Partners In Health a Nonprofit Corporation

Partners In Health a Nonprofit Corporation

Tuberculosis Treatment Continues to Improve Lives, Well-Being in Lesotho
Photo Caption
Itumeleng Nkhabu, a patient enrolled in the endTB study, at her home in Lesotho
Photo Credit
Mpho Marole / Partners In Health

Itumeleng Nkhabu, a 48-year-old widow, contracted tuberculosis (TB) in 2003. Then again in 2011. That was not the last time she got sick.

In 2018, she was diagnosed with multidrug-resistant tuberculosis (MDR-TB), a severe form of the respiratory disease.

She soon began standard TB treatment, which typically includes up to two years of daily injections with a long list of side effects including acute psychosis and permanent deafness. The treatment is costly and often ineffective.

But there was more effective treatment on the horizon.

A few days later Nkhabu was admitted to Partners In Health (PIH)-supported Botšabelo Hospital in Maseru, Lesotho—the country’s only hospital for people with MDR-TB. About three weeks later, she enrolled in the endTB study.

The goal of Expanding New Drug Market for Tuberculosis (endTB) is to improve treatment for patients with the deadly disease. UNITAID funds the collaborative effort, which is a partnership among PIH, Médecins Sans Frontières (Doctors Without Borders), and Interactive Research and Development.

Nkhabu is one of 81 patients who enrolled in the endTB study in Lesotho since 2018. Hundreds of additional patients are enrolled in eighteen countries, including Kazakhstan and Peru—where PIH works.

While on the standard treatment plan, Nkhabu recalls taking 27 pills per day. In the endTB trial, she takes fewer pills with less side effects. She continued treatment for a year and 10 months.

Medication wasn’t the only form of support Nkhabu received.
Providing support beyond medical care is a key component of PIH’s work. It’s called “social support” and includes essentials such as food, housing, and transportation.

Upon being discharged from the hospital, Nkhabu continued with monthly check-ups. PIH provided free transportation to and from the hospital because she was too sick to drive herself. In between check-ups, nurses regularly visited Nkahbu at her home and provided food to take with her medications. Nurses would call her too.

“When I would receive a call, it gave me hope to continue to push and work together with the hospital staff to get well,” says Nkhabu. “They believed that I could recover even when I had no hope.”

Nkhabu recovered and is now leading a happy, healthy life again.

Since the introduction of oral medicines—namely bedaquiline and delamanid—TB treatment has greatly improved for many patients. endTB is leading the way in finding new treatment regimens. As the effort expands access and exposes demand, more patients will hopefully find relief from the disease in the coming years.

“When patients are valued, respected, and [heard], the results become outstanding,” says Dr. Kunda Kwabisha Mikanda, DR -TB senior medical officer and site principal clinical investigator, who oversees endTB work in Lesotho.

Building a fairer, healthier world through accompaniment

Narrated by Winston Duke
Animation: Four hands lay in the center of the screen, placing newspapers, a notebook and a map
Narrator: Partners in Health started as a revolutionary idea, among a group of friends who believed they could help those who needed it most.
[music plays]
Animation: the map zooms into the country of Haiti
Narrator: They began working in Haiti,
Animation: the map morphs into rolling hills
Narrator: finding friends,
Animation: the hills morph into first a small house, then the community grows to include other buildings and people walking
Narrator: and partners in the community and government. And together, delivered quality healthcare to patients through accompaniment.
Animation: a PIH staff member is working with a child and parent inside their home
Narrator: It means being there with and for patients as long as it takes.
Animation: the child hugs the PIH staffer and then the staffer listens to the heartbeat of the parent
Narrator: Because when it comes to providing health care, patients are the bosses.
Animation: The map reappears, zooming out of Haiti to highlight all of the countries PIH works in in orange
Narrator: Over the past 30 years, PIH’s efforts have expanded to 11 countries and through it all, accompaniment has remained essential to achieving Global Health Equity.
Animation: The map zooms out to a spinning globe of the earth. Icons to represent stuff, staff, space, systems and support appear and circle around the globe.
Narrator: With the right stuff, staff, space, systems, and support, PIH can continue to create the building blocks of good health everywhere
Animation: The globe morphs into a sun that’s setting over some hills and a winding path
Narrator: and not just tip the scales of justice, but pave the road to a better
Animation: The sun morphs into the same orange background with the four hands shown at the beginning of the video
Narrator: and healthier future for all.
Orange screen with the white PIH logo appears, with the tagline Injustice has a cure and the website
[music fades]

Partners In Health a Nonprofit Corporation
CFC Number

Charity Type

Cause Area