Home Based Care

People living in the areas of F2, F2 extension and F4 New Eersterust are visited in their homes. They are provided with medical assistance, food parcels, medicine, spiritual care and training on healthy living. The team works closely with the missionary church in New Eersterust.

A weekly support group has proved very popular to encourage people to talk about Aids, offer support and break the stigma surrounding aids.There is also a garden project that assist people to establish vegetable gardens to create a free source of fresh vegetables for a balanced diet.

There is a weekly program for elderly people. This occurs together with the support group where people receive spiritual care, have their blood pressure checked and doing aerobic exercises.

Home Based Care - Q2 2018

posted Jun 25, 2018, 2:30 AM by Elsabe Ros

After a short summer break in December the HBC team has already done all their new year’s visits in January together with the daily home visits. Some people may ask how do we get the patients. Most patients come to us. HBC is well known in the areas of F4 and F2 and Mushate village. But the HBC team also do door-to-door, which means if the team has visit all the patients in the area in the week, they go from door-to-door and ask if some people need hep or know of people who need help.

In November the HBC team held a social event, that was sponsored by the SA Guide-dog Association for the blind. We learned a lot in a fun way. In partners of 2 (one blind and the other can see) they taught us how to guide a blind person in the street, around corners on steps and into a building and into a car. It gave us a lot of insight into the daily life of the blind. We ended the day with a BBQ. The day was a great success and we enjoyed it immensely.

On World Aids day (1 December 2017) the HBC team held a candle ceremony in memory of all the patients and family we lost due to HIV/Aids. This was a very emotional event, but Pastor John Mahlangu gave through the reading of the scripture and preaching comfort. A patient gave a testimony of her recovery and thank Khothatsong for all the help the team gave her. We ended the ceremony with refreshments.

Just before HBC closed their doors for the summer holiday, a local farmer Langplaas, donated vegetables for all the patients in need for Christmas. This was greatly appreciated! We also want to thank all the donors for all the clothing that was sponsored the last few months.

Our new Carer, Fransinah Mabona, is settling in very good and has a good relationship with her co-workers and with the patients. She is an open and friendly person. Also new on our team is Mrs Marjanne De Wit. She started at the beginning of February and is helping the Group for young male addicts as a Social worker. This group consist of young men addicted to NJope. It is highly addictive and can be smoked, sniffed and injected. The attendance of the young men varies, but the plan for the coming months is firstly that they can build a trust relationship with Marjanne and then start a project to teach them a new skill. One of Carers, Valentia Mamsi, is pregnant and her baby is due in April.

In the last few months we admitted 3 patients with severe ringworms. HIV patients usually prone to skin diseases due to secondary infections. The patients did not receive the right treatment from the clinic, one patient was even sent away- they said they can’t help her. But through the help of our Volunteer Doctor, we can administer the right medication and ointments.

Something that is rarely seen is TB of the Abdomen. But HBC has 2 patients struggling with it. It is very difficult to diagnose, and our patients was several times misdiagnosed by the clinic. Both were hospitalised, where they were diagnosed. TB of the Abdomen symptoms are severe stomach ache, indigestion, constipation, loss of appetite. But the treatment is the same as with a normal TB of the lungs. But these patients struggle to gain weight. But slowly but surely, they are starting to gain strength, to do their daily activities, with the right food and supplements. One of these patients has given her heart to Jesus, through the preaching of John, and the work of the Holy Spirit. She is now attending the church in F4.

Home Based Care - Nov 2017

posted Jan 24, 2018, 11:17 AM by Elsabe Ros   [ updated Jan 27, 2018, 6:17 AM ]

During the last 6 months, the HBC did 1546 home visits. The HBC has currently 90 patients that we visit. 60 of them are HIV +, 5 stroke patients and 3 diabetics. During the winter months 6 patients died.

HBC has currently several young patients, born with HIV. These young patients endure poor health through their adolescence, because of growth spurt and hormone changes, accompanied with poor diet, causes secondary infections to proliferate. Currently we have a 16-year-old boy, diagnosed with HIV from birth, but due to a low immune system, his body is fighting against various secondary infections. Tb was also diagnosed. Due to his bedridden state, bedsores develop. Special education was given to the family to take care of him. Fortunately, he can still eat. The carers visit him every day to bath him and care for the bedsores. We ask your prayers for this young boy and his family, also for all our young patients, that we may find them in time and encourage them to maintain a healthy lifestyle.

