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.
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

Links:

Aug 4, 2011

Report 3: Support 150 TB Patients in Moldova

Nadejda arriving at Iurii
Nadejda arriving at Iurii's house

We are sending a special thanks to those of you who donated on Bonus Day and gave us the means to expand services. The new items in our budget, which is attached, are rent for an office and TB treatment support for an extra 3 months.

Our first office will be a room at the training center, “Miracol,” in Balti. This is the center where former prisoners with TB were given job training under another project. Patients, moderators, and staff can walk or ride the bus to this central location. Because it is only one room, we will schedule the time carefully to make the most use of it. Speranta Terrei’s psychologist, Lica Jicrivetcaia, will now be able to counsel patients in a private place. Currently, the counseling is given at the Balti TB dispensary and dispensary personnel come and go from the room. Lica has said these interruptions and lack of privacy are a hindrance as patients who are opening up then stop speaking. With an office, our patients will receive better psychological support and we will have a place for meetings, preparing reports, and reviewing records.

Speranta Terrei will give treatment support to 30 patients with funds raised through the Global Giving project. Our new moderator, Igor Zaporajan, was one of our early patients in 2006-2007. For Speranta Terrei, it is gratifying to have so many former patients acting as moderators. They understand from their own experience the feelings of despondency after being diagnosed with TB and the benefits of a persistent and caring moderator who stays with them through the ups and downs of treatment. Former patients are not only returning the favor, they are building goodwill and trust in the community without which Speranta Terrei could not function.

Iurii is nearing the end of treatment for drug-susceptible TB. His TB doctor, Pavel Ciobanu, requested a moderator when Iurii completed 5 months of hospital treatment and started continuation phase treatment at home. Iurii has a leg condition from his time in prison and cannot walk to the dispensary. Our moderator, Nadejda Priscu, visits Iurii 5 times per week to administer TB drugs and discuss treatment as well as his and his family’s other concerns. Nadejda explains TB laboratory tests for monitoring treatment, such as sputum and culture tests at the Balti TB laboratory, where she is a physician’s assistant.

The attached photos show Nadejda arriving at Iurii’s house and giving him anti-TB drugs. The interaction with Nadejda has made a huge difference in Iurii’s outlook. He said, “Every day in the hospital felt like 10 days. I was relieved to be at home again, but hesitant about the offer of assistance from Speranta Terrei. After 2 weeks of Nadejda’s visits, I could speak to her about the many turns in my life. She gives me advice on the regimen and listens attentively. For me, I think fortune has smiled on me and I can win against TB.”

Feodora Rodiucova, Speranta Terrei’s president, wrote a guest blog post for Results UK to promote the Global Giving project. Feodora writes about her motivation for starting Speranta Terrei and the importance of reducing treatment abandonment. You can read her blog post at: http://blog.results.org.uk/2011/07/29/support-moldovan-tb-patients-on-global-giving-uk/#more-6143

Nadejda giving TB drugs to Iurii
Nadejda giving TB drugs to Iurii

Links:


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