Case identification by district increased from 22% to 88% from October to January due to start-up activities in October, capacity building of providers in November, and a drop in February and March likely due to fewer working days and the COVID-19 impact. Quality improvement interventions like maintaining linkage registers and accommodating ART initiation outside clinic hours drove increases in linkage to treatment, reaching over 140% in some weeks. The number of people currently on ART saw a steady increase over a 6-month period from 49% to 58% of the project target, accounting for over 11,000 people, resulting from increased case identification and linkage.

1. Snapshot: January 2020 by district
Case identification by district increased from 22% to 88% in four months
22%
48%
83%
88%
68%
56%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
October November December January February March
Steady improvements until January preceded 2020 decrease
• October: Start-up activities including launch, office setup, advocacy, among others
• November: Capacity building of providers for case identification, especially index testing
• February drop off may be due to fewer working days that month, and March drop off is a direct result of COVID-19 impact.

2. QI interventions drive increase in linkage to treatment of HIV-positive clients
47%
51% 54% 54% 55%
100%
78% 76%
88%
68%
79%
87%
95%
89%
81%
90%
71%
78%
71%
75% 78%
125%
89%
103%
128%
105%
133%
142%
175%
161%
128%
140%
Target = 90%
0%
20%
40%
60%
80%
100%
120%
140%
160%
180%
200%
Jul-19 Aug-19 Sep-19 Oct-19 Nov-19 Wk1- (10th -
16th Jan 20)
Wk2- (17th -
23rd Jan 20)
Wk3- (24rd-
30th Jan 20)
Wk4- (31st
Jan-6th Feb
20)
Week 5-
(7th - 13th
Feb 2020)
Week 6-
(14th - 20th
Feb 2020)
Week 7-
21ST -27TH
Feb 2020
Week 8-
28TH Feb -
5TH Mar
2020
Week 9- 6TH
- 12TH Mar
2020
Week 10-
13TH - 19TH
Mar 2020
Week 11-
(20th Mar -
26th Mar
20)
Real Linkage only facility +ves (%) Linkage (%) including Delayed Initiation + referred-in Target including Delayed Initiation + referred-in
Baseline period QI interventions:
• HTS teams maintain linkage register and
accompany patients to ART clinic
• ART staff accommodate ART initiation outside
ART clinic hours
Completed QI training in six facilities Completed QI training in
additional 10 facilities
Note: QI intervention took place in 16 out of 18 project facilities.

3. 58%
Steady increase in people currently on ART continues over 6-month period
49%
50%
51%
53%
55%
Increase in TX_CURR
• The number of PLHIV receiving ART increased
from 49% of project target in October to 58% in
March, accounting for 11,606 people.
• The increase in TX_CURR results from
increases in case identification and linkage.