Through the years we admit patients and discharge them as their health improve, sometimes HBC admit them again. A view years ago there was a severely burned patient admitted, through the grace of God and lot of hard work form the HBC team, she recovered, but, unfortunately, she passed away last week, due to flu.

We also have patient that is blind due to Glaucoma. She lives alone, and was struggling to cope alone. HBC contacted the Association for Blind people, and they came and see her. They also taught her to walk with the White cane. She is so proud of her new ability to be independent, even going to clinic without assistance.

We have been blessed with healthy staff, but time to time they also become sick. At one stage, the HBC were understaffed due to illness, annual leave and helping at Foster care. Due to this the board decided that HBC could appoint a new carer, that will also be trained to be a foster mother, so she can help at Foster care when needed. We are glad to introduce our new Carer. Her Name is Fransinah Mobona (38) and she was trained as an Auxiliary nurse. She started on the 22 of August, where she received in house training for 2 weeks. In September, she will go to Foster care to familiarise herself with their setup. Where upon they will organise her more formal training.

There were several highlights in the last couple of months. In June 4 of the carers went to Durban for the annual AIDS conference. They enjoyed it, and said it was a good learning experience. They gave in written report, but the verbal feedback was the most important because then we all can learn from them.

Two of the carer’s started with their driver’s licence, currently busy with driving lessons.

In July HBC received a generous donation of blankets and a bed, from the Celebration Church. The patients were indeed very happy. We thank our Heavenly Father for all the donation we receive.

Another one of our patients receives a special mention. Phillemon’s had a stomach ulcer that burst and he was admitted for an operation at the local hospital during which the inserted a stomach sac and was sent home. Phillemon was lost as to how to take care and clean this new stomach sac that was now attached to his body. Because of no cleaning the stomach sac caused an infection and Phillemon became progressively weaker. All he could do was to lay on his bed. He could not eat or walk any more. His future looked bleak.

Years ago, Phillemon’s mother received care from Khothatsong Home Based Care, and he remembered this. They came in search for us. Our team started daily visits, that included wound care, healthy food and of course visits by John Mahlangu. Phillemon Shabalala is noted in the home visit report for July:

“We visited this man to check him how she is doing in life. He was sleeping due to operation in the stomach. He is weak. He complains about the pain in the body. We encourage him to drink the medication every day. The man is not a church goer. Now he listen when we talk about God. We ask God to open her heart. We open our bible in the book of John 3: 14-16. I read for him after I explain and we end in prayer.”

Our carers came daily. Slowly Phillemon’s situation turned around. He gained strength, first by eating food from the box that the Home Based Care team provided. They made sure that his wound was cleaned daily. That he ate daily and after eating that he drank his medicine. During a recent visit Phillemon showed us how he walked with the crutch the Home Based Care team gave him. He could stand up straight. He shows the scars on his stomach and jokingly shows the safety pins that keep his oversized trousers up. A belt is still too painful to wear around the waist. His smile is wide, and he is full of praise for the work of the Khothatsong HBC team. We pray that in time he will be full of praise for our Heavenly Father who used our hands to heal him. Are you also remembering Phillemon in your prayers?

Home Based Care - April 2017

posted Jan 24, 2018, 11:08 AM by Elsabe Ros   [ updated Jan 27, 2018, 6:17 AM ]

The Khothatsong Home Base Nursing is situated in the area F4, F2 and Marikana informal settlement just east of Soshanguve in Gauteng. Two government clinics and a mobile clinic serve this area, but because of the vastness of this area, many patients don’t receive the needed aftercare while being treated by the clinics and government hospital. The HBC identifies these patients, and provide care as needed and as we are capable of.

Currently we have average of 100 patients on the books.  Of these 100 patients, 84 are on HIV treatment, 5 are stroke patients and 3 are diabetic, with the 8 remaining having various illnesses.  Unfortunately in the month of February 2 patients died.  But also through the grace of God we could discharge a few patients, whom sufficiently recovered. The 7 carers, working in pairs, do about 200-250 home visits during a month.  This depends on how many critical ill patients the HBC have, but the carers aim to for 5-7 home visits a day.

At the HBC office we have a vegetable garden to supply food for the needy patients. We praised the Lord for all the rain, but unfortunately all our newly planted vegetables drowned.  We decided to launch a new project for the next few months to cover the vegetable garden with net, and make raised beds, so the plants can’t drown or be eaten by the birds.  This project will be directed by John Mahlangu and Thabo Tsotetsi(the gardener), they will use the help of the local community and some of the persons attending the programmes.

