This is the 7th quarterly HIV Program report after implementation of the 2011 Integrated Clinical
HIV Guidelines in July 2011. A summary of the key achievements between January and March 2013
is provided below:
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Scale‐up of integrated HIV services had reached the following number of sites:
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825 static (607 within and 218 outside of health facilities) and 534 outreach HTC sites
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655 (static) ART sites
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580 PMTCT sites (Option B+)
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602 Pre‐ART sites
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590 sites with HIV‐exposed child follow‐up
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460,559 persons were tested and counselled for HIV and 41,321 (9%) were HIV positive;
170,334 (37%) people tested for the first time.
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127,167 (78%) of 163,522 women at ANC had their HIV status ascertained; 10,282 (8%) of
these were HIV positive. 102,506 (89%) of 114,376 women at maternity had their HIV status
ascertained; 8,306 (8%) of these were HIV positive.
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26,881 patients started ART during this quarter; this is an 11% increase from the previous
quarter (24,168), probably related to the improved management of HIV test kit supplies.
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422,866 patients were alive and on ART by end of March 2013; 84,499 (22%) of 390,576 on
first line adult regimens were on ART regimen 5A (tenofovir / lamivudine / efavirenz).
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81%_ of adults and __78% of children were retained alive on ART at 12 months after ART
initiation.
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A total of 11,120 HIV positive pregnant women were on ART: 4,134 (37%) of these were
already on ART when getting pregnant and 6,986 (63%) started ART during
pregnancy/delivery. 6,773 (97%) of pregnant women started ART due to Option B+ (in WHO
clinical stage 1 or 2) and 213 (3%) due to a low CD4 count and/or WHO clinical stage 3 or 4.
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An additional 2,279 breastfeeding women started ART due to Option B+ (in WHO clinical
stage 1 or 2).
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6,695 (77%) of 8,648 women started under Option B+ were retained at 6 months after ART
initiation (6‐month retention outcomes were not available for some women, mainly at sites
with electronic data systems).
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7,740 (8%) of infants discharged alive from maternity were known to be HIV exposed, 6,975
(90%) of these received ARV prophylaxis. 5,096 (73%) were enrolled in exposed child followup
before age 2 months.
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A total of 10,319 HIV exposed children and 9,510 pre‐ART patients were enrolled for followup
in HIV Care Clinics (HCC) during this quarter.
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195 medical staff were newly trained and certified in PMTCT/ART and an additional 23
medical records clerks were trained in M&E for the PMTCT/ART program this quarter. This
brings the total number trained in the 2011 guidelines to 5,711.
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513 HTC counsellors and 1,239 HSAs at 152 facilities received mentoring for collection of
dried blood samples for Early Infant Diagnosis and documentation of results.
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In preparation for a nationwide retraining of all HTC providers, 20 Master trainers were
trained in the HTC Skills Intensive Training curriculum, who in turn trained 197 trainers.
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418 health workers and 182 support staff at 70 facilities in the SE Zone received clinical
mentoring in provision of PMTCT/ART. 45 of these health workers were in the intensive
phase, 223 in the continuation phase and 150 graduated from the mentoring program this
quarter.