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.
Dec 2, 2013

Report 12: Support 150 TB Patients in Moldova

Feodora Serghei Chatting
Feodora Serghei Chatting

Serghei grew up an only child of parents who wanted the best for him and nurtured his talent for drawing. He earned a painter decorator degree in 1989, but his life turned upside down in the turmoil of the 1990s, in the wake of the Soviet Union’s disintegration and ensuing socioeconomic collapse in Moldova and other former Soviet republics. Serghei abused alcohol and drugs and spent time in prison in the late 1990s and in the 2000s. And, he says he was in contact with fellow prisoners who were TB patients.

Following his last stint in prison, Serghei turned around his life, married and started a family and worked in a cement plant in Balti. On New Year’s Eve 2011, after weeks of high temperature, Serghei felt he could not breathe and was taken by ambulance to hospital. At first, doctors diagnosed pleurisy, but treatment failed to improve his condition. When sputum results came back after 1 month, the diagnosis was changed to TB and Serghei was transferred to Balti TB Hospital. Doctors there treated him with first-line drugs for drug-susceptible tuberculosis, but sputum analysis after 1 more month indicated no response to treatment. Finally, sputum culture tests confirmed multi-drug resistant tuberculosis (MDR-TB) in March 2012, 4 months after his first diagnosis. Serghei was moved to the MDR-TB section, where he began treatment with second-line drugs and remained hospitalized for 8 months. He now receives ambulatory treatment and will complete MDR-TB treatment in February 2014. During the twists and turns of TB disease, Serghei’s wife and five-year old son were a constant source of emotional support and reason to continue treatment. What Serghei feared the most was transmitting TB to his beloved son. He says, “I could face everything else as long as I know my child is healthy. If I thought I had given him TB, I would die.”

Serghei lost his hearing as a side effect of TB drugs and asked Dr. Feodora Rodiucova, the president of Speranta Terrei, how he could obtain a hearing aid without payment because he lacked money. She helped him to fill forms for hearing aids available through the Balti Department of Health. You can see Serghei speaking to Dr. Rodiucova and Serghei with the hearing aid in attached photos.

As he looks towards New Year’s Eve 2013, Serghei is relieved to be nearing the end of 24 months of MDR-TB treatment. Of the hearing aid, Serghei says, “To hear my son’s laughter is joy. He asked me, Papa, can you really hear me and then laughed when I said yes.” Serghei’s artistic bent has been revived, giving him hope and a yearning to sketch again. In the New Year, Speranta Terrei will continue to bring hope to TB patients with your help. Un An Nou Fericit in Romanian, in Russian, and Happy New Year in English! 

Serghei with hearing aid
Serghei with hearing aid
Sep 4, 2013

Support 150 Tuberculosis Patients in Moldova

Gabriela taking TB drugs
Gabriela taking TB drugs

Tuberculosis strikes the young and the old. For us at Speranta Terrei, its mark on young lives is especially piercing. TB draws them apart from other children whose families fear infection and the large number of drugs is hard to swallow, literally and figuratively, for small children. 

Four-year-old Gabriela Namasco was diagnosed at age 3 with ganglion lymphatic multi-drug resistant tuberculosis (MDR-TB). She was hospitalized in the children’s section of Chisinau TB Hospital from November 2012 to May 2013 for the intensive phase of a grueling 18-month course of treatment. She is now in the ambulatory, or continuation, phase of treatment at home in Chipriceni village in Orhey district. Her mother, Cristina, and her baby sister do not have TB, but her father, Victor, was treated for TB and MDR-TB. He interrupted treatment when he left Moldova periodically as a migrant worker and is currently being treated for MDR-TB. 

In cooperation with Orhey TB community center and the TB dispensary, Speranta Terrei placed Gabriela’s mother, Cristina, as her moderator. Gabriela became even more attached to her mother when they were separated for 6 months during Gabriela’s treatment at Chisinau TB Hospital. Back at home, Cristina gives Gabriela a dose of pills every day, as shown in the attached photo. Of course, Gabriela dislikes the handful of pills and her grimaces are part of the daily routine. Swallowing pills is not as hard, though, as being away from her family and Gabriela complies.

When Gabriela was in hospital, Cristina visited only every 2 or 3 weeks because she did not have money for the trip and she had to attend to a newborn. At each hospital visit, Gabriela said to Cristina, “Mama, I wished to the fairy I could go home.” Cristina is relieved the treatment support program allows her to bring home Gabriela’s TB drugs instead of taking her 15 kilometers to the dispensary. Cristina says “All of Gabriela’s treatment was a long way up the hill. Today, we are a little bit closer to the top of the hill.” Gabriela is happy to go right back to sketching after taking TB drugs, as in the photo. She misses playing with children, but she knows she can do this again after she is cured. 

At the renowned monastery and park at Orhey Vechi, an annual international festival called “Gustar Day” is held to taste different foods. On 24-25 August, American Peace Corps Volunteers in Moldova organized a fundraiser at the festival, selling Moldovan-American fusion food and handing out information on TB and Speranta Terrei. The proceeds will go towards Speranta Terrei’s treatment support of patients. With our own Dr. Feodora Rodiucova at their side, the volunteers presented a hamburger to a surprised Minister of Health, Dr. Andrei Usatii, and related the importance of treatment support for TB patients. Thank you, Peace Corps Volunteers!


Those pills taste terrible
Those pills taste terrible
Back to sketching
Back to sketching
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.

 

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