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proportion of ART patients in 8 African countries receiving ART through December 2009 at Track 1.0 HIV care and Treatment clinics, December 2009. - PowerPoint PPT Presentation
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Sources: Numerator=ICAP routine data as of December 2009; Denominator=WHO/UNAIDS/UNICEF, Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector, September 2010: http://www.who.int/hiv/pub/2010progressreport/report/en/index.html.
PROPORTION OF ART PATIENTS IN 8 AFRICAN COUNTRIES RECEIVING ART THROUGH DECEMBER
2009 AT TRACK 1.0 HIV CARE AND TREATMENT CLINICS, DECEMBER 2009
Overall (n=2,306,489)
Mozambique (n=170,198)
Rwanda (n=76,726)
Ethiopia (n=176,632)
Nigeria (n=302,973)
Tanzania (n=199,413)
South Africa (n=971,556)
Kenya-Track 1.0
(n=336,980)
Cote d'Ivoire (n=72,011)
0%
5%
10%
15%
20%
25%
30%
35%
9%
31%
24%
17%
10% 9%
5%4% 3%
Perc
ent o
f all
patie
nts
rece
ivin
g AR
T
Number of patients receiving Art as of December 20098 countries below: 2.3 millionICAP-supported programs: 215,000
ICAP coverage: 9%
PROPORTION OF PATIENTS WITH CD4 COUNT AT BASELINE, 6, AND 12 MONTHS AFTER ART INITIATION
AT TRACK 1.0 HIV CARE AND TREATMENT CLINICS, SEPTEMBER 2011(SUBSET OF ART PATIENTS*)
Source: ICAP routine data as of September 2011Notes: *Data only included for patients who were followed for 12 months.
Overall
n=243,497
Rwanda n=17,122
Côte d'Ivoire n=3,828
South Africa n=30,379
Ethiopia n=45,746
Nigeria
n=40,842
Kenya
n=16,111
Mozambique
n=67,060
Tanzania
n=22,409
0%
50%
100%
81%
97% 96% 94% 92%87%
79%
66%63%
45%
80%
60%
51% 50% 52%49%
25%
32%
44%
77%
51%
39%
48% 48%45%
34%36%
Baseline 6-month 12-month
P e r c e n t o f p a ti e n t s
TRENDS IN MEDIAN CD4 AT ART INITIATION AND 6 MONTH FOLLOW-UP: TRACK 1.0 HIV CARE AND
TREATMENT CLINICS
Jan-05 Jul-05 Jan-06 Jul-06 Jan-07 Jul-07 Jan-08 Jul-08 Jan-09 Jul-09 Jan-10 Jul-10 Jan-110
50
100
150
200
250
300
350
400
Median CD4 count at ART initiation Median CD4 count 6 months after ART initiation
Month/year of ART initiation
Med
ian
CD4
coun
t (ce
lls/u
L)
173 cells/uL 323 cohorts
318 cells/uL 323 cohorts
123 cells/uL 10 cohorts
290 cells/uL 10 cohorts
Sources: ICAP routine data as of September 2011
Sources: ICAP routine data as of September 2011
TRENDS IN MEDIAN CD4 AT ART INITIATION AND 12 MONTH FOLLOW-UP: TRACK 1.0 HIV CARE AND
TREATMENT CLINICS
Jan-05 Jul-05 Jan-06 Jul-06 Jan-07 Jul-07 Jan-08 Jul-08 Jan-09 Jul-09 Jan-10 Jul-100
50
100
150
200
250
300
350
400
Median CD4 count at ART initiation Median CD4 count at 12 month follow-up
Month/Year of ART initiation
Med
ian
CD4
coun
t (ce
lls/u
L)
130 cells/uL(7 cohorts)
166 cells/uL(287 cohorts)
342 cells/uL(287 cohorts)
300 cells/uL(7 cohorts)
MEDIAN CD4 COUNT AT BASELINE*, 6, AND 12 MONTHS AFTER ART INITIATION AT TRACK 1.0 HIV CARE AND TREATMENT CLINICS, SEPTEMBER 2011
(SUBSET OF ART PATIENTS**)
Source: ICAP routine data as of September 2011Notes: Average of median CD4 counts at baseline and 6 and 12 months follow up are presented.* Baseline data is average of matched 6 and 12 month cohort data at baseline.** Data only included for patients who were followed for 12 months..
Overall
n=243,497
Rwanda
n=17,122
Mozambique
n=67,060
Nigeria
n=40,842
Côte d'Ivoire
n=3,828
South Africa
n=30,379
Ethiopia n=44,45746
Kenya
n=16,111
Tanzania
n=22,409
0
50
100
150
200
250
300
350
400
450
150
237
173 169
131 129 128 128115
266
360
333
274
288
262247
257
185
297
395
356 347
244
300
273
299
208
Baseline 6-month 12-month
C D 4 C e ll C o u n t ( c e ll s / u l)
CHANGE IN MEDIAN CD4 COUNT AFTER 6 AND 12 MONTHS OF ART AT TRACK 1.0 HIV CARE AND
TREATMENT CLINICS, SEPTEMBER 2011 (SUBSET OF ART PATIENTS*)
Source: ICAP routine data as of September 2011Notes: Change in average of median CD4 counts at baseline and 6 and12 months follow up are presented.*Data only included for patients who were followed for 12 months.
Overall Mozambique South Africa Kenya Rwanda Ethiopia Nigeria Cote d'Ivoire Tanzania0
20
40
60
80
100
120
140
160
180
200
116
160
132 130123 119
105 104
71
147
183
171 171
158
145
178
113
93
6-month 12-month
Cha
nge
in m
edia
n C
D4
coun
t (ce
lls/µ
L)
MEDIAN CD4 COUNTS AT ENROLLMENT INTO HIV CARE ARE INCREASING AT TRACK 1.0 HIV CARE AND
TREATMENT CLINICS WITH PATIENT-LEVEL DATA, JUNE 2011 (n = 147 CLINICS)
Jan-05 Jul-05 Jan-06 Jul-06 Jan-07 Jul-07 Jan-08 Jul-08 Jan-09 Jul-09 Jan-10 Jul-10 Jan-110
100
200
300
400
500
Rwanda (40 clinics) Tanzania (41 clinics)Mozambique (28 clinics) Kenya (38 clinics)
Month/year of enrollment into HIV care
Med
ian
CD4
coun
t at e
nrol
lmen
t int
o HI
V ca
re
(cel
ls/u
L)
4 country average at Jan 05: 192 (1,682 pts)
4 country average at Jan 11: 297 (5,721 pts)
MEDIAN CD4 COUNTS AT ART INITIATION ARE INCREASING AT TRACK 1.0 HIV CARE AND
TREATMENT CLINICS WITH PATIENT-LEVEL DATA, JUNE 2011 (n = 147 CLINICS)
Jan-05
Jul-05
Jan-06
Jul-06
Jan-07
Jul-07
Jan-08
Jul-08
Jan-09
Jul-09
Jan-10
Jul-10
Jan-11
0
50
100
150
200
250
300
350
Rwanda (40 clinics) Tanzania (41 clinics)Mozambique (28 clinics) Kenya (38 clinics)
Month/Year of ART initiation
Med
ian
CD4
coun
t at A
RT in
itiat
ion
(cel
ls/u
L)
4 country average at Jan 05: 114 (842 pts)
4 country average at Jan 11: 213 (3,748 pts)