1. My time at Good Shepherd Hospital

2. Swaziland Population about 1 million HIV prevalence is 26% (15-49yrs) TB incidence about 1200 per 100,000 (with 80% HIV/TB co-infection)

3. Good Shepherd Hospital Regional hospital for Lubombo – Very rural population – Highest HIV prevalence in Swaziland 201 bed hospital including general outpatients, medical and surgical inpatients, paediatrics, maternity, ENT, ophthalmology

5. Programmes Department/Community Health HIV and TB care for the region – Voluntary counselling and testing – Outpatient clinics for initiation on ART, OI’s – Support to community clinics for decentralisation – Home-based care

7. My work Service development Implementation and management of PEPFAR and Global Fund grants Developing service spec for Home based care Developing M&E plans for pre-ART care, HBC Annual report TB renovations ART renovations Outbreak/IPC Operational Research TB contact tracing Male circumcision ‘Buzzing’ NCDs MDR TB Other opportunities Supervising students in research Partnership working with NGOs and Ministry of Health

8. The ups People of Swaziland ‘Can do’ mentality in Programmes Autonomy Opportunity to be involved at national level And the downs… Poor infrastructure ‘No’ mentality of many in the hospital Fear of hospital of looking bad Heads in the sand Difficulties with donors