EMTCT sms weekly reporting

1. Ministry of Health
Weekly Option B+ Surveillance report: Sept 23 – Sept 29 2013 (Week 39)
Weekly
Option
B+
Scale
up
Surveillance
Report
Compiled
on:
October
3rd,
2013
For:
Epidemiologic
Week
#
39
Sept
23-­‐Sept
29,
2013
Introduction
About
1.3
million
people
in
Uganda
are
living
with
HIV,
and
an
estimated
145,000
new
infections
are
occurring
each
year.
Mother-­‐to-­‐child
transmission
contributes
18%
of
these
new
infections.
Uganda
adopted
the
Option
B+
policy
in
2012
to
eliminate
mother
to
child
transmission
of
HIV
(EMTCT).
The
Option
B+
policy,
adopted
from
the
WHO
2010
guidelines
on
use
of
ARVs
in
pregnant
women,
differs
from
previous
PMTCT
policies
in
that
all
HIV
pregnant
women
are
initiated
on
Option
B+
irrespective
of
their
CD4
count.
Not
only
does
this
policy
focus
on
eliminating
HIV
transmission
from
mother
to
child,
but
also
reducing
mortality
and
morbidity
among
HIV
positive
women,
and
HIV
exposed
and
infected
infants.
The
Government’s
EMTCT
strategy
involves
reducing
the
risk
of
HIV
transmission
from
an
infected
mother
to
her
baby
during
pregnancy,
labor,
delivery
and
breastfeeding
to
less
than
5
per
cent
nationally.
It
aims
to
reduce
transmission
of
HIV
from
infected
mothers
to
their
children
by
90
per
cent
by
2015.
Implementation
of
the
Option
B+
strategy
started
in
September
2012
in
the
Central
region.
Following
an
assessment
of
Phase
One
of
implementation
in
December
2012,
MoH
recommended
to
roll
out
the
strategy
to
the
rest
of
the
country.
Option
B+
is
supported
mainly
by
the
United
States
Government
through
the
Centers
for
Disease
Control
and
Prevention
Uganda
(CDC)
and
the
United
States
Agency
for
International
Development
in
Uganda
(USAID).
These
US
Agencies
provide
support
through
their
Implementing
Partners
(IPs).
Sources
of
Data
The
data
are
extracted
from
patient
registers
at
the
health
facility
namely:
ANC
register,
maternity
register,
pre
ART
register,
ART
register
and
dispensing
log.
The
data
are
sent
by
short
message
service
(SMS)
though
a
mobile
telephone
network
to
a
central
database
hosted
at
the
Monitoring
and
Evaluation
Technical
Assistance
project
(META)
office
from
where
it
is
analyzed
and
disseminated
weekly.
Indicators
for
weekly
surveillance
Data
are
collected
on:
• Total
number
of
pregnant
women
having
their
first
ANC
visit
in
the
reporting
period
• Total
number
of
women
having
a
first
HIV
test
for
that
pregnancy
and
receiving
their
results
at
ANC
1st
1
visit
in
the
reporting
period
• Total
number
of
women
tested
positive
for
HIV
on
a
first
test
at
ANC
1st
visit
in
the
reporting
period
• Total
number
of
women
having
their
first
ANC
visit
and
who
were
previously
known
to
be
HIV
+
or
have
documentation
of
a
negative
test
that
is
not
more
than
4
weeks
old
• Total
number
of
women
initiating
Option
B+
at
ANC
1st
visit
in
the
reporting
period

2. • Total
number
of
women
who
were
already
on
treatment
by
ANC
1st
visit
• Total
number
of
women
who
missed
ANC
appointments
in
the
reporting
period
• HIV
kits
availability
• ARVs
availability
2
Key
indicators
are
then
derived
from
these
data
namely:
 Proportion
of
women
with
previously
unknown
HIV
status
who
attend
ANC
receiving
an
HIV
test
 Proportion
of
HIV+
pregnant
women
not
previously
on
ART
who
are
initiated
on
Option
B+
in
the
period
 Number
of
facilities
without
HIV
test
kits
 Number
of
facilities
without
ARVs
This
report
provides
a
summary
of
the
performance
of
the
EMTCT
program
for
the
week
ending
Oct
4th,
2013.
Summary
• 28.4%
of
facilities
expected
to
report
have
actually
reported
• 87.3%
of
reports
received
in
week
39
are
complete
reports
• 108%
of
HIV
+ve
women
not
on
ART
at
ANC
were
initiated
on
ART
• 128
facilities
have
stock-­‐outs
of
HIV
test
kits
• 45
facilities
have
stock-­‐outs
of
ARVs

