This is the sixth quarterly HIV Program report after implementation of the 2011 Integrated Clinical
HIV Guidelines in July 2011. A summary of the key achievements between October and December
2012 is provided below:
-
Scale-up of integrated HIV services had reached the following number of sites:
-
825 static (607 within and 218 outside of health facilities) and 534 outreach HTC sites
-
651 (static) ART sites
-
585 PMTCT sites (Option B+)
-
577 Pre-ART sites
-
579 sites with HIV-exposed child follow-up
-
378,560 persons were tested and counselled for HIV and 33,718 (9%) were HIV positive;
143,906 (38%) people tested for the first time.
-
111,503 (68%) of 163,510 women at ANC had their HIV status ascertained; 9,891 (9%) of
these were HIV positive. 117,730 (88%) of 132,755 women at maternity had their HIV status
ascertained; 9,647 (8%) of these were HIV positive.
-
24,168 patients started ART during this quarter; this is a further decrease from the previous
quarter (26,909). Some of this decline was probably due to a shortage of HIV test kits.
-
404,905 patients were alive and on ART by end of December 2012; 72,612 (19%) of 376,094
on first line adult regimens were on ART regimen 5A (tenofovir / lamivudine / efavirenz)
-
80% of adults and 81% of children were retained alive on ART at 12 months after ART
initiation.
-
A total of 10,882 HIV positive pregnant women were on ART: 4,211 (39%) of these were
already on ART when getting pregnant and 6,671 (61%) started ART during
pregnancy/delivery. 6,349 (95%) of pregnant women started ART due to Option B+ (in WHO
clinical stage 1 or 2) and 322 (5%) due to a low CD4 count and/or WHO clinical stage 3 or 4.
-
An additional 2,297 breastfeeding women started ART due to Option B+ (in WHO clinical
stage 1 or 2).
-
5,701 (84%) of 6,815 women started under Option B+ were retained at 6 months after ART
initiation (6-month retention outcomes were missing for 1,348 women registered, mainly at
sites with electronic data systems).
-
9,082 (8%) of infants discharged alive from maternity were known to be HIV exposed, 8,174
(90%) of these received ARV prophylaxis. 5,397 (59%) were enrolled in exposed child followup
before age 2 months.
-
A total of 11,156 HIV exposed children and 8,774 pre-ART patients enrolled for follow-up in
HIV Care Clinics (HCC) during this quarter.
-
658 health workers were trained in the new integrated PMTCT/ART curriculum during Q4
2012, bringing the total number trained in the 2011 guidelines to 5,297. 112 District
PMTCT/ART coordinators were trained in developing plans for Elimination of Mother to
Child Transmission.
-
30 TB Officers in the SE Zone were trained in ART/TB management.
-
60 HTC Counsellors received training in collecting dried blood spot specimens for Early
Infant Diagnosis (EID).
-
100 facilities received mentoring for HIV Exposed Child Follow-Up and EID specimen
collection.
-
598 Health workers at 92 facilities in the SE Zone and 227 health workers and support staff
at 33 facilities in the N Zone received clinical mentoring in provision of PMTCT/ART.