HIV and TB

HIV and TB

Nursing provides good care to HIV patientSHCH infectious disease department is composed of the HIV program, TB program, and community outreach programs. Besides clinical care, it is also involved in a national training program and clinical research.

Since 1997, SHCH HIV program has offered home-based care by volunteer teams to advanced HIV patients in environments where HIV-infected people are stigmatized by their communities and families and where ARVs are not available. In late 2002, the SHCH HIV clinic was one among few other hospitals that started ART. Through a very strong, long-term collaboration on the capacity building project with the Institute of Tropical Medicine (ITM) in Antwerp, Belgium, as well as Global fund financial support from round 1,2,4,5, and 9, the SHCH infectious disease department has become a center of excellence in HIV comprehensive continuum of care.

TB patient follow up with SHCH's TB team

As of December 2014, the department has had 3026 ART patients in its cohort, out of the total ART adult HIV cohort in Cambodia. On average this department accepts around 220 to 250 new HIV patients each year. Around a quarter of these patients are referred to SHCH by other hospitals with a lower capacity of care due to the co-morbidity of the disease.The SHCH tuberculosis (TB) project has been a TB unit in the National TB program since 2002. On av erage around 600 patients are referred from the general medicine department, surgical department, emergency department, and communities for TB screenings.  Around 300 TB patients are detected and diagnosed per year. Besides a TB clinic in SHCH where TB can be screened, diagnosed, and treated by DOT, the project extends its activities to the TB community DOT (directly observed therapy) and TB active case finding with support of TB REACH.  In collaboration with National Toxicology Program and ITM, Antwerp, Belgium, SHCH is actively participating in the fight against TB in Cambodia by increasing early TB case detection, treatment and capacity for early TB diagnostic such as LED microscopy, MGIT, Gen-Xpert assay and sputum cultures.