3. Progress of Option B+ implementation in Uganda
Number of facilities Reporting Implementation of Option B+
3
Reporting
summary
-100 0 100 200
Percentage
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
04Mar-10Mar
23Sept-29Sept
Week of implementation of Option B+
Percentage of ANC1 attendees tested for HIV
Percentage of women initiated on Option B+
1 41 81 121 161 201 241 281 321 361 401 441 481 521 561
Number of facilities reporting
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
11Feb-17Feb
23Sept-29Sept
Week of implementation of Option B+

4. 4
Facility
reporting
for
Week
39
0 100 200 300 400
Facilities reporting by IP
Baylor
CUAM
MJAP
MRC-UVRI
IDI
IDI-KCC
Kalangala
PREFA
Mildmay
NUHITES
RHSP
RTI
Reach Out
RHU
SPEAR
STAR-E
STAR-EC
STAR-SW
TASO
UCMB
SUSTAIN
UPMB
Unassigned Sites
UHMG
IRCU
Walter Reed
Number of facilities reporting vs expected by IP
Expected Reported
28.4%
of
facilities
expected
to
report
actually
reported

5. 5
2 2 2 2
1 1
02
0 0 0 0
1145
1133
1215
1113
1100
10 9 9 9
76 6 6
57
4 4 4 4 4 4
810
2234
22 28
22 30
2023
45 51
247 281
0 100 200 300
# Facilities Reporting by IP
Baylor
PREFA
STAR-EC
TASO
NUHITES
STAR-E
Mildmay
IRCU
RHSP
UCMB
SUSTAIN
STAR-SW
IDI
MJAP
UPMB
Kalangala
IDI-KCC
UHMG
SPEAR
Reach Out
Unassigned Sites
CUAM
MRC-UVRI
Walter Reed
RTI
RHU
Completeness of Reporting by IP
complete reported

6. Percentage
of
women
with
previously
unknown
HIV
status
who
attend
ANC
receiving
an
HIV
test
6
71
90
88
127
122
121
116
116
115
112
111
106
104
100
99
95
101
111
120
140
133
177
173
0 50 100 150 200
Percent
Unassigned sites
STAR-E
Reach-Out
RHSP
Mildmay
UPMB
TASO
PREFA
STAR-SW
CUAM
IDI-KCC
Baylor
SUSTAIN
UCMB
STAR-EC
IDI
SPEAR
MRC-UVRI
IRCU
MJAP
UHMG
NUHITES
Kalangala
Percentage of women with previously unknown HIV status who attend ANC receiving an HIV test
USAID
CDC

7. Percentage
of
HIV+
women
not
previously
on
ART
who
are
initiated
on
Option
B+
83
83
82
77
123
116
115
115
111
100
100
STAR-SW
Unassigned sites
STAR-EC
STAR-E
Baylor
TASO
Kalangala
IDI-KCC
PREFA
SUSTAIN
IDI
UCMB
NUHITES
Mildmay
UPMB
RHSP
MJAP
IRCU
SPEAR
CUAM
UHMG
Walter Reed
Reach-Out
RTI
RHU
Percentages
greater
than
100
indicate
a
possible
backlog
of
women
eligible
for
initiation,
hence
the
number
of
women
initiated
on
Option
B+
during
the
week
is
greater
than
those
identified
in
ANC
this
week
alone.
Stockouts
Number
of
facilities
with
stock-­‐outs
of
HIV
test
kits
is
128
Number
of
facilities
with
stock-­‐outs
of
ARVs
is
45
7
0 0 0 0 0
20
50
75
100
113
140
128
141
200
300
USAID
CDC
0 100 200 300
Percent of women initiated on B+
MRC-UVRI
Percentage of HIV infected pregnant women initiated on B+ by IP
Compiled
by
Makerere
University
School
of
Public
Health
–META
Project