Our 24 Hour Clinic has 2 ante natal beds, a delivery room,  4 beds for post natal patients and 12 beds for patients in acute stages of AIDS or TB infection, reconstitution syndrome, adverse events, dehydration, or opportunistic infections.

The Ndlovu Care Group has a holistic approach to clinical well being too.  Once a patient is admitted to the 24 hour clinic, he or she is immediately put onto a nutritionally balanced diet to comply with the stage that the illness has reached.  Each meal time is carefully monitored, nurses and care takers making sure that patients, otherwise too ill or tired to eat, are carefully fed. Patients with mouth ulcers are carefully monitored and nutrition is, when neccessary, administered intraveniuosly.

Patients receive regular physiotherapy and when they are strong enough, are referred to the gym and given a personal instructor to teach them use their limbs again.

Patients are taught to adhere to a healthy living style, the neccessity of adherence regarding anti retroviral treatment and when dismissed, monitored for the rest of their lives.

The  clinic services a community of 160 000 people. 

In order to provide holistic Community Health Services it is essential that decentralised “integrated Prevention/PHC/TB/ HIV/AIDS care” form part of the service package, as these illnesses are endemic in the rural communities. 

The main challenges in rural health care service delivery remains quality of services in the fields of Primary Health Care, Chronic Disease Management (including TB, HIV/AIDS and Malaria), Reproductive Health (including maternity services) and support services ( X-ray, Laboratory support etc.).

The Ndlovu Care Group defines the minimum care package for quality community health services as the Autonomous Care Centre (ATC).   The ATC is a “one-stop shop” for integrated PHC, TB and HIV AIDS care, available at local level.

Besides the clinic, NGC provides a

12 hr clinic with pharmacy and X-ray

A well-stocked, well-managed pharmacy is imperative to provide quality PHC, TB, HIV/AIDS care.X-ray equipment is essential for diagnosis, and treatment of TB, as TB is a major co-infection of HIV. The HIV epidemic has changed the face of clinical presentation of TB, with an increase in extra-pulmonary TB, which is impossible to diagnose with sputum tests (ZN stain for AFB's). In NCG clinics 64% of TB patients are HIV positive

Laboratory

A laboratory customised for HIV monitoring is necessary for good HIV/AIDS care at local level.

The laboratory on site, together with an integrated IT system, facilitates a individual follow up systems and program evaluation on compliancy, defaulting, viral suppression etc.