Thinking Outside the Box to Diagnosis TB Through Use of TB LAM Test in a Chemist- A Case of Jamb Pharmacy, Mombasa

Jamb pharmacy is located in Migadini, Changamwe sub county-Mombasa county. It’s a densely populated place with people of different economic status. The pharmacy is quite busy and serves approximately 50-100 people per day. The business is run and owned by Sylvester Mbuvi a pharmaceutical technologist assisted with three staffs on a daily basis.

A journey of a thousand miles starts with one stem and as the Swahili saying goes, “Nyota njema huonekana asubuhi” really confirms the dedication of the proprietor of this facility. He was positive from the onset of the project engagement supported by PS Kenya, he attended and participated fully during the training. The provider was very active and showed the eager to learn new things. He was also one provider who asked a lot of questions and sought clarification where possible and where he didn’t understand.

On 26th November 2020 a client who had been frequenting the pharmacy came, she had a 1 year and four-month-old baby who had been seen at different private facilities with complains of cough, failure to thrive and fever. She had also been brought at the same pharmacy with the same complains at two different occasions. Upon further consultation, the mother to the child stated that she had a house help who had been coughing for almost one month. The house help was tested for HIV at the same pharmacy and the test was positive. She was referred to Bomu to be started on HAART.

Baby ‘Zuhura’, (not her really names) had all classical signs of TB:

  • Failure to gain weight
  • Persistent fever
  • Cough
  • Poor milestones development.

The proprietor of Jamb pharmacy decided to do the unthinkable at the private sector, sent the patient for TB LAM test owing the challenge of getting a sputum sample for Gene expert from under 5 years. The LAM test apparently turned positive and the patient was initiated on TB treatment at a nearby private facility (Bomu Hospital). Jamb were very proud to have saved life and their having little efforts in finding missing TB cases realized.

Related Posts

keasikan main mahjongterkejut mahjong ways 3jangan asal ngebetgaspol tanpa cemasbongkar trik scatter mahjong waysspin bebas mahjong ways 2 cuan santaitips fokus dragon tiger pemulamodal 35k menang sweet bonanzarumus 3 tim over 2 5 golinfinix zero 5g gadget scatterrtp tinggi candy bonanza wd rutinkaryawan iseng mahjong ways 3 motorpagi baccarat sore mallteknik 6 spin mahjong wins 3jackpot dragon hero diceinovasi baru dalam mahjong ways kombinasi tempo spin dan rtp live untuk kemenangan besarstrategi jitu bermain mahjong ways teknik pola jackpot yang bisa memaksimalkan keuntungan dengan rtp live akuratrahasia terbaru menang bermain mahjong ways 2025strategi terbaru mahjong wins 3 teknik pola scatter hitamwujudkan kekayaan instan dalam sehari lewat mahjong waysbikin kaget pola scatter mahjong ways ini berikan maxwin hanya dalam beberapa putaranstrategi terkini untuk memenangkan permainan mahjong ways dalam 10 menit pola scatter hitam yang menjamin cuan berkalikali lipatstrategi terkini untuk memenangkan permainan mahjong ways dalam 10 menitkenali rahasia scatter hitam di mahjong waysrahasia sukses maxwin di mahjong wayssugar rush abc1131 pola rtp akuratcuan pola gacor gates olympus abc1131deposit praktis gopay abc1131 amanscatter hitam mahjong ways bikin gacorstrategi scatter mahjong ways maxwinrelax main mahjong ways 2 auto saldojackpot mahjong wins 3 depok gacorpanduan spin mahjong ways 2 terbarupola scatter hitam menembus jackpotkarier digital berkat mahjong wins 3profit harian rtp mahjong wayspolanya wangi mahjong ways 2profit nonstop mahjong ways 1profit keren mahjong wins 3ngences cuan mahjong winsjackpot finansial mahjong ways 2putaran membangongkan mahjong wins 3modal 18k mahjong ways 2 maxwinbaccarat qris anti rugi live casinortp starlight princess jam spin terbaikjackpot olympus driver kurirmahjong ways ramadan bikin cuanparlay 3 tim sbo penggemar mudamuseum mystery trik jambi bawa 120jtwild west gold strategi pemain freelancekoi gate qris vs topup transaksi cepatrealme narzo 70 mahjong smooth spinpower hoki mahjong waysmodal receh mahjong ways 2siswa smk cuan mahjong ways telegramrtp live mahjong dan olympus jam 13driver maxim dua motor berkat mahjongpsikologi finansial dari mahjong terstrukturabc1131 rtp dan pola olympus bikin cuanagen sbo abc1131 bantu pemula menangscatter hitam mahjong waysagen mahjong ways terbaikscatter hitam mahjong modal 10krtp mahjong wins 2scatter hitam mahjong winsheylink macauklubheylink asiaklubheylink hksbetheylink kapten76heylink mpoxoheylink garuda76garuda76asiaklubmacauklubrawit303ABC1131mpoxlABC1131 AMPSLOT MPO DANApondok88