kic RbCuMerobcMEpnkarRbtibtþiRKb;RCugeRCaysMrab;kmµviFI bgáar EfTaM Büa)al CMgWeGds_-kameraK qñam 2013

Transcription

1 kic RbCuMerobcMEpnkarRbtibtþiRKb;RCugeRCaysMrab;kmµviFI bgáar EfTaM Büa)al CMgWeGds_-kameraK qñam 2013 Province Banteay Mean Chey Battambang: 03 December /01/2013 Dr. Sin Eap: PASP, PHD-BMC 1

2 Outline of Presentation 1. General information. 2. CoPCT. 3. Link Respond. 4. Challenges and solution. 5. Future Plan. 6. Recommendation. 02/01/2013 Dr. Sin Eap: PASP, PHD-BMC 2

3 3 1. General Information in BMC, in OD Name # dist. # comm. # villa. # pop # RH # inte. Lab # HC AIDS service delivery OI/ ART PAC FHC HBC MBR ,378 SRP Poipet ,361 Poipet T-pouk ,309 T-pouk P-N-P ,556 PNP MBH ODs , /01/2013 Dr. Sin Eap: PASP, PHD-BMC

4 2. CoPCT 02/01/2013 Dr. Sin Eap: PASP, PHD-BMC 4

5 A1- Statistic of EWs by quarter 2012 in BMC EWs Q1 Q2 Q3 Q4 KARAOK Massage Restaurant Beer girls Freeland Total 1,429 1,566 1, /01/2013 Dr. Sin Eap: PASP, PHD-BMC 5

6 A2- Activities and results of intervention among EWs in Q3-2012, BMC. EWs KARAOK Massage Restaurant Beer promotion Freeland Total Total Outreach Visits (82%) STI (15%) VCCT (25%) Condom (100%) 02/01/2013 Dr. Sin Eap: PASP, PHD-BMC 6

7 A3- Referral results among EWs by quarter-2012 in BMC. EWs Before 2012 Q1/12 Q2/12 Q3/12 Q4/12 Total Total N/A 1,429 (DU: 228) 1,566 (DU: 226) 1,533 (DU: 224) 0 1,566 VCCT N/A 437 (DU:27) 447 (DU:40) 384 (DU:48) 0 1,268 (81%) (DU:115) HIV (DU:2) 0 28 OI/ART (1DU:hide) /01/2013 Dr. Sin Eap: PASP, PHD-BMC 7

8 B1- Statistic of MSM by quarter 2012 in BMC. MSM Q1 Q2 Q3 Q4 Short Hair 2,154 2, Long Hair Total 2,350 2,350 2, /01/2013 Dr. Sin Eap: PASP, PHD-BMC 8

9 B2- Activities and results of intervention among MSM in Q3-2012, BMC. MSMs Short hair Long hair Total Total 2, ,350 Outreach Visits 1, ,317 (56%) STI (13%) VCCT (17%) Condom 1, ,317 (56%) 02/01/2013 Dr. Sin Eap: PASP, PHD-BMC 9

10 B3- Referral results of MSM by quarter-2012 in BMC. MSM Before 2012 Q1/12 Q2/12 Q3/12 Q4/12 Total Total N/A 2,350 (DU:288) 2,350 (DU:368) 2,350 (DU:267) VCCT N/A 698 (DU:58) 464 (DU:186) 406 (DU:113) 0 1,568 (67%) (DU: 357) HIV+ 10 (LH) 0 1 (to Thailand) 1(Mobile) (DU:1) 0 12 OI/ART /01/2013 Dr. Sin Eap: PASP, PHD-BMC 10

11 C1- Statistic of DUs by quarter 2012 in BMC. DUs Q1 Q2 Q3 Q4 NIDU 1,569 (EW,MSM:516) 1,439 (EW,MSM:594) 1,363 (EW,MSM:491) 0 IDU 2 (MSM:2) 2 (MSM:2) 2 (MSM:2) 0 Total 1,571 1,441 1, /01/2013 Dr. Sin Eap: PASP, PHD-BMC 11

12 C2- Activities and results of intervention among DUs in Q3-2012, BMC. DUs Non-injected DUs Injected DUs Total Total 1, ,365 Outreach Visits (68.5%) STI (4.8%) Condom (20%) 02/01/2013 Dr. Sin Eap: PASP, PHD-BMC 12