The support group meets every Wednesday. This group is well attended by 8-10 elderly ladies of the community. At the moment they are sewing comforters for little children, these comforters are donated to children homes.   

On Thursdays there is also a group of young men attending drug counselling group session with Mr John Mahlangu.  Most of these young men are addicted to Nyaope. The attendance by the young men varies, but 4 boys attend the session every week.  We can praise the Lord that one boy has been clean of drugs for several months. We ask your payers for these young boys, that they can give their lives to Jesus and abstain from using drugs. Also we ask for prayer for the families of these drug abusers, and that we find the boys in time to help them.

At the HBC we see a lot of struggle with health, depression and despair, but we are also grateful to see patients improve, recover and heal. We see an improvement, especially in our stroke patient, by  simply exercising with them and give them aids to improve their muscle tone.

But with the caring of patients over a long period, the carers sometimes get emotionally attached to the patients, this usually becomes a problem when the patient take advantage of the situation, and become dependent and rely only on the HBC. Some of the patients refuse to go to the clinic if HBC doesn’t provide money for transport or transport with the HBC car, even if they are able to go on their own. This requires lots of counseling for the carers, and rotating of carers in different areas.  In one of these cases was a lady with 2 little children, struggling with HIV and secondary infections, but she didn’t have any income, because she is an illegal immigrant.  We provided food and transport to and from clinics and hospitals.  At one point she refuses to take food from the local clinic, the food wasn’t up to her taste, but luckily one of our carer’s intervened.  This let us to the conclusion that she doesn’t take responsibility for her own health and life, we did counseling and decided we need to put in certain boundaries.  We can gladly say that she took on her responsibilities and her health is improving and she found some work.

We also have a young boy (age 11) that was born with HIV, in the last 6 month his health started to deteriorate and he developed a terrible skin disease. The local hospital gave him some ointment, but there was little improvement. With the help from one of our volunteer doctors, he received medicine and ointments, and we can gladly say that is skin lesions has improved dramatically and he is able to play again outside.

We ask special prayer for the patients that they will take responsibility of their health and that the Lord will bless the medical care that they receive.  Also for all the employees of HBC, that they can do their work with empathy and bring the Lord’s word to the patients.

The Lord has blessed the HBC also with a local farmer providing vegetables every month for the patients in need of food. 

We would like to thank you for your generosity throughout the year, and with your help we were able to provide food, transport and medicine for our patients.  May the Lord bless you.

Home Based Care - Nov 2016

posted Jan 24, 2018, 10:58 AM by Elsabe Ros   [ updated Jan 27, 2018, 6:17 AM ]

Spring is in the air and the nights are getting warmer, thus our patients are more active and wake up earlier.

I was asked to fill in the volunteering post of nursing facilitator. It is not an easy task, but a task done out of love for God and a compassion for His children.

At present 80 patients are visited and nursed where necessary per month. It is sometimes a challenge to visit them all in one month, as the community is big and evergrowing, and the carers are walking from home to home. It is disheartening to see the increasing number of patients defaulting, not taking their ARV’s (HIV medications) as prescribed, which results in a low immunity and they are therefore more prone to illnesses. One of the many task of the carers are to ensure that the patients drink their medications, ensure that there are food in the house so that they can drink it, and go to their follow up visits to the clinic or Hospital.

The HBC see very poor patients. Some survive on the handouts from neighbours and the food parcels from HBC. We try to encourage patients to provide for themselves, by helping them with the paperwork for the government grands and transport to and from the grand offices. We also start vegetable gardens at their homes so that they can eat from the garden and sell off or exchange the excess. This gives back some of their dignity.

Also the support group that takes place every Wednesdays have completed several baby comforters that we donated to a Children’s home.

We at HBC would like to thank you and our Lord Almighty for your generosity throughout the years. This ensured us that we could replace our broken down car. We can again transport our most sick and immobile patients for their hospital and clinic visits.

We value your prayers for the workers and the volunteers that their devotion and love will continue for this work. Also for the patients, that they may continue theirtreatment and above all that they may devote their lives to Jesus and follow Him.

Home Based Care - 2016 (1)

posted Jan 24, 2018, 10:44 AM by Elsabe Ros   [ updated Jan 27, 2018, 6:17 AM ]

A lot has happened since the previous newsletter.

