kic©rbcumerobcmepnkarrbtibtþirkb;rcugercaysmrab;kmµvifi ......mbr 2 20 215 239,378 srp 1 20 1 1 1...

kic©RbCuMerobcMEpnkarRbtibtþiRKb;RCugeRCaysMrab;kmµviFI

bgáar EfTaM Büa)al CMgWeGds_-kameraK qñaM 2013

Province Banteay Mean Chey

Battambang: 03 December 2012

1 02/01/2013 Dr. Sin Eap: PASP, PHD-BMC

Outline of Presentation

1. General information.

2. CoPCT.

3. Link Respond.

4. Challenges and solution.

5. Future Plan.

6. Recommendation.


1. General Information in BMC, in 2012.

OD Name # dist. # comm. # villa. # pop # RH #

inte.

Lab

# HC

AIDS service delivery

OI/

ART PAC FHC HBC

MBR 2 20 215 239,378 SRP 1 20 1 1 1 6

Poipet 3 15 125 197,361 Poipet 1 12 1 0 1 7

T-pouk 2 14 138 129,309 T-pouk 1 12 1 0 0 3

P-N-P 2 15 160 146,556 PNP 0 13 0 0 0 4

MBH 1 1 1 0

4 ODs 9 64 638 712,604 5 4 57 4 2 2 20

3

02/01/2013 Dr. Sin Eap: PASP, PHD-BMC

2. CoPCT


02/01/2013 Dr. Sin Eap: PASP, PHD-BMC 5

A1- Statistic of EWs by quarter 2012 in BMC

EWs Q1 Q2 Q3 Q4

KARAOK 847 815 864 0

Massage 110 209 217 0

Restaurant 396 449 350 0

Beer girls 34 75 47 0

Freeland 42 58 55 0

Total 1,429 1,566 1,533 0


EWs

KARAOK

Massage

Restaurant

Beer

promotion

Freeland

Total

Total 864 217 350 47 55 1533

Outreach

Visits

704 198 295 30 35 1262(82%)

STI 118

68 25 10 15 238(15%)

VCCT 166 60 128 22 8 384 (25%)

Condom 864 217 350 47 55 1533(100%)

A2- Activities and results of intervention among EWs in Q3-2012, BMC.


EWs Before

2012

Q1/12 Q2/12 Q3/12 Q4/12 Total

Total N/A 1,429 (DU: 228)

1,566 (DU: 226)

1,533 (DU: 224)

0 1,566

VCCT N/A 437 (DU:27)

447 (DU:40)

384 (DU:48)

0 1,268 (81%)

(DU:115)

HIV+ 25 0 0 3 (DU:2) 0 28

OI/ART 25 0 0 2 (1DU:hide)

0 27

A3- Referral results among EWs by quarter-2012 in BMC.


B1- Statistic of MSM by quarter 2012 in BMC.

MSM Q1 Q2 Q3 Q4

Short Hair 2,154 2,154 2104 0

Long Hair 196 196 246 0

Total 2,350 2,350 2,350 0


MSMs Short hair Long hair Total

Total 2,104 246 2,350

Outreach Visits 1,115 202 1,317 (56%)

STI 207 102 309 (13%)

VCCT 298 116 406 (17%)

Condom 1,115 202 1,317 (56%)

B2- Activities and results of intervention among MSM in Q3-2012, BMC.


B3- Referral results of MSM by quarter-2012 in BMC.

MSM Before

2012

Q1/12 Q2/12 Q3/12 Q4/12 Total

Total N/A 2,350

(DU:288)

2,350

(DU:368)

2,350

(DU:267)

0 2350

VCCT N/A 698

(DU:58)

464

(DU:186)

406

(DU:113)

0 1,568 (67%)

(DU: 357)

HIV+ 10 (LH) 0 1 (to Thailand) 1(Mobile)

(DU:1)

0 12

OI/ART 10 0 0 0 0 10


DUs Q1 Q2 Q3 Q4

NIDU 1,569 (EW,MSM:516)

1,439 (EW,MSM:594)

1,363 (EW,MSM:491)

0

IDU 2 (MSM:2) 2 (MSM:2) 2 (MSM:2) 0

Total 1,571 1,441 1,365

0

C1- Statistic of DUs by quarter 2012 in BMC.


DUs

Non-injected

DUs

Injected DUs

Total

Total 1,363 2 1,365

Outreach Visits 934 2 936

(68.5%)

STI 63 2 65

(4.8%)

Condom 267 2 269 (20%)

C2- Activities and results of intervention among DUs in Q3-2012, BMC.


C3- Referral results of DUs by quarter-2012 in BMC.

