02 j mitchell alternative approach to art
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TRANSCRIPT
FPD
AN ALTERNATIVE APPROACH TO
ESTIMATING NEED FOR ART PROVISION
IN TSHWANE, SOUTH AFRICA
Janine MitchellFoundation for Professional Development (FPD)
SAHARA Conference
30 Nov - 03 Dec 2009 - Gallagher Estate, Midrand
FPD
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
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
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 – not on treatment
10%
Population estimate1 351 058
(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
ResultsCurrent 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
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
Thank You
Janine MitchellHead of Department: Compass Project
Foundation for Professional Development (FPD)[email protected]