Results of the Track 1.0Antiretroviral Therapy Program

February 2004 - June 2007

Barbara Aranda-Naranjo, PhD, Director HIV/AIDS Bureau, Global HIV/AIDS Program

Health Resources and Services Administration

US DHHS

Track 1.0 ART Program

The Track 1.0 ART Program is funded and administered by HIV Care and Treatment Team, GAP, CDC and HIV/AIDS Bureau, HRSA

Four grantees receive Track 1.0 ART awards AIDSRelief (Catholic Relief Services Consortium)Elizabeth Glaser Pediatric AIDS Foundation (EGPAF)Harvard School of Public Health (Harvard)Mailman School of Public Health of Columbia University (Columbia)

The program was funded in February 2004

Program Year

Annual Funding (millions) Countries

Program/ Country Projects

Care and Treatment Facilities

1 (2004-05) $92 11 21 119

2 (2005-06) $172 13 24 279

3 (2006-07) $206 13 24 478

4 (2007-08) $320 13 25 537

Track 1.0 ART Program

Track 1.0 ART Program

As of June 30, 2007 800,624 ever enrolled in palliative care512,129 currently receiving palliative care386,456 ever started on ART304,848 currently on ART

Of those on ART, 8% are children

Of adults on ART, 63% are females

Of children on ART, 49% are females

Results of Track 1.0 ART Program

as of June 30, 2007

By Country

Countries where Grantees have Implemented Track 1.0 ART Programs as of June 30, 2007

Countryby Grantee

AIDSRELIEF EGPAF

HARVARD COLUMBIA TOTAL

Botswana     X   1

Cote d’Ivoire   X   X 2

Ethiopia       X 1

Guyana X       1

Haiti X       1

Kenya X     X 2

Mozambique X   X 2

Nigeria X   X X 3

Rwanda X     X 2

South Africa X X   X 3

Tanzania X X X X 4

Uganda X       1

Zambia X X 2

TOTAL 9 5 3  8 25

No. of Persons Currently on ART by Country and Track 1.0 Grantee, June 30, 2007

*Indirect Support

Countryby Grantee

AIDSRELIEF EGPAF HARVARD

COLUMBIA TOTAL

Botswana   9,520* 9,520

Cote d’Ivoire   26,878 26,878

Ethiopia   14,332 14,332

Guyana 412 412

Haiti 2,126 2,126

Kenya 15,030 4,944 19,974

Mozambique   3,320 22,491 25,811

Nigeria 8,487 23,048 3,828 35,363

Rwanda 929 10,158 11,087

South Africa 11,729 13,406 16,679 41,814

Tanzania 9,354 11,667 10,087 6,623 37,731

Uganda 12,761 12,761

Zambia 13,084 53,955 67,039

TOTAL 73,912 109,226 42,655 79,055 304,848

Track 1.0 ART ProgramBotswana

One Track 1.0 ART ProgramHarvard School of Public Health

As of June 30, 2007,1 medical facility was providing ART9,520* persons currently on ARTn/a persons currently receiving HIV care

*These results are now classified as indirect

One Track 1.0 ART ProgramElizabeth Glaser Pediatric AIDS FoundationMailman School of Public Health of Columbia University (Beginning FY2008)

As of June 30, 2007,77 medical facilities were providing ART26,878 persons currently on ART31,567 persons currently receiving HIV care*

*Those on care include those on ART

Track 1.0 ART Program Côte d’Ivoire

Track 1.0 ART ProgramEthiopia

One Track 1.0 ART ProgramMailman School of Public Health of Columbia University

As of June 30, 2007,38 medical facilities were providing ART14,332 persons currently on ART28,473 persons currently receiving HIV care

Track 1.0 ART ProgramGuyana

One Track 1.0 ART ProgramAIDSRelief

As of June 30, 2007,3 medical facilities were providing ART412 persons currently on ART755 persons currently receiving HIV care

Track 1.0 ART ProgramHaiti

One Track 1.0 ART ProgramAIDSRelief

As of June 30, 2007,8 medical facilities were providing ART2,126 persons currently on ART3,856 persons currently receiving HIV care

Track 1.0 ART ProgramKenya

Two Track 1.0 ART ProgramsMailman School of Public Health of Columbia UniversityAIDSRelief

As of June 30, 2007,44 medical facilities were providing ART19,974 persons currently on ART33,965 persons currently receiving HIV care

Track 1.0 ART ProgramMozambique

One Track 1.0 ART ProgramMailman School of Public Health of Columbia University

As of June 30, 2007,50 medical facilities were providing ART25,811 persons currently on ART68,653 persons currently receiving HIV care

Track 1.0 ART ProgramNigeria

Two Track 1.0 ART ProgramsHarvard School of Public HealthAIDSRelief

As of June 30, 2007,40 medical facilities were providing ART35,363 persons currently on ART62,508 persons currently receiving HIV care

Track 1.0 ART ProgramRwanda

Two Track 1.0 ART ProgramsMailman School of Public Health of Columbia UniversityAIDSRelief

As of June 30, 2007,44 medical facilities were providing ART11,087 persons currently on ART24,249 persons currently receiving HIV care