All the workers from Home Based Care and the mothers of Foster Care attended a two day EHBO course.They were very thankful for this opportunity. They all received a certificate proving their completion of the training.

We have welcomed our new CEO, Riesl Spies, and hope she feels at home soon. She has built up good relationships with all the workers. Since September, she has been working hard with drug addicted youngsters. She gave them a lot of creative things to do which helped divert their attention. Bible studies are very important to them, as they feel encouraged by them. They also try to practically apply what they have learned, by helping elderly people and others to do small jobs.

The vegetable garden looked very healthy in September, delivering many vegetables. We used these vegetables in the food parcels for education, and we gave them to patients who were unable to afford buying vegetables themselves. However, the drought came and the plants suffered due to the lack of water. In the beginning ofNovember, New Eersterust was struck by an enormous hailstorm with hailstones as large as golf balls. The storm also ruined many shacks and people had to be evacuated. The vegetable garden was also totally destroyed, and we had to start from scratch. We could however, easily mix in some compost and fertiliser before we began again. Our gardener, Thabo, was upset but has started anew. We haven’t sown as much this year due to the extreme heat and water restrictions.

There are 10 home carers caring for 80-90 patients per month, some of whom are critically ill. On average we cared for 8 to 9 daily patients what limited the total visits to 15 to 20 visits a day. 13 Patients passed away in 2015. Most of them were so sick, as they ceased taking their medication.

The support group and the elderly group work under Paulinah, who is a home carer and also a qualified seamstress. They make a lot of clothes. Initially, the foster care mothers chose clothes for their families, with the rest going to the community. There is even a lady who tries to attend the weekly aerobics classes after having suffered a stroke. It is a really nice group of people; people care for each other.

A new patient (38years old) came to the office asking for help. She suffered from TB and AIDS. She was diagnosed with TB and was receiving strong medication forsix months which lead to her becoming deaf. Initially, she lived with her mother in a small town half an hour from New Eersterust. Her mother treated her as a small child and she hated it. Her mother took her ID document and her card from Sassa preventing her from receiving her grant. So, this patient decided to live by herself. She got a small shack in Moshate Village - which falls within our care area. The problem was now that she had no income. We are now helping her to stop the previous grant and to get a new one. She is now also attending the support group and is very enthusiastic about it.

Another patient was discharged from the hospital for the second time with multiple serious pressure sores on her back, hips and heels. Her legs were pulled up at 45 degrees, and she couldn’t straighten them. The home care workers tended to her needs for 5 months visiting her twice a day, 7 days a week, assisting herin exercises amongst other things. She is now completely healthy. This patient is very thankful to the carers for their intensive care. She is now telling everyone willing to listen about these home carers and what they did for her. Even the neighbours confirmed what she said, ensuring that the carers helped the patient with a lot of compassion. The patient wanted to express her gratitude in this newsletter.

“I am Conny Sithole, a 41year old female. I live in New Eersterust, F4. I became sick in March 2015. I lost weight, and my health status was critical, and I was admitted to a hospital. Later I was transferred to another hospital. Slowly but surely, I developed huge pressure sores on my back, hips, heels and toes. It was truly horrible. I was discharged in this condition. At home, I remembered Kothatsong home care assisted me years before. Therefore, I sent my daughter to the Khothatsong office to ask for their help. The carers came twice a day ensuring wound care. They also assisted me in exercises to improve the position of my legs. It was very difficult for me, but the carers never gave up. They were very patient, hardworking and loving. They are amazing. They helped me physically, mentally and spiritually. The minister came three times per week. I want to thank the personnel and manager of Khothatsong from the bottom of my heart. I didn’t believe I would survive. Now I feel it my duty to make all sick people aware of the amazing organisation that is khothatsong home care. I am very proud of them. May God bless you.”

The home care workers always buy fruit and vegetables from a market named Fruit and Vegs. One day, the manager asked them what organisation always needs so much food. They told him about home care and Khothatsong. The manager asked them for a letter from the head of the organisation. Riesl wrote the letter. At the end of December, Fruit and Vegs donated 45 food packages to give to patients as well as a package for each home carer. The patients and carers were very happy with their gifts. Andrina, the head home carer, wrote him a thank you note. Next year they want to send Fruit and Vegs another letter, as well as Shoprite and Clicks.

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