Médecins Sans Frontières - DRUG-RESISTANT TUBERCULOSIS (DR-TB) TREATMENT IN GUJRANWALA, PUNJAB (INT)

Unique Identifier Code / URN MSB154744

Date taken / Date Recorded 18/03/2023 12:00 AM

Country Pakistan

Copyright MSF

Usage Rights (MSF) MSF Fundraising, MSF Publications

Formal Consent Copy available yes

Editor's rating ★★★★★★★ (A)

Video format h264 (Main) (avc1 / 0x31637661)

Duration 5m35s

Maximum Size 1920px × 1080px 733.22 MB

Additional Information / Shotlist 00:07 – 00:10 - MÉDECINS SANS FRONTIÈRES (MSF) DRUG RESISTANT TB CLINIC

00:18 – 00:21 Former Patient DR TB - When my family saw me vomiting blood, they are started crying.

00:22 – 00:25 Former Patient DR TB - I felt hopeless because we had already experienced a similar incident in the past.

00:32- 00:37 Former Patient DR TB - I already received treatment twice before but have not recovered. I was very worried and have been crying

00:40-00:57 ANDEH SHANTA IBRAHIM - MSF is a place for everyone and treats everyone. Irrespective of your culture, irrespective of your ethnicity, irrespective of your color, irrespective of your race. So MSF do not discriminate because there is beauty in our diversity.

00:58-01:08 SULEMANI JAVED - MSF is working in more than 70 countries for humanitarian aid and welfare. MSF has been providing humanitarian services in Pakistan since 1986.

01:09-01:15 HAFSA FATIME - Initially when a patient arrives it is important for him to understand the nature of the disease in order to adhere and comply with the treatment protocol.

01:17-01:23 ZEESHAN UL HAQ BHATTI - We conduct pre- assessment sessions with patients to educate them about their condition and establish a stronger rapport.

01:24-01:39 ZEESHAN UL HAQ BHATTI - These sessions also include a needs assessment to identify their specific needs. Later we conduct post-initiation sessions with the patients to monitor their progress, assess any side effects and evaluate their adherence to their treatment plan.

01:40-01:54 ZEESHAN UL HAQ BHATTI - During these sessions, we also discuss any changes in their life that may impact their treatment . So it’s a journey that involves not only the patient, but also their family and our team working together on this journey.

02:10-02:30 ANDEH SHANTA IBRAHIM - The Muti Drug Resistant TB is the type of TB where the patient is being infected with a strain of bacteria that is resistant to two key drugs which are Rifampicin and Isoniazad. And now with the GeneXpert diagnostic tools, these patients are easily identified and started on treatment.

02:31-02:46 ANDEH SHANTA IBRAHIM - This treatment is a bit difficult because the patient will have to consume nothing less than 10 medications for a period of 9 to 25 months which is a bit difficult for any normal human being to be taking in their lives

02:49-03:01 HAFSA FATIMA - Our goal is to treat people, they may have other illnesses as well such as hypertension or diabetes. Therefore, we modify our management-based plan based on these issues.

03:02-03:15 HAFSA FATIMA - It’s not mandatory that a patient has to follow the guidelines of visiting our centre weekly in the first two months of treatment. We can adjust the plan based on the patient’s condition to lessen their burden.

03:17-03:32 HAFSA FATIMA - We have registered 161 confirmed DR-TB patients, among those patients we have successfully treated 8 patients till date who have completed. Who are bacteriologically fine, clinically fine and ideologically fine and they are being followed up also.

03:33-03:35 HAFSA FATIMA - We also have 6 patients who are about to complete within two weeks

03:37-03:44 HAFSA FATIMA - MSF provides free treatment to patients. They don’t have to pay a single rupee once they enter our facility.

03:45-03:53 HAFSA FATIMA - In addition to social support, nutritional support is also provided to the weak and feeble patients, so that their immunity be increased.

03:55-04:14 WASIM AKRAM - Simply registering a patient or providing treatment is not enough to eliminate this disease. We also conduct assessments at the patient’s home to determine their living conditions, whether the patient has a separate room and whether their family is aware of the risks of TB and how to prevent it.

04:15-04:20 ANDEH SHANTA IBRAHIM - I feel more fulfilled and more motivated when I see my patients getting better with the treatment I provide for them

04:22-04:34 FORMER DR-TB PATIENT - They share on our pain and tell us to forget that we are sick and miraculously half of the illness gets better on its own while the other half is cured with medicine

04:39-04:48 FORMER DR-TB PATIENT - They are very supportive and friendly with me. I follow the routine that the doctor prescribed to me.

04:48-04:58 DR-TB Graduate - I took my medicine at the prescribed time. I didn’t stop. Initially, I felt like stopping the medication, but with their support, I didn’t .

04:59-05:13 FORMER DR-TB PATIENT - They told me to stop worrying about my condition whether I would live or die and motivated me to focus on the fact that I have to keep on living for the sake of my parents and children. Their encouragement gave me a lot of confidence. Therefore, by the grace of the almighty, I am better now.

05:14-05:28 Dr Sohail Anjum Bhatt - They are working efficiently to combat life threatening diseases like TB and particularly focused on addressing this issue in third world countries. They are very serious and doing the state of the art work. I greatly appreciate and acknowledge their efforts to save humanity.