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The home based care nursing team travel to the XDR/MDR TB patients homes or place of work and give the once a day treatment, often the treatment is given from the back seat of 4x4 transport. 25 November 2008 Tugela Ferry South Africa. Home Based XDR/MDR TB Treatment Program. Church of Scotland Hospital in Tugela Ferry South Africa have introduced a home based treatment program where patients with the three above forms of TB are given their treatment in the community. Nursing staff travel around the community each day and administer an injection to their patients on the side of the road, or in the patients own home. This reduces the patients costs of transport, and avoids the long time spent in a hospital ward in Durban. The nursing staff train the patient's family members in infection control, the infection rate to family members is less the 2% with this home based system. TB is also the main opportunistic disease in the HI-V / AIDS ravaged province of KwaZulu-Natal South Africa. Photo/John Robinson