13 C3- Referral results of DUs by quarter-2012 in BMC. DUs Before 2012 Total 1,571 (EW,MSM:516) Q1 Q2 Q3 Q4 Total 1,441 (EW,MSM:516) 1,365 (EW,MSM:493) VCCT PHD NGO N/A (49%) HIV OI/ART 6 (1 Thailand, 1 inmate in BMC) (1 Thailand) /01/2013 Dr. Sin Eap: PASP, PHD-BMC 13

14 C4- Treatment results for DU in Q3-2012, BMC. DUs access to 4 RH, 13 HCs Health services Registered Lost Recover Active patients Total DUs in RH Total DUs in HCs Total /01/2013 Dr. Sin Eap: PASP, PHD-BMC 14

15 D1- Activities and results of intervention among Mobile population Q in BMC. Target Casino Workers E-clients Total Total Outreach Visits ,300 (44.8%) STI (3.7%) Condom (20.6%) 02/01/2013 Dr. Sin Eap: PASP, PHD-BMC 15

16 D2- Activities and results of intervention among Mobile population by quarter-2012 in BMC. MMP Q1 Q2 Q3 Total CW E-client CW E-client CW E-client CW E-client Total VCCT (16%) 580(27%) HIV (Hide) OI/ART /01/2013 Dr. Sin Eap: PASP, PHD-BMC 16

17 3. Link Respond 02/01/2013 Dr. Sin Eap: PASP, PHD-BMC 17

18 A- Bt mantueta Rsukrdæ)al ³ 9 erbgva:lg; HIVTUeTA 0.8% ³ 5/663 RbCaCnsrub ³ 712/604 GaRtakMeNIt 2.95% ³ 20/882 cmnynrsþimanépþebahrmbwgtuk/2012³ 20/882 cmnynxum ³ 64 erbgva:lg; HIVRsþIépÞeBaH 0.4%³ 83 cmnynpumi ³ 638 cmnynmnþirebtü ³ 5 cmnynmnðlrnb³ 16 cmnynmnðlsuxpab³ 57 cmnynb:usiþsuxpab³ 12 ertomeligca mnðl 9 ena 2013 GgÁkarédKU³ SEADO, AHEAD, DYT, KBA, CHO, RACHA, PFD, MHSS, MHC, CPR. 02/01/2013 Dr. Sin Eap: PASP, PHD-BMC 18

19 B- ltæplsmnakqam Edl)anbBa ÚntamRsukRbtibtþinimYy² kñúgry³ebl 3RtImas qñam2012 suc nkr PPT OD MBR OD THP OD PNP OD Total # RsþIépÞeBaHBinitüelIkTI1 5,272 5,208 2,432 2,719 15,631 # (%)smnakqamrsþiépþebah)anbba Ún 4,932(93) 4,939(95) 2,360(97) 2,587(95) 14,818(95) #RsþIépÞeBaHlT pletsþvic man #(%) smnakqamédku)anbba Ún 1,044(21) 1,214(25) 1,317(56) 995(38) 4,570(31) #édkult pletsþvic man # smnakqamepsg² )anbba Ún 489 1, ,561 # GtifiCnepSg²lT plvic man # srubsmnakqam)anbba Ún 6,465 7,229 3,868 4,387 21,949 # srubcmnynlt plvic man /01/2013 Dr. Sin Eap: PASP, PHD-BMC 19 Note; PPT : PoiPet, MBR: Mongkul Borey, THP: Thmor Pouk, PNP: Preah Net Preah, OD: Operational District

20 C- ANC tested for HIV by Quarter in BMC % % 77% % % % % 90% % % 94% % 100% 80% PW tested % test/anc1 HIV+ 60% 40% % 0.34% 0.27% 0.35% 0.26% 0.32% 0.27% 0.15% 0.14% 0.08% 0.21% Q1-10 Q2-10 Q3-10 Q4-10 Q1-11 Q2-11 Q3-11 Q4-11 Q1-12 Q2-12 Q % 02/01/2013 Dr. Sin Eap: PASP, PHD-BMC 20 0%

21 D- karerbobefobltæplénkarefvietsþqam VCCT nig LR qñam 2009 dl; RtImasTI Q VCCT LR /01/2013 Dr. Sin Eap: PASP, PHD-BMC 21

