Gambella RHB/JHU-TSEHAI
o Regional HIV/AIDS
o
Prevention and control Performance report.
From Sept 01/2003-August 30/2003 EFY. Adula Thwol (BSC) Regional ART Coordinator October 29/2011 Gambella
Presentation outline
1.Background information. 2.Regional HIV/AIDS Overview. 3.2003 EFY one year report. 4.2004 EFY progress report. 5.Major challenges. 6. Best practices. 7. the way forward.
ART site
2-ART sites
ART site
3-ART sites
ART site
Background Cont Population Profile ART site Estimated pop=382,430/75% Rural Growth Rate= 4% Nuer, Agnwa & Mezinger are the major indigenous ethnic groups
Background Cont
Climatic condition
Altitude:300-500ms,Godere at
2300ms Climate: Hot and humid Temp: 17-28c Rainfall:900-1500mms/May-Oct/
Administrative settings
The region is divided in to 3 zones & one administrative town 12 woredas and 1 sp.woreda 244 kebeles
Health service facilities
1 hospital ART site 9 health centers ART sites 2 PMTCT & PICT sites 10 new HCs performing routine activities 5 equipped but not yet functional 7 under construction 76 Health posts 18 Private health facilities Health service coverage (63%)
Gambella HIV/AIDS overview
Regional HIV prevalence in 2011 2.4%
Urban prevalence.. 5.7% Rural prevalence .. 1.1%
Number of PLWHA in 2011,--
6,925
Gambella HIV/AIDS
Total HIV rapid test in the last 1 yr-36,785 HIV/AIDS dxed in the last 1 yr 2,073 Prevalence-----5.6% Annual AIDS deaths in 2010------ 111 The estimated total number of persons requiring ART in 2011 is 2,344/2,954
Gambella HIV/AIDS
Total HIV rapid test in the last 3months9,309 HIVAIDS diagnosed in the last 3 months 575 Prevalence-----6.17% The estimated total number of persons requiring ART in 2011 is 2,344/2,954
Gambella HIV/AIDS
Pregnant women tested during ANC or L & D from 01/01/2003-06/13/2003---- 6,509 Positive pregnant women from 01/01/200306/13/2003---478 Prevalence----- 7.34% Annual HIV positive birth babies ----- ? Those who took prophylactic service 151+256
Annual ART PERFORMANCE
Activities Annual target Achievem ent % Remark
Ever enrolled Ever received Current on ART
5,704 2,344
6,925 2,954 2,041
121.4% 126%
1005
Currently on Pre-ART Lost, drop &dead from ART follow up 2,966
dead & to before ART 31%
913
Annual PMTCT PERFORMANCE
Activities Annual target Achievem ent %
Remark
New ANC enrolled, L &D New ANC enrolled, L & D tested New ANC, L & D tested positive
9,515
7,075
74%
9,515
6,509
68.4%
478
7.34%
New ANC, L & D tested positive & given prophylaxis
407
85%
Annual HCT status
Activities Annual target 13,559 20,336 605 Achieve ment 14,338 14,087 1,498 % Tested positive 579 683 282 Prevale nce 4% 4.9% 19%
Remark
VCT PICT TB/HIV
105% 69.3% 247.6%
STI
1,357
1,349
99.4%
51
3.8%
Total
35,857
31,272
87%
1,595
5%
One quarter ART& PMTCT PERFORMANCE
Activities Annual target 1 quarter Achieve ment %
Remark
Ever received Current on ART New ANC enrolled
2,344 1,325 8,357 2,089
2,954 2,041 1,320 63%
PMTCT
7,374
1,843.5
1,921
104%
New ANC, L & D tested positive New ANC, L & D tested positive & given prophylaxis
150 119
7.8% 79%
One quarter HCT status
Activitie Annual s target 1 quarter target One quarter Achievement % Tested positive
Prevalen ce
VCT & PICT
87,648 137,591
21,912/ 34,398
8,678
40% 6.3%
362
4%
TB/HIV
385
STI
96
248
258%
55
22%
1,357 Total 87,648 137,591
339 21,912 34,398
165
49%
25
15%
9,091
41.5%
442
4.9%
Expansion of Health facility based service
S/n Indicators/Activ Annual Achievement 0 ities Target 1. No of health facilities planned to provide ART services 5 2. No of health facilities planned to provide PMTCT & HCT services 0 Remark
Kumi Achagna Gog diphach Bonga 0% Metar
10
0%
Renovation & other activities
Gambella
Regional lab[ongoing] Gambella hospital lab [ongoing] Office in RHB Gust house in gambella health centre [ongoing] Installation of shelves for card & drug rooms for all JHU supported health facilities. Fax machine for RHB & 6 HCs with land line phone . Wire less to be expanded for RHB blocks. Furniture, training & technical support.
Major Challenges Inequity distribution of health facilities. Total absent of h/c in some Woredas leading to inaccessibility. Ambitious annual HCT target plan. Weak health network function(Inter& intra facilities). Work over lord on hospital lab that lead to limitation of CD4 sample quantities from other sites.
Interference
of DHS program which force us to utilize routine test kits & most health facilities face test kits shortage. Irregular HIV Test Kits supply. Weak commitment of some health care providers on PICT.
Best Practices
Increase in HCT uptake with outreach campaign jointly with DHS program . Increase communitys demand on HIV/AIDS services. Opening other newly constructed health centres that enhance ART sites expansion. Engagement of WHO in HIV/AIDS prevention & control activities in the region. Initiation of other partners to involve in HIV/AIDS prevention & control activities.
THE WAYFORWARD
The RHB needs to request expansion of HIV/AIDS activities to newly opened health facilities. RHB to request additional CD4 & chemistry machines to alleviate work lord on hospital. Great involvement of HEWs & HWs at health posts in HIV related activities to increase uptake in HCT & ART to achieve the annual plan .
Strengthening mentorship on HIV/AIDS prevention & control to sectors Bureau. of partnership among regional implementers & donors. of joint supportive referral net work. supervision.
Strengthening Strengthening Strengthening
