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07 January 2018
Photo Charl Devenish
Dr Anneke van der Spoel van Dijk is invested in contributing
to the global effort of stopping TB by 2035.
The work of Dr Anneke van der Spoel van Dijk investigates the spread of TB in the Free State population using techniques such as next generation sequencing, spoligotyping and MIRU-VNTR typing. Dr Van der Spoel van Dijk, a senior medical scientist in the Department of Medical Microbiology at the University of the Free State (UFS) also looks at drug resistance in her research. This work informs decisions about how best to treat patients with multidrug-resistant TB (MDR-TB).
She employs rapid molecular techniques to track one of Africa’s most serious diseases, tuberculosis (TB).
Drug resistance
Scientists assist the National Health Laboratory Service and Department of Health in trying to refine the diagnostic tools to identify these cases earlier. Dr Van der Spoel van Dijk explains: “Until recently, it took up to two years to fine-tune treatment decisions for patients with MDR-TB. Patients get a cocktail of anti-TB drugs, but it takes time to find the right combination. Re-infection and relapse (patients stopping treatment for several reasons) add to the diagnostic and treatment management challenges.
Enormous impact
“Now doctors can reduce the time needed for diagnostic certainty to about seven days, while new drugs allow reduction of treatment from more than 18 to nine months. This can have an enormous impact on the life of many patients.”
Dr Van der Spoel van Dijk’s work forms part of research in the faculty looking at resistance development in TB strains. She is currently also doing her doctoral thesis on the differences and incidence of MDR-TB among adolescents versus adults. Dr Van der Spoel van Dijk says: “It is a complicated picture, but we hope to unravel it to support better diagnostic tools and patient care.”
As part of the National Health Laboratory Service, her department is playing an important role in TB diagnostics and the training of scientists and future pathologists. “Our work is contributing to the global vision to stop TB by 2035,” Dr Van der Spoel van Dijk says.
Workshop on community-based worker systems
2006-11-30
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The Centre for Development Support (CDS) at the University of the Free State (UFS) presented a workshop on community-based worker systems on the Main Campus in Bloemfontein. Partners from Kenya, Lesotho, Uganda and South Africa are working together to see how these systems can be used to widen access to services and empower communities in the process. The aim of the workshop was to bring pilot partners and practitioners involved in community-based worker systems together with national, provincial and local government and to explore the implications for mainstreaming these systems in South Africa. The CDS at the UFS recently conducted an evaluation of community-based worker systems in South Africa, of which the findings were also discussed.
Attending the workshop were, from the left: Mr Ian Goldman (Chief Executive Officer of the Khanya-African Institute for Community-driven Development), Councillor Leonard Makhanya (Mangaung Local Municipality), Prof Lucius Botes (Director of the Centre for Development Support at the UFS), and Mr Alfa Mahlako (Director of Sustainable Livelihoods at the national Department of Social Development).
Photo: Lacea Loader
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