02 J Mitchell Alternative Approach To Art

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02 J Mitchell Alternative Approach To Art

  1. 1. AN ALTERNATIVE APPROACH TO ESTIMATING NEED FOR ART PROVISION IN TSHWANE, SOUTH AFRICA Janine Mitchell Foundation for Professional Development (FPD) SAHARA Conference 30 Nov - 03 Dec 2009 - Gallagher Estate, Midrand FPD
  2. 2. Rationale Insufficient municipal data = challenge to scale up ART effectively at local level Gap Analysis Needed – Why? 1. Better understand need for ART 2. Better understand capacity to deliver ART 3. Build local strategy to close the gap FPD
  3. 3. Methodology 1. Epidemiological estimate - # of people requiring ART 2. # of people currently initiated on ART in Tshwane public clinics 3. Identify gap in current ART provision FPD
  4. 4. Results Estimate of the need for ART in Tshwane 2009 % estimated persons living with HIV - stage 3 of infection 37% % estimated persons living with HIV - stage 4 of infection 10% – not on treatment 1 351 058 Population estimate (15-49) HIV prevalence estimate 15.20% # HIV+ individuals 205 361 # of people in need of ART 96 230 [i] Dorrington RE, Johnson LF, Bradshaw D, Daniel T. The demographic impact of HIV/AIDS in South Africa. National and provincial indicators for 2006. Cape Town: Centre for Actuarial Research, South African Medial Research Council and Actuarial Society of South Africa; 2006. FPD
  5. 5. Results Current ART/Estimate of ART Gap in Tshwane 2009 # HIV+ individuals estimated in Tshwane 205 361 # of people estimated in need of ART 96 230 New initiations in 2009 (Public/NGO sites*) 14 777 Current number of persons on ART (Public/NGO sites*) 32 391 Gap in ART initiation 63 839 (66%) * Foundation for Professional Development - Gauteng Provincial Department of Health – Tshwane ART sites FPD
  6. 6. Conclusion There is a wide gap in provision of ART vs. those in need ART Clinics are currently meeting 37% of estimated people in need Many HIV+ individuals may not know their status or their eligibility for ART FPD
  7. 7. Thank You Janine Mitchell Head of Department: Compass Project Foundation for Professional Development (FPD) janinem@foundation.co.za FPD

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