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National arv program 2013

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National arv program 2013

  1. 1. National ARV Program 2013 Dr Albert Mwango, BScHB, MBChB, MPH National Antiretroviral Program Coordinator Ministry of Health, Zambia
  2. 2. Background: HIV in Zambia • Zambia has a population of 13 million • HIV Prevalence in adults: – 15.6% (2002 ZDHS), now 14.3% (2007 ZDHS) – Rural 10.3 % – Urban 19.7% ZDHS 2007 Jul-13 2
  3. 3. Background: HIV in Zambia • new infections rate in 2011 – 0.96% among males – 1.25% among females • Eligible and on ART – 480,000 (Adult coverage - 88%) – 34,000 (Children coverage 34%) – 31% access services in rural sites MOH 2012 report Jul-13 3
  4. 4. Epidemic among the women of Zambia (i) • HIV prevalence (2007) – Adults (ages 15-49) 14.3% – Women (ages 15-49) 16.2% – Pregnant women 16.4% • HIV+ Pregnant women (2012) – 87,272 ZDHS 2007 Jul-13 4
  5. 5. Epidemic among the women of Zambia (ii) • ANC attendance – 93.7% of pregnant women attend ANC at least once • 19.2% in 1st Trimester – 60.3% attend ≥  4  visits – 98.9% Counseled & tested for HIV – 47% deliver at health facilities ZDHS 2007 Jul-13 5
  6. 6. Epidemic among the women of Zambia (iii) • eMTCT coverage – 100% (124) of districts – 64% (1,200) of sites – 88.6% HIV + ♀ given prophylaxis • Policy  in  place  (Jan  ‘13)   – Lifelong triple cART for all HIV+ Pregnant women – Primary Regimen: TDF/FTC/EFV MOH report 2012 Jul-13 6
  7. 7. Epidemic among the children of Zambia Jul-13 7
  8. 8. Road map for the Option B+ policy 2013 Q3-4 Implementation Site assessment “tools”  development Site activation 2013 Q1-2 policy adoption Policy adoption Stakeholder consultations Resource mobilization Development of implementation plan 2012 policy justification Business case under reviewed by MOH senior management Further discussion and presentations by ARV Program office Senior management to present to policy makers Inputandengagementfromkeystakeholders Consultativeprocesswithpartners Jul-13 8
  9. 9. Program Focus: Three Years Year Program Focus Year 1 (2014) a. Roll out of New Guidelines including option B+ b. Set up HIV Drug resistance surveillance protocols c. Expansion  of  3I’s  (TB/HIV  interventions) d. Ensure Commodity Security e. Expansion of Advanced Treatment Centers Year 2 (2015) a. Expand HIV Drug resistance surveillance activities b. Enhance Information Systems (SmartCare) c. Expansion  of  3I’s  (TB/HIV  interventions) d. Ensure Commodity Security Year 3 (2016) a. Expand Universal Access: Test and treat b. Enhanced Patient retention systems c. Promote robust M&E Systems Jul-13 9
  10. 10. Focus for Year 1 (2014) • Main Objectives – Simplification, Harmonization and Integration of HIV services in order to achieve overall objective Jul-13 10
  11. 11. Q&A Jul-13 11
  12. 12. Please contact: Contact Information Here: Thank you!

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