Track 1.0 ART ProgramSouth Africa

Three Track 1.0 ART ProgramsMailman School of Public Health of Columbia UniversityAIDSReliefElizabeth Glaser Pediatric AIDS Foundation

As of June 30, 2007,76 medical facilities were providing ART41,814 persons currently on ART71,536 persons currently receiving HIV care

Track 1.0 ART ProgramTanzania

Four Track 1.0 ART ProgramsMailman School of Public Health of Columbia UniversityAIDSReliefElizabeth Glaser Pediatric AIDS FoundationHarvard School of Public Health

As of June 30, 2007,84 medical facilities were providing ART37,731 persons currently on ART

69,101 persons currently receiving HIV care

Track 1.0 ART ProgramUganda

One Track 1.0 ART ProgramAIDSRelief

As of June 30, 2007,17 medical facilities were providing ART12,761 persons currently on ART23,113 persons currently receiving HIV care

Track 1.0 ART ProgramZambia

One Track 1.0 ART ProgramElizabeth Glaser Pediatric AIDS FoundationAIDSRelief

As of June 30, 2007,55 medical facilities were providing ART67,039 persons currently on ART94,353 persons currently receiving HIV care

Results of Track 1.0 ART Program

as of June 30, 2007

By Grantee

No. of Persons on ART by Track 1.0 Grantee

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

90,000

100,000

FY04

Q4

FY05

Q1

FY05

Q2

FY05

Q3

FY05

Q4

FY06

Q1

FY06

Q2

FY06

Q3

FY06

Q4

FY07

Q1

FY07

Q2

FY07

Q3

Ever Started Current Started in qtr

AIDSRelief91,697

81% on ART

11,028 patients/quarter

No. of Persons on ART by Track 1.0 Grantee

0

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

FY04

Q4

FY05

Q1

FY05

Q2

FY05

Q3

FY05

Q4

FY06

Q1

FY06

Q2

FY06

Q3

FY06

Q4

FY07

Q1

FY07

Q2

FY07

Q3

Ever Started Current Started in qtr

EGPAF142,017

77% on ART

21,486 patients/quarter

No. of Persons on ART by Track 1.0 Grantee

0

10,000

20,000

30,000

40,000

50,000

60,000

FY04

Q4

FY05

Q1

FY05

Q2

FY05

Q3

FY05

Q4

FY06

Q1

FY06

Q2

FY06

Q3

FY06

Q4

FY07

Q1

FY07

Q2

FY07

Q3

Ever Started Current Started in qtr

Harvard54,062

79% on ART

4,564 patients/quarter

No. of Persons on ART by Track 1.0 Grantee

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

90,000

100,000

FY04

Q4

FY05

Q1

FY05

Q2

FY05

Q3

FY05

Q4

FY06

Q1

FY06

Q2

FY06

Q3

FY06

Q4

FY07

Q1

FY07

Q2

FY07

Q3

Ever Started Current Started in qtr

Columbia98,680

80% on ART

15,325 patients/quarter

No. of Persons on ART by Track 1.0 Grantee

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

400,000

FY04

Q4

FY05

Q1

FY05

Q2

FY05

Q3

FY05

Q4

FY06

Q1

FY06

Q2

FY06

Q3

FY06

Q4

FY07

Q1

FY07

Q2

FY07

Q3

Ever Started Current Started in qtr

Program Totals386,456

79% on ART

52,403 patients/quarter

No. of Persons Currently on ART by Country and Track 1.0 Grantee, June 30, 2007

*Indirect Support

Country by Grantee

AIDSRELIEF EGPAF HARVARD

COLUMBIA TOTAL

Botswana   9,520* 9,520

Cote d’Ivoire   26,878 26,878

Ethiopia   14,332 14,332

Guyana 412 412

Haiti 2,126 2,126

Kenya 15,030 4,944 19,974

Mozambique   3,320 22,491 25,811

Nigeria 8,487 23,048 3,828 35,363

Rwanda 929 10,158 11,087

South Africa 11,729 13,406 16,679 41,814

Tanzania 9,354 11,667 10,087 6,623 37,731

Uganda 12,761 12,761

Zambia 13,084 53,955 67,039

TOTAL 73,912 109,226 42,655 79,055 304,848

Total* Treatment Results and Projections**

153,909257,324

401,223560,802

1,100,000

822,068

FY04APR

FY05SAPR

FY05APR

FY06SAPR

FY06APR

FY07SAPR

FY07APR

FY08SAPR

FY08APR

FY09 FY09

Nu

mb

er

of

Pe

op

le

Number of People ReceivingTreatment End FY'09 Target (2,000,000) Projected increase

*The total number receiving treatment includes individuals reached through USG upstream and downstream support.** Based on past performance and current capabilities. Assumes that countries will continue to newly enroll 30,00-60,000 patients per month into treatment for a total of 180,000 to 360,000 per 6 months. Actual out year results are unknown and may differ from these projections.

PEPFAR Progress in Treatment

Contribution of Track 1.0 ART Program to Emergency

PlanAs of June 30, 2007, the Track 1.0 ART Program supported

537 medical facilities in 25 country/partner programs in 13 countries304,848 on ART, which is about 28% of all those on ART supported by PEPFAR512,129 in palliative care