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Table 3 Chronic care management

From: HIV service delivery models towards ‘Zero AIDS-related Deaths’: a collaborative case study of 6 Asia and Pacific countries

  Cambodia Myanmar Nepal PNG Thailand Vietnam
Service availability       
Total no. of ART sites 51 90 36 61 1014 217
Provinces with ART 21/24 provinces 13/14 provinces 13/14 zones 20/20 provinces 76/76 provinces 63/63 provinces
Districts with ART 44/77 districts 59/325 townships 30/75 districts 61/89 districts 878/878 districts 167/697 districts
Districts having ART (%) 57 18 40 69 100 24
Districts with VCT having ART (%) 57 28 40 69 100 95
District with CHBC
/District with ART
44/44 (848/997 health center) 15 or more/59 13/30 2/61 400 or more/878 (185 teams)/167
Linking approach       
Testing and counseling (post-test counseling) to pre-ART care linkage PLHIV referred to pre-ART care, but often in distant location. CHBC team offering referral support PLHIV referred to pre-ART care, but often in distant location PLHIV referred to pre-ART care, but often in distant location PLHIV referred to pre-ART care, but often in distant location PLHIV referred to pre-ART care. VCT and Pre-ART care located in the same facility PLHIV referred to pre-ART care, but often in distant location
Generating a daily patient appointment list for ART 32 sites electronic, 19 sites paper-based system Most sites paper-based system Most sites paper-based system 4 sites electronic, 57 paper-based system All sites electronic system Most sites paper-based system
Performance monitoring       
Monitoring of pre-ART care through national program reporting Enrolment: 7,391 Enrolment: 30,615 Enrolment: 15,443 Enrolment 2,541 Enrolment 28,264 Enrolment: 8,729
Attrition: 2,249 (Lost and died monitored from 4th quarter of 2010) Attrition: not available Attrition: not available Attrition 414 Attrition 11,185 Attrition: Available only from selected sites
−Lost 278 −Lost 6,892
−Died 136 −Died 4,293
Monitoring of appointment keeping for ART Annual facility survey in 42 sites, Local quality improvement in 16 sites. Not yet operational Not yet operational Not yet operational Annual facility survey in 38 sites Annual facility survey in 30 sites
ART retention at 12-month (%) 93 87 N/A 78 83 82
  1. Source: National HIV programs of 6 countries, AIDS Progress Report 2012 of Cambodia [19], Myanmar [20], Nepal [21], PNG [22], Thailand [23], Vietnam [24].
  2. Remark: Province refers to the health administration, one level higher than so called district. District refers to the health administration level with the first referral-hospital (Operational district in Cambodia, Township in Myanmar, District in Nepal, PNG, Thailand, and Vietnam). CHBC: Community- and home-based care.