DUs Before

2012

Q1 Q2 Q3 Q4 Total

Total 1,571 (EW,MSM:516)

1,441 (EW,MSM:516)

1,365 (EW,MSM:493)

0 1571

VCCT

PHD 0 0 0 387 0 767(49%)

NGO N/A 194 186 0 0

HIV+ 7 0 0 3 0 10

OI/ART 6

(1 Thailand,

1 inmate in

BMC)

0 0 2 (1 Thailand) 0 8


Health services Registered

Lost

Recover

Active

patients

Total DUs in RH 183

129

0 54

Total DUs in HCs 663

142

64 457

Total 846

271

64 511

DUs access to 4 RH, 13 HCs

C4- Treatment results for DU in Q3-2012, BMC.


Target

Casino

Workers

E-clients

Total

Total 2200 700 2900

Outreach Visits 600 700 1,300

(44.8%)

STI 84 25 109

(3.7%)

Condom 600 0 600 (20.6%)

D1- Activities and results of intervention among Mobile population Q3-2012 in BMC.


D2- Activities and results of intervention among Mobile population by quarter-2012 in BMC.

MMP Q1 Q2 Q3 Total

CW E-client CW E-client CW E-client CW E-client

Total 2200 1319 2200 1840 2200 2146 2200 2146

VCCT 125 335 94 136 124 109 343(16%) 580(27%)

HIV+ 0 0 2(Hide) 1 0 0 2 1

OI/ART 0 0 0 1 0 0 0 1


3. Link Respond


A- Bt’manTUeTA

￭ Rsukrdæ)al ³ 9 ￭eRbgva:Lg; HIVTUeTA 0.8% ³ 5/663

￭ RbCaCnsrub ³ 712/604 ￭ GaRtakMeNIt 2.95% ³ 20/882

￭ cMnYnRsþImanépÞeBaHrMBwgTuk/2012³ 20/882

￭ cMnYnXuM ³ 64 ￭ eRbgva:Lg; HIVRsþIépÞeBaH 0.4%³ 83

￭ cMnYnPUmi ³ 638

￭ cMnYnmnÞIreBTü ³ 5

￭ cMnYnmNÐlrNb³ 16

￭ cMnYnmNÐlsuxPaB³ 57 ￭ cMnYnb:usiþsuxPaB³ 12 ¬eRtomeLIgCa mNÐl 9 enA 2013¦ ￭ GgÁkarédKU³ SEADO, AHEAD, DYT, KBA, CHO, RACHA, PFD, MHSS,

MHC, CPR.


B- lTæplsMNakQam Edl)anbBa¢ÚntamRsukRbtibtþinimYy² kñúgry³eBl 3RtImas qñaM2012

sUc©nkr PPT OD MBR OD THP OD PNP OD Total

# RsþIépÞeBaHBinitüelIkTI1 5,272 5,208 2,432 2,719 15,631

# (%)sMNakQamRsþIépÞeBaH)anbBa¢Ún 4,932(93) 4,939(95) 2,360(97) 2,587(95) 14,818(95)

#RsþIépÞeBaHlT§pletsþviC¢man 8 11 1 1 21

#(%) sMNakQamédKU)anbBa¢Ún 1,044(21) 1,214(25) 1,317(56) 995(38) 4,570(31)

#édKUlT§pletsþviC¢man 1 4 3 0 8

# sMNakQamepSg² )anbBa¢Ún 489 1,076 191 805 2,561

# GtifiCnepSg²lT§plviC¢man 10 16 0 5 31

# srubsMNakQam)anbBa¢Ún 6,465 7,229 3,868 4,387 21,949

# srubcMnYnlT§plviC¢man 19 31 4 6 60

Note; PPT : PoiPet, MBR: Mongkul Borey, THP: Thmor Pouk, PNP: Preah Net Preah, OD: Operational District