22 E- ninñakarén HIV+kñúgkareFVIetsþénviFIsaRsþeqøIytbrYmKñanig VCCT % VCCT+LR % HIV+ 1.90% % 0.91% Q3, % 4.00% 3.50% 3.00% 2.50% 2.00% 1.50% 1.00% 0.50% 0.00% 02/01/2013 Dr. Sin Eap: PASP, PHD-BMC 22

23 F- karrkbdnþb;énesvaefvietsþemerakegds_kñúgcmenamrsþiépþebahenatutamgextþ 3RtImas qñam 2012 No OD Popula tion EPW (2.95%) #ANC1 #Tested (Tested + labor tested + Known HIV) # PW+ %Tested /ANC1 (*) %Tested /EPW (**) 1 MBR 239,378 7,062 5,208 5,014 ( ) 2 PPT 197,361 5,822 5,272 4,963 ( ) 3 PNP 146,566 4,324 2,719 2,590 ( ) 4 THP 124,581 3,675 2,432 2,384 ( ) % 70.99% % 85.24% % 59.89% % 64.87% Total (Province) 707,876 20,883 15,631 14,951 ( ) % 71.59% (*): % Tested/ANC1 = (# Tested + # labor tested + # Known HIV status)/total # ANC1. (**) % Tested /EPW = (# Tested + # labor tested + # Known HIV status)/ # EPW Note: EPW: Expected Pregnant Women 02/01/2013 Dr. Sin Eap: PASP, PHD-BMC 23

24 02/01/2013 Dr. Sin Eap: PASP, PHD-BMC 24

25 G- សកម មភ ព CQI : Sites Indicators Base line SSP ( Sereysophoan OI/ART Clinic) MBR ( Mong Kulborey OI/ART Clinic) PPT1 ( Poipet 1 OI/ART Clinic) 1> %GñkCMgWman CD4 < 350 RtUveGay ARTminhYsBI 60 éf 2> %GñkCMgWmkTTYlfñaM ART ywtcag 3 éf 3> %GñkCMgW OI EdllHbg; 1> %GññkCMgWman CD4< 350 RtUveGay ARTminhYsBI60 éf 2> %GñkCMgWmkTTYlfñaM ART ywtcag 3 éf 3> %GñkCMgWman CD4 < 200 (Cotrim) CD4 < 100 (Fluconazole) 1- % of patient initial visit who has CD4 > % of patient whose under ART and lost follow up. 3- % of late visit beyond drug buffer. Expecte d Output Result (12 mth) THP ( Thmorpouk No CQI OI/ART Clinic) 02/01/2013 Dr. Sin Eap: PASP, PHD-BMC 25 85% 1.5% 10.5% 85% 6% 45% &31% 13.8% 1.4% 7.3% 100% 1.2% 5% 95% 4% 95% 30% 0.5% 5% 78% 3% 79% 67% 65% 1.5% 4.6%

26 4- Challenges and Solution Challenges 1- Shortage budget approval from donors for referral MARP to STI and VCCT ( Only 30% of target group). 2- Over load work for health staff. ( Ex. STI staff have to share time for OI/ART, IMCI, ANC.. ) Solution - Implementation affordable work and C- PITC. - Use contract staff, NGO s staff. 3- Some NGOs stop working in BMC. - CPN+ BMC, VHSG temporarily Work. 02/01/2013 Dr. Sin Eap: PASP, PHD-BMC 26 26

27 5- Future Plan Increase HIV test among EWs, MSM and DU to 75% at the end of Actual outputs: - EWs: Q1= 437, Q2= 447, Q3= 384 => Total= 884p /1566 (80.9%). - MSM: Q1= 698, Q2= 464, Q3= 406 => Total= 1568/2350 (66.7%). - DUs: Q1= 194, Q2= 186, Q3= 387=> Total = 767/1571( 48.8%). - Total ANC1: 15,631p, HIV test: 14,818 p (94.7%). Plan for 2013: -Test for HIV among MARP up to 85%. - Test for HIV among PWs up to 95.5%. - Following Boosted LR approach. 02/01/2013 Dr. Sin Eap: PASP, PHD-BMC 27

28 6- Recommendation Practical Approaches. Enough Budget for: - Operation. - Motivation. 02/01/2013 Dr. Sin Eap: PASP, PHD-BMC 28

29 Thank you 02/01/2013 Dr. Sin Eap: PASP, PHD-BMC 29