. When she came by to say hello recently, his joy was apparent, as shown in the attached photo. He says about Galina and Speranta Terrei, “I know they will not abandon me, they gave me hope to believe that I would be well again.”

Thanks to your generosity, Speranta Terrei has the means to offer personal support to patients such as Alexandr. They need not only anti-TB drugs, but the deft touch of caring persons in our community who are willing to visit them at home. We cannot solve all of Alexandr’s problems, but we could assist him to complete TB treatment at home. Alexandr is not alone among TB patients who abused alcohol and he wants to share his story so that others are deterred. Speranta Terrei would like to reduce the heavy toll of alcohol addiction among our TB patients and start addiction counseling for them.

As always, we thank you for your donations, which currently go towards the establishment of a center for tuberculosis patients. The center will allow us to expand our services to patients. On the last Global Giving Bonus Day, Speranta Terrei was delighted that many more of you joined our cause!

 

Mar 3, 2014

Report 13: Support 150 TB Patients in Moldova

Claudia Pouring Milk
Claudia Pouring Milk

A cup of milk goes a long way! For Valentin Turcan of Soldanesti, the creamy milk in the attached photos symbolizes his recovery from tuberculosis. As happens to so many of his fellow Moldovans, Valentin sought to earn a living as a migrant construction worker and became ill with TB. Upon his return to Moldova, he was hospitalized in 2013 in Chisinau for intensive phase treatment for drug-susceptible tuberculosis and then went home to Soldanesti to continue treatment. There, he asked his moderator, Claudia, if he could go to her house instead of the dispensary to take TB drugs. Claudia, a medical assistant, agreed readily. Every evening, she greeted Valentin with his drug regimen along with a nourishing cup of milk from her own cow. Claudia says, “Even my husband became involved and reminded me to set aside milk for Valentin.”

Valentin, who is 38 years old, is now cured of TB and ascribes his good health not only to drugs, but to Claudia. He is grateful, saying, “From the start, I was sure I would be healthy with her help, her kindness and the delicious milk.” Claudia recounts Valentin was a compliant patient, who never missed an appointment, and was determined to overcome his illness. When the laboratory results at the end of treatment showed he was free of TB, they celebrated with a cup of milk.

Your donations, large and small, also have gone a long way. With great pleasure, Speranta Terrei reports that we have surpassed the project goal of 150 patients! Donations to our GlobalGiving project have allowed 31 moderators to give treatment support to 171 patients. Among these patients were 121 men, 47 women, and 3 children who had new as well as relapse cases of drug-susceptible and multi-drug resistant tuberculosis (MDR-TB). Speranta Terrei spent $15,433 on treatment support for these patients, made possible by your donations, as follows:

Personnel $3,135; Moderator Allowances $9,859; Rent $560; Audit Fees $390; Bank Fees $417; Computer $1,014; and Supplies $58.

Henceforth, your Global Giving donations will go towards the other goal of our project, renovation of a building to be made into a center for TB patients. Speranta Terrei has identified a run-down building in Balti. It needs heaps of work. We have a long way to go, but with your support, we are determined to reach our longstanding goal.

On behalf of all 171 patients, Speranta Terrei sends you a heap of thanks!

Claudia and Valentin
Claudia and Valentin
Valentin Pills & Milk
Valentin Pills & Milk

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