C- ANC tested for HIV by Quarter in BMC

3802

4172

4766

4018 4199

5005

4126

4469

4890 5155

4773

78% 77%

93% 87%

81%

86% 90% 93% 92% 94%

99%

0.26% 0.34%

0.27% 0.35%

0.26% 0.32%

0.15% 0.27%

0.14% 0.08%

0.21% 0%

20%

40%

60%

80%

100%

120%

0

1000

2000

3000

4000

5000

6000

Q1-10 Q2-10 Q3-10 Q4-10 Q1-11 Q2-11 Q3-11 Q4-11 Q1-12 Q2-12 Q3-12

PW tested

% test/ANC1

HIV+


D- kareRbobeFoblTæplénkareFVIetsþQam VCCT nig LR

qñaM 2009 dl; RtImasTI3-2012

0 5000 10000 15000 20000 25000 30000 35000 40000

2009

2010

2011

Q3-12

16766

15388

21191

14806

0

15688

17799 21949

VCCT

LR


16766

37927

47236

36755

4.13%

1.90%

1.22%

0.91%

0.00%

0.50%

1.00%

1.50%

2.00%

2.50%

3.00%

3.50%

4.00%

4.50%

0

5000

10000

15000

20000

25000

30000

35000

40000

45000

50000

2009 2010 2011 Q3,2012

VCCT+LR

% HIV+

E- ninñakarén HIV+kñúgkareFVIetsþénviFIsaRsþeqøIytbrYmKñanig VCCT


F- karRKbdNþb;énesvaeFVIetsþemeraKeGds_kñúgcMeNamRsþIépÞeBaHenATUTaMgextþ

3RtImas qñaM 2012

No OD Popula tion

EPW (2.95%)

#ANC1 #Tested (Tested + labor tested + Known HIV)

# PW+

%Tested /ANC1 (*)

%Tested /EPW (**)

1 MBR 239,378 7,062 5,208 5,014 (4939+40+35)

11 96.27% 70.99%

2 PPT 197,361 5,822 5,272 4,963 (4932+25+6)

8 94.13% 85.24%

3 PNP 146,566 4,324 2,719 2,590 (2587+0+3)

1 95.25% 59.89%

4 THP 124,581 3,675 2,432

2,384 (2360+16+8)

1 98.02% 64.87%

Total (Province)

707,876 20,883 15,631 14,951 (14818+81+52)

21 95.64% 71.59%

(*): % Tested/ANC1 = (# Tested + # labor tested + # Known HIV status)/Total # ANC1.

(**) % Tested /EPW = (# Tested + # labor tested + # Known HIV status)/ # EPW

Note: EPW: Expected Pregnant Women


Sites Indicators Base

line

Expecte

d

Output

Result

(12 mth)

SSP

( Sereysophoan

OI/ART Clinic)

1> %GñkCMgWman CD4 < 350 RtUveGay ARTminhYsBI 60 éf¶

2> %GñkCMgWmkTTYlfñaM ART yWtCag 3 éf¶

3> %GñkCMgW OI EdllHbg;

85%

1.5%

10.5%

100%

1.2%

5%

MBR ( Mong

Kulborey

OI/ART Clinic)

1> %GññkCMgWman CD4< 350 RtUveGay ARTminhYsBI60 éf¶

2> %GñkCMgWmkTTYlfñaM ART yWtCag 3 éf¶

3> %GñkCMgWman CD4 < 200 (Cotrim) CD4 < 100

(Fluconazole)

85%

6%

45%

&31%

95%

4%

95%

78%

3%

79%

67%

PPT1 ( Poipet 1

OI/ART Clinic)

1- % of patient initial visit who has CD4 >350

2- % of patient whose under ART and lost follow up.

3- % of late visit beyond drug buffer.

13.8%

1.4%

7.3%

30%

0.5%

5%

65%

1.5%

4.6%

THP

( Thmorpouk

OI/ART Clinic)

No CQI

G- សកម្មភាព CQI :

4- Challenges and Solution

26

Challenges Solution

1- Shortage budget approval from donors

for referral MARP to STI and VCCT (

Only 30% of target group).

- Implementation affordable work and C-

PITC.

2- Over load work for health staff.

( Ex. STI staff have to share time for

OI/ART, IMCI, ANC.. )

- Use contract staff, NGO’s staff.

3- Some NGOs stop working in BMC. - CPN+ BMC, VHSG temporarily Work .

26

02/01/2013 Dr. Sin Eap: PASP, PHD-BMC

5- Future Plan • Increase HIV test among EWs, MSM and DU

to 75% at the end of 2012.

Actual outputs: - EWs: Q1= 437, Q2= 447, Q3= 384 => Total= 884p /1566 (80.9%).

- MSM: Q1= 698, Q2= 464, Q3= 406 => Total= 1568/2350 (66.7%).

- DUs: Q1= 194, Q2= 186, Q3= 387=> Total = 767/1571( 48.8%).

- Total ANC1: 15,631p, HIV test: 14,818 p (94.7%).

• Plan for 2013:

-Test for HIV among MARP up to 85%.

- Test for HIV among PWs up to 95.5%.

- Following Boosted LR approach.



6- Recommendation

• Practical Approaches.

•Enough Budget for:

- Operation.

- Motivation.

Thank you


kic©rbcumerobcmepnkarrbtibtþirkb;rcugercaysmrab;kmµvifi ......mbr 2 20 215 239,378 srp 1 20 1 1 1...

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