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 4, 2012

Report 6: Support 150 TB Patients in Moldova

Anton & Irina
Anton & Irina

Moldova is predominantly a rural country and TB patients from villages must travel longer distances than city residents to reach dispensaries for ambulatory treatment. Irina Gribeniuc is Speranta Terrei’s first moderator in Riscani, a rural district close to Balti. She gives treatment support to 8 patients altogether, 5 new cases and 3 relapse cases. One of her patients, Anton, exemplifies how socioeconomic circumstances and TB are intertwined and how our moderators encourage patients to adhere to treatment.

Anton is 37 years old and has a relapse case of TB and is co-infected with multi drug-resistant tuberculosis (MDR-TB) and HIV. He grew up in extreme poverty after his father died when Anton was young. Drugs and alcohol became a way to escape and beginning at age 17 years, he went in and out of prison several times. In 2007, he was diagnosed with TB, but he continued to abuse drugs and alcohol and TB treatment was ineffective. When Anton was diagnosed with MDR-TB, he was shaken sufficiently by this and the birth of a son to become attentive to treatment. 

Dr. Alla Bulgari, the TB doctor for Riscani, asked Speranta Terrei for a moderator for Anton because his legs were weak and he could not walk far. When Irina first came to his house in Nagorie village, he was hesitant to speak. As Irina began to discuss her own difficulties, Anton opened up and began to trust her. Irina takes TB drugs to Anton 5 times per week and he follows the regimen, though it is complicated and long. You can see Irina, Anton, and Dr. Bulgari in the attached photos.  

Speranta Terrei was happy to receive your donations on Bonus Day in March, donations which helped to us to increase the number of patients to 60. We thank you enormously for your continuing support. 


Irina & Dr. Bulgari
Irina & Dr. Bulgari
Feb 6, 2012

Report 5: Support 150 TB Patients in Moldova

Letter from Galina
Letter from Galina

One of our patients, Galina Iarosevscaia, expressed her thanks to Speranta Terrei and her moderator in the attached, handwritten letter. Galina says about Olga Pogor, “Every day she kept bringing me the necessary medicine. We were waiting for her and were very glad to see her. She shared with us even her bread. Thanks to Olga, I met new good people...I am going to study tailoring...I am already cured from TB and my children will soon finish the treatment.”

When the TB dispensary asked our moderator, Olga, to take TB drugs to Galina, Olga soon realized treatment support was only the beginning. Galina was homeless with 2 young children and had no prospects to earn a living. Through social services of Balti City Hall, Speranta Terrei helped Galina to enroll in job training and live in a temporary housing center. In the bitter winter of Balti, this has been a lifesaver for Galina and 4-year old Cristi and 5-year old Angelina. You can see Galina and her children in the attached photos. Cristi and Angelina are undergoing prophylactic TB treatment and will attend a special kindergarten for children with family members who have had TB.

Your donations are critical to our ability to offer this kind of personalized treatment support and reduce the risk of relapse. Thank you to our continuing and new donors who gave during Christmas and New Year holidays. We would like to acknowledge especially employees of the Eli Lilly Company for their contributions. Galina, Cristi, and Angelina send all of you a heartfelt thanks! 

Galina Cristi Angelina
Galina Cristi Angelina
Cristi & Angelina
Cristi & Angelina
Nov 3, 2011

Report 4: Support 150 Tuberculosis Patients in Moldova

Lica Counseling S.N.
Lica Counseling S.N.

Speranta Terrei is featured in “Tuberculosis: Voices in the fight against the European epidemic,” a report published in September by ACTION (Advocacy to Control Tuberculosis Internationally) and the TB Europe Coalition (http://c1280352.r52.cf0.rackcdn.com/FINAL_TB_VOICES_EUROPE_REPORT.pdf). The report contains stories and photos from 7 European countries to highlight the human face of TB. Our very own Feodora Rodiucova (Dora) speaks of why treatment support should become the norm and not the exception for Moldovan TB patients. Igor Tcaci, Speranta Terrei’s coordinator for ex-prisoners and a cured MDR-TB (multi-drug resistant tuberculosis) patient, describes the sense of alarm when a patient hears the diagnosis and the psychological healing that must be part of the treatment.  

Our psychologist, Lica Jicrivetcaia, is much in demand by TB patients. She says listening to patients is critical, to allow them to express their anxieties and fears. She explains the purpose of psychotherapy is to reduce fear and to restore the patient’s innate ability to respond to adversity. In the attached photos, Lica and the back of a female patient, S.N., are visible. Lica pets a cat during this discussion, a technique she has found to be soothing to some patients.

S.N. was diagnosed recently with MDR-TB, a condition for which her husband was being treated. He had hidden his illness from her and the revelation was a jolt to her. MDR-TB requires 24 months of treatment and S.N.’s doctor has recommended hospitalization at the MDR-TB ward in Chisinau, the capital located 145 kilometers from Balti. She is apprehensive for her 3 young children’s health and reluctant to leave them in Balti with her aged mother. Her predicament is only one of many around us. S.N. says, “Tuberculosis is frightening. But, I am not alone and Lica is nearby. This warms my heart. With her help, I understand I must overcome this disease for the sake of my children and their future.”

Speranta Terrei’s first office will be two rooms at the Training Center for Medical and Pharmacy Assistants instead of at the training center “Miracol.” One small, private room will be for counseling patients and the second, larger room will be for meetings and training of our moderators and patients. We have delayed the development of our web site and plan to renew it once we find funds for this purpose.

Thanks to your continuing donations, Speranta Terrei has increased the number of patients in the Global Giving project to 40. We have extended our treatment support to Riscani village, which is 45 kilometers from Balti. Irina Gribeniuc, a new moderator who lives in Riscani, has started giving treatment support to 4 patients with drug-susceptible TB and MDR-TB.


Lica and SN
Lica and SN

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